Articles: low-back-pain.
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Arch Phys Med Rehabil · Oct 2000
Randomized Controlled Trial Comparative Study Clinical TrialDisability measurement in persons with back pain: a validity study of spinal range of motion and velocity.
To evaluate the criterion validity and responsiveness to change of spine kinematic variables to assess disability in patients with low back pain. ⋯ Spine kinematics during flexion and extension of the trunk do not appear to be a valid measure of disability in patients with subacute and chronic back pain.
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Functional restoration versus outpatient physical training in chronic low back pain: a randomized comparative study.
A randomized parallel-group comparative trial with a 1-year follow-up period was performed. ⋯ It may be that lower economic benefits during sick leave in the United States lead to favorable results from functional restoration programs, whereas greater benefits in Canada, Finland, and Denmark result in different conclusions. Finally, it may be that the difference in results across studies points simply to whether the studies were randomized.
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Randomized Controlled Trial Clinical Trial
Training in back care to improve outcome and patient satisfaction. Teaching old docs new tricks.
We examined clinical outcomes and patient perceptions of back care given by physicians before and after an intensive course of training in back care and limited manual therapy techniques. ⋯ A structured clinical approach to low back care may bring modestly improved clinical outcomes and patient satisfaction.
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Randomized Controlled Trial Clinical Trial
Does early intervention with a light mobilization program reduce long-term sick leave for low back pain?
A controlled randomized clinical trial was performed. ⋯ Early intervention with examination, information, and recommendations to stay active showed significant effects in reducing sick leave for patients with low back pain.
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Randomized Controlled Trial Comparative Study Clinical Trial
Ketorolac versus meperidine: ED treatment of severe musculoskeletal low back pain.
The study objective was to assess the efficacy and patient acceptance of ketorolac as an alternative to meperidine for the treatment of severe musculoskeletal low back pain (LBP). A double blinded prospective trial in a convenience sample of patients >18 years of age presenting to an urban university hospital emergency department (ED) was conducted over a 19-month period. Patients were included if the pain was musculoskeletal in origin and was severe enough to warrant parenteral analgesics. ⋯ Sedation level and adverse effects were significantly greater in the meperidine group. Ketorolac shows comparable single dose analgesic efficacy to a single moderate dose of meperidine with less sedation and adverse effects in an ED population with severe musculoskeletal LBP. The trend for greater pain reduction and patient satisfaction with meperidine needs further investigation.