A Comparison of the Effects of 2 Types of Massage and Usual Care on Chronic Low Back Pain

2011 ◽  
Vol 155 (1) ◽  
pp. 1 ◽  
Author(s):  
Daniel C. Cherkin ◽  
Karen J. Sherman ◽  
Janet Kahn ◽  
Robert Wellman ◽  
Andrea J. Cook ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Usual Care ◽  
Chronic Low Back Pain ◽  
Low Back

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

Spine ◽  
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

scholarly journals Self-Administered Acupressure for Chronic Low Back Pain: A Randomized Controlled Pilot Trial

Pain Medicine ◽  
2019 ◽  
Vol 20 (12) ◽  
pp. 2588-2597 ◽  
Author(s):  
Susan Lynn Murphy ◽  
Richard Edmund Harris ◽  
Nahid Roonizi Keshavarzi ◽  
Suzanna Maria Zick
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Usual Care ◽  
Chronic Low Back Pain ◽  
Linear Models ◽  
Pilot Trial ◽  
Brief Pain Inventory ◽  
Poor Sleep ◽  
Low Back ◽  
Brief Fatigue Inventory

Abstract Objective Chronic low back pain (CLBP) is associated with fatigue, pain, poor sleep, and disability. Acupressure is a low-risk treatment option used to manage symptoms in other groups, but its efficacy, particularly on fatigue and sleep, is unknown in CLBP. This study examined preliminary effects of two types of self-administered acupressure (relaxing and stimulating) on fatigue, pain, sleep, and reported disability. Methods A randomized pilot trial was conducted (N = 67) in which participants were randomized into six weeks of relaxing acupressure, stimulating acupressure, or usual care. Fatigue was measured by the Brief Fatigue Inventory, pain was measured by the Brief Pain Inventory, sleep was measured by the Pittsburgh Sleep Quality Index, and reported disability was measured by the Roland Morris Scale. Results Baseline characteristics were similar across groups. An intent-to-treat analysis using general linear models showed positive improvement in pain in acupressure groups compared with usual care. Pain was reduced by 35–36% in the acupressure groups. Improvement in fatigue was also found in stimulating acupressure compared with usual care. Adverse events were minimal and related to application of too much pressure. Discussion Although this was a small study, acupressure demonstrated promising preliminary support of efficacy for pain and fatigue reduction in this population.

scholarly journals Are Nonpharmacologic Interventions for Chronic Low Back Pain More Cost Effective Than Usual Care? Proof of Concept Results From a Markov Model

Spine ◽  
2019 ◽  
Vol 44 (20) ◽  
pp. 1456-1464 ◽  
Author(s):  
Patricia M. Herman ◽  
Tara A. Lavelle ◽  
Melony E. Sorbero ◽  
Eric L. Hurwitz ◽  
Ian D. Coulter
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Markov Model ◽  
Usual Care ◽  
Chronic Low Back Pain ◽  
Cost Effective ◽  
Low Back ◽  
Proof Of Concept

scholarly journals Potential analysis of multidisciplinary biopsychosocial rehabilitation for patients with chronic low back pain / Potentialanalyse der multidisziplinären biopsychosozialen Rehabilitation für Patienten/-innen mit chronischen Rückenschmerzen

2017 ◽  
Vol 4 (1) ◽  
pp. 33-42
Author(s):  
Beate Schüßler ◽  
Angsar Abel ◽  
Milena Holzer ◽  
Ruth Meise ◽  
Sebastian Voigt-Radloff ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cost Effectiveness ◽  
Usual Care ◽  
Chronic Low Back Pain ◽  
Functional Disability ◽  
Cochrane Review ◽  
Private Life ◽  
Low Back ◽  
Relevant Effect

Abstract Health problem The prevalence of low back pain ranges from 74 to 85%, almost everybody in Germany suffers from low back pain once in his or her life. The recurrence rate within twelve months is 62%, which often leads to inability to work and reduction in earning capacity. The rate of chronic manifestation of low back pain is 5%. Subsequent loss of mobility and functional disability lowers quality of life and participation in private life and at work. Evidence A recent Cochrane review (Kamper et al., 2014) analysed six (outcome disability) and seven (outcome pain) studies with 722 and 821 participants respectively and showed that multidisciplinary rehabilitation compared to usual care has a small, but clinically relevant effect (pain: SMD -0,21 [CI 95% -0,37; -0,04]; disability: SMD -0,23 [CI 95% -0,4; -0,06]). There is a lack of evidence about the intervention conception, patient-centred outcomes and the cost effectiveness. Implication for research Prior to a randomised controlled trial a feasibility study about individualised multidisciplinary biopsychosocial rehabilitation compared to usual care considering people with chronic low back pain at employable age in Germany is needed. The applicability of available manuals, patient-centred outcomes and cost effectiveness should be explored.

The Effectiveness of Custom Foot Orthotics in Treating Chronic Low Back Pain: A Critically Appraised Topic

2016 ◽  
Vol 21 (1) ◽  
pp. 14-23
Author(s):  
Kathleen K. Hogan ◽  
William O. Perkins ◽  
Cameron J. Powden, ◽  
Matthew C. Hoch
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Usual Care ◽  
Chronic Low Back Pain ◽  
Included Study ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Low Back ◽  
Bottom Line ◽  
Quality Evidence

Clinical Scenario:Chronic low back pain is one of the most common causes of pain and disability. Currently, there is a need for more effective interventions to treat low back pain.Clinical Question:Does the use of custom foot orthotics improve self-reported measures of pain and function in adults with chronic low back pain?Summary of Key Findings:A comprehensive and systematic search was conducted for studies of level 2 evidence or higher that pertained to the clinical question. The search yielded 11 studies, of which one randomized control trial and two prospective cohorts fit the inclusion and exclusion criteria. The articles examined the effectiveness of custom foot orthotics in isolation compared with no treatment as well as custom foot orthotics in combination with usual care compared with usual care alone. The included studies all demonstrated that the use of custom foot orthotics reduce chronic low back pain after seven weeks of use. One included study was considered high-quality evidence while two were deemed low-quality evidence using the PEDro.Clinical Bottom Line:There is moderate evidence to support the use of custom foot orthotics to improve self-reported measures in adults with chronic low back pain after seven weeks of use.Strength of Recommendation:The Strength of Recommendation Taxonomy recommends a grade of B for consistent limited-quality patient-oriented evidence.

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