scholarly journals Motor Control Exercise for Persistent, Nonspecific Low Back Pain: A Systematic Review

2009 ◽  
Vol 89 (1) ◽  
pp. 9-25 ◽  
Author(s):  
Luciana G Macedo ◽  
Christopher G Maher ◽  
Jane Latimer ◽  
James H McAuley

BackgroundPrevious systematic reviews have concluded that the effectiveness of motor control exercise for persistent low back pain has not been clearly established.ObjectiveThe objective of this study was to systematically review randomized controlled trials evaluating the effectiveness of motor control exercises for persistent low back pain.MethodsElectronic databases were searched to June 2008. Pain, disability, and quality-of-life outcomes were extracted and converted to a common 0 to 100 scale. Where possible, trials were pooled using Revman 4.2.ResultsFourteen trials were included. Seven trials compared motor control exercise with minimal intervention or evaluated it as a supplement to another treatment. Four trials compared motor control exercise with manual therapy. Five trials compared motor control exercise with another form of exercise. One trial compared motor control exercise with lumbar fusion surgery. The pooling revealed that motor control exercise was better than minimal intervention in reducing pain at short-term follow-up (weighted mean difference=−14.3 points, 95% confidence interval [CI]=−20.4 to −8.1), at intermediate follow-up (weighted mean difference=−13.6 points, 95% CI=−22.4 to −4.1), and at long-term follow-up (weighted mean difference=−14.4 points, 95% CI=−23.1 to −5.7) and in reducing disability at long-term follow-up (weighted mean difference=−10.8 points, 95% CI=−18.7 to −2.8). Motor control exercise was better than manual therapy for pain (weighted mean difference=−5.7 points, 95% CI=−10.7 to −0.8), disability (weighted mean difference=−4.0 points, 95% CI=−7.6 to −0.4), and quality-of-life outcomes (weighted mean difference=−6.0 points, 95% CI=−11.2 to −0.8) at intermediate follow-up and better than other forms of exercise in reducing disability at short-term follow-up (weighted mean difference=−5.1 points, 95% CI=−8.7 to −1.4).ConclusionsMotor control exercise is superior to minimal intervention and confers benefit when added to another therapy for pain at all time points and for disability at long-term follow-up. Motor control exercise is not more effective than manual therapy or other forms of exercise.

2011 ◽  
Vol 36 (2) ◽  
pp. 123-126 ◽  
Author(s):  
Marcio Guelmann ◽  
Joseph Shapira ◽  
Daniela Silva ◽  
Anna Fuks

Objective: The goal of this manuscript was to review the existing literature in regards to esthetic options to restore pulpotomized primary molars. Study design: A pubmed literature search has been performed and all relevant studies were assessed. Results: Two laboratory, 3 restrospective and 4 prospective clinical studies were found, reviewed and analyzed. Conclusions: Based on the limited information available, we concluded that tooth colored and bonded restorations showed promising results as alternative materials to replace stainless steel crowns after pulpotomies in primary molars. Hybrid composites tend to perform better than compomers. Resin modified glass ionomer cements demonstrated excellent marginal seal and retention. More long-term follow up studies are necessary until more definitive recommendations can be made.


Pain ◽  
1977 ◽  
Vol 4 (Supp C) ◽  
pp. 283-292 ◽  
Author(s):  
Richard I. Newman ◽  
Joel L. Seres ◽  
Leonard P. Yospe ◽  
Bonnie Garlington

Author(s):  
A Figueiredo ◽  
S Jacinto ◽  
F Santos ◽  
I Afonso ◽  
J Cabral ◽  
...  

Pain ◽  
1987 ◽  
Vol 29 (1) ◽  
pp. 23-38 ◽  
Author(s):  
David L. McArthur ◽  
Michael J. Cohen ◽  
Harold J. Gottlieb ◽  
Bruce D. Naliboff ◽  
Steven L. Schandler

2020 ◽  
Author(s):  
Tao Xiang ◽  
Tao Xu ◽  
Jing Ren ◽  
Jun-mei Pu ◽  
Lu Liu ◽  
...  

Abstract Objective: To explore self-reported experience for different outpatient modes in tinnitus patients.Methods: A observational study design was adopted. Tinnitus outpatients from the otological medicine and routine otolaryngology of our hospital fulfilling the study criteria were enrolled between October 2018 and January 2020. They were examined by semi-structured interview questionnaire. Groups were formed according to the different outpatient modes. The data were analyzed with SPSS 23.0.Results: 193 questionnaires were included; 118 questionnaires of otological medicine outpatients, 75 questionnaires of otolaryngology outpatients. Nearly half of the otological medicine patients (48.3%) said that they communicated for 5–10 minutes with their doctor and a routine otolaryngology outpatient service usually takes 3–5 minutes (61.3%). However, most patients expected a longer time. Patient satisfaction and return visit rate of otological medicine (95.5% and 43.9%) were better than routine otolaryngology (77.3% and 7.1%). The main factors of efficacy considered physician interpretation and guidance.Conclusion: Both outpatient models can give patients a more satisfactory experience. Specialized outpatient service can better fit the shared decision making model, conducive to the rehabilitation and management of tinnitus. However, the long-term follow-up and management of patients still need to be scrutinized and improved continuously.


Author(s):  
Bobby Yanagawa ◽  
Derrick Y. Tam ◽  
Kathryn Hong ◽  
Amine Mazine ◽  
Akshay Bagai ◽  
...  

Objective This meta-analysis compares the early echocardiographic outcomes of aortic valve replacement using the two most commonly implanted stented bioprostheses. Methods We searched MEDLINE and EMBASE databases until 2017 for studies comparing Magna or Magna Ease (Edwards Lifesciences, Irvine, CA USA) versus Trifecta (St Jude Medical, St. Paul, MN USA) aortic bioprosthetic valves. A random-effects meta-analysis was performed for the primary outcome of mean gradient on echocardiography and secondary outcomes of effective orifice area, indexed effective orifice area, and in-hospital mortality. Results There were two randomized controlled trial, three matched, and six unmatched retrospective observational studies with 2119 patients [median reported follow-up = 6 months (interquartile range = 6 to 12)]. The Magna/Magna Ease valve was associated with higher early mean gradient (mean difference = 4.09, 95% confidence interval = 3.48 to 4.69, P < 0.0001) and smaller effective orifice area (mean difference = 0.30, 95% confidence interval = −0.38 to −0.22, P < 0.0001). There were no differences in 30-day mortality between Magna/Magna Ease and Trifecta (relative risk = 1.01, 95% confidence interval = 0.41 to 2.50, P = 1.0). Conclusions Trifecta may offer a small hemodynamic advantage compared with the Magna/Magna Ease valve with no differences in early mortality. Long-term follow-up is required to determine whether these differences persist and translate into differences in clinical outcomes.


Sign in / Sign up

Export Citation Format

Share Document