Immediate effects of a high-velocity spine manipulation in paraspinal muscles activity of nonspecific chronic low-back pain subjects

High-velocity spinal manipulation is commonly adopted for treating chronic low-back pain (CLBP) and has been associated with changes in muscle activity, but the evidence is controversial. The aim of this study was to analyse the immediate effects of high-velocity spine manipulation on paraspinal activity during flexion–extension trunk movements. Forty nonspecific CLBP patients were randomised into [...]

Effectiveness of exercise on work disability in patients with non-acute non-specific low back pain: Systematic review and meta-analysis of randomised controlled trials.

The objective of this study was to determine whether exercise is more effective than usual care to reduce work disability in patients with non-acute non-specific low back pain, and if so, to explore which type of exercise is most effective. A total of 23 trials met the inclusion criteria, 20 of which were suitable for [...]

Physical conditioning programs for improving work outcomes in workers with back pain.

The objective of this review was to compare the effectiveness of physical conditioning programs in reducing time lost from work for workers with back pain. Thirty-seven references, reporting on 23 RCTs (3676 workers) were included, 13 of which had a low risk of bias. In 14 studies, physical conditioning programs were compared to usual care. [...]

Exercises for prevention of recurrences of low-back pain.

The objective of this review was to investigate the effectiveness of exercises for preventing new episodes of low-back pain or low-back pain-associated disability. 13 articles reporting on nine studies with nine interventions were included. Four studies with 407 participants evaluated post-treatment programmes and five studies with 1113 participants evaluated exercise as a treatment modality. Four [...]

Graded Activity and Graded Exposure for Persistent Nonspecific Low Back Pain: A Systematic Review.

The aim of this study was to systematically review randomized controlled trials that evaluated the effectiveness of graded activity or graded exposure for persistent (>6 weeks in duration or recurrent) low back pain. Fifteen trials with 1,654 patients were included. The trials had a median quality score of 6 (range=3–9). Pooled effects from 6 trials [...]

Spinal manipulation compared with back school and with individually delivered physiotherapy for the treatment of chronic low back pain: a randomized trial with one-year follow-up.

The objective of this study was to compare spinal manipulation, back school and individual physiotherapy in the treatment of chronic low back pain. 210 patients with chronic, non-specific low back pain, 140/210 women, age 59 +/- 14 years underwent back school and individual physiotherapy scheduled 15 1-hour-sessions for 3 weeks. Back school included: group exercise, [...]

Obesity and recovery from low back pain: a prospective study to investigate the effect of body mass index on recovery from low back pain.

This study describes a prospective cohort study to investigate any association between recovery from low back pain and body mass index (BMI) in patients with low back pain undergoing physiotherapy. A total of 140 patients with low back pain and no evidence of neurological deficit were divided into three groups based on their BMI. All [...]

Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life

The objectve of this study was to evaluate the effectiveness of an integrated care programme, combining a patient directed and a workplace directed intervention, for patients with chronic low back pain. 134 adults aged 18-65 sick listed for at least 12 weeks owing to low back pain underwent usual care (n=68) or integrated care (n=66). [...]

Motor control exercise for chronic low back pain: a randomized placebo-controlled trial.

The purpose of this study was to investigate the efficacy of motor control exercise for people with chronic low back pain. 154 patients with chronic low back pain of more than 12 weeks’ duration underwent twelve sessions of motor control exercise (ie, exercises designed to improve function of specific muscles of the low back region [...]

Talk therapy reduces back pain

Group therapy can provide a cost-effective way of treating lower back pain, a study shows.  After six one and a half hour sessions of the talking therapy the participants still showed improvements a year later, the trial published in the Lancet revealed. All of the 701 patients taking part in the study were given general [...]

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