scholarly journals The effect of changing movement and posture using motion-sensor biofeedback, versus guidelines-based care, on the clinical outcomes of people with sub-acute or chronic low back pain-a multicentre, cluster-randomised, placebo-controlled, pilot trial

2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Peter Kent ◽  
Robert Laird ◽  
Terry Haines
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Clinical Outcomes ◽  
Chronic Low Back Pain ◽  
Pilot Trial ◽  
Motion Sensor ◽  
Low Back ◽  
Cluster Randomised

scholarly journals The Theoretical Framework of the Clinical Pilates Exercise Method in Managing Non-Specific Chronic Low Back Pain: A Narrative Review

Biology ◽  
2021 ◽  
Vol 10 (11) ◽  
pp. 1096
Author(s):  
Boon Chong Kwok ◽  
Justin Xuan Li Lim ◽  
Pui Wah Kong
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Clinical Outcomes ◽  
Chronic Low Back Pain ◽  
Early Stage ◽  
Current Evidence ◽  
Future Research ◽  
Low Back ◽  
Exercise Interventions ◽  
Directional Preference

Exercise plays an important role in rehabilitating people with chronic low back pain. Aerobic exercise and resistance training are general exercise strategies to manage chronic low back pain, but these strategies require longer intervention period to achieve clinical outcomes in pain reduction and functional improvements. Directional preference is recognised as an important exercise strategy in managing low back pain. The Clinical Pilates exercise method leverages on the directional preference of an individual to achieve clinical outcomes faster. Clinical Pilates is a hybrid of two of the best exercise interventions for low back pain, which are general Pilates and the McKenzie method. Due to the scarcity of Clinical Pilates literature, a review of its theory and studies was undertaken to provide a structured guide to the technique in managing people with chronic low back pain. Hypothetical algorithms are developed to support translation into clinical practice and future research studies. These algorithms are useful in the management of complex cases involving multiple directional trauma. Although limited, current evidence suggests that the Clinical Pilates exercise method is safe and provides faster functional recovery in the early stage of rehabilitation and similar longer term outcomes as general exercises.

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 A pilot trial of intravenous pamidronate for chronic low back pain

Pain ◽  
2014 ◽  
Vol 155 (1) ◽  
pp. 108-117 ◽  
Author(s):  
Marco Pappagallo ◽  
Brenda Breuer ◽  
Hung-Mo Lin ◽  
James B. Moberly ◽  
Julia Tai ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Pilot Trial ◽  
Low Back ◽  
Intravenous Pamidronate

scholarly journals Integrating Mobile health and Physical Activity to reduce the burden of Chronic low back pain Trial (IMPACT): a pilot trial protocol

2016 ◽  
Vol 17 (1) ◽  
Author(s):  
Anita B. Amorim ◽  
Evangelos Pappas ◽  
Milena Simic ◽  
Manuela L. Ferreira ◽  
Anne Tiedemann ◽  
...  
Keyword(s):  
Physical Activity ◽  
Low Back Pain ◽  
Back Pain ◽  
Mobile Health ◽  
Chronic Low Back Pain ◽  
Pilot Trial ◽  
Trial Protocol ◽  
Low Back

scholarly journals Alternation of Topical Heat and Cold for Chronic Low Back Pain: A Randomized Controlled Pilot Trial

2016 ◽  
Vol 33 (2) ◽  
pp. 77-87 ◽  
Author(s):  
Young Doo Choi ◽  
Su Jeong Jo ◽  
Chan Yung Jung ◽  
Kap Sung Kim ◽  
Seung Deok Lee
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Pilot Trial ◽  
Low Back ◽  
Randomized Controlled

scholarly journals Patient-centered care or osteopathic manipulative treatment as mediators of clinical outcomes in patients with chronic low back pain

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
John C. Licciardone ◽  
Subhash Aryal
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Clinical Outcomes ◽  
Chronic Low Back Pain ◽  
Patient Centered Care ◽  
Osteopathic Medicine ◽  
Low Back ◽  
Patient Centered ◽  
Centered Care

Abstract Context Patient-centered care is often considered a characteristic of osteopathic medicine, in addition to the use of osteopathic manipulative treatment (OMT) in such musculoskeletal conditions as low back pain. Objectives This study aimed to determine if patient-centered care or OMT are mediators of the clinical outcomes of osteopathic medicine in patients with chronic low back pain. Methods A comparative effectiveness study was conducted within the Pain Registry for Epidemiological, Clinical, and Interventional Studies and Innovation (PRECISION Pain Research Registry). Eligible patients met the diagnostic criteria recommended by the National Institutes of Health Task Force on Research Standards for Chronic Low Back Pain and completed four consecutive quarterly encounters between April 2016 and November 2020. The Consultation and Relational Empathy instrument for patient-centered care was used at the baseline encounter and OMT use was measured at the final encounter. The clinical outcome measures included low back pain intensity on a numerical rating scale (NRS) from 0 to 10, back-related functioning on the Roland-Morris Disability Questionnaire (RMDQ), and pain impact on the National Institutes of Health Minimum Dataset for Chronic Low Back Pain (NIH-MDS). A parallel multiple mediator model was used to compute the direct and indirect effects of osteopathic medicine in achieving each of the three clinical outcomes. Results The 404 study patients had a mean age of 52.2 years (standard deviation, 13.1 years) and 288 (71.3%) were female. The 88 (21.8%) patients treated by osteopathic physicians reported more favorable scores for patient-centered care (mean, 41.3; 95% CI 39.0–43.5) than patients treated by allopathic physicians (mean, 38.0; 95% CI 36.8–39.3) (p=0.02). Fifty-six (63.6%) patients treated by osteopathic physicians used OMT. The age- and sex-adjusted outcomes for patients of osteopathic vs. allopathic physicians across all four encounters were: mean, 5.4; 95% CI 5.0–5.7 vs. mean, 5.9; 95% CI 5.7–6.1 on the NRS for pain intensity (p=0.01); mean, 11.3; 95% CI 10.1–12.6 vs. mean, 14.0; 95% CI 13.3–14.7 on the RMDQ for back-related disability (p<0.001); and mean, 26.8; 95% CI 24.9–28.7 vs. mean, 30.1; 95% CI 29.1–31.1 on the NIH-MDS for pain impact (p=0.002). Patient-centered care did not mediate any outcome of osteopathic medicine, whereas OMT mediated better outcomes in low back pain intensity. Conclusions This appears to be the first study to simultaneously address both patient-centered care and OMT as potential mediators of the effect of osteopathic medicine in treating chronic pain. Patient-centered care did not mediate the effects of osteopathic medicine and OMT only mediated outcomes relating to low back pain intensity. More research is needed to identify other aspects of osteopathic medicine that mediate its beneficial effects in patients with chronic low back pain.

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