Relevant bibliographies by topics / Low back pain

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Low back pain'

Author: Grafiati
Published: 4 June 2021
Last updated: 1 August 2024

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Journal articles on the topic "Low back pain"

1

Urinov, Musa B., and Mehriddin M. Usmanov. "PAIN SYNDROME IN FEMALE PATIENTS WITH LOW BACK PAIN." Oriental Journal of Biology and Chemistry 03, no. 05 (September 1, 2023): 1–8. http://dx.doi.org/10.37547/supsci-ojbc-03-05-01.

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This article discusses the pain syndrome in female patients with low back pain. According to the results of the survey and clinical and neurological examination, the nosological forms of BNS syndrome were determined. In the structure of dorsalgia, the ratio of reflex syndromes compared to compression-radicular syndromes was higher.
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Khalimova, Dilrabo Jalilovna. "RESULTS RESEARCH OF LOWER BACK PAIN USING THE ORIGINAL LOW BACK PAIN CHARACTERIZATION QUESTIONNAIRE." UZBEK MEDICAL JOURNAL Special issue, no. 3 (September 30, 2021): 30–34. http://dx.doi.org/10.26739/2181-0664-2021-si-3-6.

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In the polyclinics of the city of Bukhara and the Bukhara region, in the polyclinics of the city of Navoi and the Navoi region of the Republic of Uzbekistan, in the period for 2019, they were selectively interviewed using a questionnaire developed in the Bukhara Medical Institute of the Republic of Uzbekistan to determine the characteristics of LBP (for a patient). According to a survey on this questionnaire, specific characteristics of LBP were identified in patients living in urban and rural conditions
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Khalimova, Dilrabo Jalilovna. "RESULTS RESEARCH OF LOWER BACK PAIN USING THE ORIGINAL LOW BACK PAIN CHARACTERIZATION QUESTIONNAIRE." UZBEK MEDICAL JOURNAL Special issue, no. 3 (September 30, 2021): 30–34. http://dx.doi.org/10.26739/2181-0664-2021-si-3-6.

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In the polyclinics of the city of Bukhara and the Bukhara region, in the polyclinics of the city of Navoi and the Navoi region of the Republic of Uzbekistan, in the period for 2019, they were selectively interviewed using a questionnaire developed in the Bukhara Medical Institute of the Republic of Uzbekistan to determine the characteristics of LBP (for a patient). According to a survey on this questionnaire, specific characteristics of LBP were identified in patients living in urban and rural conditions
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4

Sharma, Saurabh. "Pilates Exercises in Low Back Pain Syndrome." Physiotherapy and Occupational Therapy Journal 10, no. 1 (2017): 47–50. http://dx.doi.org/10.21088/potj.0974.5777.10117.8.

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&NA;. "Low Back Pain." Back Letter 25, no. 5 (May 2010): 52–53. http://dx.doi.org/10.1097/01.back.0000372147.38352.a1.

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6

Rafael, Hernando. "Low-Back Pain." Journal of Neurosurgery: Spine 7, no. 1 (July 2007): 114–16. http://dx.doi.org/10.3171/spi-07/07/014.

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7

Cahya S, Andaru, Widodo Mardi Santoso, Machlusil Husna, Badrul Munir, and Shahdevi Nandar Kurniawan. "LOW BACK PAIN." JPHV (Journal of Pain, Vertigo and Headache) 2, no. 1 (March 1, 2021): 13–17. http://dx.doi.org/10.21776/ub.jphv.2021.002.01.4.

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Low back pain is the most common symptom found in the primary health care and is the number one cause of disability throughout worldwide. It is estimated that around 60 – 80% the world population will experience back pain during their lifespan. There are three different source of pain in the spine: axial-lumbosacral, radicular and reffered pain. All of these source brings different clinical presentations. Low back pain could be classified as acute, subacute and chronic low back pain. The pain could be nociceptive or neuropathic, the most common symptoms reported are “pressure pain” and “pain attack”. The physician should be aware of “red flags” symptoms that lead into more serious condition beside back pain and, therefore the patient has to be investigated to further examination whenever these symptoms present. The management of low back pain consist of severe modalities, both therapeutic and rehabilitative procedure. Oftentimes, the management needed multidisciplinary approach. It is important to general practitioners to identify and treat low back pain appropriately to reduce the burden of the disease and to prevent the disabilties caused by this condition.
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Laine, Christine. "Low Back Pain." Annals of Internal Medicine 148, no. 9 (May 6, 2008): ITC5. http://dx.doi.org/10.7326/0003-4819-148-9-200805060-01005.

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Chou, Roger. "Low Back Pain." Annals of Internal Medicine 160, no. 11 (June 3, 2014): ITC6–1. http://dx.doi.org/10.7326/0003-4819-160-11-201406030-01006.

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Kuritzky, Louis, and Jacqueline White. "Low-Back Pain." Physician and Sportsmedicine 25, no. 1 (January 1997): 56–64. http://dx.doi.org/10.3810/psm.1997.01.1097.

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Dissertations / Theses on the topic "Low back pain"

1

Gallais, Lenka. "Low back pain and risk factors for low back pain in car drivers." Thesis, University of Southampton, 2008. https://eprints.soton.ac.uk/64568/.

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The cause of low back pain in populations of professional drivers is uncertain. A literature review revealed factors that seem to be associated with low back pain (e.g. physical factors: exposure to whole body-vibration, prolonged sitting posture, frequent lifting, pushing and pulling, lack of physical fitness; psychosocial factors: job satisfaction or stress; individual factors: age, gender, anthropometrics, tobacco, alcohol consumption, etc.). This thesis investigates the occurrence of back pain in professional car drivers – a group found to be not focussed upon in previous epidemiological studies. The thesis seeks to advance understanding of response relationships between risk factors and low back pain in populations of car drivers (209 taxi drivers and 365 police drivers) and 485 non-drivers. A longitudinal study with cross-sectional baseline combined with field measurement of driving in selected vehicles was performed to investigate the occurrence of musculoskeletal problems (mainly low back pain) and the relationship between risk factors and low back pain experienced for at least one day during the past 12 months in the two populations of professional drivers (taxi drivers and police drivers) and professional non-drivers. The cross-sectional baseline of the longitudinal study revealed that 45% (38.3-51.7%) of taxi drivers, 53% (48-58.6%)of police drivers and 46% (41-50.1%) of police non-drivers reported low back pain for at least one day during the past 12-months (p = 0.09). The prevalence of low back pain in the non-driving population of police employees fell within prevalence range reported by professional car drivers in this study and in previous epidemiological studies. The cross-sectional study revealed risk factors associated with the prevalence of low back pain (i.e., stature, previous physical demands, increased psychosomatic distress, daily and cumulative driving in taxi drivers; age, lifting, bending, increase psychosomatic distress in police drivers; stature, bending, increased psychosomatic distress in police non-drivers). Measurements of whole-body vibration in selected taxi and police vehicles revealed frequencyweighted accelerations in the dominant vibration direction (i.e., z-axis) to be 0.47 ms-2 r.m.s. in taxi vehicles and 0.58 ms-2 r.m.s. in police vehicles. A study of cumulative exposure to whole-body vibration in a group of taxi drivers pointed to a possible overestimation of their self-estimated duration of vibration exposure by 31% on average. The longitudinal study revealed a lower incidence of low back pain in taxi drivers than in both police drivers and police non-drivers (p = 0.02). The difference might be attributed to a different approach to low back pain in taxi drivers who lose income if unable to work. An alternative explanation for increased low back pain among police employees could be that taxi drivers with low back pain leave their profession and were excluded from the follow-up study – a healthy worker effect. The longitudinal study revealed that increased psychosomatic distress was a risk factor associated with the development of new episodes of low back pain in all three of the studied populations (i.e. taxi drivers and police drivers and non-drivers). In police drivers, increased daily duration of driving was a risk factor for the development of low back pain. Although the results point to increased incidence of low back pain with increasing duration of daily driving, non-drivers were at a similar risk of developing of low back pain. Plausible explanations for this finding include ergonomic factors that were present for both the drivers and the non-drivers (e.g., the duration of sitting or duration in a constrained posture) and the presence of other risk factors not investigated in the study but associated with increased incidence of low back pain in non-drivers.
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2

Beurskens, Anna Johanna Helena Maria. "Low back pain and traction." [Maastricht : Maastricht : Rijksuniversiteit Limburg] ; University Library, Maastricht University [Host], 1996. http://arno.unimaas.nl/show.cgi?fid=6687.

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3

Spahr, Nicolas Marc. "Characterisation of low back pain." Thesis, King's College London (University of London), 2014. http://kclpure.kcl.ac.uk/portal/en/theses/characterisation-of-low-back-pain(cf75eeb8-b47e-40ef-88c7-9da58921ca72).html.

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Chronic low back pain (CLBP) causes ongoing pain, disability and psychological suffering, at a huge personal and socio-economic cost. CLBP is a heterogeneous condition and its mechanisms are poorly understood. Characterisation and classification of low back pain (LBP) is controversial, there is disagreement on the characterisation and diagnosis of neuropathic low back pain (NuLBP) in relation to mechanical LBP (MLBP). Diagnostic uncertainty is coupled with poor clinical outcomes for treatment. There is therefore an urgent need to develop more effective assessment strategies to identify and better differentiate NuLBP from MLBP in order to facilitate a better understanding of underlying mechanisms and more successful treatments. The primary aim of this study was to establish clinical profiles of CLBP, in particular, differences between MLBP and NuLBP using Questionnairebased behavioural evaluation and sensory testing, structural neuroimaging (voxel based morphometry) and functional neuroimaging (arterial spin labelling). Significant differences were identified between CLBP patients and healthy controls and between NuLBP and MLBP patients in multiple behavioural domains measuring pain, function and psychological well-being. Significant differences were demonstrated in CLBP patients compared to controls in both tactile threshold discrimination and two-point discrimination and between NuLBP and MLBP in tactile threshold discrimination. Functional and structural neuroimaging showed significant differences between all groups in widespread brain regions involved in the evaluation of decision making and planning, mood and emotion, modulation of pain and representation of body schema. This study has demonstrated the ability to characterise CLBP using a battery of behavioural, examination and functional and structural neuroimaging methodologies and has been able to differentiate between CLBP patients and controls and importantly, between NuLBP and MLBP patients. This work demonstrates the impact of CLBP across sensory-discriminative, affectivemotivational and cognitive-evaluative dimensions of the pain experience and shows the increased impact and burden on those who suffer with NuLBP compared to MLBP.
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Sharma, Sweekriti. "Overdiagnosis in low back pain." Thesis, The University of Sydney, 2021. https://hdl.handle.net/2123/25666.

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This thesis is organised into eight chapters. It is written so that each chapter can be read independently and has its own reference list. Four of the eight chapters have been published in peer-reviewed scientific journals. The University of Sydney permits the published papers that arose during the candidature to be included in the thesis. Chapter One introduces the problem of overdiagnosis in low back pain, and presents gaps in knowledge, which this thesis aimed to address. Chapter Two is a systematic review of 69 qualitative studies on clinician and patient beliefs about diagnostic imaging for low back pain. This manuscript is presented as published in British Medical Journal Open. Chapter Three highlights challenges in managing low back pain in low- and middle-income countries, using Nepal as an example. This manuscript is presented as published in the Journal of Global Health. Chapter Four is a randomised controlled trial of 418 members of the public testing the effect of information format on intention and beliefs regarding diagnostic imaging for non-specific low back pain. This manuscript is presented as published in the Patient Education and Counselling. Chapter Five is a focus group study of community response to a public health campaign aimed at reducing unnecessary diagnostic imaging for low back pain. This manuscript is presented as published in the Health Expectations. Chapter Six is a controlled experimental study with BABA design to determine the effect of a waiting room communication strategy to raise awareness of potential harms of unnecessary imaging on lumbar imaging rates in the Emergency Department. This manuscript is presented as submitted to Annals of Behavioural Medicine. Chapter Seven is a retrospective analysis of electronic medical record data on care for low back pain in three emergency departments in Sydney before and during the COVID-19 pandemic. This manuscript is presented as submitted to The Spine Journal. Chapter Eight summarises the main findings of this thesis and makes recommendations for future research and practice.
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Harman, Katherine. "Sleep and chronic low back pain." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/NQ26854.pdf.

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6

Roberts, Lisa Carol. "Control issues and low back pain." Thesis, University of Southampton, 1999. https://eprints.soton.ac.uk/414491/.

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Acute low back pain is a commonly occurring symptom that can impact considerably upon a person's life. It is poorly defined, difficult to classify and challenging to measure. However, due to the high prevalence rates of the symptom, cited in the epidemiological literature, and the costs incurred by individuals, health services and society in general, it is vital that clients are encouraged to take more responsibility for their health. This thesis is concerned with perceptions of control in people with acute low back pain. It is about how they respond to this symptom and the way it impacts upon their lives. The underpinning literature is drawn from both medical and social science research, as the work crosses faculty boundaries. Problems are addressed from a physiotherapeutic and social science perspective, as links are formed between the different disciplines. From this literature, a significant theoretical development was the creation of a framework, which enabled the systematic review of existing outcome measures. A number of instruments, relevant to clients with acute low back pain, were reviewed using this framework, for the dimensions of control, function, pain and anxiety. The findings were used to inform the selection of outcome measures in this research. Four studies were then undertaken, all linked to studying clients with acute low back pain. The first study was a survey of general practitioners in Southampton and the New Forest, which identified their strategies for managing clients with acute low back pain. The second study focused on clients' experiences and was a randomized controlled trial, which tested the effectiveness of an information leaflet, designed to encourage clients to take more responsibility for their own health. The third study primarily focused on clients' perceptions of control over time, addressing the question of how these perceptions change during a one-year period. Finally, since recruitment of clients by their doctors was problematic throughout this research, a follow-up survey was undertaken with these health professionals to establish the reasons for this. The results of these studies are used to discuss the importance of clients' perceptions of control and the implications for clinical practice.
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7

Harman, Katherine (Katherine Maureen) Carleton University Dissertation Psychology. "Sleep and chronic low back pain." Ottawa, 1997.

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8

Costa, Leonardo Oliveira Pena. "Contemporary management of low back pain." Connect to full text, 2009. http://hdl.handle.net/2123/5294.

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Thesis (Ph. D.)--University of Sydney, 2009.
Title from title screen (viewed Aug. 11, 2009) Includes tables and questionnaires. Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the School of Public Health, Faculty of Medicine. Includes bibliographical references. Also available in print form.
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9

Costa, Leonardo. "Contemporary management of low back pain." Thesis, The University of Sydney, 2009. http://hdl.handle.net/2123/5294.

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Abstract Low back pain is a significant public health problem in many countries of the world being one of the major causes of work absence and disability. Although the outlook for evidence-based management of low back pain has greatly improved over the past decades, many questions remain. Questions related to treatment options, underlying mechanisms of treatment effects and optimal assessment of low back pain have yet to be fully addressed by researchers. The broad aim of this thesis therefore was to contribute to a better understanding of the contemporary management of low back pain by performing studies in these key research areas. Most clinical practice guidelines recommend exercise as an effective treatment option for chronic low back pain. However the evidence for this recommendation comes from trials that are not placebo-controlled and so this may potentially provide biased estimates of the effects of exercise. Therefore a randomised controlled trial testing the effect of motor control exercise versus placebo in patients with chronic low back pain was conducted. Chapters 2 and 3 describe the trial protocol and the report of the trial respectively. A total of 154 patients with chronic low back pain were randomised to receive a motor control exercise program, or placebo (i.e. detuned short-wave therapy and detuned ultrasound therapy). Primary outcomes were pain, function, and the patient’s global impression of recovery measured at 2 months. The exercise intervention improved function and patient’s global impression of recovery, but not pain, at 2 months. The mean effect of exercise on function was 1.1 points (95%CI, 0.3 to 1.8), the mean effect on global impression of recovery was 1.5 points (95%CI, 0.4 to 2.5) and the mean effect on pain was 0.9 points (95%CI, - 0.01 to 1.8), all measured on 11 point scales. Secondary outcomes also favoured motor control exercise. This is the first study ever to demonstrate that motor control exercise is better than placebo for patients with chronic low back pain. Most of the treatment effects were maintained at 6 and 12 months follow-up. These results suggest that this intervention should be considered for patients with chronic low back pain in order to improve disability, function, and global impression of recovery, and to improve pain intensity in the long term, but not in the short term. Rehabilitative ultrasound imaging (RUSI) has been increasingly used by physiotherapists in order to identify impairments in motor control as well as to monitor progress of patients with low back pain. As with any other clinical measure it is important to know how reproducible the RUSI measures are, and although there are some reproducibility studies in the literature, no systematic review on this topic has been conducted. Therefore a systematic review was performed with the objective of assessing the reproducibility studies of RUSI for abdominal wall muscles (Chapter 4). Eligible studies were indentified via searches in CINAHL, EMBASE and MEDLINE with citation tracking via the Web of Science Index. A total of 21 studies were included. Due to heterogeneity of the studies’ designs, pooling the data for a meta-analysis was not possible. RUSI measures of thickness of abdominal wall muscles were found to be reliable. Few studies analysed the reliability for the measurement of thickness changes (reflecting the muscle activity) finding good to poor results. Evidence for the reproducibility of the difference in thickness changes over time (necessary to evaluate improvements in muscle activity with treatment) was not available. A limitation of the existing literature is that studies typically had suboptimal designs and analysis. The current evidence for the reproducibility of RUSI for measuring abdominal muscle activity is mainly based upon studies with suboptimal designs that included mostly healthy subjects, making generalisability to clinical settings uncertain. Some questions about the reproducibility of RUSI measures of abdominal wall muscles are still unanswered; this is mainly due to design issues, such as inadequate statistics, inadequate sampling and lack of control of sources of bias (e.g. blinding and absence of controlling for ordering effects). In addition the clinically important questions about the reproducibility of thickness changes (reflecting the muscle activity) and differences in thickness changes over time (reflecting the improvement or deterioration of muscle activity) have not been adequately investigated. Therefore a reproducibility study that aimed to answer these questions was performed (Chapter 5). Thirty-five patients seeking care for chronic low back pain participated in this study. RUSI measures were taken at baseline and eight weeks post-baseline. Replicate measures of thickness, thickness changes and differences in thickness changes over time were analysed. The reproducibility of static images (thickness) was excellent (ICC2,1 = 0.97, 95%CI = 0.96-0.97, Standard Error of the Measurement (SEM) = 0.04cm, Smallest Detectable Change (SDC) = 0.11cm), the reproducibility of thickness changes was moderate (ICC2,1 = 0.72, 95%CI 0.65-0.76 SEM = 15%, SDC 41%), while the reproducibility of differences in thickness changes over time was poor. Improvements in the test protocol should be undertaken in order to enhance the reproducibility of RUSI measures, especially for differences in thickness chang over time. Self-report outcome measures (questionnaires) are widely used by health care providers for measuring patient’s health status or treatment outcomes. Most of the questionnaires related to low back pain were developed in English and therefore their usefulness in non-English speaking countries is considerably limited. Cross-cultural adaptation and clinimetric testing are possibly the most efficient methods for solving this problem. Although there are many publications on the topic, a simple guide on how to perform a cross-cultural adaptation and clinimetric testing was not available. Therefore a “clinician-friendly” narrative review for Brazilian physical therapists (Chapter 6) was written. This review aimed firstly to explain the concepts and the relevance of cross-cultural adaptation and clinimetrics testing, secondly to summarise the current guidelines on the topic, thirdly to provide advice on how to choose a relevant questionnaire and finally how to evaluate the quality of an adapted questionnaire. Some examples of cross-cultural adaptations and clinimetrics testing of relevant low back pain questionnaires in the Brazilian-Portuguese language were also provided. Although the number of international versions of low back questionnaires is growing, to date it is unclear which questionnaires have been cross-culturally adapted and into which specific language. To answer these questions a systematic review was conducted in order to describe the available cross-cultural adaptations of low back pain self-report outcome measures and the clinimetric testing that has occurred for each adaptation (Chapter 7). Searches were performed in MEDLINE, EMBASE, CINALH and LILACS; these searches were supplemented with information from experts in the field of low back pain from 27 different countries to ensure that the results were comprehensive. Sixty-one adaptations were identified. While there are a large number of low back pain questionnaires available, very few have been adapted into other languages, particularly commonly spoken languages such as Mandarin, Hindi and Portuguese. The quality and comprehensiveness of clinimetric testing varied considerably, with the evaluation of reliability and construct validity most common. Further cross-cultural adaptation and clinimetric studies are clearly needed and special consideration must be given to study designs for clinimetric testing. The final aim of this thesis was to cross-culturally adapt self-report instruments relevant to the management of low back pain in Brazil. This was achieved by two independent studies. The first study (Chapter 8) aimed to cross-culturally adapt the Functional Rating Index (FRI) into Brazilian-Portuguese and to test the clinimetric properties of the FRI and also of an existing Brazilian-Portuguese version of the Roland Morris Disability Questionnaire (RMDQ) which was not fully evaluated in the original study. Both instruments were tested for internal consistency, reliability, construct validity, ceiling and floor effects and internal responsiveness in 140 chronic low back patients presenting for physiotherapy treatment in Brazil. Both instruments were considered reliable and valid for the measurement of disability in Brazilian-Portuguese speakers with low back pain, no ceiling or floor effects were detected, but the internal responsiveness of both instruments was considered small. The second study (Chapter 9) aimed to cross-culturally adapt the Patient-Specific Functional Scale (PSFS) and to perform a head-to-head comparison of the clinimetric properties of the PSFS, RMDQ and FRI. All instruments were tested for internal consistency, reliability, construct validity, ceiling and floor effects, internal and external responsiveness in 99 acute low back patients presenting for physiotherapy treatment in Brazil. In order to fully test the construct validity and external responsiveness, it was necessary to cross-culturally adapt the Pain Numerical Rating Scale and the Global Perceived Effect Scale. The results of this study demonstrate that the Brazilian-Portuguese versions of the RMDQ, FRI and PSFS have similar clinimetric properties to each other and to the original English versions; however the PSFS was the most responsive instrument. The results from the studies in Chapters 8 and 9 will benefit the understanding of low back pain by enabling international comparisons between studies conducted in Brazil and English speaking countries. In addition it will encourage researchers to include Brazilian- Portuguese speakers in their future clinical trials. Overall, the studies included in this thesis have provided an important contribution to the contemporary management of low back pain. Firstly the use of motor control exercise could be considered for patients with chronic low back pain as it produces improvements in global impression of recovery, function, disability and pain. Secondly RUSI measures of abdominal wall muscles in patients with low back pain were considered reproducible for the measurement of muscle activity, but not as an outcome measure to detect improvement/deterioration of muscle activity over the course of treatment. Thirdly just a few high-quality cross-cultural adaptations and clinimetrics testing for self-report outcome measures relevant to the management of low back pain are available, and clearly more studies in this area are needed. Finally the Brazilian-Portuguese versions of the Functional Rating Index, the Roland Morris Disability Questionnaire and the Patient-Specific Functional Scale have acceptable clinimetric properties and could be used in clinical practice as well as in research studies in Brazil.
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10

Costa, Leonardo. "Contemporary management of low back pain." University of Sydney, 2009. http://hdl.handle.net/2123/5294.

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PhD
Abstract Low back pain is a significant public health problem in many countries of the world being one of the major causes of work absence and disability. Although the outlook for evidence-based management of low back pain has greatly improved over the past decades, many questions remain. Questions related to treatment options, underlying mechanisms of treatment effects and optimal assessment of low back pain have yet to be fully addressed by researchers. The broad aim of this thesis therefore was to contribute to a better understanding of the contemporary management of low back pain by performing studies in these key research areas. Most clinical practice guidelines recommend exercise as an effective treatment option for chronic low back pain. However the evidence for this recommendation comes from trials that are not placebo-controlled and so this may potentially provide biased estimates of the effects of exercise. Therefore a randomised controlled trial testing the effect of motor control exercise versus placebo in patients with chronic low back pain was conducted. Chapters 2 and 3 describe the trial protocol and the report of the trial respectively. A total of 154 patients with chronic low back pain were randomised to receive a motor control exercise program, or placebo (i.e. detuned short-wave therapy and detuned ultrasound therapy). Primary outcomes were pain, function, and the patient’s global impression of recovery measured at 2 months. The exercise intervention improved function and patient’s global impression of recovery, but not pain, at 2 months. The mean effect of exercise on function was 1.1 points (95%CI, 0.3 to 1.8), the mean effect on global impression of recovery was 1.5 points (95%CI, 0.4 to 2.5) and the mean effect on pain was 0.9 points (95%CI, - 0.01 to 1.8), all measured on 11 point scales. Secondary outcomes also favoured motor control exercise. This is the first study ever to demonstrate that motor control exercise is better than placebo for patients with chronic low back pain. Most of the treatment effects were maintained at 6 and 12 months follow-up. These results suggest that this intervention should be considered for patients with chronic low back pain in order to improve disability, function, and global impression of recovery, and to improve pain intensity in the long term, but not in the short term. Rehabilitative ultrasound imaging (RUSI) has been increasingly used by physiotherapists in order to identify impairments in motor control as well as to monitor progress of patients with low back pain. As with any other clinical measure it is important to know how reproducible the RUSI measures are, and although there are some reproducibility studies in the literature, no systematic review on this topic has been conducted. Therefore a systematic review was performed with the objective of assessing the reproducibility studies of RUSI for abdominal wall muscles (Chapter 4). Eligible studies were indentified via searches in CINAHL, EMBASE and MEDLINE with citation tracking via the Web of Science Index. A total of 21 studies were included. Due to heterogeneity of the studies’ designs, pooling the data for a meta-analysis was not possible. RUSI measures of thickness of abdominal wall muscles were found to be reliable. Few studies analysed the reliability for the measurement of thickness changes (reflecting the muscle activity) finding good to poor results. Evidence for the reproducibility of the difference in thickness changes over time (necessary to evaluate improvements in muscle activity with treatment) was not available. A limitation of the existing literature is that studies typically had suboptimal designs and analysis. The current evidence for the reproducibility of RUSI for measuring abdominal muscle activity is mainly based upon studies with suboptimal designs that included mostly healthy subjects, making generalisability to clinical settings uncertain. Some questions about the reproducibility of RUSI measures of abdominal wall muscles are still unanswered; this is mainly due to design issues, such as inadequate statistics, inadequate sampling and lack of control of sources of bias (e.g. blinding and absence of controlling for ordering effects). In addition the clinically important questions about the reproducibility of thickness changes (reflecting the muscle activity) and differences in thickness changes over time (reflecting the improvement or deterioration of muscle activity) have not been adequately investigated. Therefore a reproducibility study that aimed to answer these questions was performed (Chapter 5). Thirty-five patients seeking care for chronic low back pain participated in this study. RUSI measures were taken at baseline and eight weeks post-baseline. Replicate measures of thickness, thickness changes and differences in thickness changes over time were analysed. The reproducibility of static images (thickness) was excellent (ICC2,1 = 0.97, 95%CI = 0.96-0.97, Standard Error of the Measurement (SEM) = 0.04cm, Smallest Detectable Change (SDC) = 0.11cm), the reproducibility of thickness changes was moderate (ICC2,1 = 0.72, 95%CI 0.65-0.76 SEM = 15%, SDC 41%), while the reproducibility of differences in thickness changes over time was poor. Improvements in the test protocol should be undertaken in order to enhance the reproducibility of RUSI measures, especially for differences in thickness chang over time. Self-report outcome measures (questionnaires) are widely used by health care providers for measuring patient’s health status or treatment outcomes. Most of the questionnaires related to low back pain were developed in English and therefore their usefulness in non-English speaking countries is considerably limited. Cross-cultural adaptation and clinimetric testing are possibly the most efficient methods for solving this problem. Although there are many publications on the topic, a simple guide on how to perform a cross-cultural adaptation and clinimetric testing was not available. Therefore a “clinician-friendly” narrative review for Brazilian physical therapists (Chapter 6) was written. This review aimed firstly to explain the concepts and the relevance of cross-cultural adaptation and clinimetrics testing, secondly to summarise the current guidelines on the topic, thirdly to provide advice on how to choose a relevant questionnaire and finally how to evaluate the quality of an adapted questionnaire. Some examples of cross-cultural adaptations and clinimetrics testing of relevant low back pain questionnaires in the Brazilian-Portuguese language were also provided. Although the number of international versions of low back questionnaires is growing, to date it is unclear which questionnaires have been cross-culturally adapted and into which specific language. To answer these questions a systematic review was conducted in order to describe the available cross-cultural adaptations of low back pain self-report outcome measures and the clinimetric testing that has occurred for each adaptation (Chapter 7). Searches were performed in MEDLINE, EMBASE, CINALH and LILACS; these searches were supplemented with information from experts in the field of low back pain from 27 different countries to ensure that the results were comprehensive. Sixty-one adaptations were identified. While there are a large number of low back pain questionnaires available, very few have been adapted into other languages, particularly commonly spoken languages such as Mandarin, Hindi and Portuguese. The quality and comprehensiveness of clinimetric testing varied considerably, with the evaluation of reliability and construct validity most common. Further cross-cultural adaptation and clinimetric studies are clearly needed and special consideration must be given to study designs for clinimetric testing. The final aim of this thesis was to cross-culturally adapt self-report instruments relevant to the management of low back pain in Brazil. This was achieved by two independent studies. The first study (Chapter 8) aimed to cross-culturally adapt the Functional Rating Index (FRI) into Brazilian-Portuguese and to test the clinimetric properties of the FRI and also of an existing Brazilian-Portuguese version of the Roland Morris Disability Questionnaire (RMDQ) which was not fully evaluated in the original study. Both instruments were tested for internal consistency, reliability, construct validity, ceiling and floor effects and internal responsiveness in 140 chronic low back patients presenting for physiotherapy treatment in Brazil. Both instruments were considered reliable and valid for the measurement of disability in Brazilian-Portuguese speakers with low back pain, no ceiling or floor effects were detected, but the internal responsiveness of both instruments was considered small. The second study (Chapter 9) aimed to cross-culturally adapt the Patient-Specific Functional Scale (PSFS) and to perform a head-to-head comparison of the clinimetric properties of the PSFS, RMDQ and FRI. All instruments were tested for internal consistency, reliability, construct validity, ceiling and floor effects, internal and external responsiveness in 99 acute low back patients presenting for physiotherapy treatment in Brazil. In order to fully test the construct validity and external responsiveness, it was necessary to cross-culturally adapt the Pain Numerical Rating Scale and the Global Perceived Effect Scale. The results of this study demonstrate that the Brazilian-Portuguese versions of the RMDQ, FRI and PSFS have similar clinimetric properties to each other and to the original English versions; however the PSFS was the most responsive instrument. The results from the studies in Chapters 8 and 9 will benefit the understanding of low back pain by enabling international comparisons between studies conducted in Brazil and English speaking countries. In addition it will encourage researchers to include Brazilian- Portuguese speakers in their future clinical trials. Overall, the studies included in this thesis have provided an important contribution to the contemporary management of low back pain. Firstly the use of motor control exercise could be considered for patients with chronic low back pain as it produces improvements in global impression of recovery, function, disability and pain. Secondly RUSI measures of abdominal wall muscles in patients with low back pain were considered reproducible for the measurement of muscle activity, but not as an outcome measure to detect improvement/deterioration of muscle activity over the course of treatment. Thirdly just a few high-quality cross-cultural adaptations and clinimetrics testing for self-report outcome measures relevant to the management of low back pain are available, and clearly more studies in this area are needed. Finally the Brazilian-Portuguese versions of the Functional Rating Index, the Roland Morris Disability Questionnaire and the Patient-Specific Functional Scale have acceptable clinimetric properties and could be used in clinical practice as well as in research studies in Brazil.
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Books on the topic "Low back pain"

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Association, American Physical Therapy. Low back pain. Alexandria, VA: American Physical Therapy Association, 1998.

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H, Kirkaldy-Willis W., and Burton Charles, eds. Managing low back pain. 3rd ed. New York: Churchill Livingstone, 1992.

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H, Kirkaldy-Willis W., and Bernard Thomas N, eds. Managing low back pain. 4th ed. New York: Churchill Livingstone, 1999.

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1928-, Ehrlich George E., Khaltaev N. G, and World Health Organization. Dept. of Noncommunicable Disease Management., eds. Low back pain initiative. [Geneva?]: World Health Organization, 1999.

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Browne, Gordon. Outsmarting low back pain. [United States?]: Movement Matters, 2005.

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H, Kirkaldy-Willis W., and Bernard Thomas N, eds. Managing low back pain. 4th ed. New York: Churchill Livingstone, 1999.

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H, Kirkaldy-Willis W., ed. Managing low back pain. 2nd ed. New York: Churchill Livingstone, 1988.

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Szpalski, Marek, Robert Gunzburg, Björn L. Rydevik, Jean-Charles Le Huec, and H. Michael Mayer, eds. Surgery for Low Back Pain. Berlin, Heidelberg: Springer Berlin Heidelberg, 2010. http://dx.doi.org/10.1007/978-3-642-04547-9.

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C, Jansson Maja, and Lindberg William J. 1941-, eds. Low back pain: New research. New York: Nova Science, 2008.

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1951-, Laredo Jean-Denis, ed. Imaging of low back pain. Philadelphia: Saunders, 2000.

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Book chapters on the topic "Low back pain"

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Yang, Aaron Jay, and Nitin B. Jain. "Low Back." In Pain Medicine, 57–59. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-43133-8_15.

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Kusper, Teresa M., Benjamin Cantu, Nebojsa Nick Knezevic, and Kenneth D. Candido. "Low Back Pain." In Pain, 633–37. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-99124-5_138.

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Maigne, Robert. "Low back pain of thoracolumbar origin." In Back Pain, 96–101. Dordrecht: Springer Netherlands, 1990. http://dx.doi.org/10.1007/978-94-009-2165-8_11.

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Chen, Kelly Yan, Naum Shaparin, and Karina Gritsenko. "Low Back Pain." In Pain Medicine, 461–63. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-43133-8_121.

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Shah, Sapan, Julia H. Ding, and Anis Dizdarević. "Low Back Pain." In Academic Pain Medicine, 235–41. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-18005-8_32.

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Iyer, K. Mohan. "Low Back Pain." In General Principles of Orthopedics and Trauma, 367–77. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-15089-1_16.

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Loeser, John D. "Low Back Pain." In Neurosurgical Management of Pain, 46–54. New York, NY: Springer New York, 1997. http://dx.doi.org/10.1007/978-1-4612-1938-5_4.

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Long, Don M. "Low Back Pain." In Neurosurgical Management of Pain, 55–58. New York, NY: Springer New York, 1997. http://dx.doi.org/10.1007/978-1-4612-1938-5_5.

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Manfrè, Luigi, and Johan Van Goethem. "Low Back Pain." In IDKD Springer Series, 225–30. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-38490-6_18.

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Malik, Jamil A., Theresa A. Morgan, Falk Kiefer, Mustafa Al’Absi, Anna C. Phillips, Patricia Cristine Heyn, Katherine S. Hall, et al. "Low Back Pain." In Encyclopedia of Behavioral Medicine, 1179. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-1005-9_260.

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Conference papers on the topic "Low back pain"

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Chiriac, Ovidiu. "Physiotherapy Options For Low Back Pain." In ICPESK 2018 - International Congress of Physical Education, Sports and Kinetotherapy. Education and Sports Science in the 21st Century, Edition dedicated to the 95th anniversary of UNEFS. Cognitive-Crcs, 2019. http://dx.doi.org/10.15405/epsbs.2019.02.51.

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Hasan, Hosni, Hashbullah Ismail, and Raja Mohamed Firhad Raja Azidin. "Preventive methods of low back pain." In 2010 International Conference on Science and Social Research (CSSR). IEEE, 2010. http://dx.doi.org/10.1109/cssr.2010.5773733.

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Traeger, Adrian, Sweekriti Sharma, Rachelle Buchbinder, Ian Harris, and Chris Maher. "34 Overdiagnosis of low back pain." In Preventing Overdiagnosis, Abstracts, August 2018, Copenhagen. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/bmjebm-2018-111070.34.

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Neves Martins Caveari, Gustavo, Raquel Soares Paes, André Farias de Matos, David Vieira da Cunha Araújo, and Luciano Matos Chicayban. "Electroanalgesia in chronic low back pain." In 7th International Congress on Scientific Knowledge. Biológicas & Saúde, 2021. http://dx.doi.org/10.25242/8868113820212395.

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Abstract:
Low back pain or low back pain is a set of painful manifestations, affecting 90% of the population, including the elderly and young people. It has numerous causes, such as joint degeneration, biomechanical and functional changes, incorrect posture, among others. Thus, there is limitation in ROM, pain, burning sensation and functional incapacity. Electrotherapy is the use of electrical currents for different therapeutic purposes. It is used to control pain, reduce edema and muscle spasm. To identify the effects of electroanalgesia on pain in patients with low back pain chronic. Anon-systematic review of the literature was performed, where randomized clinical trials published between 2006 and 2020 were selected, according to the highest score in the scorePEDro. The search involved the databases PEDro e PubMed, through the following terms: electroanalgesia, chronic, back pain, backache, TENS, electrotherap, placebo, massage. Six studies with a PEDro score between 7 and 10 were selected. In all studies, electroanalgesia was compared with massage or placebo. In five studies, when TENS was compared with massage, there was an immediate reduction in pain, improvement in disability and a reduction in medication consumption. In one study, after ten sessions there was no difference between TENS and interferential current. Another study showed that laser was more effective than TENS in reducing pain. There is no difference between TENS and interferential current. Electroanalgesia appears, in the short term, to reduce pain, medication consumption, as well as improve disability. Laser is more effective than TENS in reducing pain.
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Boos, N. "SP0022 Low back pain and imaging." In Annual European Congress of Rheumatology, Annals of the rheumatic diseases ARD July 2001. BMJ Publishing Group Ltd and European League Against Rheumatism, 2001. http://dx.doi.org/10.1136/annrheumdis-2001.83.

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Hosio, Simo Johannes, Jaro Karppinen, Esa-Pekka Takala, Jani Takatalo, Jorge Goncalves, Niels van Berkel, Shin'ichi Konomi, and Vassilis Kostakos. "Crowdsourcing Treatments for Low Back Pain." In CHI '18: CHI Conference on Human Factors in Computing Systems. New York, NY, USA: ACM, 2018. http://dx.doi.org/10.1145/3173574.3173850.

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Wilder, D. G., E. Owens, M. R. Gudavalli, R. D. Macken, T. Xia, R. Vining, K. Pohlman, et al. "Pelvic Repositioning in Low Back Pain Patients." In American Conference on Human Vibration 2010. Iowa City, IA: University of Iowa, 2010. http://dx.doi.org/10.17077/achv2010.1047.

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Arribas, Lorenzo, and Jose Antonio Baeyens. "Management of Non-Specific Low Back Pain." In eccElearning Postgraduate Diploma in Spine Surgery. eccElearning, 2017. http://dx.doi.org/10.28962/01.3.058.

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Kesoema, Tanti Ajoe. "Return to Work Following Low Back Pain." In The 11th National Congress and The 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association. SCITEPRESS - Science and Technology Publications, 2019. http://dx.doi.org/10.5220/0009062700700075.

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Puspitasari, Indah, and Irawati Indrianingrum. "Back Massage Therapy to Reduce Low Back Pain in Pregnancy." In 1st Paris Van Java International Seminar on Health, Economics, Social Science and Humanities (PVJ-ISHESSH 2020). Paris, France: Atlantis Press, 2021. http://dx.doi.org/10.2991/assehr.k.210304.154.

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Reports on the topic "Low back pain"

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Wu, Boyu, Lei Yang, Chengwei Fu, Gonghui Jian, Yue Zhuo, and Hui Xiong. Acupuncture for Acute Low Back Pain: A Network Meta-Analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, December 2020. http://dx.doi.org/10.37766/inplasy2020.12.0025.

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Peng, Jialei, Qian Wang, Yang Xu, and Hongchen He. Telerehabilitation for Low Back Pain: A Systematic Review and Meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, January 2023. http://dx.doi.org/10.37766/inplasy2023.1.0091.

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Delitto, Anthony, Charity G. Patterson, Joel M. Stevans, Gerard P. Brennan, Stephen T. Wegener, David C. Morrisette, Jason M. Beneciuk, Steven Z. George, and Robert B. Saper. Comparing Ways to Treat Low Back Pain and Prevent Chronic Pain and Disability -- The TARGET Trial. Patient-Centered Outcomes Research Institute (PCORI), May 2021. http://dx.doi.org/10.25302/05.2021.pcs.140210867.

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Huang, Jin-Feng. What is the best management for low back pain? Evidence mapping of recommendations on diagnosis and management for low back pain: an international review of 15 guidelines. INPLASY - International Platform of Registered Systematic Review Protocols, April 2020. http://dx.doi.org/10.37766/inplasy2020.4.0104.

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George, Steven Z., John D. Childs, Deydre S. Teyhen, Samuel S. Wu, and Michael E. Robinson. Prevention of Low Back Pain in the Military: A Randomized Clinical Trial. Fort Belvoir, VA: Defense Technical Information Center, June 2008. http://dx.doi.org/10.21236/ada487610.

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Rhon, Daniel, Julie Fritz, Joshua Cleland, and Deydre Teyhen. Treatment-Based Classification versus Usual Care for Management of Low Back Pain. Fort Belvoir, VA: Defense Technical Information Center, August 2014. http://dx.doi.org/10.21236/ada612923.

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George, Steven Z., John D. Childs, Deydre S. Teyhen, Sanuel S. Wu, Alison Wright, Jessica Dugan, and Michael E. Robinson. Prevention Of Low Back Pain In The Military: A Randomized Clinical Trial. Fort Belvoir, VA: Defense Technical Information Center, June 2010. http://dx.doi.org/10.21236/ada540513.

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Milushev, Emil, Svetlozar Haralanov, Evelina Haralanova, Sava Ognianov, and Ivan Milanov. Novel Approach for Objective Quantification of Locomotor Disturbaces in Low Back Pain. "Prof. Marin Drinov" Publishing House of Bulgarian Academy of Sciences, July 2019. http://dx.doi.org/10.7546/crabs.2019.07.18.

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George, Steven Z. Prevention of Low Back Pain in the Military: A Randomized Clinical Trial. Fort Belvoir, VA: Defense Technical Information Center, June 2009. http://dx.doi.org/10.21236/ada508792.

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George, Steven Z., John Childs, Deydre Teyhen, Samuel Wu, Alison Wright, Jessica Dugan, and Michael Robinson. Prevention of Low Back Pain in The Military. A Randomized Clinical Trial. Fort Belvoir, VA: Defense Technical Information Center, July 2011. http://dx.doi.org/10.21236/ada566718.

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