scholarly journals Physical Therapists’ Use of Interventions With High Evidence of Effectiveness in the Management of a Hypothetical Typical Patient With Acute Low Back Pain

2005 ◽  
Vol 85 (11) ◽  
pp. 1151-1167 ◽  
Author(s):  
Christine Mikhail ◽  
Nicol Korner-Bitensky ◽  
Michel Rossignol ◽  
Jean-Pierre Dumas
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapists ◽  
Improve Patient Care ◽  
Cross Sectional Study ◽  
Dissemination And Implementation ◽  
Low Back ◽  
Cross Sectional ◽  
Acute Low Back Pain ◽  
Client Group

Abstract Background and Purpose. Evidence-based practice aims to improve patient care and service delivery, particularly in the management of individuals with low back pain (LBP), the largest client group seen by outpatient physical therapists. The purpose of this study was to determine the prevalence of use of interventions with evidence of effectiveness in the management of acute nonspecific LBP by physical therapists. Subjects. A multicenter cross-sectional study was conducted on 100 physical therapists working with patients with LBP. Methods. Using a telephone-administered interview, therapists described their current and desired treatment practices for a typical case of LBP. Each intervention reported was coded according to its evidence of effectiveness (strong, moderate, limited, or none). Information on clinician, workplace, and client characteristics also was obtained. Results. The prevalence of use of interventions with strong or moderate evidence of effectiveness was 68%. However, 90% to 96% of therapists also used interventions for which research evidence was limited or absent. Users of interventions with high evidence of effectiveness, as compared with nonusers, had graduated more recently and had taken a higher number of postgraduate clinical courses. Discussion and Conclusion. Although most therapists use interventions with high evidence of effectiveness, much of their patient time is spent on interventions that are not well reported in the literature. The results indicate the need for improvement in the quality of clinical research as well as its dissemination and implementation in a way that is appealing to therapists, such as through practice-related courses.

scholarly journals Compliance and Adherence to Regulations in the Prescription of Incapacities in Acute Low Back Pain in Tijuana, Mexico

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Arambula Pena MA ◽  
◽  
Bermudez Villalpando VI ◽  
Arambula Villa G ◽  
Antunez Ruiz VC ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cross Sectional Study ◽  
Medical Attention ◽  
Low Back ◽  
Evaluation Instrument ◽  
Sectional Study ◽  
Cross Sectional ◽  
Acute Low Back Pain ◽  
Use Of Resources

Background: Acute low back pain is an important public health problem in the world that affects economically active people; this condition generates an increase in the use of resources through the payment of subsidies and loss of working days. Aim: The purpose of this study is to know the compliance and adherence to the regulations in the prescription of incapacities in patients with acute low back pain. Design and Setting: Descriptive cross-sectional study. Methods: Descriptive cross-sectional study. A non-probability sampling was carried out in patients with temporary incapacity for work; medical care was evaluated through the Unique Process Evaluation Form (CUEP) for prescription of incapacity to obtain the percentage of compliance through an assessment scale. Results: Of the 10 items that make up the CUEP, four of them showed results in green, five in yellow and one in red. Conclusion: Compliance with regulations was partially achieved (73%). There are areas of opportunity in the continuous improvement of medical attention focused on incapacity, the permanent application of this evaluation instrument will allow to achieve that objective.

scholarly journals Attitudes and beliefs of Brazilian physical therapists about chronic low back pain: a cross-sectional study

2012 ◽  
Vol 16 (3) ◽  
pp. 248-253 ◽  
Author(s):  
Maurício O. Magalhães ◽  
Leonardo O. P. Costa ◽  
Cristina M. N. Cabral ◽  
Luciana A. C. Machado
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Physical Therapists ◽  
Cross Sectional Study ◽  
Attitudes And Beliefs ◽  
Low Back ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Cross-cultural adaptation, validity and reproducibility of the Back Beliefs Questionnaire among older Brazilians with acute low back pain. A cross-sectional study

2020 ◽  
Vol 138 (4) ◽  
pp. 287-296
Author(s):  
Luiza Faria Teixeira ◽  
Juliano Bergamaschine Mata Diz ◽  
Silvia Lanziotti Azevedo da Silva ◽  
Joana Ude Viana ◽  
João Marcos Domingues Dias ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cultural Adaptation ◽  
Cross Sectional Study ◽  
Cross Cultural ◽  
Low Back ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cross Cultural Adaptation ◽  
Acute Low Back Pain

scholarly journals Sensorimotor Cortical Activity in Acute Low Back Pain: A Cross-Sectional Study

2019 ◽  
Vol 20 (7) ◽  
pp. 819-829 ◽  
Author(s):  
Wei-Ju Chang ◽  
Valentina Buscemi ◽  
Matthew B. Liston ◽  
James H. McAuley ◽  
Paul W. Hodges ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cortical Activity ◽  
Cross Sectional Study ◽  
Low Back ◽  
Sectional Study ◽  
Cross Sectional ◽  
Acute Low Back Pain

scholarly journals Low Back Pain and Substance Use: Diagnostic and Administrative Coding for Opioid Use and Dependence Increased in U.S. Older Adults with Low Back Pain

Pain Medicine ◽  
2021 ◽  
Author(s):  
Beth B Hogans ◽  
Bernadette C Siaton ◽  
Michelle N Taylor ◽  
Leslie I Katzel ◽  
John D Sorkin
Keyword(s):  
Older Adults ◽  
Substance Use ◽  
Low Back Pain ◽  
Back Pain ◽  
National Sample ◽  
Cross Sectional Study ◽  
Diagnostic Code ◽  
Low Back ◽  
Opioid Use ◽  
Cross Sectional

Abstract Objective Low back pain (LBP) is a leading cause of pain and disability. Substance use complicates the management of LBP, and potential risks increase with aging. Despite implications for an aging, diverse U.S. population, substance use and LBP comorbidity remain poorly defined. The objective of this study was to characterize LBP and substance use diagnoses in older U.S. adults by age, gender, and race. Design Cross-sectional study of a random national sample. Subjects Older adults including 1,477,594 U.S. Medicare Part B beneficiaries. Methods Bayesian analysis of 37,634,210 claims, with 10,775,869 administrative and 92,903,649 diagnostic code assignments. Results LBP was diagnosed in 14.8±0.06% of those more than 65 years of age, more in females than in males (15.8±0.08% vs. 13.4±0.09%), and slightly less in those more than 85 years of age (13.3±0.2%). Substance use diagnosis varied by substance: nicotine, 9.6±0.02%; opioid, 2.8±0.01%; and alcohol, 1.3±0.01%. Substance use diagnosis declined with advancing age cohort. Opioid use diagnosis was markedly higher for those in whom LBP was diagnosed (10.5%) than for those not diagnosed with LBP (1.5%). Most older adults (54.9%) with an opioid diagnosis were diagnosed with LBP. Gender differences were modest. Relative rates of substance use diagnoses in LBP were modest for nicotine and alcohol. Conclusions Older adults with LBP have high relative rates of opioid diagnoses, irrespective of gender or age. Most older adults with opioid-related diagnoses have LBP, compared with a minority of those not opioid diagnosed. In caring for older adults with LBP or opioid-related diagnoses, health systems must anticipate complexity and support clinicians, patients, and caregivers in managing pain comorbidities. Older adults may benefit from proactive incorporation of non-opioid pain treatments. Further study is needed.

scholarly journals Smartphone usage duration is not associated with increased pain or proprioception deficit in young adults with chronic mechanical low back pain: a cross-sectional study

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Mina Magdy Wahba ◽  
Dina Othman Shokri Morsi Galal ◽  
Aliaa Rehan Youssef
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cross Sectional Study ◽  
Task Completion ◽  
Smartphone Addiction ◽  
Low Back ◽  
Cross Sectional ◽  
Pain Scores ◽  
Smartphone Use ◽  
Continuous Use

Abstract Background Smartphone use has been associated with pain in the upper quadrant; however, the relationship between usage duration and low back pain is still unclear. This study investigated the association between continuous smartphone use up to 30-min and back pain severity and proprioception acuity in patients with chronic low back pain. Fifty-eight patients with chronic mechanical LBP played a game for 10- and 30-min. In each session, pain and back repositioning errors were measured at baseline and immediately after task completion. Results Pain significantly but slightly increased following smartphone use, regardless to the duration (after 10 min: mean increase = 0.75 ± 1.17, P value < 0.001, 95% CI 0.44–1.06; after 30 min: mean increase = 0.96 ± 1.93, P value < 0.001, 95% CI 0.44–1.46). However, changes in perceived pain scores were not significantly different between the two tested durations (P value = 0.42). Proprioception repositioning error was not significantly different within the same testing session (mean change = 0.08 ± 1.83, 0.13 ± 1.77, P value = 0.73, 0.58, 95% CI − 0.40–0.56, − 0.60–0.33, for the 10 and 30 min, respectively). The changes in proprioception were not significant between the two-tested durations (P value = 0.56). Further, smartphone addiction did not significantly affect changes in pain and proprioception after game playing, regardless of the duration (P > 0.05). Conclusions These findings show that smartphone use slightly increases back pain immediately after continuous use; with no effect on back proprioception within the duration tested in this study. Changes in pain and proprioception were not influenced by smartphone addiction.

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