scholarly journals Effectiveness of Multidisciplinary Group-Based Intervention versus Individual Physiotherapy for Improving Chronic Low Back Pain in Nursing Staff: A Clinical Trial with 3- and 6-Month Follow-Up Visits from Tehran, Iran

2017 ◽  
Vol 11 (3) ◽  
pp. 396-404 ◽  
Author(s):  
Leila Ghadyani ◽  
Sedigheh Sadat Tavafian ◽  
Anoshirvan Kazemnejad ◽  
Joan Wagner
Keyword(s):  
Clinical Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Educational Program ◽  
Intervention Group ◽  
Low Back ◽  
Preventive Behaviors ◽  
Multidisciplinary Group

<sec><title>Study Design</title><p>Clinical trial.</p></sec><sec><title>Purpose</title><p>To evaluate the effectiveness of a multidisciplinary group-based intervention on improving pain and disability among Iranian nurses with chronic low back pain in Tehran, Iran.</p></sec><sec><title>Overview of Literature</title><p>Although low back pain (LBP) is one of the most important health problems, the challenge remains on how to find an effective intervention to reduce pain and related disabilities.</p></sec><sec><title>Methods</title><p>Overall, 136 eligible nurses with chronic mechanical LBP were classified into two groups. The intervention group (n=66 participants) participated in a physiotherapy educational program (for 120 minutes) plus a health educational program based on predictive constructs of the social cognitive theory (for 120 minutes). These interventions were delivered by a physiotherapist and a health education specialist. The control group (n=70 participants) participated in a physiotherapy educational program (for 120 minutes). Disability rate, pain severity, and back pain prevention behavior were measured initially and at 3- and 6-month follow-up visits using the visual analogue scale, Roland-Morris Disability, and Nursing Low Back Pain Preventive Behaviors Questionnaire. Data were analyzed by SPSS ver. 16.</p></sec><sec><title>Results</title><p>There were statistically significant differences between the two groups in the main outcome measures immediately after the educational program and at 3- and 6-month follow-up visits. Preventive behaviors of participants in the intervention group were improved at 3- and 6- month follow-up visits (<italic>p</italic>&lt;0.001). The mean scores of predictive constructs regarding LBP preventive behaviors in the intervention group were improved after 3 and 6 months (<italic>p</italic>&lt;0.001). Finally, in the intervention group, pain severity and disability were decreased significantly.</p></sec><sec><title>Conclusions</title><p>This study showed that a multidisciplinary educational program intervention can be an effective approach for reducing LBP and related disabilities among nurses.</p></sec>

One-Year Follow-Up of a Randomized Clinical Trial Comparing Flexion Distraction with an Exercise Program for Chronic Low-Back Pain

2006 ◽  
Vol 12 (7) ◽  
pp. 659-668 ◽  
Author(s):  
Jerrilyn A. Cambron ◽  
M. Ram Gudavalli ◽  
Donald Hedeker ◽  
Marion McGregor ◽  
James Jedlicka ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Randomized Clinical Trial ◽  
Chronic Low Back Pain ◽  
Exercise Program ◽  
Low Back ◽  
One Year

Two-Year Follow-up of a Randomized Clinical Trial of Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual Care for Chronic Low Back Pain

JAMA ◽  
2017 ◽  
Vol 317 (6) ◽  
pp. 642 ◽  
Author(s):  
Daniel C. Cherkin ◽  
Melissa L. Anderson ◽  
Karen J. Sherman ◽  
Benjamin H. Balderson ◽  
Andrea J. Cook ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Cognitive Behavioral Therapy ◽  
Usual Care ◽  
Stress Reduction ◽  
Chronic Low Back Pain ◽  
Behavioral Therapy ◽  
Low Back

Yoga for veterans with chronic low back pain: Design and methods of a randomized clinical trial

2016 ◽  
Vol 48 ◽  
pp. 110-118 ◽  
Author(s):  
Erik J. Groessl ◽  
Laura Schmalzl ◽  
Meghan Maiya ◽  
Lin Liu ◽  
Debora Goodman ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Randomized Clinical Trial ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Design And Methods

scholarly journals A Novel Placement Technique of S2 Screw (from S2 to Promontorium) and Double Screwing from S2

2021 ◽  
Author(s):  
Sedat Dalbayrak ◽  
Ahmet Öğrenci ◽  
Ezgi Akar ◽  
Orkun Koban ◽  
Mesut Yılmaz
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Revision Surgery ◽  
Chronic Low Back Pain ◽  
Screw Placement ◽  
Low Back ◽  
Screw Loosening ◽  
Dynamic Instrumentation ◽  
Placement Technique

AbstractSince pseudoarthrosis or screw loosening is frequently seen in lumbosacral stabilizations ending in S1, S2 screws are used more frequently to support S1 screws. This study aims to describe a new screw placement technique and location from S2. Revision surgery was applied to the patient who had previously undergone surgery with the rigid instrumentation system and encountered pseudoarthrosis during the follow-up period. Instrumentation was performed from S2 to the promontorium. The patient’s chronic low back pain arising due to pseudoarthrosis was reduced and a strong lumbosacral dynamic instrumentation was performed to the patient. Dual screw placement from S2 and/or screw placement in the S2-promontorium direction is a new alternative to provide a powerful instrumentation.

scholarly journals A Prospective Randomized Controlled Study of Auricular Point Acupressure to Manage Chronic Low Back Pain in Older Adults: Study Protocol

2019 ◽  
Author(s):  
Chao Hsing Yeh ◽  
Cuicui Li ◽  
Ronald Glick ◽  
Elizabeth A. Schlenk ◽  
Kathryn Albers ◽  
...  
Keyword(s):  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Comparison Group ◽  
Controlled Study ◽  
Low Back ◽  
Randomized Controlled ◽  
Auricular Point

Abstract Background: Chronic low back pain (cLBP) is a major health problem and the most common pain condition among those 60 years of age or older in the US. Despite the development of pharmacological and nonpharmacological interventions, cLBP outcomes have not improved and disability rates continue to rise. This study aims to test auricular point acupressure (APA) as a non-invasive, nonpharmacological self-management strategy to manage cLBP and to address current shortcomings of cLBP treatment. Methods: For this prospective randomized controlled study, participants will be randomly assigned into three groups: (1) APA (active points related to cLBP), (2) Comparison Group -1 (non-active points, unrelated to cLBP), (3) Comparison Group-2 (enhanced educational control, an educational booklet on cLBP will be given and the treatment used by participants for their cLBP will be recorded). The ecological momentary assessment smartphone app will be used to collect real-time cLBP outcomes and adherence to APA practice. Treatment and nonspecific psychological placebo effects will be measured via questionnaires for all participants. This proposed trial will evaluate the APA sustained effects for cLBP at 12-month follow-up. Monthly phone follow-up will be used to collect study outcomes. Blood will be collected during study visits at baseline, post-APA treatment, and follow-up study visits at 1-, 3-, 6-, 9- and 12-months post-completion of treatment for a total of 7 assessments. Appointments will start between 9 and 11 am to control for circadian variation in cytokine levels. Discussion: This study is expected to provide vital information on the efficacy, sustainability, and underlying mechanism of APA on cLBP necessary for APA to gain acceptance from both healthcare providers and patients, which would provide a strong impetus for including APA as part of cLBP management in clinical and home settings. Trial registration: NCT03589703, Registered on May 22, 2018 Keywords: Chronic low back pain, auricular point acupressure, older adults, cytokines

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