Effectiveness of lumbar orthoses in low back pain: Review of the literature and our results

Back pain and diseases of the spine are today a health disorder of outstanding epidemiological, medical, and health economic importance. The cost of care for patients with lumbosciatic complaints are steadily increasing. Accordingly, the guidelines and treatments are constantly renewed. One concept is the orthotic care. In the following we want to give an overview of the literature and the effectiveness of lumbar orthoses in low back pain supplemented by our own data. A prospective randomized study with 230 patients, divided into three groups, each with two subgroups. Three Orthoses by the TIGGES-Zours GmbH were prescribed; a demountable two-step lumbar orthosis, three-step bridging orthosis and a four-step flexion orthosis modular system. Each were compared to the nonmodular equivalent. All six groups showed improvement in pain intensity and functional capacity at 6 and 12 weeks. The modular groups were found to have improvement in the frequency of use. The subjective effectiveness and sensitivity for the modular and non-modular groups was assessed as being good. In the literature, there are no clear guidelines for an orthotic supply. The studies do not seem to be meaningful and universal due to the difficult ascertainability of pain. There is a need for further research here. Nevertheless, the authors of this review are of the opinion that the implementation of trunk orthoses is void of side effects and beneficial to patients. The modular systems seem to have an advantage as well as higher patient satisfaction.

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Physiotherapy management of low back pain - a review of surveys

South African Journal of Physiotherapy ◽

10.4102/sajp.v67i1.246 ◽

2011 ◽

Vol 67 (1) ◽

Cited By ~ 2

Author(s):

A. Basson

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Patient Outcomes ◽

Best Practice ◽

Management Strategies ◽

Cost Of Care ◽

Evidence Based ◽

Low Back ◽

The Cost ◽

Improve Patient

Low back pain (LBP) is an increasingly debilitating and costly problem. One of the research focuses in LBP is an attempt to improve patient outcomes. It is believed that the promotion of evidence based practice (EBP) should improve patient outcomes and also reduce the cost of care. There seems to be a need to establish how physiotherapists manage LBP and whether management is in accordance with best practice based on published research evidence. The aim of this study was to determine what management strategies physiotherapists employ in the management of LBP by performing a review of the literature and to compare this with recent guidelines Fourteen studies were included for the review. The treatments most frequently reported as being used for the management of LBP were education/ advice, exercise, spinal mobilisation and electrotherapy. Over a 14 year period there were no major changes in the way physiotherapists manage LBP. Physiotherapist use interventions that are evidence based as well as interventions with little evidence in the management of LBP.

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Faculty of 1000 evaluation for Lateral parasagittal versus midline interlaminar lumbar epidural steroid injection for management of low back pain with lumbosacral radicular pain: a double-blind, randomized study.

F1000 - Post-publication peer review of the biomedical literature ◽

10.3410/f.718016059.793478414 ◽

2013 ◽

Author(s):

Jan Jakobsson

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Steroid Injection ◽

Randomized Study ◽

Radicular Pain ◽

Epidural Steroid Injection ◽

Low Back ◽

Double Blind ◽

Epidural Steroid

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Update of Markov Model on the Cost-effectiveness of Nonpharmacologic Interventions for Chronic Low Back Pain Compared to Usual Care

Spine ◽

10.1097/brs.0000000000003539 ◽

2020 ◽

Vol 45 (19) ◽

pp. 1383-1385

Author(s):

Patricia M. Herman ◽

Ryan K. McBain ◽

Nicholas Broten ◽

Ian D. Coulter

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Cost Effectiveness ◽

Markov Model ◽

Usual Care ◽

Chronic Low Back Pain ◽

Low Back ◽

The Cost

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Comparison of intravenous NSAIDs and trigger point injection for low back pain in ED: A prospective randomized study

The American Journal of Emergency Medicine ◽

10.1016/j.ajem.2019.01.015 ◽

2019 ◽

Vol 37 (10) ◽

pp. 1927-1931 ◽

Cited By ~ 6

Author(s):

Abdullah Osman Kocak ◽

Ali Ahiskalioglu ◽

Emre Sengun ◽

Sultan Tuna Akgol Gur ◽

Ilker Akbas

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Trigger Point ◽

Randomized Study ◽

Prospective Randomized Study ◽

Low Back ◽

Point Injection

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Comparison among different therapeutic techniques to treat low back pain: a monitored randomized study

Ozone Therapy ◽

10.4081/ozone.2016.5842 ◽

2016 ◽

Vol 1 (1) ◽

pp. 17

Author(s):

Luca Morelli ◽

Simona Carla Bramani ◽

Marco Cantaluppi ◽

Mara Pauletto ◽

Alessandro Scuotto

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Randomized Study ◽

Functional Limitation ◽

Low Back ◽

Ozone Therapy ◽

Pain Disability ◽

Treatment Data ◽

Disability Questionnaire

Idiopathic low back pain can be considered as a chronic condition, characterized by recurrent episodes of pain and functional limitation. The aim of this study is to compare two therapeutic methods to treat this chronic disease: the oxygen-ozone therapy and the diathermy through Tear® therapy. Two groups of 10 patients each who suffered from postural idiopathic low back pain due to different pathologies have been recruited. All selected patients have been evaluated through spinometry and have been given the Oswestry low back pain disability questionnaire to fill in at the beginning of the treatments and at the end of them with a three-month follow-up. The first group underwent a diathermy treatment through Tecar® therapy, whilst the second group received an oxygen-ozone therapy treatment through a paravertebral lumbar infiltration; both treatments have been associated with a standard physiokinesitherapy treatment. Data collected through Formetric spinometry show an improvement in both groups, but in the second group (treated with oxygen-ozone therapy+physiokinesitherapy), the improvement is greater (from 6% to 57%) against the first group (from 20% to 38%). In conclusion, the study has cor roborated the validity of both treatments leading to improvement of symptomatology, but while one treatment leads to some relapses after a few months, the second one has a greater healing effect, which preserves over time.

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