A comparison of application frequency of physical therapy modalities in patients with chronic mechanical low back pain

This analytical review present of the literature on rehabilitation of patients with non-specific low back pain. The wide occurrence of pathology determines the relevance of the studied problem. Much attention is paid to the complex approach, taking into account the pathogenetic mechanisms, the type of pain — nociceptive, neuropathic, dysfunctional, mixed, its temporary characteristics (acute, chronic pain), the emotional and somatic status of patients, pain attitudes and pain behaviors. The article considers a multidisciplinary approach to the treatment of patients with non-specific pain in the lower back using physical therapy modalities, balneology, medication and interventional treatment.

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How Do Physical Therapists Measure Treatment Outcomes in Adults With Chronic Low Back Pain? A Systematic Review

Physical Therapy ◽

10.1093/ptj/pzaa030 ◽

2020 ◽

Vol 100 (6) ◽

pp. 1020-1034 ◽

Cited By ~ 4

Author(s):

Diogo Pires ◽

Eduardo Brazete Cruz ◽

Luís A Gomes ◽

Carla Nunes

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Physical Therapy ◽

Randomized Controlled Trials ◽

Chronic Low Back Pain ◽

Physical Therapy Modalities ◽

Controlled Trials ◽

Low Back ◽

Randomized Controlled ◽

Cutoff Values

Abstract Background There is an increasing recognition of the importance of using a conceptual framework covering the full range of relevant health domains and outcome measures addressed by physical therapy modalities in patients with chronic low back pain (CLBP). However, little is known about what outcome domains have been measured and through what measures in physical therapy research. Objective The purpose of this review was to synthesize outcome domains, instruments, and cutoff values reported in published randomized controlled trials and their compliance with the original Patient-Reported Outcomes Measurement Information System (PROMIS) framework. Data sources Embase, MEDLINE, Cochrane Library, and Physiotherapy Evidence Database electronic databases were systematically searched from January 2008 to April 2019. Study selection Randomized controlled trials that compared physical therapy with any other intervention for adults with CLBP were included. Data extraction Study characteristics, outcome domains, instruments, and cutoff values were extracted by 2 reviewers. The PROMIS framework was used for domain categorization. Data synthesis One hundred ninety-five studies were included, with 52 outcome domains and 45 cutoff values identified from 182 instruments reported. Only 14 of 195 studies assessed all PROMIS health core areas, whereas the PROMIS physical health core area was assessed in all included studies. Pain intensity and disability were the most frequently used domains. Limitations Only studies for which full texts were available in English were included. Conclusions This review identified a poor overlap between the PROMIS framework and outcome domains used to define the effectiveness of physical therapy in adults with CLBP. This finding suggests that other potential benefits resulting from physical therapy modalities are not being measured. Furthermore, a large diversity in the outcome domains and instruments was found.

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Abdominal Differential Diagnosis in a Patient Referred to a Physical Therapy Clinic for Low Back Pain

Journal of Orthopaedic and Sports Physical Therapy ◽

10.2519/jospt.2005.2052 ◽

2005 ◽

Author(s):

William Cioffredi

Keyword(s):

Differential Diagnosis ◽

Low Back Pain ◽

Back Pain ◽

Physical Therapy ◽

Low Back ◽

Therapy Clinic

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Faculty Opinions recommendation of Primary care referral of patients with low back pain to physical therapy: impact on future health care utilization and costs.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717969063.793468611 ◽

2013 ◽

Author(s):

Steven George ◽

Jason Beneciuk

Keyword(s):

Primary Care ◽

Health Care ◽

Low Back Pain ◽

Back Pain ◽

Physical Therapy ◽

Health Care Utilization ◽

Care Utilization ◽

Low Back ◽

Future Health ◽

Future Health Care

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Faculty Opinions recommendation of Implications of early and guideline adherent physical therapy for low back pain on utilization and costs.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.725434928.793505828 ◽

2015 ◽

Author(s):

Saravana Kumar

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Physical Therapy ◽

Low Back

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The Influence of Cognitive Behavioral Therapy on Pain, Quality of Life, and Depression in Patients Receiving Physical Therapy for Chronic Low Back Pain: A Systematic Review

PM&R ◽

10.1016/j.pmrj.2018.09.029 ◽

2019 ◽

Vol 11 (2) ◽

pp. 167-176 ◽

Cited By ~ 12

Author(s):

Abdolhamid Hajihasani ◽

Mitra Rouhani ◽

Mahyar Salavati ◽

Rosita Hedayati ◽

Amir H. Kahlaee

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Low Back Pain ◽

Back Pain ◽

Physical Therapy ◽

Cognitive Behavioral Therapy ◽

Chronic Low Back Pain ◽

Behavioral Therapy ◽

Low Back

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Low Back Pain in Adolescents: A Comparison of Clinical Outcomes in Sports Participants and Nonparticipants

Journal of Athletic Training ◽

10.4085/1062-6050-45.1.61 ◽

2010 ◽

Vol 45 (1) ◽

pp. 61-66 ◽

Cited By ~ 15

Author(s):

Julie M. Fritz ◽

Shannon N. Clifford

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Physical Therapy ◽

Treatment Outcomes ◽

Clinical Outcomes ◽

Sports Participation ◽

Mean Difference ◽

Analysis Of Covariance ◽

Low Back ◽

Baseline Characteristics

Abstract Context: Back pain is common in adolescents. Participation in sports has been identified as a risk factor for the development of back pain in adolescents, but the influence of sports participation on treatment outcomes in adolescents has not been adequately examined. Objective: To examine the clinical outcomes of rehabilitation for adolescents with low back pain (LBP) and to evaluate the influence of sports participation on outcomes. Design: Observational study. Setting: Outpatient physical therapy clinics. Patients or Other Participants: Fifty-eight adolescents (age = 15.40 ± 1.44 years; 56.90% female) with LBP referred for treatment. Twenty-three patients (39.66%) had developed back pain from sports participation. Intervention(s): Patients completed the Modified Oswestry Disability Questionnaire and numeric pain rating before and after treatment. Treatment duration and content were at the clinician's discretion. Adolescents were categorized as sports participants if the onset of back pain was linked to organized sports. Additional data collected included diagnostic imaging before referral, clinical characteristics, and medical diagnosis. Main Outcome Measure(s): Baseline characteristics were compared based on sports participation. The influence of sports participation on outcomes was examined using a repeated-measures analysis of covariance with the Oswestry and pain scores as dependent variables. The number of sessions and duration of care were compared using t tests. Results: Many adolescents with LBP receiving outpatient physical therapy treatment were involved in sports and cited sports participation as a causative factor for their LBP. Some differences in baseline characteristics and clinical treatment outcomes were noted between sports participants and nonparticipants. Sports participants were more likely to undergo magnetic resonance imaging before referral (P = .013), attended more sessions (mean difference = 1.40, 95% confidence interval [CI] = 0.21, 2.59, P = .022) over a longer duration (mean difference = 12.44 days, 95% CI = 1.28, 23.10, P = .024), and experienced less improvement in disability (mean Oswestry difference = 6.66, 95% CI = 0.53, 12.78, P = .048) than nonparticipants. Overall, the pattern of clinical outcomes in this sample of adolescents with LBP was similar to that of adults with LBP. Conclusions: Adolescents with LBP due to sports participation received more treatment but experienced less improvement in disability than nonparticipants. This may indicate a worse prognosis for sports participants. Further research is required.

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