scholarly journals Acute Effects of Global Postural Re-Education on Non-Specific Low Back Pain. Does Time-of-Day Play a Role?

2021 ◽  
Vol 18 (2) ◽  
pp. 713
Author(s):  
David Merinero ◽  
Manuel Rodríguez-Aragón ◽  
Javier Álvarez-González ◽  
Álvaro López-Samanes ◽  
Joaquín López-Pascual
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Functioning ◽  
Pain Scale ◽  
Time Of Day ◽  
Visual Analogue Pain Scale ◽  
Low Back ◽  
Acute Effects ◽  
Education Session ◽  
Visual Analogue Pain

Low back pain is one the most common forms of musculoskeletal disorders. Thus, several physiotherapeutic strategies (e.g., global postural re-education therapy) have been used for reducing low back pain. The aim of this study was to determinate if acute application of global postural re-education session associated effects are influenced by the time-of-day when this physical therapy is applied. Eight participants in a randomized, counterbalanced order were acutely tested both before and 24 h after a global postural re-education therapy session (10 min session) in three different time-of-day points; morning (i.e., AM; 7:00–9:00 h), midday (i.e., AM; 12:00–14:00 h) and afternoon (i.e., PM; 18:00–20:00 h). In each session, low back pain Visual Analogue Pain Scale [VAS]), flexibility, function capacity (Roland Morris Questionnaire [RMQ], and physical functioning Oswestry Disability Index [ODI]) were recorded. Results showed a pain reduction (VAS Scale) 24 h post Global postural re-education [GPR] session (p = 0.001) and increasing of flexibility pre-post GPR session in all the time-of-day points (morning, midday, and afternoon) (p = 0.001) while no differences were reported in RMQ (p = 0.969) and ODI (p = 0.767). Thus, acute GPR session produces the same effects on flexibility, low back pain, function capacity, and physical functioning values independently of time-of-day when it is applied.

scholarly journals Implementation of Clinical Guidelines on Physical Therapy for Patients With Low Back Pain: Randomized Trial Comparing Patient Outcomes After a Standard and Active Implementation Strategy

2005 ◽  
Vol 85 (6) ◽  
pp. 544-555 ◽  
Author(s):  
Geertruida E Bekkering ◽  
Maurits W van Tulder ◽  
Erik JM Hendriks ◽  
Marc A Koopmanschap ◽  
Dirk L Knol ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Patient Outcomes ◽  
Physical Functioning ◽  
Clinical Guidelines ◽  
Physical Therapists ◽  
Low Back ◽  
Active Strategy ◽  
Active Implementation

Abstract Background and Purpose. An active strategy was developed for the implementation of the clinical guidelines on physical therapy for patients with low back pain. The effect of this strategy on patients' physical functioning, coping strategy, and beliefs regarding their low back pain was studied. Subjects. One hundred thirteen primary care physical therapists treated a total of 500 patients. Methods. The physical therapists were randomly assigned to 1 of 2 groups. The control group received the guidelines by mail (standard passive method of dissemination). The intervention group, in contrast, received an additional active training strategy consisting of 2 sessions with education, group discussion, role playing, feedback, and reminders. Patients with low back pain, treated by the participating therapists, completed questionnaires on physical functioning, pain, sick leave, coping, and beliefs. Results. Physical functioning and pain in the 2 groups improved substantially in the first 12 weeks. Multilevel longitudinal analysis showed no differences between the 2 groups on any outcome measure during follow-up. Discussion and Conclusion. The authors found no additional benefit to applying an active strategy to implement the physical therapy guidelines for patients with low back pain. Active implementation strategies are not recommended if patient outcomes are to be improved.

scholarly journals Adherence to Clinical Practice Guidelines for Low Back Pain in Physical Therapy: Do Patients Benefit?

2010 ◽  
Vol 90 (8) ◽  
pp. 1111-1122 ◽  
Author(s):  
Geert M. Rutten ◽  
Saskia Degen ◽  
Erik J. Hendriks ◽  
Jozé C. Braspenning ◽  
Janneke Harting ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Physical Functioning ◽  
Guideline Adherence ◽  
Internal Validity ◽  
Small Sample ◽  
Low Back ◽  
Process Of Care ◽  
Dutch Version

BackgroundVarious guidelines for the management of low back pain have been developed to enhance the effectiveness and efficiency of care. Evidence that guideline-adherent care results in better health outcomes, however, is not conclusive.ObjectiveThe main objective of this study was to assess whether a higher percentage of adherence to the Dutch physical and manual therapy guidelines for low back pain is related to improved outcomes. The study further explored whether this relationship differs for the individual steps of the process of care and for distinct subgroups of patients.DesignThis was an observational prospective cohort study (2005–2006) in the Netherlands that included a sample of 61 private practice therapists and 145 patients.MethodsTherapists recorded the process of care and the number of treatment sessions in Web-based patient files. Guideline adherence was assessed using quality indicators. Physical functioning was measured by the Dutch version of the Quebec Back Pain and Disability Scale, and average pain was measured with a visual analog scale. Relationships between the percentage of guideline adherence and outcomes of care were evaluated with regression analyses.ResultsHigher percentages of adherence were associated with fewer functional limitations (β=−0.21, P=.023) and fewer treatment sessions (β=−0.27, P=.005).LimitationsThe relatively small self-selected sample might limit external validity, but it is not expected that the small sample greatly influenced the internal validity of the study. Larger samples are required to enable adequate subgroup analyses.ConclusionsThe results indicate that higher percentages of guideline adherence are related to better improvement of physical functioning and to a lower utilization of care. A proper assessment of the relationship between the process of physical therapy care and outcomes may require a comprehensive set of process indicators to measure guideline adherence.

scholarly journals Time of Day is Associated with Opioid Prescribing for Low Back Pain in Primary Care

2018 ◽  
Vol 33 (11) ◽  
pp. 1828-1830 ◽  
Author(s):  
Lindsey M. Philpot ◽  
Bushra A. Khokhar ◽  
Daniel L. Roellinger ◽  
Priya Ramar ◽  
Jon O. Ebbert
Keyword(s):  
Primary Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Time Of Day ◽  
Low Back ◽  
Opioid Prescribing

Personalized multitarget biologic injection in the spine: prospective case series of multitarget platelet-rich plasma for low back pain

2021 ◽  
Author(s):  
Edilson S Machado ◽  
Mary A Ambach ◽  
José MP Caldas ◽  
Jason J Wei ◽  
Markus Bredemeier
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Platelet Rich Plasma ◽  
Case Series ◽  
Pain Scale ◽  
Roland Morris Disability Questionnaire ◽  
Low Back ◽  
Visual Analog Pain Scale ◽  
Paravertebral Muscles ◽  
Disability Questionnaire

Aim: To evaluate the use of a multitarget platelet-rich plasma (PRP) injection approach for the treatment of chronic low back pain (LBP). Materials & Methods: Forty-six patients with more than 12 weeks of LBP who failed conservative treatments were injected with PRP into the facet joints, intervertebral discs, epidural space and/or paravertebral muscles. Visual analog pain scale and Roland-Morris Disability Questionnaire scores were measured at baseline and predefined intervals. Results: Mean visual analog pain scale was reduced from 8.48 to 5.17 and mean Roland-Morris Disability Questionnaire from 18.0 to 10.98 at 12 weeks (p < 0.001). These statistically significant improvements were sustained over 52 weeks. No adverse effects were observed. Conclusion: Our PRP approach demonstrated clinically favorable results and may be a promising treatment for chronic LBP.

scholarly journals Relationships Between Sleep Quality and Pain-Related Factors for People with Chronic Low Back Pain: Tests of Reciprocal and Time of Day Effects

2016 ◽  
Vol 51 (3) ◽  
pp. 365-375 ◽  
Author(s):  
James I. Gerhart ◽  
John W. Burns ◽  
Kristina M. Post ◽  
David A. Smith ◽  
Laura S. Porter ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Sleep Quality ◽  
Chronic Low Back Pain ◽  
Time Of Day ◽  
Low Back ◽  
Related Factors ◽  
Pain Tests

Stature loss and recovery following a period of loading: Effect of time of day and presence or absence of low back pain

2008 ◽  
Vol 23 (6) ◽  
pp. 721-726 ◽  
Author(s):  
E.L. Healey ◽  
A.M. Burden ◽  
I.M. McEwan ◽  
N.E. Fowler
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Time Of Day ◽  
Low Back ◽  
Loading Effect

scholarly journals THE USE OF VISCERAL MOBILIZATION THERAPY TO RELIEVE LOW BACK PAIN

2016 ◽  
Vol 5 (2) ◽  
pp. 57-60
Author(s):  
Syed Abid Mehdi Kazmi ◽  
Iqbal Ahmed Siddiqui ◽  
Nabeel Baig
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Scale ◽  
Leg Pain ◽  
Low Back ◽  
Tender Points ◽  
Physiotherapy Treatment ◽  
Acute Low Back Pain ◽  
Remarkable Recovery ◽  
Back Pain Management

OBJECTIVE Ascertain the effects of visceral mobilization in low back pain management. METHODS A 33 years old female with complaint of acute low back pain referred for physiotherapy treatment, during her physical examination, we failed to correlate her pain with any neuro-musculoskeletal reference. So we extended our palpation on abdominal region and found tender points on bilateral iliac regions. Her pain was recorded on VAS pain scale that was 8-9/10. So, we decided to proceed through visceral mobilization on her reproductive system and at the end of the session she had no pain or discomfort. RESULTS There is a remarkable recovery in low back and leg pain by using VM only twice. It’s not only resolved completely but the effects sustained for more than a month. According to her, she observed great improvement in her walking. She regained the ability to sit on and get up from floor. She felt these differences right after the first session of treatment.

scholarly journals Zingiber Officinale and Pure Honey in Overcoming The Invisibility Of Back Pain in Trimester III Pregnant Women

2020 ◽  
Vol 9 (2) ◽  
pp. 1403-1408
Author(s):  
Dewi Nurlaela Sari ◽  
Yanyan Mulyani
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pregnant Women ◽  
Zingiber Officinale ◽  
Pain Scale ◽  
P Value ◽  
Low Back ◽  
Third Trimester ◽  
Post Test ◽  
Bivariate Test

Low back pain is one of the discomfort felt by pregnant women, especially pregnancies that are in the third trimester. This study aims to determine the effect of Zingiber Officinale and pure honey in the handling of low back pain discomfort in Trimester III pregnant women. This type of research method is a quasi-experiment with one group pre-post test design approach. The sampling method used purposive sampling, namely as many as 51 respondents. The bivariate test used was the Wilxocon test with a paired t-test. The results showed that offering food and honey was effective in reducing the low back pain scale in pregnant women with a p-value (2-tailed) of 0.000 (p <0.05). In conclusion, it is found that there is an effect of offering female labor and pure honey in the management of low back pain in third-trimester pregnant women. 

scholarly journals LATIHAN PEREGANGAN PADA PENDERITA NYERI PUNGGUNG BAWAH

2018 ◽  
Vol 11 (1) ◽  
pp. 046-052
Author(s):  
Fitra Puspita Sari
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Standard Deviation ◽  
Sampling Technique ◽  
Pain Scale ◽  
Low Back ◽  
Lower Back ◽  
Post Test ◽  
Pain Patients ◽  
Stretching Exercises

The incidence of low back pain is about 80% of the population have sufferedfrom low back pain. Data of low back pain patients within 6 months (April to September2016) as many as 72 visits in Poly Saraf RSUD Bengkulu City. The purpose of the studyto determine the effect of stretching on the reduction of the scale of pain in low back painpatients in Poly Saraf RSUD Bengkulu City. The type of research is pre-experiment withone group pre-test post-test design. Respondents were lower back pain patients as manyas 32 people taken with purposive sampling technique. Data collection was done byinterview using numerical pain scale. The result showed that the average of pain scalebefore stretching was 4.81 with a standard deviation of 0.592, the pain scale afterstretching was 3.34 with a standard deviation of 0.701. Stretching exercises have asignificant effect on decreasing the scale of low back pain (p = 0.000 ≤ α 5%). It isdesirable for nurses to apply stretching exercises as an initial measure to lower the scaleof low back pain.

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