Secondary analysis of the BackPain Outcomes using Longitudinal Data (BOLD) cohort study.To characterize associations of self-reported race/ethnicity with backpain (BP) patient-reported outcomes (PROs) and health care utilization among older adults with a new episode of care for BP.No prior longitudinal studies have characterized ...
Abstract: Low backpain is a common condition seen in the ED... efforts to develop strategies to improve emergency care of low backpain... order to ensure that care is appropriately delivered for low backpain patients in the ED, emergency physicians must understand issues of ... describe the usual emergency care provided for non-serious low backpain and present possible strategies for restructuring ED practice and approaches ...
AbstractText: There is no consensus on the management of low backpain in the ED and evidence suggests that these patients are ... available literature pertaining to the clinical management of acute low backpain in the ED AbstractText: The Preferred Reporting Items for Systematic ... included if the population studied were adults with acute low backpain in an emergency setting.
... regulation is variability in emotion over time as opposed to average emotion over time. The sample was 105 people with chronic low backpain (CLBP) and 105 of their pain-free spouses. They completed electronic diary measures 5x/day for 14 consecutive days, producing 70 observations per person from which we derived estimates of within-subject variance in negative emotions.
NCT03021278), healthy participants were exposed to one of three experimental conditions: acute, nociceptive low backpain induced by saline injection, a sham-injection (without piercing the skin) potentially inducing nocebo pain, or no intervention. Tactile acuity was measured by a battery of tests, including two-point discrimination threshold (TPD), before, during the pain experience and after it subsided.
Back Pain (2), Nociceptive Pain (2), Chronic Pain (1), more mentions
AbstractText: Most people experience low backpain (LBP), and it is often ongoing or recurrent. Contemporary research knowledge indicates individual's pain beliefs have a strong effect on their pain experience and management. This study's primary aim was to determine the discourses (patterns of thinking) underlying people's beliefs about what causes their LBP to persist.
To standardize outcome reporting in clinical trials of patients with non-specific low backpain (LBP), an international multidisciplinary panel recommended physical functioning, pain intensity, and health-related quality of life (HRQoL) as core outcome domains. Given the lack of consensus on measurement instruments for these three domains in patients with LBP, this study aimed to generate such consensus.
AbstractText: To develop and test a standardised method of interpreting spinal imaging findings in a manner designed to reassure patients with low backpain and promote engagement in an active recovery AbstractText: A five-phase development and testing process involved collaborative working party contributions, informal and ... Keyword: Low backpain.
Despite wide use in clinical practice, acupuncture remains a controversial treatment for chronic pain. Our objective was to update an individual patient data meta-analysis to determine the effect size of acupuncture for four chronic pain conditions.We searched MEDLINE and the Cochrane Central Registry of Controlled Trials randomized trials published up until December 31, 2015. We included randomized trials of acupuncture needling versus either sham acupuncture or no acupuncture control for non-specific musculoskeletal pain, osteoarthritis, chronic headache, or shoulder pain. Trials were only included if allocation concealment was unambiguously determined to be adequate. Raw data were obtained from study authors and entered into an individual patient data meta-analysis. The main outcome measures were pain and function. An additional 13 trials were identified, with data received for a total of 20,827 patients from 39 trials. Acupuncture was superior to both sham and no acupuncture control for each pain condition (all p<0.001) with differences between groups close to 0.5 standard deviations (SD) for comparison with no acupuncture control and close to 0.2 SDs in comparison with sham. We also found clear evidence that the effects of acupuncture persist over time with only a small decrease, approximately 15%, in treatment effect at one year. In secondary analyses, we found no obvious association between trial outcome and characteristics of acupuncture treatment, but effect sizes of acupuncture were associated with the type of control group, with smaller effects sizes for sham controlled trials that used a penetrating needle for sham, and for trials that had high intensity of intervention in the control arm.We conclude that acupuncture is effective for the treatment of chronic pain, with treatment effects persisting over time. While factors in addition to the specific effects of needling at correct acupuncture point locations are important contributors to the treatment effect, decreases in pain following acupuncture cannot be explained solely in terms of placebo effects. Variations in the effect size of acupuncture in different trials are driven predominately by differences in treatments received by the control group rather than by differences in the characteristics of acupuncture treatment.
PERSPECTIVE: Acupuncture is effective for the treatment of chronic musculosketal, headache and osteoarthritis pain. Treatment effects of acupuncture persist over time and cannot be explained solely in terms of placebo effects. Referral for a course of acupuncture treatment is a reasonable option for a patient with chronic pain.
Muscular and Skeletal Diseases (2) Chronic Pain (5), Osteoarthritis (2), Shoulder Pain (1), more mentions
Data were analyzed from 3 randomized controlled trials (N = 759. The 3 samples, respectively, consisted of patients with chronic low backpain (n =261), chronic backpain or hip/knee osteoarthritis pain (n =240), and a history of stroke (n =258. For each sample, anchor- and distribution-based approaches were used to estimate MIDs.
Cardiovascular Diseases (1), Muscular and Skeletal Diseases (1) Back Pain (2), Knee Osteoarthritis (1), more mentions