scholarly journals Efficacy of the McKenzie Method in Patients With Chronic Nonspecific Low Back Pain: A Protocol of Randomized Placebo-Controlled Trial

2015 ◽  
Vol 95 (2) ◽  
pp. 267-273 ◽  
Author(s):  
Alessandra Narciso Garcia ◽  
Lucíola da Cunha Menezes Costa ◽  
Mark J. Hancock ◽  
Matheus Oliveira de Almeida ◽  
Fabrício Soares de Souza ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Controlled Trial ◽  
Low Back ◽  
Numerical Rating ◽  
Mckenzie Method ◽  
And Function

Background The McKenzie method is widely used as an active intervention in the treatment of patients with nonspecific low back pain. Although the McKenzie method has been compared with several other interventions, it is not yet known whether this method is superior to placebo in patients with chronic low back pain. Objective The purpose of this trial is to assess the efficacy of the McKenzie method in patients with chronic nonspecific low back pain. Design An assessor-blinded, 2-arm, randomized placebo-controlled trial will be conducted. Setting This study will be conducted in physical therapy clinics in São Paulo, Brazil. Participants The participants will be 148 patients seeking care for chronic nonspecific low back pain. Intervention Participants will be randomly allocated to 1 of 2 treatment groups: (1) McKenzie method or (2) placebo therapy (detuned ultrasound and shortwave therapy). Each group will receive 10 sessions of 30 minutes each (2 sessions per week over 5 weeks). Measurements The clinical outcomes will be obtained at the completion of treatment (5 weeks) and at 3, 6, and 12 months after randomization. The primary outcomes will be pain intensity (measured with the Pain Numerical Rating Scale) and disability (measured with the Roland-Morris Disability Questionnaire) at the completion of treatment. The secondary outcomes will be pain intensity; disability and function; kinesiophobia and global perceived effect at 3, 6, and 12 months after randomization; and kinesiophobia and global perceived effect at completion of treatment. The data will be collected by a blinded assessor. Limitations Therapists will not be blinded. Conclusions This will be the first trial to compare the McKenzie method with placebo therapy in patients with chronic nonspecific low back pain. The results of this study will contribute to better management of this population.

scholarly journals Clinically significant changes in pain along the Pain Intensity Numerical Rating Scale in patients with chronic low back pain

PLoS ONE ◽  
2020 ◽  
Vol 15 (3) ◽  
pp. e0229228 ◽  
Author(s):  
Hidenori Suzuki ◽  
Shuichi Aono ◽  
Shinsuke Inoue ◽  
Yasuaki Imajo ◽  
Norihiro Nishida ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Chronic Low Back Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Low Back ◽  
Numerical Rating ◽  
Clinically Significant

McKenzie Method of Mechanical Diagnosis and Therapy was slightly more effective than placebo for pain, but not for disability, in patients with chronic non-specific low back pain: a randomised placebo controlled trial with short and longer term follow-up

2017 ◽  
Vol 52 (9) ◽  
pp. 594-600 ◽  
Author(s):  
Alessandra Narciso Garcia ◽  
Lucíola da Cunha Menezes Costa ◽  
Mark J Hancock ◽  
Fabrício Soares de Souza ◽  
Geórgia Vieira Freschi de Oliveira Gomes ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Treatment Effect ◽  
Controlled Trial ◽  
Low Back ◽  
End Of Treatment ◽  
Mckenzie Method ◽  
Secondary Outcomes

BackgroundThe McKenzie Method of Mechanical Diagnosis and Therapy (MDT) is one of the exercise approaches recommended by low back pain (LBP) guidelines. We investigated the efficacy of MDT compared with placebo in patients with chronic LBP.MethodsThis was a prospectively registered, two-arm randomised placebo controlled trial, with a blinded assessor. A total of 148 patients seeking care for chronic LBP were randomly allocated to either MDT (n=74) or placebo (n=74). Patients from both groups received 10 treatment sessions over 5 weeks. Patients from both groups also received an educational booklet. Clinical outcomes were obtained at the end of treatment (5 weeks) and 3, 6 and 12 months after randomisation. Primary outcomes were pain intensity and disability at the end of treatment (5 weeks). We also conducted a subgroup analysis to identify potential treatment effect modifiers that could predict a better response to MDT treatment.ResultsThe MDT group had greater improvements in pain intensity at the end of treatment (mean difference (MD) −1.00, 95% CI −2.09 to −0.01) but not for disability (MD −0.84, 95% CI −2.62 to 0.93). We did not detect between-group differences for any secondary outcomes, nor were any treatment effect modifiers identified. Patients did not report any adverse events.ConclusionWe found a small and likely not clinically relevant difference in pain intensity favouring the MDT method immediately at the end of 5 weeks of treatment but not for disability. No other difference was found for any of the primary or secondary outcomes at any follow-up times.Trial registration numberClinicalTrials.gov (NCT02123394)

scholarly journals Association between telecommuting environment and low back pain among Japanese telecommuting workers: A cross-sectional study

2021 ◽  
Author(s):  
Ryutaro Matsugaki ◽  
Keiji Muramatsu ◽  
Seiichiro Tateishi ◽  
Tomohisa Nagata ◽  
Mayumi Tsuji ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Cross Sectional Study ◽  
Mixed Effects ◽  
Low Back ◽  
Sectional Study ◽  
Cross Sectional ◽  
Numerical Rating

Objectives: We evaluated the relationship between telecommuting environment and low back pain (LBP) among desk-based workers in Japan. Methods: This cross-sectional study included 3,663 desk-based, telecommuting workers. LBP was assessed using a 0 to 10 numerical rating scale. The telecommuting environment was evaluated using subjective questions. Mixed-effects logistic regression analysis was used. Results: Mixed-effects logistic model results revealed that not having a place or room to concentrate on work, desk not well-lit enough for work, not having enough space on the desk to work, not having enough legroom, and not having comfortable temperature and humidity conditions in the workspace were significantly associated with higher odds of LBP. Conclusions: Our findings suggest that telecommuting environment is associated with the prevalence of LBP.

scholarly journals A study to assess the effectiveness of Acharya Technique on low back pain among women

2020 ◽  
Vol 11 (3) ◽  
pp. 3005-3008
Author(s):  
KalaBarathi S ◽  
Mohana S
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Demographic Variable ◽  
Numerical Rating Scale ◽  
Sampling Technique ◽  
Low Back ◽  
Medical Issues ◽  
Age Related ◽  
Numerical Rating

Back pain is the most widely recognised medical consultation in all the nations. It meddles with an individual’s satisfaction and general working. Back pain is a too fundamental issue that can extend from a dull, consistent pain to an unexpected, sharp pain that can leave individuals crippled. It can come on abruptly from a mishap, a fall, or lifting something extraordinary or it can grow gradually, maybe as the consequence of age-related changes to the Spine. Those instincts and behavioural patterns are now codified into Acharya technique for back pain and Spinal & Nervous rejuvenation. The Save India association is conducting camps week after week without involving any fee for every one of the individuals, who are experiencing Back pain. All the same, people with other medical issues can also learn them and help themselves to enjoy perfect health and that as well with no depressions, fatigues or strain. Those who are destitute and are worn out on running from pillar to post and have spent a ton in treating back pain would now be able to plan to appreciate ideal wellbeing through this nature fix treatment which can properly be known as a therapy beyond all therapies. Hence the study is aimed to assess the effectiveness of Acharya technique on low back pain among women. Quantitative approach with Experimental Research design was employed with 60 samples which matched the inclusion criteria were selected by purposive sampling technique. A demographic variable was collected by using multiplechoice questionnaires by structured questionnaires, and the level of pain was assessed by using the Numerical Rating Scale. The results of the study are out of 60 samples 37 [61.66%] had moderate pain, 23 [38.33%] had mild pain, and none had severe pain.

scholarly journals Hubungan Intensitas Nyeri Dengan Status Fungsional Penderita Low Back Pain

2021 ◽  
Vol 8 (3) ◽  
pp. 369-373
Author(s):  
Muhammad Naufal Zuhair ◽  
Jumraini Tammasse ◽  
Susi Aulina ◽  
Muhammad Yunus Amran
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Random Sampling ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Simple Random Sampling ◽  
Low Back ◽  
Kendall’S Tau ◽  
Cross Sectional ◽  
Numerical Rating

LATAR BELAKANG : Selama masa pandemi, pemerintah menetapkan Pembatasan Sosial Berskala Besar (PSBB) untuk menurunkan kasus infeksi COVID-19 sehingga intensitas kejadian LBP lebih meningkat daripada sebelum karantina yang mencerminkan efek negatif dari peraturan tersebut. Hal tersebut disebabkan karena adanya perubahan gaya hidup yang signifikan seperti waktu yang dihabiskan untuk duduk meningkat, waktu berolahraga yang berkurang, dan persentase individu melaporkan lebih banyak mengalami stress selama karantina daripada sebelum ditetapkan PSBB. Studi saat ini melaporkan dampak nyeri punggung bawah yang mengakibatkan terganggunya status fungsional penderita disebabkan oleh kebutuhan biaya pengobatan setiap tahun dan keterbatasan kunjungan penderita ke layanan kesehatan, sehingga hal tersebut mengindikasikan penderita nyeri punggung bawah perlu dilakukan evaluasi seberapa besar ketidakmampuan fungsional yang terjadi dan faktor yang mempengaruhinya.   TUJUAN :  Untuk mengetahui hubungan intensitas nyeri dengan status fungsional penderita LBP di Poliklinik Saraf RSUP Dr. Wahidin Sudirohosudo. METODE :  Observasi analitik dengan pendekatan cross sectional  dan teknik pengambilan sampel adalah simple random sampling.  Data menggunakan kuesioner Numerical Rating Scale dan Indeks Barthel. Penelitian dilakukan di RSUP Dr. Wahidin Sudirohusodo selama dua bulan yang dimulai dari Maret 2021 hingga April 2021. HASIL :   Pada hasil analisis data sampel menggunakan uji korelasi kendall's tau-b , didapatkan nilai korelasi (-0,644) dengan nilai kemaknaan hubungan ( p.sig  0,000) menunjukkan korelasi antara intensitas nyeri dengan status fungsional. KESIMPULAN : Intensitas nyeri memiliki hubungan dengan status fungsional penderita Low Back Pain  (LBP) di RSUP Dr. Wahidin Sudirohusodo. KATA KUNCI  : Nyeri Punggung Bawah , NRS, Indeks Barthel  

scholarly journals Efficacy and safety of treating chronic nonspecific low back pain with radial extracorporeal shock wave therapy (rESWT), rESWT combined with celecoxib and eperisone (C+E) or C+E alone: a prospective, randomized trial

2020 ◽  
Author(s):  
Xuejiao Guo ◽  
Lin Li ◽  
Zhe Yan ◽  
Yunze Li ◽  
Zhiyou Peng ◽  
...  
Keyword(s):  
Shock Wave ◽  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Controlled Trial ◽  
Low Back ◽  
Shock Wave Therapy ◽  
Level Of Evidence ◽  
Extracorporeal Shock Wave

AbstractBackgroundTo investigate whether respectively radial extracoporeal shock wave therapy (rESWT) or a combination of rESWT, Celecoxib and Eperisone (rESWT+C+E) are superior in reducing pain in subjects with chronic nonspecific low back pain (cnsLBP) compared to C+E alone (a standard treatment of this condition in China).Methods140 subjects with cnsLBP were randomly allocated to rESWT (n=47), rESWT+C+E (n=45) or C+E alone (n=48) for four weeks. Outcome was evaluated using the Pain Self-Efficacy Questionnaire (PSEQ), Numerical Rating Scale (NRS), Oswestry Low Back Pain Disability Questionnaire and Patient Health Questionnaire 9, collected at one week (W1), W2, W3, W4 and W12 after beginning of the therapy.ResultsAll scores showed a statistically significant improvement over time. The PSEQ and NRS scores showed a significant Time × Treatment effect. Subjects treated with rESWT had significantly lower mean NRS values than subjects treated with rESWT+C+E at W1 and W3, as well as than subjects treated with C+E alone at W3 and W4. No severe adverse events were observed.ConclusionrESWT may be superior to respectively rESWT+C+E or C+E alone in reducing pain in subjects with cnsLBP. Level of Evidence: Level I, prospective, randomized, active-controlled trial.

scholarly journals Role of fasciae in nonspecific low back pain

2019 ◽  
Vol 29 (3) ◽  
Author(s):  
Giulia Casato ◽  
Carla Stecco ◽  
Riccardo Busin
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
The Body ◽  
Deep Fascia ◽  
Low Back ◽  
Thoracolumbar Fascia ◽  
Patient Reported ◽  
Numerical Rating

More and more evidences show how the thoracolumbar fascia is involved with nonspecific low back pain. Additionally, recent studies about anatomy have shown the presence of a continuity between the thoracolumbar fascia and the deep fascia of the limbs; but actually, a dysfunction of just the thoracolumbar fascia or of the tightly contiguous myofascial tissue is generally recognized as possible cause of nonspecific low back pain. Five patients among those affected by nonspecific low back pain were manipulated just on those fascial spots that were painful, when palpated, and located in other areas of the body than the low back one. Each patient reported a clinically significant reduction of the painful symptoms (a Pain Numerical Rating Scale score difference ≥ 2) straight after the manipulation. A dysfunction of the myofascial tissue that is not tightly contiguous with the symptomatic area is then suggested to be taken into consideration among the causes of nonspecific low back-pain.

scholarly journals Evaluation of the Effectiveness of Physiotherapy in Health Resort in the Treatment of Lumbosacral Spine Pain

2019 ◽  
Vol 61 (3) ◽  
pp. 189-194
Author(s):  
Jolanta Matusiak ◽  
Antonina Kaczorowska ◽  
Aleksandra Katan
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Pain Syndrome ◽  
Roland Morris Disability Questionnaire ◽  
Low Back ◽  
Spine Mobility ◽  
Numerical Rating ◽  
Disability Questionnaire

Introduction: Diseases of the spine are the most common health problem in all population tested, regardless of the country. Pain syndrome of the spine is a major issue because it leads to disability progression and consequently to the deterioration of the quality of life. Physical therapy takes an important place in treating pain syndrome of the spine. The main focus of comprehensive physiotherapy is on dealing with pain and regaining normal range of movement of the spine, as well as obtaining proper stabilization. The aim of this study is to evaluate the effectiveness of spa physiotherapy on treating patients with low back pain. Material and Methods: The study included 50 patients of the “Malwa” Sanatorium in Polanica Zdrój participating in three-week spa therapy because of low back pain. The evaluation was based on the Numerical Rating Scale, Jackson-Moskowitz Scale, the Roland-Morris Disability Questionnaire, and the fingertip-to-floor test. Results: After three weeks of physiotherapy, an average level of pain measured by the Numerical Rating Scale decreased. The range of spine mobility measured by the fingertip-to-floor test improved. The differences between the averages are statistically significant. The patients’ disability concerning everyday tasks, measured by the Roland-Morris Disability Questionnaire decreased. Conclusions: A comprehensive physiotherapy used in health resorts has improved spine mobility among patients with low back pain; it also helped to decrease pain and disability. It seems that a period of three weeks is enough to provide improvement in low back pain.

scholarly journals Association of Serum Serotonin and Pain in Patients with Chronic Low Back Pain before and after Spinal Surgery

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Afshin Farhanchi ◽  
Behrouz Karkhanei ◽  
Negar Amani ◽  
Mashhood Aghajanloo ◽  
Elham Khanlarzadeh ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Low Back ◽  
Significant Difference ◽  
Before And After ◽  
Postoperative Serum ◽  
Serum Serotonin

Introduction. In this study we are aiming to evaluate the changes of serum serotonin and its association with pain in patients suffering from chronic low back pain before and after lumbar discectomy surgery. Patients and Methods. A prospective study was performed on the patients referring to the outpatient clinic in Besat hospital, Hamadan University of Medical Sciences, Hamadan, Iran, during 2016. A 2 mL fasting blood sample was collected from each patient at preoperative day 1 and postoperative day 14 and they were measured for level of serum serotonin. Besides, all patients were asked for severity of their low back pain in preoperative day 1 and postoperative day 14 and scored their pain from zero to ten using a Numerical Rating Scale. Results. Forty patients with the mean age of 47 ± 13 yrs/old (range 25–77) including 15 (37.5%) males were enrolled into the study. The overall mean score of preoperative pain was significantly decreased from 7.4 ± 2.18 (range 4–10) to the postoperative pain score 3.87 ± 2.92 (range 0–10) (P < .001). The overall levels of pre- and postoperative serum serotonin were 3.37 ± 1.27 (range 1.1–6.4) and 3.58 ± 1.32 (range .94–7.1) ng/mL, respectively, with no significant difference (P = .09). The levels of pre- and postoperative serum serotonin were significantly higher in males and patients older than 50 yrs/old compared to the females and patients younger than 50 yrs/old, respectively (P = .03 and .005, respectively). A significant inverse correlation between the postoperative levels of pain and serum serotonin was observed (r = -.36 and P = .02). Conclusion. A negative medium strength linear relationship may exist between the postoperative serum serotonin and low back pain.

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