Nonspecific Low Back Research Articles

Effectiveness of Kinesio Taping in Patients With Chronic Nonspecific Low Back Pain: A Systematic Review With Meta-analysis.

Systematic review. To investigate the effects of Kinesio Taping (KT) in patients with nonspecific low back pain. KT is widely used in patients with low back pain. We conducted searches on PubMed, EMBASE, PEDro, SciELO, and LILACS up to February 26, 2018. We included only randomized controlled trials (RCTs) in adults with chronic nonspecific low back pain that compared KT to no intervention or placebo as well as RCTs that compared KT combined with exercise against exercise alone. The methodological quality and statistical reporting of the eligible trials were measured by the 11-item PEDro scale. The quality of the evidence was assessed using the GRADE classification. We considered pain intensity and disability as the primary outcomes. Whenever possible, the data were pooled through meta-analysis. We identified 11 RCTs for this systematic review (pooled n = 743). Two clinical trials (pooled n = 100) compared KT to no intervention at the short-term follow-up. Four studies compared KT to placebo (pooled n = 287) at short-term follow-up and two trials (pooled n = 100) compared KT to placebo at intermediate-term follow-up. Five trials (pooled n = 296) compared KT combined with exercises or electrotherapy to exercises or spinal manipulation alone. No statistically significant difference was found for most comparisons. Very low to moderate quality evidence shows that KT was no better than any other intervention for most the outcomes assessed in patients with chronic nonspecific low back pain. We found no evidence to support the use of KT in clinical practice for patients with chronic nonspecific low back pain. 1.

Effect of Spinal Manipulation on Pain Sensitivity, Postural Sway, and Healthrelated Quality of Life among Patients with Non-specific Chronic Low Back Pain: A Randomised Control Trial

Effect of Spinal Manipulation on Pain Sensitivity, Postural Sway, and Healthrelated Quality of Life among Patients with Non-specific Chronic Low Back Pain: A Randomised Control Trial

Efeito de ondas curtas por método indutivo na lombalgia crônica inespecífica em indivíduos sedentários

AIMS: To evaluate the efficacy of inductive shortwave treatment in sedentary individuals with non-specific chronic low back pain.METHODS: A quasi-experimental and cross-over trial was performed with sedentary individuals with chronic back pain. The sample was recruited among students from the State University of Western Paraná (Unioeste), aged between 18 and 25 years old, who had low back pain of non-traumatic postural origin for more than three months, were sedentary, and accepted to participate in the study. The intervention protocol consisted in the application of short waves by inductive method for 15 minutes, once a day, three times a week, with interval of one day between each application. In the following week, volunteers also received placebo treatment three times a week, with time similar to that performed in the treatment week, but the equipment was only switched on, without emission of the electromagnetic field. The protocol was applied for two weeks. The variables analyzed were the degree of functional disability, assessed by the Oswestry Disability Index (ODI) and the Roland-Morris Disability Questionnaire (QIRM), at the beginning of the experiment and at the end of each week; and pain, assessed by the Visual Analogue Scale (VAS), before and after each session. Data were presented as mean and standard deviation or median and quartiles, and the accepted level of significance was 5%.RESULTS: Twenty volunteers participated in the study. For ODI, there was a reduction in the disability values throughout the treatment week, with a return to previous values in the placebo week; there were no differences between treatment and placebo for the MIRR. By VAS, there was a reduction in pain intensity over the three days of therapy, which occurred only on the second day of the placebo.CONCLUSIONS: Treatment with short waves in the inductive modality was effective in reducing pain in sedentary patients with chronic low back pain, contributing to improve functional capacity.

Are There Abnormalities in Peripheral and Central Components of Somatosensory Evoked Potentials in Non-Specific Chronic Low Back Pain?

Chronic low back pain (CLBP) was shown to be associated with longer reflex response latencies of trunk muscles during external upper limb perturbations. One theoretical, but rarely investigated possibility for longer reflex latencies might be related to modulated somatosensory information processing. Therefore, the present study investigated somatosensory evoked potentials (SEPs) to median nerve stimulation in CLBP patients and healthy controls (HC). Latencies of the peripheral N9 SEP component were used as the primary outcome. In addition, latencies and amplitudes of the central N20 SEP component, sensory thresholds, motor thresholds and nerve conduction velocity were also analyzed in CLBP patients and HC. There is a trend for the CLBP patients to exhibit longer N9 latencies at the ipsilateral Erb’s point compared to HC. This trend is substantiated by significantly longer N9 latencies in CLBP patients compared to normative data. None of the other parameters showed any significant difference between CLBP patients and HC. Overall, our data indicate small differences of the peripheral N9 SEP component; however, these differences cannot explain the reflex delay observed in CLBP patients. While it was important to rule out the contribution of early somatosensory processing and to elucidate its contribution to the delayed reflex responses in CLBP patients, further research is needed to find the primary source(s) of time-delayed reflexes in CLBP.

Surface Electromyography in Pediatric Patients with Nonspecific Chronic Low Back Pain: A Systematic Review

Surface Electromyography in Pediatric Patients with Nonspecific Chronic Low Back Pain: A Systematic Review

女子学生における非特異的慢性腰痛の有無による呼吸機能の違い

女子学生における非特異的慢性腰痛の有無による呼吸機能の違い

Effect of Taping on Lumbar Kinematics and Muscle Activities During Typing in Individuals With Nonspecific Chronic Low Back Pain

Prolonged sitting can contribute to low back pain. The lumbar taping can be applied to correct the sitting posture. This study aimed to investigate the effect of lumbar taping on lumbar kinematics and the muscle activities of multifidus (MF) and internal oblique in the individuals with nonspecific chronic low back pain (NSCLBP) as they type for 30 minutes. Nineteen subjects with NSCLBP (9 people in non taping group and 10 people in taping group) were recruited. Lumbar taping was applied to the taping group before typing. Both groups started typing in a neutral sitting position with their feet on the floor. The change of posture and S2 posterior tilting (S2P) were measured to investigate kinematic data. Three sensors were attached on T12, L3, and S2 to identify the change of posture. Surface electromyography was used to measure the muscle activities. Palpation meter was used to standardize the angle of pelvic tilt in sagittal plane before typing. All instruments were used to measure each data before and after typing. Independent t-test was used to compare the changing values of lumbar kinematics and muscle activities before and after typing between both groups. The changing values of S2P and change of posture of L3 and S2 were significantly smaller in the taping group compared to the non taping group (p＜05). The changing value of muscle activities of MF between before and after typing was significantly smaller in the taping group compared to the non taping group (p＜05). In conclusion, the lumbar taping during the 30-minute typing task can be applied to maintain correct sitting posture in the lumbar and pelvis and to maintain activation of MF.

A pilot study on using acupunture and core stability exercises to treat non-specific acute low back paun among industrial workers

To explore the effects of using acupunture and core stability experiences to treat acute low back pain among industrial workers at an Occupational health department in the UK.

The Effectiveness of Acupuncture for Non-Specific Chronic Low Back Pain

The Effectiveness of Acupuncture for Non-Specific Chronic Low Back Pain

THU0553 Influence of Obesity on Therapeutic Outcome in Patients with Non-Specific Subacute Low Back Pain

ObjectivesThe aim of the study was to assess the influence of obesity on the effect of treatment in patients with non-specific subacute low back pain.MethodsProspective study included 100 out-patients (40...

Biomechanical Properties of Fascial Tissues and Their Role as Pain Generators

ABSTRACTObjectives: To highlight the load bearing functions of fascial tissues and their proneness to micro tearing during physiological or excessive loading, to review histological evidence for a proprioceptive as well as nociceptive innervation of fascia, and to emphasize the potential role of injury, inflammation, and/or neural sensitization of the posterior layer of the human lumbar fascia in non-specific low back pain.Findings: In addition to a tensional load bearing function of tendons and ligaments, muscles transmit a significant portion of their force via their epimysia to laterally positioned tissues, such as to synergistic or antagonistic muscles. Fascial tissues are commonly used as elastic springs [catapult action] during oscillatory movements, such as walking, hopping, or running, in which the supporting skeletal muscles contract rather isometrically. They are prone to viscoelastic deformations such as creep, hysteresis, and relaxation. Such temporary deformations alter fascial stiffness and ...

Cyclobenzaprine extended release for acute low back and neck pain

Low back and neck pain are common clinical complaints that have a substantial social impact and incur considerable direct and indirect costs. Skeletal muscle relaxants (SMRs) are one of a number of therapy options for patients with these conditions. SMRs are effective in relieving acute muscle spasm associated with nonspecific low back or neck pain; however, patient acceptability of SMRs is reduced by frequent dosing (three- to four-times daily) and the occurrence of somnolence and sedation. Cyclobenzaprine immediate release is an SMR that has consistently been shown to be significantly more effective than placebo in the treatment of low back and neck pain. Cyclobenzaprine extended release, approved by the US FDA in February 2007, is a once-daily SMR that retains the clinical efficacy of the immediate-release formulation, but has a reduced frequency of the adverse events of daytime sleepiness and dizziness versus the immediate-release formulation.

Pilates-Based Therapeutic Exercise: Effect on Subjects With Nonspecific Chronic Low Back Pain and Functional Disability: A Randomized Controlled Trial

Pilates-Based Therapeutic Exercise: Effect on Subjects With Nonspecific Chronic Low Back Pain and Functional Disability: A Randomized Controlled Trial