Article
Medicine, General & Internal
Stefania Di Gangi, Giuseppe Pichierri, Stefan Zechmann, Thomas Rosemann, Andreas Plate
Summary: In the Swiss primary care setting, approximately two-thirds of patients with acute low back pain were treated with pain medications. The prescribing patterns were conservative, with limited use of strong opioids and co-medications.
JOURNAL OF CLINICAL MEDICINE
(2021)
Review
Medicine, General & Internal
Susana Tinoco Duarte, Carla Nunes, Daniela Costa, Helena Donato, Eduardo B. Cruz
Summary: Low back pain is a common musculoskeletal condition that causes high healthcare costs. Models of care are considered effective solutions to address this issue. This scoping review aims to summarize the existing evidence on the implementation of models of care for low back pain in primary healthcare.
Article
Psychiatry
Eszter Simoncsics, Barna Konkoly Thege, Adrienne Stauder
Summary: Acceptance of pain may be a better approach for patients with chronic low-back pain than pain control. The study found that illness intrusiveness was negatively correlated with pain acceptance in patients with low-back pain. The level of illness intrusiveness did not change significantly during the 2-month follow-up period, and pain acceptance was a significant predictor of illness intrusiveness among patients with chronic low-back pain.
FRONTIERS IN PSYCHIATRY
(2022)
Article
Orthopedics
Arie C. Verburg, Simone A. van Dulmen, Henri Kiers, Maria W. G. Nijhuis-van der Sanden, Philip J. van der Wees
Summary: This study identified a core set of outcome-based quality indicators for physical therapy in patients with nonspecific low back pain, which were accepted by stakeholders for their usability and added value in daily practice. Further research should focus on improving the use of these quality indicators as a monitoring and evaluation tool for quality improvement initiatives.
Article
Clinical Neurology
James M. Whedon, Anupama Kizhakkeveettil, Andrew Wj Toler, Serena Bezdjian, Daniel Rossi, Sarah Uptmor, Todd A. MacKenzie, Jon D. Lurie, Eric L. Hurwitz, Ian Coulter, Scott Haldeman
Summary: The study aimed to compare the long-term outcomes of spinal manipulative therapy (SMT) and opioid analgesic therapy (OAT) in patients with chronic low back pain (cLBP). Among older cLBP patients, those who initiated long-term care with OAT had a significantly higher rate of escalated care encounters compared to those who initiated care with SMT.
Article
Primary Health Care
Amy Pui Pui Ng, John King Yiu Cheng, Joyce Sau Mei Lam, Carlos King Ho Wong, Will Ho Gi Cheng, Emily Tsui Yee Tse, David Vai Kiong Chao, Edmond Pui Hang Choi, Rosa Sze Man Wong, Cindy Lo Kuen Lam
Summary: The study found that patient enablement can moderate the impact of chronic back and knee pain on health-related quality of life (HRQoL). A higher level of enablement can lessen the impairment in HRQoL associated with pain.
BRITISH JOURNAL OF GENERAL PRACTICE
(2023)
Article
Clinical Neurology
M. Gabrielle Page, Yannick Tousignant-Laflamme, Marc Dorais, Helene Beaudry, Mireille Fernet
Summary: This study aimed to assess the associations between pain severity, physical and mental health-related quality of life, and disability status or health-care utilization among individuals with moderate/severe pain due to chronic low back pain or osteoarthritis. The results showed that pain severity, pain interference, and mental health-related quality of life were associated with health-care utilization and disability status in chronic low back pain patients, while the associations were not found among osteoarthritis patients.
JOURNAL OF PAIN RESEARCH
(2022)
Article
Medicine, General & Internal
Simona Cammarota, Valeria Conti, Graziamaria Corbi, Luigi Di Gregorio, Pasquale Dolce, Marianna Fogliasecca, Teresa Iannaccone, Valentina Manzo, Vincenzo Passaro, Bernardo Toraldo, Alfredo Valente, Anna Citarella
Summary: This study found that in an Italian primary care setting, younger age, higher pain intensity, and having asthma were predictors of receiving opioid prescriptions rather than NSAIDs for low back pain treatment.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Medicine, General & Internal
Luis Antunes Gomes, Eduardo Brazete Cruz, Ana Rita Henriques, Jaime C. Branco, Helena Canhao, Ana Maria Rodrigues
Summary: This study aimed to estimate the prevalence of medical care-seeking among adults with low back pain (LBP) and to compare the use of diagnostic procedures and medical management between primary and secondary care. The results showed that medical care-seeking for LBP was common and patients received high levels of pathoanatomical diagnoses, imaging and laboratory tests, and pharmacological therapy in both primary and secondary care settings.
Review
Medicine, General & Internal
Nebojsa Nick Knezevic, Kenneth D. Candido, Johan W. S. Vlaeyen, Jan Van Zundert, Steven P. Cohen
Summary: Low back pain encompasses various types of pain, with diagnostic and therapeutic methods controversial, requiring a comprehensive approach considering biological, psychological, and social factors. Improvement in diagnostic accuracy, treatment algorithms, and multimodal interdisciplinary treatment are essential.
Article
Medicine, General & Internal
Simon Dyrlov Madsen, Lars Morso, Werner Vach, Merethe Kirstine Andersen, Jesper Lykkegaard, Berit Schiottz-Christensen, Mette Jensen Stochkendahl
Summary: This study explored the care provided by GPs, PTs, and DCs to patients with low back pain. The results showed significant variation in care elements and practice patterns between professions.
Article
Multidisciplinary Sciences
Severino Azevedo de Oliveira Junior, Adriana Catarina de Souza Oliveira, Mayara Priscilla Dantas Araujo, Bruno Araujo da Silva Dantas, Maria del Carmen Garcia Sanchez, Gilson de Vasconcelos Torres
Summary: This study aimed to investigate the association and correlation between pain and quality of life in patients with chronic injuries treated in a Brazilian primary healthcare center. The results showed that there was a significant association and correlation between pain intensity and various domains of quality of life.
Article
Health Care Sciences & Services
Arturo Cuomo, Franco Marinangeli, Alberto Magni, Emiliano Petrucci, Alessandro Vittori, Marco Cascella
Summary: Prompt and appropriate treatment of chronic low back pain is crucial for preventing disability and reducing healthcare costs. The concept of functionality in chronic pain management is still lacking a shared definition, leading to different opinions among specialists and patients. Although there are instruments available for assessing functionality, there is no consistency in their use.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Review
Clinical Neurology
Cathriona Murphy, Helen French, Geraldine McCarthy, Caitriona Cunningham
Summary: This systematic review examines the evidence for clinical pathways for low back pain and/or radicular leg pain. The research found that interface services were commonly used to improve efficiency of care delivery, but there is a lack of high-quality studies and comparative data to determine the clinical and cost-effectiveness of these pathways.
EUROPEAN SPINE JOURNAL
(2022)
Article
Public, Environmental & Occupational Health
Mohammad Hayatun Nabi, Mohammad Delwer Hossain Hawlader, Farah Naz, Saleka Raihana Siddiquea, Mehedi Hasan, Mosharop Hossian, Koustuv Dalal
Summary: This study assessed the prevalence of low back pain (LBP) and associated factors among professional bus drivers in Bangladesh. Results showed that 34.51% of participants reported experiencing pain or discomfort in the lower backside in the last month. Factors such as age over 40 years, income over 15,000 BDT per month, work duration over ten years, poor condition of the driving seat, smoking, illicit substances use, and insufficient sleep were positively associated with LBP. The high burden of LBP among professional bus drivers highlights the need for implementing standard measures to ensure their occupational health and safety.
Article
Rehabilitation
Rose Goonan, Edward Mohandoss, Celia Marston, Jaqueline Kay, Anurika Priyanjali De Silva, Andrea B. Maier, Esmee Reijnierse, Marlena Klaic
Summary: This study evaluated the physical and functional outcomes of the 'Ending Pyjama Paralysis' intervention in geriatric rehabilitation patients. The results showed that this intervention did not lead to additional functional and physical benefits in this setting.
CLINICAL REHABILITATION
(2024)
Article
Rehabilitation
Sinikka Kilpikoski, Arja H. Hakkinen, Jussi P. Repo, Kati Kyrola, Juhani Multanen, Markku Kankaanpaa, Aki Vainionpaa, Esa-Pekka Takala, Hannu Kautiainen, Jari Ylinen
Summary: This study aimed to compare the effectiveness of a McKenzie Method intervention with guideline-based patient education in patients with sciatica. The results showed that multiple sessions of McKenzie-based back exercises combined with a patient's educational book had similar long-term effects to guideline-based advice. However, the small sample size and confounding factors limited the power of these results.
CLINICAL REHABILITATION
(2024)
Article
Rehabilitation
Margot W. M. de Waal, Michael Jansen, Loes M. Bakker, Arno J. Doornebosch, Elizabeth M. Wattel, Dennis Visser, Ewout B. Smit
Summary: The Utrecht Scale for Evaluation of Rehabilitation has been shown to be effective in evaluating physical and cognitive functioning in geriatric rehabilitation. A minimal important change of 14.5 points has been established for physical functioning.
CLINICAL REHABILITATION
(2024)