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Low Back Pain And (Manual Therapy Or Exercise)

Michael Seth Smith, Jairo Olivas, Kristy Smith
Manipulative therapies include osteopathic manipulative treatment and many other forms of manual therapies used to manage a variety of conditions in adults and children. Spinal manipulative therapy may provide short-term improvement in patients with acute or chronic low back pain, comparable with other standard treatments. When compared with oral analgesics, cervical manipulation and/or mobilization appears to provide better short-term pain relief and improved function in patients with neck pain. Manipulative therapies may be as effective as amitriptyline for treating migraine headaches and can reduce the frequency and intensity of pain...
February 15, 2019: American Family Physician
Ellie Cathcart, Terence McSweeney, Ross Johnston, Hayley Young, Darren J Edwards
BACKGROUND: Myofascial release (MFR) is used to restore tissue extensibility of the fascia tissue and is considered to be useful in a number of clinical settings such as low back pain, ankle injuries, fibromyalgia, and headaches. There is, however, despite the popularity of MFR in manual therapy, little consensus on whether it leads to biomechanical, systemic or interoceptive outcomes. AIMS: This study aimed to explore the immediate biomechanical (increased elasticity for increased range of motion), systemic (local vs...
January 2019: Journal of Bodywork and Movement Therapies
Fahimeh Kamali, Mehdi Zamanlou, Ali Ghanbari, Abbass Alipour, Soha Bervis
BACKGROUND: Manual therapy and exercise therapy are two common treatments for low back pain. Although their effects have been discussed in several studies, the superiority of one over the other for patients with sacroiliac joint dysfunction is still unclear. OBJECTIVES: The aim of this study was to compare the effects of manipulation (M) and stabilization exercises (S) in patients with subacute or chronic sacroiliac joint dysfunction. METHODS: The participants in this randomized controlled trial study were patients with subacute or chronic sacroiliac joint dysfunction for more than 4 weeks and less than 1 year...
January 2019: Journal of Bodywork and Movement Therapies
Christine M Goertz, Cynthia R Long, Robert D Vining, Katherine A Pohlman, Joan Walter, Ian Coulter
Importance: It is critically important to evaluate the effect of nonpharmacological treatments on low back pain and associated disability. Objective: To determine whether the addition of chiropractic care to usual medical care results in better pain relief and pain-related function when compared with usual medical care alone. Design, Setting, and Participants: A 3-site pragmatic comparative effectiveness clinical trial using adaptive allocation was conducted from September 28, 2012, to February 13, 2016, at 2 large military medical centers in major metropolitan areas and 1 smaller hospital at a military training site...
May 18, 2018: JAMA network open
Paulo R C do Nascimento, Leonardo O P Costa, Amanda C Araujo, Stéphane Poitras, Martin Bilodeau
OBJECTIVES: Systematically review the literature about all available interventions to manage non-specific low back pain (NSLBP) in older adults (≥60 years). DESIGN: We searched the Medline, EMBASE, CINAHL, LILACS, PEDro, and Cochrane CENTRAL databases reference lists for randomized controlled trials (RCTs) testing interventions for NSLBP. Two independent reviewers extracted data, assessed the risk of bias and completeness of the description of interventions. RESULTS: Eighteen (RCTs) fulfilled the eligibility criteria...
November 15, 2018: Physiotherapy
R F Cherevatenko
AIM: To analyze analgesic efficacy of aertal in combination with manual therapy. MATERIAL AND METHODS: There were 120 patients with low back pain aged 18 - 78 years. In 21 patients, the cause of pain was a discoradicular conflict, in 99 patients - non-specific. In case of acute pain duration of treatment ranged from 5 to 24 days, in subacute and chronic pain - 3-14 and 7-30 days, respectively. There were no adverse events during treatment in 110 out of 120 patients, 10 patients complained of abdominal discomfort...
2018: Khirurgiia
Brian A Bernet, Erin T Peskura, Samuel T Meyer, Patrick C Bauch, Megan B Donaldson
PURPOSE: To investigate the effects of physical therapy interventions of the hip on outcomes of pain and disability in patients with low back pain. DATA SOURCES: PubMed, CINAHL, Scopus, Web of Science, and SPORTDiscus were searched from inception to 18 April 2018. STUDY SELECTION/ELIGIBILITY CRITERIA: The following inclusion criteria were required to be met: (1) randomized controlled trials; (2) populations with diagnosed low back pain; and (3) interventions that target the hip joint...
February 2019: Musculoskeletal Science & Practice
Christoph Thalhamer, Julia Hahne, Omer Matthijs, Peter Machacek
BACKGROUND: With a life-time prevalence of 39%, low back pain (LBP) is one of the most common musculoskeletal disorders. Correct diagnosis of underlying causes is commonly seen as a prerequisite for successful therapy of LBP. Currently, there is no useful, non-invasive clinical test to diagnose painful lumbar zygapophyseal joints. Clinical tests with high diagnostic accuracy are therefore desirable. Inter-rater reliability is commonly seen as a prerequisite of test validity. The objective of this pilot study was thus to evaluate inter-rater reliability of new clinical pain provocation tests for diagnosing painful lumbar zygapophyseal joints...
November 6, 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
Ava Lorenc, Gene Feder, Hugh MacPherson, Paul Little, Stewart W Mercer, Deborah Sharp
OBJECTIVE: To identify potentially effective complementary approaches for musculoskeletal (MSK)-mental health (MH) comorbidity, by synthesising evidence on effectiveness, cost-effectiveness and safety from systematic reviews (SRs). DESIGN: Scoping review of SRs. METHODS: We searched literature databases, registries and reference lists, and contacted key authors and professional organisations to identify SRs of randomised controlled trials for complementary medicine for MSK or MH...
October 15, 2018: BMJ Open
Krishnan V Chakravarthy, Fang Xing, Kelly Bruno, Alexander R Kent, Adil Raza, Rene Hurlemann, Thomas M Kinfe
BACKGROUND: There is increasing literature evidence both clinically and experimentally on the existence of potent, adaptive interactions between the central and peripheral aspects of the neuroimmune system in the genesis and maintenance of chronic neuropathic extremity pain and nociceptive back pain. The neuroinflammatory pathways are modulated by the interaction of pro- and anti-inflammatory cytokines and chemokines, which are released by peripheral immune system-derived cell species (macrophages and leukocytes)...
October 12, 2018: Neuromodulation: Journal of the International Neuromodulation Society
Scott A Burns, Joshua A Cleland, Darren A Rivett, Suzanne J Snodgrass
OBJECTIVES: The main research aims were to investigate whether physical therapists are examining the hip(s) in individuals with a primary complaint of low back pain (LBP) and if so, the interventions being provided that target the hip(s). METHODS: An anonymous electronic survey was distributed to the membership of the American Physical Therapy Association Orthopaedic and Sports Sections, as well as that of the American Academy of Orthopaedic Manual Physical Therapists...
October 2, 2018: Brazilian Journal of Physical Therapy
Abdolhamid Hajihasani, Mitra Rouhani, Mahyar Salavati, Rosita Hedayati, Amir Hossein Kahlaee
OBJECTIVE: The purpose of this systematic review was to investigate the effect of adding the cognitive behavioral treatment (CBT) component to routine physical therapy (PT) on pain and depression reduction, improvement in quality of life, and enhanced function in patients with chronic low back pain (CLBP). TYPE: Systematic review LITERATURE SURVEY: Google Scholar, PubMed, Ovid, ScienceDirect, ProQuest, Scopus, Cochrane Library and Embase electronic databases were explored for the key terms of "behavioral (or behavioural) treatment" OR "behavior (behaviour) treatment" OR "behavior (behaviour) therapy" OR "cognitive behavior (or behaviour) treatment" OR "cognitive treatment" OR "cognitive therapy" OR "operant behavior (or behaviour) treatment" OR "respondent behavior (or behaviour) treatment" AND "Physical Therapy" OR "Physiotherapy" OR "exercise therapy" OR "electrotherapy" OR "electrical therapy" OR "manual therapy" OR "myofascial therapy" OR "rehabilitation" AND "Low Back Pain" OR "Lower Back Pain" OR "back pain" OR "chronic back pain" OR "chronic lower back pain", with no limitation on language, through January 2018...
September 25, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
Pierre-Yves Rodondi, Julie Dubois, Anne-Sylvie Bill, Daria Koutaïssoff, Jenny Ros, Eléonore Aveni, Jérôme Pasquier, Lilli Herzig, Isabelle Decosterd, Bernard Burnand
OBJECTIVE: Recent guidelines for chronic or recurrent low back pain recommend non-pharmacologic treatments as first-line options. The objective of this study was thus to explore the perceived usefulness of several conventional and complementary medicine treatments for chronic or recurrent low back pain by primary care physicians and their reported prescribing behavior. DESIGN: An exploratory cross-sectional study. SETTING AND PARTICIPANTS: Primary care physicians of the French-speaking part of Switzerland...
2018: PloS One
Scott A Burns, Joshua A Cleland, Darren A Rivett, Suzanne J Snodgrass
BACKGROUND: Recent evidence suggests that physical therapy interventions targeting the hips may improve outcomes, including pain and disability, for patients with low back pain (LBP). Currently, there is conflicting data in regard to whether an individual with LBP needs to have a concurrent hip impairment in order to respond to this approach. The purpose of this clinical trial will be to determine the short and long-term effectiveness of physical therapy interventions directed at the lumbar spine only, versus lumbar spine and hip(s), in individuals with a primary complaint of LBP with a concurrent hip impairment...
September 2018: Brazilian Journal of Physical Therapy
Josiah D Sault, Andrew A Post, Amanda Y Butler, Michael A O'Hearn
BACKGROUND: Abdominal aortic aneurysms (AAAs) are found in 1-12% of older males. Low back pain (LBP) is prevalent with incidence increasing with age and can respond to manual therapy (MT). To date, the safety of the application of MT for LBP in the presence of a known AAA has not been reported. This case reports on the short-term effects of MT in a patient with LBP and AAA and pre- and post-therapy imaging. CASE DESCRIPTION: A 76-year-old male presented with mechanical LBP, groin pain, and a known 4...
September 10, 2018: Physiotherapy Theory and Practice
Heidrun Lingner, Lena Blase, Anika Großhennig, Guido Schmiemann
Background: Nonspecific acute low back pain (LBP) is a common reason for accessing primary care. German guidelines recommend non-steroidal anti-inflammatory drugs and physical activity as evidence-based treatments. Manual Therapy (MT) remains controversial. To increase evidence-based treatment options for general practitioners (GPs), a Pilot-Study was set up to gather information about the required conditions and setting for an RCT. Methods: The open pilot-study assesses recruitment methods for GPs and patients, timelines, data collection and outcomes of treatment immediately (T0) and 1, 6 and 12 weeks after consultation (T1, T2, T3)...
2018: Chiropractic & Manual Therapies
Jo Perry, Ann Green
OBJECTIVES: The purpose of this study was to document the baseline neurophysiological status (skin conductance activity levels) of patients presenting for physiotherapy with acute and subacute low back pain (symptoms of up to 12 weeks' duration) and to observe the magnitude and direction of sympathetic nervous system (SNS) changes (skin conductance responses [SCRs]) occurring as a result of receiving guideline-endorsed physiotherapy treatment. METHODS: A pragmatic, prospective, longitudinal, observational study recording SNS skin conductance (SC) responses and patient reported outcome measure changes to a program of guideline-endorsed physiotherapy treatment for low back pain symptoms of up to 12 weeks' duration...
July 2018: Journal of Manipulative and Physiological Therapeutics
Daniel Sowah, Robert Boyko, David Antle, Linda Miller, Michael Zakhary, Sebastian Straube
INTRODUCTION: We conducted an overview of systematic reviews of interventions for the prevention of low back pain (LBP) that can be conducted in a workplace setting. METHODS: An electronic literature search was performed in Medline, EMBASE, and the Cochrane Library. Published peer-reviewed systematic reviews and meta-analyses, which described interventions for the primary or secondary prevention of LBP applicable to a workplace setting, were eligible for inclusion...
September 2018: Journal of Safety Research
Scott A Burns, Joshua A Cleland, Chad E Cook, Michael Bade, Darren A Rivett, Suzanne Snodgrass
OBJECTIVES: The purpose of this study was to identify descriptive factors in individuals with a primary complaint of low back pain (LBP) associated with improved pain and function after receiving physical therapy for LBP with or without manual therapy and exercise directed at the femoroacetabular joints. METHODS: Participants were enrolled in a randomized clinical trial investigating physical therapy interventions for their LBP, with or without interventions directed at the femoroacetabular joints (hips)...
July 2018: Journal of Manipulative and Physiological Therapeutics
Ferran Cuenca-Martínez, Sara Cortés-Amador, Gemma Victoria Espí-López
INTRODUCTION: Chronic low back pain is a pathological process that compromises the functionality and quality of life worldwide. The objective of the study was to evaluate the effectiveness of classical physiotherapy in the management of non-specific chronic low back pain. METHODS: A literature search in English electronic databases was performed from November to December of 2015. Only those studies addressing chronic non-specific low back pain by manual therapy and different types of exercises methods were included, and those, which combined acute or subacute pain with systematic reviews and clinical practice guidelines, were excluded...
2018: Physical Therapy Research
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