Osteopathic Manipulation Improves Functional Status in Patients With Non-Specific Chronic Back Pain in a Rural Outpatient Setting

Abstract Context Osteopathic manipulative treatment (OMT) is a widely used methodology for the clinical treatment of spine-related pain. Recent reports have been especially positive regarding the use of OMT for chronic back pain. However, published reports have been focused on populations available within large university-based institutions, with rural-based hospitals and their clientele unrepresented within the professional literature Objective The objective of this multi-year study was to examine the effects of OMT on spine-related chronic pain and its effects on dimensions of functional ability in a rural setting served by a safety-net hospital. Methods In this study, 151 participants with chronic (>6 months) spine-related pain (mean age 54.58 ± 11.88 years) completed at least 2 office visits. The Oswestry Disability Index (ODI) was used to assess 10 dimensions (pain intensity, personal care, lifting, walking, sitting, sleeping, standing, sex life, social life, and travel) and a total score of functional ability related to back pain. Results A 2-way mixed-model, repeated-measures analysis of variance (ANOVA) with time (pre- and post-office visit) as the within-participants factor and with sex as the between-participants factor resulted in a significant main effect from pretest to posttest, (F(1,149) = 67.12, P < .001, η2p = .311), but not a significant interaction between time and gender, (F(1,149) = .426, P = .515, η2p = .003). Conclusions The results of this study support the hypothesis that OMT improved measures of functional ability related to pain intensity, unrelated to sex. The rural nature of the clinical setting provided a unique population for this study.

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Effect of craniosacral therapy on the intensity of chronic back pain of nurses: A randomized controlled trial

Nursing Practice Today ◽

10.18502/npt.v8i4.6707 ◽

2021 ◽

Author(s):

Nasim Mazreati ◽

Zahra Rahemi ◽

Mohammad Aghajani ◽

Neda Mirbagher Ajorpaz ◽

Elaheh Mianehsaz

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Repeated Measures ◽

Chronic Back Pain ◽

Lumbar Region ◽

Low Back ◽

Repeated Measures Anova ◽

Craniosacral Therapy ◽

Significant Difference

Background & Aim: Chronic low back pain is a common disease among nurses. According to the literature, complementary medicine can reduce low back pain, one of which is craniosacral therapy. This study was designed to investigate the effect of craniosacral therapy on the intensity of chronic back pain of nurses. Methods & Materials: This randomized clinical trial study was conducted on 60 nurses with chronic back pain. The participants were randomly assigned into intervention and control groups. The intervention group’s participants received eight individual sessions of craniosacral therapy. In the control group, a light-touch in the lumbar region was performed as a placebo. The therapist met each participant separately in a private room of the hospital. The two groups completed the McGill Pain Questionnaire at the baseline, immediately after the intervention, and one month after the intervention. The collected data was analyzed in SPSS (v.16) using descriptive and analytical tests such as t-test, Chi-Square, ANCOVA, and repeated measures ANOVA. Results: The ANCOVA test results showed a significant difference between the two groups’ mean scores of pain intensity and its subscales (P<0.05). The results of repeated measures ANOVA showed that the mean scores of pain intensity and its subscales (sensory, affective, pain evaluation, and miscellaneous) decreased over the three time points in the intervention group (P<0.05). Conclusion: The ﬁndings aﬃrmed the positive eﬀects of the craniosacral therapy on the intensity of pain in nurses with chronic back pain. Therefore, it is recommended that this approach be performed as a complementary, effective, non-invasive intervention to decrease chronic back pain.

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Combined neuromuscular electrical stimulation and transcutaneous electrical nerve stimulation for treatment of chronic back pain: A double-blind, repeated measures comparison

Archives of Physical Medicine and Rehabilitation ◽

10.1016/s0003-9993(97)90010-1 ◽

1997 ◽

Vol 78 (1) ◽

pp. 55-60 ◽

Cited By ~ 67

Author(s):

Stan R. Moore ◽

Joseph Shurman

Keyword(s):

Electrical Stimulation ◽

Back Pain ◽

Nerve Stimulation ◽

Repeated Measures ◽

Transcutaneous Electrical Nerve Stimulation ◽

Chronic Back Pain ◽

Neuromuscular Electrical Stimulation ◽

Double Blind ◽

Electrical Nerve Stimulation

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Outcomes of a Rehabilitation Programme for Patients with Chronic Back Pain

British Journal of Occupational Therapy ◽

10.1177/030802269505801010 ◽

1995 ◽

Vol 58 (10) ◽

pp. 435-438 ◽

Cited By ~ 4

Author(s):

Monica Moran ◽

Jenny Strong

Keyword(s):

Back Pain ◽

Pain Intensity ◽

Functional Capacity ◽

Chronic Back Pain ◽

Rehabilitation Programme ◽

Therapeutic Interventions ◽

Pain Disability ◽

Perceived Pain ◽

Disability Questionnaire ◽

Objective Outcome

In order to evaluate the effectiveness of a rehabilitation programme for patients with chronic back pain, data on the subjective outcomes of perceived pain intensity (as measured by the Visual Analogue Scale Horizontal) and perceived level of disability (as measured by the Oswestry Low Back Pain Disability Questionnaire), and the objective outcome of functional capacity (as measured by the West Standardised Evaluation), were collected on 51 subjects prior to entry into a back pain rehabilitation programme and at discharge. The results at discharge showed a significant reduction in the perceived level of disability and a significant Increase in the functional capacity. The perceived pain intensity did not change significantly. The discussion focuses on the importance of directing therapeutic interventions towards increasing physical function rather than concentrating on the reduction or elimination of pain.

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A Dyadic Investigation of Depressed Affect and Interspousal Behavior in Couples With Chronic Back Pain

Annals of Behavioral Medicine ◽

10.1093/abm/kaab100 ◽

2021 ◽

Author(s):

Kristina M Post ◽

David A Smith ◽

John W Burns ◽

Laura S Porter ◽

Francis J Keefe

Keyword(s):

Back Pain ◽

Pain Intensity ◽

Hierarchical Linear Modeling ◽

Chronic Back Pain ◽

Pain Behavior ◽

Linear Modeling ◽

Electronic Diary ◽

Higher Criticism ◽

Depressed Affect ◽

And Behavior

Abstract Background Depression and marital discord are characteristic not only of individuals with chronic low back pain (ICPs) but also of their spouses. Purpose We examined actor–partner interdependence models to evaluate associations among depressed affect and criticism and support of partners at the same time point (concurrent effects) and 3 hr later (lagged effects). Fully dyadic models were used to account for both within-person and cross-spouse associations among depressed affect, criticism, and support for ICPs and spouses. We also examined the direction of the relationships (depressed affect predicting behavior and behavior predicting depressed affect) all while controlling for pain intensity, pain behavior, and the prior dependent variable. Methods ICPs (n = 105) and their spouses completed electronic diary measures of depressed affect and behavior (criticism and support) five times a day for 2 weeks. Hierarchical linear modeling with person-mean centering was used for data analysis. Results Within the same 3 hr epoch, more depressed affect was related to higher criticism and generally less support. Lagged analyses suggested bidirectional relationships between spouse’s own depressed affect and spouse’s own criticism of ICPs. Spouse depressed affect was also associated with decreased support received from ICPs. Pain behavior and pain intensity were also related to depressed affect, criticism, and support especially concurrently. Conclusions Theories and interventions need to address not only ICP depressed affect but also spouse depressed affect, as spouse depressed affect may be a stress generating precursor to criticism and support.

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PAIN INTENSITY, DISABILITY, AND WELL-BEING IN PATIENTS WITH CHRONIC BACK PAIN: DOES AGE MATTER?

Innovation in Aging ◽

10.1093/geroni/igx004.3202 ◽

2017 ◽

Vol 1 (suppl_1) ◽

pp. 892-892

Author(s):

M. Wettstein ◽

J. Tesarz ◽

W. Eich

Keyword(s):

Back Pain ◽

Pain Intensity ◽

Chronic Back Pain ◽

Well Being

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Seeking care for back pain or upper respiratory infections?: Survey results to inform a safety net hospital Choosing Wisely® intervention

Healthcare ◽

10.1016/j.hjdsi.2020.100424 ◽

2020 ◽

Vol 8 (3) ◽

pp. 100424

Author(s):

Miguel A. Cuevas ◽

Nicole D. Wachter ◽

Carmen Reyes ◽

John N. Mafi ◽

Eric Wei ◽

...

Keyword(s):

Back Pain ◽

Respiratory Infections ◽

Safety Net ◽

Choosing Wisely ◽

Upper Respiratory Infections ◽

Safety Net Hospital ◽

Survey Results ◽

Upper Respiratory

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F225 SEE WHAT YOU FEEL BEHIND: LOOKING AT THEIR OWN BACK REDUCES EXPERIMENTAL PAIN INTENSITY IN CHRONIC BACK PAIN PATIENTS

European Journal of Pain Supplements ◽

10.1016/s1754-3207(11)70450-3 ◽

2011 ◽

Vol 5 (S1) ◽

pp. 132-132

Author(s):

M. Diers ◽

W. Zieglgänsberger ◽

P. Yilmaz ◽

R. Bekrater-Bodmann ◽

J. Foell ◽

...

Keyword(s):

Back Pain ◽

Pain Intensity ◽

Chronic Back Pain ◽

Experimental Pain ◽

Pain Patients

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Pain intensity, disability and depression in individuals with chronic back pain

Revista Latino-Americana de Enfermagem ◽

10.1590/0104-1169.3492.2453 ◽

2014 ◽

Vol 22 (4) ◽

pp. 569-575 ◽

Cited By ~ 17

Author(s):

Márcia de Oliveira Sakamoto Silva Garbi ◽

Priscilla Hortense ◽

Rodrigo Ramon Falconi Gomez ◽

Talita de Cássia Raminelli da Silva ◽

Ana Carolina Ferreira Castanho ◽

...

Keyword(s):

Back Pain ◽

Pain Intensity ◽

Chronic Back Pain ◽

Pain Treatment ◽

Sao Paulo ◽

São Paulo ◽

Arithmetic Means ◽

Cross Sectional ◽

Pain Disability ◽

The University

OBJECTIVES: to measure the pain intensity, identify the disability and depression levels in people with chronic back pain and to correlate these variables. A cross-sectional, descriptive and exploratory study was undertaken at the Pain Treatment Clinic of the University of São Paulo at Ribeirão Preto Hospital das Clínicas, between February and June 2012, after receiving approval from the Ethics Committee at the University of São Paulo at Ribeirão Preto College of Nursing.METHOD: sixty subjects with chronic back pain participated. The instruments used were: the 11-point Numerical Category Scale, the Roland-Morris Disability Questionnaire and the Beck Depression Inventory. To analyze the data, the arithmetic means, standard deviations and Spearman's correlation coefficient were calculated.RESULTS: the findings show that the participants presented high pain, disability and depression levels. The correlation between pain intensity and disability and between pain intensity and depression was positive and weak and, between disability and depression, positive and moderate.CONCLUSION: the study variables showed moderate and weak indices and the mutual correlations were positive.

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Cupping therapy and chronic back pain: systematic review and meta-analysis

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.2888.3094 ◽

2018 ◽

Vol 26 (0) ◽

Cited By ~ 6

Author(s):

Caroline de Castro Moura ◽

Érika de Cássia Lopes Chaves ◽

Ana Carolina Lima Ramos Cardoso ◽

Denismar Alves Nogueira ◽

Hérica Pinheiro Corrêa ◽

...

Keyword(s):

Systematic Review ◽

Back Pain ◽

Pain Intensity ◽

Chronic Back Pain ◽

Meta Analysis ◽

Treatment Protocol ◽

Mechanical Stimulus ◽

Cupping Therapy ◽

Pain Intensity Score

ABSTRACT Objectives: to evaluate the evidence from the literature regarding the effects of cupping therapy on chronic back pain in adults, the most used outcomes to evaluate this condition, the protocol used to apply the intervention and to investigate the effectiveness of cupping therapy on the intensity of chronic back pain. Method: systematic review and meta-analysis carried out by two independent researchers in national and international databases. Reference lists of systematic reviews were also explored. The quality of evidence was assessed according to the Jadad scale. Results: 611 studies were identified, of which 16 were included in the qualitative analysis and 10 in the quantitative analysis. Cupping therapy has shown positive results on chronic back pain. There is no standardization in the treatment protocol. The main assessed outcomes were pain intensity, physical incapacity, quality of life and nociceptive threshold before the mechanical stimulus. There was a significant reduction in the pain intensity score through the use of cupping therapy (p = 0.001). Conclusion: cupping therapy is a promising method for the treatment of chronic back pain in adults. There is the need to establish standardized application protocols for this intervention.

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