Articles: low-back-pain.
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Randomized Controlled Trial Comparative Study Clinical Trial
Topical analgesics, indomethacin plaster and diclofenac emulgel for low back pain: a parallel study.
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Randomized Controlled Trial Comparative Study Clinical Trial
Responsiveness of functional status in low back pain: a comparison of different instruments.
This study compares the responsiveness of three instruments of functional status: two disease-specific questionnaires (Oswestry and Roland Disability Questionnaires), and a patient-specific method (severity of the main complaint). We compared changes over time of functional status instruments with pain rated on a visual analog scale. Two strategies for evaluating the responsiveness in terms of sensitivity to change and specificity to change were used: effect size statistics and receiver-operating characteristic method. ⋯ The sensitivity to change of the rating of Oswestry Questionnaire was lower than that of the other instruments. The main complaint was not very specific to change. The two strategies for evaluating the responsiveness were very useful and appeared to complement each other.
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Randomized Controlled Trial Clinical Trial
The influence of low back pain on muscle activity and coordination during gait: a clinical and experimental study.
Chronic low back pain (CLBP) is a major clinical problem with a substantial socio-economical impact. Today, diagnosis and therapy are insufficient, and knowledge concerning interaction between musculoskeletal pain and motor performance is lacking. Most studies in this field have been performed under static conditions which may not represent CLBP patients' daily-life routines. ⋯ The clinical and experimental findings indicate that musculoskeletal pain modulates motor performance during gait probably via reflex pathways. Initially, these EMG changes may be interpreted as a functional adaptation to muscle pain, but the consequences of chronic altered muscle performance are not known. New possibilities to monitor and investigate altered motor performance may help to develop more rational therapies for CLBP patients.
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Randomized Controlled Trial Comparative Study Clinical Trial
The effects of spinal flexion and extension exercises and their associated postures in patients with acute low back pain.
A prospective randomized clinical trial compared the effects of flexion and extension back exercises and postures among soldiers with acute low back pain. ⋯ There was no difference for any outcomes between the flexion or extension exercise groups. However, either exercise was slightly more effective than no exercise when patients with acute low back pain were treated.
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Randomized Controlled Trial Comparative Study Clinical Trial
Randomised comparison of chiropractic and hospital outpatient management for low back pain: results from extended follow up.
To compare the effectiveness over three years of chiropractic and hospital outpatient management for low back pain. ⋯ At three years the results confirm the findings of an earlier report that when chiropractic or hospital therapists treat patients with low back pain as they would in day to day practice those treated by chiropractic derive more benefit and long term satisfaction than those treated by hospitals.