Clinical decision making in spinal fusion for chronic low back pain. Results of a nationwide survey among spine surgeons. Willems P, de Bie R, Oner C, Castelein R, de Kleuver M. BMJ Open 2011 Dec 21;1(2):e000391. Print 2011

2012 ◽  
Vol 12 (3) ◽  
pp. 276
Keyword(s):  
Decision Making ◽  
Low Back Pain ◽  
Back Pain ◽  
Spinal Fusion ◽  
Chronic Low Back Pain ◽  
Clinical Decision Making ◽  
Nationwide Survey ◽  
Clinical Decision ◽  
Low Back

scholarly journals Subgrouping Patients With Low Back Pain

2011 ◽  
Vol 3 (6) ◽  
pp. 534-542 ◽  
Author(s):  
Jeffrey J. Hebert ◽  
Shane L. Koppenhaver ◽  
Bruce F. Walker
Keyword(s):  
Decision Making ◽  
Low Back Pain ◽  
Back Pain ◽  
Spinal Manipulation ◽  
Clinical Decision Making ◽  
Treatment Approach ◽  
Clinical Decision ◽  
Low Back ◽  
Stabilization Exercise ◽  
Socioeconomic Burden

Context: Low back pain (LBP) is a prevalent condition imposing a large socioeconomic burden. Despite intensive research aimed at the efficacy of various therapies for patients with LBP, most evidence has failed to identify a superior treatment approach. One proposed solution to this dilemma is to identify subgroups of patients with LBP and match them with targeted therapies. Among the subgrouping approaches, the system of treatment-based classification (TBC) is promoted as a means of increasing the effectiveness of conservative interventions for patients with LBP. Evidence acquisition: MEDLINE and PubMed databases were searched from 1985 through 2010, along with the references of selected articles. Results: TBC uses a standardized approach to categorize patients into 1 of 4 subgroups: spinal manipulation, stabilization exercise, end-range loading exercise, and traction. Although the TBC subgroups are in various stages of development, recent research lends support to the effectiveness of this approach. Conclusions: While additional research is required to better elucidate this method, the TBC approach enhances clinical decision making, as evidenced by the improved clinical outcomes experienced by patients with LBP.

scholarly journals Novel walking pole gait pattern improves activity in an older adult with chronic low back pain

2021 ◽  
Vol 14 (12) ◽  
pp. e245807
Author(s):  
Evan L Prost ◽  
Carmen C Abbott ◽  
Erin A Dannecker ◽  
Brad W Willis
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Perceived Exertion ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Gait Pattern ◽  
Potential Effect ◽  
Low Back ◽  
Decision Making Model

A 65-year-old woman with chronic low back pain participated in a 1-week community walking poles course. Although the participant received instruction in the standard Nordic walking method, she independently adopted a novel, modified, two-point gait pattern. Subsequently, her pain and activity tolerance using walking poles were monitored at 6 and 12 months. The participant ambulated two times the distance and reported lower ratings of perceived exertion and pain at 6-month and 12month follow-ups when walking with poles compared with walking without poles. This case highlights the potential effect of respecting patient preference within the clinical decision-making model. Doing so empowered a participant with chronic low back pain to adopt a novel, self-selected gait pattern and improve her short-term and long-term outcomes associated with chronic musculoskeletal disease.

scholarly journals Prediction of Treatment Outcomes for Patients with Chronic Low Back Pain: the Development of a Clinical Decision Guideline for Spine Surgeons

2016 ◽  
Vol 6 (1_suppl) ◽  
pp. s-0036-1582716-s-0036-1582716
Author(s):  
Miranda Van Hooff ◽  
Hanneke Van Dongen ◽  
Maarten Spruit ◽  
Raymond Ostelo ◽  
Marinus De Kleuver
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Treatment Outcomes ◽  
Chronic Low Back Pain ◽  
Clinical Decision ◽  
Low Back

scholarly journals The Nijmegen Decision Tool for Chronic Low Back Pain. Development of a Clinical Decision Tool for Secondary or Tertiary Spine Care Specialists

PLoS ONE ◽  
2014 ◽  
Vol 9 (8) ◽  
pp. e104226 ◽  
Author(s):  
Miranda L. van Hooff ◽  
Jan van Loon ◽  
Jacques van Limbeek ◽  
Marinus de Kleuver
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Clinical Decision ◽  
Low Back ◽  
Decision Tool ◽  
Spine Care
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