scholarly journals Multidisciplinary Biopsychosocial Rehabilitation for Nonspecific Chronic Low Back Pain

2016 ◽  
Vol 96 (6) ◽  
pp. 759-763 ◽  
Author(s):  
Bruno T. Saragiotto ◽  
Matheus O. de Almeida ◽  
Tiê P. Yamato ◽  
Chris G. Maher
Keyword(s):  
Health Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Scientific Evidence ◽  
Cochrane Review ◽  
Cochrane Library ◽  
Low Back ◽  
Cochrane Reviews ◽  
Clinical Scenarios

<LEAP> highlights the findings and application of Cochrane reviews and other evidence pertinent to the practice of physical therapy. The Cochrane Library is a respected source of reliable evidence related to health care. Cochrane systematic reviews explore the evidence for and against the effectiveness and appropriateness of interventions—medications, surgery, education, nutrition, exercises—and the evidence for and against the use of diagnostic tests for specific conditions. Cochrane reviews are designed to facilitate the decisions of clinicians, patients, and others in health care by providing a careful review and interpretation of research studies published in the scientific literature.1Each article in thisPTJseries will summarize a Cochrane review or other scientific evidence resource on a single topic and will present clinical scenarios based on real patients to illustrate how the results of the review can be used to directly inform clinical decisions. This article focuses on the effectiveness of multidisciplinary biopsychosocial rehabilitation for nonspecific chronic low back pain.Can multidisciplinary biopsychosocial rehabilitation help this patient with chronic low back pain?

scholarly journals Physical Therapist Interventions for Parkinson Disease

2015 ◽  
Vol 95 (3) ◽  
pp. 299-305 ◽  
Author(s):  
Robyn Gisbert ◽  
Margaret Schenkman
Keyword(s):  
Health Care ◽  
Parkinson Disease ◽  
Physical Therapist ◽  
Scientific Evidence ◽  
Cochrane Review ◽  
Exercise Program ◽  
Cochrane Library ◽  
Cochrane Reviews ◽  
Clinical Scenarios ◽  
Surgery Education

<LEAP> highlights the findings and application of Cochrane reviews and other evidence pertinent to the practice of physical therapy. The Cochrane Library is a respected source of reliable evidence related to health care. Cochrane systematic reviews explore the evidence for and against the effectiveness of appropriate interventions—medications, surgery, education, nutrition, exercise—and the evidence for and against the use of diagnostic tests for specific conditions. Cochrane reviews are designed to facilitate the decisions of clinicians, patients, and others in health care by providing a careful review and interpretation of research studies published in the scientific literature.1Each article in thisPTJseries summarizes a Cochrane review or other scientific evidence on a single topic and presents clinical scenarios based on real patients or programs to illustrate how the results of the review can be used to directly inform clinical decisions. This article focuses on an adult patient with relatively early Parkinson disease.Can physical therapist intervention strategies improve his physical functioning and help him reach his goal of engaging in an exercise program to prevent decline related to progressive Parkinson disease?

Supervised Exercise Therapy for Intermittent Claudication

2019 ◽  
Vol 100 (1) ◽  
pp. 8-13
Author(s):  
Débora Úrsula Fernandes Souza ◽  
Débora Pantuso Monteiro ◽  
Rafael Zambelli Pinto ◽  
Danielle Aparecida Gomes Pereira
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Intermittent Claudication ◽  
Exercise Therapy ◽  
Scientific Evidence ◽  
Cochrane Review ◽  
Cochrane Library ◽  
Supervised Exercise ◽  
Cochrane Reviews ◽  
Clinical Scenarios

Abstract <LEAP> Highlights the findings and application of Cochrane reviews and other evidence pertinent to the practice of physical therapy. The Cochrane Library is a respected source of reliable evidence related to health care. Cochrane systematic reviews explore the evidence for and against the effectiveness and appropriateness of interventions—medication, surgery, education, nutrition, and exercise—and the evidence for and against the use of diagnostic tests for specific conditions. Cochrane reviews are designed to facilitate the decisions of clinicians, patients, and others in health care by providing a careful review and interpretation of research studies published in the scientific literature. Each article in this Physical Therapy (PTJ) series will summarize a Cochrane review or other scientific evidence resource on a single topic and will present clinical scenarios based on real patients to illustrate how the results of the review can be used to directly inform clinical decisions. This article focuses on the effectiveness of supervised exercise therapy for intermittent claudication. Can supervised exercise therapy help a person with intermittent claudication?

scholarly journals Effectiveness of Preoperative Physical Therapy for Elective Cardiac Surgery

2015 ◽  
Vol 95 (2) ◽  
pp. 160-166 ◽  
Author(s):  
Reed Humphrey ◽  
Daniel Malone
Keyword(s):  
Health Care ◽  
Cardiac Surgery ◽  
Physical Therapy ◽  
Scientific Evidence ◽  
Cochrane Review ◽  
Pulmonary Complications ◽  
Cochrane Library ◽  
Elective Cardiac Surgery ◽  
Cochrane Reviews ◽  
Clinical Scenarios

<LEAP> highlights the findings and application of Cochrane reviews and other evidence pertinent to the practice of physical therapy. The Cochrane Library is a respected source of reliable evidence related to health care. Cochrane systematic reviews explore the evidence for and against the effectiveness and appropriateness of interventions—medications, surgery, education, nutrition, exercise—and the evidence for and against the use of diagnostic tests for specific conditions. Cochrane reviews are designed to facilitate the decisions of clinicians, patients, and others in health care by providing a careful review and interpretation of research studies published in the scientific literature.1Each article in thisPTJseries summarizes a Cochrane review or other scientific evidence resource on a single topic and will present clinical scenarios based on real patients to illustrate how the results of the review can be used to directly inform clinical decisions. This article focuses on the effectiveness of preoperative physical therapy for elective cardiac surgery.More specifically, does preoperative physical therapy prevent postoperative pulmonary complications in patients undergoing elective cardiac surgery, and, if so, what types of interventions are most effective, and do patients with certain characteristics benefit from therapy?

scholarly journals Clinical Scenarios for Which Spinal Mobilization and Manipulation Are Considered by an Expert Panel to be Inappropriate (and Appropriate) for Patients With Chronic Low Back Pain

Medical Care ◽  
2019 ◽  
Vol 57 (5) ◽  
pp. 391-398 ◽  
Author(s):  
Patricia M. Herman ◽  
Eric L. Hurwitz ◽  
Paul G. Shekelle ◽  
Margaret D. Whitley ◽  
Ian D. Coulter
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Expert Panel ◽  
Low Back ◽  
Clinical Scenarios

Health care providers communicate less well with patients with chronic low back pain – A study of encounters at a back pain clinic in Denmark

Pain ◽  
2010 ◽  
Vol 150 (3) ◽  
pp. 458-461 ◽  
Author(s):  
Pål Gulbrandsen ◽  
Henrik Bjarke Madsen ◽  
Jurate Saltyte Benth ◽  
Even Lærum
Keyword(s):  
Health Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Health Care Providers ◽  
Chronic Low Back Pain ◽  
Pain Clinic ◽  
Low Back ◽  
Care Providers

scholarly journals The Clinical and Cost-Effectiveness of Telerehabilitation for People With Nonspecific Chronic Low Back Pain: Randomized Controlled Trial

10.2196/15375 ◽  
2020 ◽  
Vol 8 (6) ◽  
pp. e15375 ◽  
Author(s):  
Francis Fatoye ◽  
Tadesse Gebrye ◽  
Clara Fatoye ◽  
Chidozie E Mbada ◽  
Mistura I Olaoye ◽  
...  
Keyword(s):  
Health Care ◽  
Randomized Controlled Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Cost Effectiveness ◽  
Chronic Low Back Pain ◽  
Controlled Trial ◽  
Low Back ◽  
Randomized Controlled ◽  
Life Years

Background Telerehabilitation can facilitate multidisciplinary management for people with nonspecific chronic low back pain (NCLBP). It provides health care access to individuals who are physically and economically disadvantaged. Objective This study aimed to evaluate the clinical and cost-effectiveness of telerehabilitation compared with a clinic-based intervention for people with NCLBP in Nigeria. Methods A cost-utility analysis alongside a randomized controlled trial from a health care perspective was conducted. Patients with NCLBP were assigned to either telerehabilitation-based McKenzie therapy (TBMT) or clinic-based McKenzie therapy (CBMT). Interventions were carried out 3 times weekly for a period of 8 weeks. Patients’ level of disability was measured using the Oswestry Disability Index (ODI) at baseline, week 4, and week 8. To estimate the health-related quality of life of the patients, the ODI was mapped to the short-form six dimensions instrument to generate quality-adjusted life years (QALYs). Health care resource use and costs were assessed based on the McKenzie extension protocol in Nigeria in 2019. Descriptive and inferential data analyses were also performed to assess the clinical effectiveness of the interventions. Bootstrapping was conducted to generate the point estimate of the incremental cost-effectiveness ratio (ICER). Results A total of 47 patients (TBMT, n=21 and CBMT, n=26), with a mean age of 47 (SD 11.6) years for telerehabilitation and 50 (SD 10.7) years for the clinic-based intervention, participated in this study. The mean cost estimates of TBMT and CBMT interventions per person were 22,200 naira (US $61.7) and 38,200 naira (US $106), respectively. QALY gained was 0.085 for TBMT and 0.084 for CBMT. The TBMT arm was associated with an additional 0.001 QALY (95% CI 0.001 to 0.002) per participant compared with the CBMT arm. Thus, the ICER showed that the TBMT arm was less costly and more effective than the CBMT arm. Conclusions The findings of the study suggested that telerehabilitation for people with NCLBP was cost saving. Given the small number of participants in this study, further examination of effects and costs of the interventions is needed within a larger sample size. In addition, future studies are required to assess the cost-effectiveness of this intervention in the long term from the patient and societal perspective.

Health care provider's attitudes and beliefs towards chronic low back pain: the development of a questionnaire

2003 ◽  
Vol 8 (4) ◽  
pp. 214-222 ◽  
Author(s):  
R.W.J.G Ostelo ◽  
S.G.M Stomp-van den Berg ◽  
J.W.S Vlaeyen ◽  
P.M.J.C Wolters ◽  
H.C.W de Vet
Keyword(s):  
Health Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Attitudes And Beliefs ◽  
Low Back

scholarly journals Efficacy of Core Stability in Non-Specific Chronic Low Back Pain

2021 ◽  
Vol 6 (2) ◽  
pp. 37
Author(s):  
Antonio Frizziero ◽  
Giacomo Pellizzon ◽  
Filippo Vittadini ◽  
Davide Bigliardi ◽  
Cosimo Costantino
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Muscle Activation ◽  
Neuromuscular Control ◽  
Core Stability ◽  
Cochrane Library ◽  
Therapeutic Effects ◽  
Low Back ◽  
Therapeutic Exercises

(1) Background: Management of chronic low back pain (cLBP) is often multidisciplinary, involving a combination of treatments, including therapeutic exercises. Core stability exercises aim to improve pain and disability in cLBP increasing spinal stability, neuromuscular control, and preventing shear force that causes injury to the lumbar spine. The purpose of this study was to review the available evidence about the effectiveness in reducing pain and improving disability of core stability exercises for non-specific cLBP. (2) Methods: We perform a systematic research on common Medline databases: PubMed, Pedro, and Cochrane Library. Search results were limited to articles written in English and published between January 2005 and November 2020.The search provided a total of 420 articles. Forty-nine articles met the inclusion criteria and 371 articles were excluded. (3) Results: Core stability provides great therapeutic effects in patients with non-specific chronic low back pain reducing pain intensity, functional disability, and improving quality of life, core muscle activation, and thickness. Evidences suggest that core stability is more effective than rest or no/minimal intervention and combination with other types of exercise for cLBP have shown grater efficacy. (4) Conclusion: Core stability could be proposed in a comprehensive approach in cLBP, the combination with other modalities of therapeutic exercise should be promoted. Patient compliance is crucial to determine the efficacy of the intervention.

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