Relevant bibliographies by topics / Chronic Low Back Pain (CLBP)

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Chronic Low Back Pain (CLBP)'

Author: Grafiati
Published: 4 June 2021
Last updated: 8 February 2022

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Journal articles on the topic "Chronic Low Back Pain (CLBP)"

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Meeus, Mira. "Differences in Pain Processing Between Patients with Chronic Low Back Pain, Recurrent Low Back Pain, and Fibromyalgia." May 2017 4, no. 20;4 (May 10, 2017): 307–18. http://dx.doi.org/10.36076/ppj.2017.318.

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Background: The impairment in musculoskeletal structures in patients with low back pain (LBP) is often disproportionate to their complaint. Therefore, the need arises for exploration of alternative mechanisms contributing to the origin and maintenance of non-specific LBP. The recent focus has been on central nervous system phenomena in LBP and the pathophysiological mechanisms underlying the various symptoms and characteristics of chronic pain. Knowledge concerning changes in pain processing in LBP remains ambiguous, partly due to the diversity in the LBP population. Objective: The purpose of this study is to compare quantitative sensory assessment in different groups of LBP patients with regard to chronicity. Recurrent low back pain (RLBP), mild chronic low back pain (CLBP), and severe CLBP are compared on the one hand with healthy controls (HC), and on the other hand with fibromyalgia (FM) patients, in which abnormal pain processing has previously been reported. Study Design: Cross-sectional study. Setting: Department of Rehabilitation Sciences, Ghent University, Belgium. Methods: Twenty-three RLBP, 15 mild CLBP, 16 severe CLBP, 26 FM, and 21 HC participated in this study. Quantitative sensory testing was conducted by manual pressure algometry and computercontrolled cuff algometry. A manual algometer was used to evaluate hyperalgesia as well as temporal summation of pain and a cuff algometer was used to evaluate deep tissue hyperalgesia, the efficacy of the conditioned pain modulation and spatial summation of pain. Results: Pressure pain thresholds by manual algometry were significantly lower in FM compared to HC, RLBP, and severe CLBP. Temporal summation of pain was significantly higher in FM compared to HC and RLBP. Pain tolerance thresholds assessed by cuff algometry were significantly lower in FM compared to HC and RLBP and also in severe CLBP compared to RLBP. No significant differences between groups were found for spatial summation or conditioned pain modulation. Limitations: No psychosocial issues were taken into account for this study. Conclusion: The present results suggest normal pain sensitivity in RLBP, but future research is needed. In mild and severe CLBP some findings of altered pain processing are evident, although to a lesser extent compared to FM patients. In conclusion, mild and severe CLBP presents within a spectrum, somewhere between completely healthy persons and FM patients, characterized by pain augmentation. Key words: Low back pain, fibromyalgia, pain assessment, quantitative sensory testing, central sensitization, hypersensitivity, temporal summation, spatial summation, conditioned pain modulation
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Malfliet, Anneleen, Kelly Ickmans, Eva Huysmans, Iris Coppieters, Ward Willaert, Wouter Van Bogaert, Emma Rheel, Thomas Bilterys, Paul Van Wilgen, and Jo Nijs. "Best Evidence Rehabilitation for Chronic Pain Part 3: Low Back Pain." Journal of Clinical Medicine 8, no. 7 (July 19, 2019): 1063. http://dx.doi.org/10.3390/jcm8071063.

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Chronic Low Back Pain (CLBP) is a major and highly prevalent health problem. Given the high number of papers available, clinicians might be overwhelmed by the evidence on CLBP management. Taking into account the scale and costs of CLBP, it is imperative that healthcare professionals have access to up-to-date, evidence-based information to assist them in treatment decision-making. Therefore, this paper provides a state-of-the-art overview of the best evidence non-invasive rehabilitation for CLBP. Taking together up-to-date evidence from systematic reviews, meta-analysis and available treatment guidelines, most physically inactive therapies should not be considered for CLBP management, except for pain neuroscience education and spinal manipulative therapy if combined with exercise therapy, with or without psychological therapy. Regarding active therapy, back schools, sensory discrimination training, proprioceptive exercises, and sling exercises should not be considered due to low-quality and/or conflicting evidence. Exercise interventions on the other hand are recommended, but while all exercise modalities appear effective compared to minimal/passive/conservative/no intervention, there is no evidence that some specific types of exercises are superior to others. Therefore, we recommend choosing exercises in line with the patient’s preferences and abilities. When exercise interventions are combined with a psychological component, effects are better and maintain longer over time.
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Pavelka, K., H. Jarosova, O. Sleglova, R. Svobodova, M. Votavova, L. Milani, Z. Prochazka, et al. "Chronic Low Back Pain: Current Pharmacotherapeutic Therapies and a New Biological Approach." Current Medicinal Chemistry 26, no. 6 (May 13, 2019): 1019–26. http://dx.doi.org/10.2174/0929867325666180514102146.

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Chronic low back pain (CLBP) syndrome represents one of the leading causes of long-term disability worldwide. The prevalence of CLBP has been rising significantly in relation to increasing average life expectancy. CLBP results from chronification of acute low back pain. There are many factors contributing to the CLBP crisis; common etiopathogenetic factors include e.g., functional blockage of intervertebral joints. The treatment of CLBP is complex. An important part of treatment consists of pain pharmacotherapy, for which several groups of drugs are used. The problem lies in the side effects of many of these traditionally used medications. Therefore, new and safer treatment methods are being sought. Innovative options for CLBP pharmacology include injections containing collagen, which can be combined with other traditionally used drugs, which helps reduce dosages and increase the overall safety of CLBP therapy.
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Suntsov, Vladislav, Filip Jovanovic, Emilija Knezevic, Kenneth D. Candido, and Nebojsa Nick Knezevic. "Can Implementation of Genetics and Pharmacogenomics Improve Treatment of Chronic Low Back Pain?" Pharmaceutics 12, no. 9 (September 21, 2020): 894. http://dx.doi.org/10.3390/pharmaceutics12090894.

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Etiology of back pain is multifactorial and not completely understood, and for the majority of people who suffer from chronic low back pain (cLBP), the precise cause cannot be determined. We know that back pain is somewhat heritable, chronic pain more so than acute. The aim of this review is to compile the genes identified by numerous genetic association studies of chronic pain conditions, focusing on cLBP specifically. Higher-order neurologic processes involved in pain maintenance and generation may explain genetic contributions and functional predisposition to formation of cLBP that does not involve spine pathology. Several genes have been identified in genetic association studies of cLBP and roughly, these genes could be grouped into several categories, coding for: receptors, enzymes, cytokines and related molecules, and transcription factors. Treatment of cLBP should be multimodal. In this review, we discuss how an individual’s genotype could affect their response to therapy, as well as how genetic polymorphisms in CYP450 and other enzymes are crucial for affecting the metabolic profile of drugs used for the treatment of cLBP. Implementation of gene-focused pharmacotherapy has the potential to deliver select, more efficacious drugs and avoid unnecessary, polypharmacy-related adverse events in many painful conditions, including cLBP.
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Simon, Corey B., Trevor A. Lentz, Mark D. Bishop, Joseph L. Riley, Roger B. Fillingim, and Steven Z. George. "Comparative Associations of Working Memory and Pain Catastrophizing With Chronic Low Back Pain Intensity." Physical Therapy 96, no. 7 (July 1, 2016): 1049–56. http://dx.doi.org/10.2522/ptj.20150335.

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Abstract Background Because of its high global burden, determining biopsychosocial influences of chronic low back pain (CLBP) is a research priority. Psychological factors such as pain catastrophizing are well established. However, cognitive factors such as working memory warrant further investigation to be clinically useful. Objective The purpose of this study was to determine how working memory and pain catastrophizing are associated with CLBP measures of daily pain intensity and movement-evoked pain intensity. Design This study was a cross-sectional analysis of individuals with ≥3 months of CLBP (n=60) compared with pain-free controls (n=30). Method Participants completed measures of working memory, pain catastrophizing, and daily pain intensity. Movement-evoked pain intensity was assessed using the Back Performance Scale. Outcome measures were compared between individuals with CLBP and those who were pain-free using nonparametric testing. Associations were determined using multivariate regression analyses. Results Participants with CLBP (mean age=47.7 years, 68% female) had lower working memory performance (P=.008) and higher pain catastrophizing (P<.001) compared with pain-free controls (mean age=47.6 years, 63% female). For individuals with CLBP, only working memory remained associated with daily pain intensity (R2=.07, standardized beta=−.308, P=.041) and movement-evoked pain intensity (R2=.14, standardized beta=−.502, P=.001) after accounting for age, sex, education, and interactions between pain catastrophizing and working memory. Limitations The cross-sectional design prevented prospective analysis. Findings also are not indicative of overall working memory (eg, spatial) or cognitive performance. Conclusion Working memory demonstrated the strongest association with daily pain and movement-evoked pain intensity compared with (and after accounting for) established CLBP factors. Future research will elucidate the prognostic value of working memory on prevention and recovery of CLBP.
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França, Verônica Leonor, Micheline Henrique Araújo da Luz Koerich, and Guilherme S. Nunes. "Sleep quality in patients with chronic low back pain." Fisioterapia em Movimento 28, no. 4 (December 2015): 803–10. http://dx.doi.org/10.1590/0103-5150.028.004.ao17.

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Abstract Introduction : Sleep performs a restorative function for the body. Medical conditions such as Chronic Low Back Pain (CLBP) may cause sleep changes and impair sleep quality. Objectives : To identify the prevalence of sleep disorders among individuals with CLBP, and investigate whether there is an association between these disorders and perceived functional disability. Materials and methods : This observational, descriptive study was conducted with 51 patients seen at the Clinic of the School of Physical Therapy of Santa Catarina State University. Data were collected through interviews addressing socio-demographic and clinical data, and administration of the Roland-Morris Disability Questionnaire (RMDQ) and Pittsburgh Sleep Quality Index (PSQI). Results : Participants had high levels of functional disability (mean, 16.71 ± 4.16 score points). 82.35% of patients had poor sleep quality (mean, 10.22 ± 4.84 score points). The PSQI components with the highest mean scores were: sleep latency and sleep disturbances. There was also a weak association between functional disability and sleep quality (Spearman = 0.31; p = 0.025), i.e., the higher the disability, the worse the quality of sleep. Conclusion : We found a high prevalence of sleep disorders among patients with CLBP, and a weak association with the level of perceived disability. It is important to conduct further studies on the relationship between these factors and sleep quality. Moreover, there is a need for a multidisciplinary approach in the treatment of CLBP, in order to treat sleep disorders and improve patients' quality of life.
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Frizziero, Antonio, Giacomo Pellizzon, Filippo Vittadini, Davide Bigliardi, and Cosimo Costantino. "Efficacy of Core Stability in Non-Specific Chronic Low Back Pain." Journal of Functional Morphology and Kinesiology 6, no. 2 (April 22, 2021): 37. http://dx.doi.org/10.3390/jfmk6020037.

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(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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Smith, James Kenneth, and Jack R. Crisler. "Chronic Low Back Pain: The Treatment Dichotomy and Implications for Rehabilitation Counselors." Journal of Applied Rehabilitation Counseling 16, no. 1 (March 1, 1985): 28–31. http://dx.doi.org/10.1891/0047-2220.16.1.28.

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Persons with chronic low back pain (CLBP) are being referred to private and state rehabilitation programs in increasing numbers. The difficulty of rehabilitating the CLBP person is well documented. Treatment approaches to CLBP vary but generally fall into conservative and surgical treatment categories. This paper presents an overview of the treatment approaches and psychological factors, and makes suggestions for rehabilitation counselor strategy.
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Islam, Mollah Mohammad Muzahidul, Tulshi Chandra Saha, Abu Saleh Mohammad Mainul Hasan, Sarwar Bin Zakir, and Saifur Ahmed. "Assessment of Risk Factors for Chronic Low Back Pain in Adult Male." Faridpur Medical College Journal 15, no. 2 (June 8, 2021): 74–78. http://dx.doi.org/10.3329/fmcj.v15i2.53892.

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Chronic low back pain (CLBP) is an important health problem in Bangladeshi adult males. This case control study was carried out in the department of Physical Medicine and Rehabilitation, BSMMU, Dhaka from January 2015 to December 2015 to determine the association between CLBP and family history, smoking, level of education, level of income, level of exercise, bad posture and BMI in adult male. Total 171 patients with CLBP were taken as cases, and 171 male without CLBP were taken as controls. Data were collected using a structured interviewer-administered questionnaire, enquiring about demographic data and details of risk factors. Heights and weights were measured to calculate body mass index (BMI). Age range was 18 to 60 years. Mean age (± SD) for cases was 35.8±11 years and that of controls was 37.2±13 years. It was found that Bad posture (p value <.001), lack of exercise (p value<.001) and moderate level of education (p value .044) were significant risk factors for CLBP. Family history, smoking, level of income and BMI did not have a significant association with CLBP. Faridpur Med. Coll. J. 2020;15(2): 74-78
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Penn, Terence M., Demario S. Overstreet, Edwin N. Aroke, Deanna D. Rumble, Andrew M. Sims, Caroline V. Kehrer, Ava N. Michl, et al. "Perceived Injustice Helps Explain the Association Between Chronic Pain Stigma and Movement-Evoked Pain in Adults with Nonspecific Chronic Low Back Pain." Pain Medicine 21, no. 11 (April 24, 2020): 3161–71. http://dx.doi.org/10.1093/pm/pnaa095.

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Abstract Objective For most patients with chronic low back pain (cLBP), the cause is “nonspecific,” meaning there is no clear association between pain and identifiable pathology of the spine or associated tissues. Laypersons and providers alike are less inclined to help, feel less sympathy, dislike patients more, suspect deception, and attribute lower pain severity to patients whose pain does not have an objective basis in tissue pathology. Because of these stigmatizing responses from others, patients with cLBP may feel that their pain is particularly unjust and unfair. These pain-related injustice perceptions may subsequently contribute to greater cLBP severity. The purpose of this study was to examine whether perceived injustice helps explain the relationship between chronic pain stigma and movement-evoked pain severity among individuals with cLBP. Methods Participants included 105 patients with cLBP who completed questionnaires assessing chronic pain stigma and pain-related injustice perception, as well as a short physical performance battery for the assessment of movement-evoked pain and physical function. Results Findings revealed that perceived injustice significantly mediated the association between chronic pain stigma and cLBP severity (indirect effect = 6.64, 95% confidence interval [CI] = 2.041 to 14.913) and physical function (indirect effect = −0.401, 95% CI = −1.029 to −0.052). Greater chronic pain stigma was associated with greater perceived injustice (P = 0.001), which in turn was associated with greater movement-evoked pain severity (P = 0.003). Conclusions These results suggest that perceived injustice may be a means through which chronic pain stigma impacts nonspecific cLBP severity and physical function.
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Dissertations / Theses on the topic "Chronic Low Back Pain (CLBP)"

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Snelgrove, Sherrill. "A longitudinal investigation into patients' experiences of chronic low back pain (CLBP) using interpretative phenomenological analysis (IPA)." Thesis, Swansea University, 2010. https://cronfa.swan.ac.uk/Record/cronfa42594.

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Background/aim: Chronic low back pain (CLBP) is a variant of chronic pain and an overarching term for a diverse number of painful and benign conditions of the lower spine. Research has shown that CLBP challenges biomedical explanation and treatments and incurs passive coping strategies. Despite the enduring nature of CLBP there are few longitudinal studies. The aim of this investigation was to gain understandings of any consistencies and changes in the experiences of participants' experiences of living with CLBP. Design: A qualitative, longitudinal IP A research project that explored participants' pain experiences over two years (2005-2007). Methods: Semi-structured interviews were conducted with a purposeful sample of ten participants recruited from the waiting list of a chronic pain clinic. Each participant was interviewed prior to attendance and twice after treatment. The data were recorded and transcribed accounts were analysed using IPA. Results: The participants foreground the physicality of the pain. Further interpretive work showed that whilst participants emphasised the physicality of their condition they experienced embodied, multidimensional experiences characterised by loss. Most participants' continued to manage their pain within a biomedical model of understanding and behavioural focused coping strategies. In comparison, participants who experienced a period of painlessness due to medical interventions demonstrated a reappraisal of their situation and a trend towards adopting a wider, biopsychosocial understanding accompanied by changing coping strategies. Conclusion: The accounts revealed the relationship between the participants' painful body and self concept. For some participants, a respite from pain paralleled increasing psychosocial coping strategies and a future orientation that reflected changes in illness beliefs in the absence of a formal psychological intervention. In comparison, remaining participants continued to demonstrate a narrow repertoire of coping and loss orientation. Participants' responses to CLBP resonated with the grieving processes of bereaved individuals. Clinical implications are discussed with recommendations for future research.
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Mukandoli, Kumuntu. "Predisposing factors of chronic low back pain (CLBP) among sedentary office workers (SOW) in Nairobi, Kenya." Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Chronic low back pain is a highly prevalent condition in industrialized nations. It is associated with activity limitations, disability, has significant economic impact on society and incurs personal cost. Today's working environment increasingly demands more time spent sitting due to computerization and other advances in technology. Sitting for hours without taking breaks may influence posture, and alignment of the lumbar spine. Therefore, it may influence low back pain. Kenya as a developing country has an increasing number of people involved in sedentary work. The aim of this study was to identify the predisposing factors of chronic low back pain among sedentary office workers in Nairobi. The main objectives were to establish the prevalence of chronc low back pain
to determine the possible predisposing factors of chronic low back pain and to determine the impact of chronic low back pain on work related quality of life among sedentary office workers in Nairobi, Kenya.
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Campos, Lara. "Predição da Resposta de Sucesso a um Programa de Exercício em Meio Aquático para Utentes com Dor Lombar Crónica." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2014. http://hdl.handle.net/10400.26/7683.

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Relatório do Projeto de Investigação apresentado para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Fisioterapia, área de especialização em Fisioterapia em Condições Músculo- Esqueléticas
PALAVRAS-CHAVE: Dor Lombar Crónica (DLC), Factores de Prognóstico, Intensidade da Dor, Incapacidade Funcional Introdução e Objectivo: A evidência existente acerca de potenciais factores que possam predizer resultados de sucesso em utentes com DLC é não só escassa, mas sobretudo pouco consistente. O presente estudo teve como objectivo identificar factores de prognóstico para os bons resultados da Fisioterapia, a curto e médio prazo, ao nível da intensidade da dor, capacidade funcional e percepção de melhoria em indivíduos com DLC, que realizaram um programa de exercício em meio aquático. Metodologia: Foi realizado um estudo de coorte prospectivo, com 42 participantes com DLC; os quais foram submetidos a um programa de exercício aquático, com duração de 6 semanas. Os resultados do programa foram avaliados imediatamente após o seu término, e três meses após o final do tratamento. Os outcomes de interesse foram a intensidade da dor, medida pela Escala Visual Analógica (EVA), a incapacidade funcional, medida pela Quebek Back Pain Disability Scale – Versão Portuguesa (QBPDS-PT), e a percepção global de melhoria, medida pela Patient Global Impression Change Scale – Versão Portuguesa (PGIC-PT). As características sociodemográficas e clínicas avaliadas no início do estudo foram incluídas como potenciais factores de prognóstico. Como critérios de sucesso, foram utilizadas as Diferenças Clínicas Minimamente Importantes (DCMIs) definidas na literatura para os três instrumentos utilizados. Resultados: Os resultados obtidos sugerem que: 1) ao nível da intensidade da dor, as variáveis de prognóstico intensidade da dor reportada na baseline (OR= 1,049; 95% IC 1,004-1,097) e presença de irradiação para o membro inferior (OR=13,418; 95% IC 1,963- 91,716) estão significativamente associadas com os resultados de sucesso imediatamente após o programa de exercício aquático (6 semanas); e a intensidade da dor reportada na baseline está significativamente associada com os resultados de sucesso, três meses após o final do tratamento (OR=1,045; 95% IC 1,004-1,089); 2) ao nível da incapacidade funcional, apenas a pontuação na QBPDS-PT reportada na baseline se encontra estatisticamente associada com a incapacidade funcional registada 6 semanas após o início do estudo (OR=1,061 95% IC 1,009-1,115). Conclusões: Utentes com níveis mais elevados de intensidade de dor e presença de irradiação da dor para o membro inferior, no início do estudo, apresentam maior probabilidade de sucesso, ao nível da intensidade da dor, imediatamente após um programa de exercício aquático; e utentes com maiores níveis de intensidade da dor, no início do estudo, apresentam maior probabilidade de sucesso, também ao nível da intensidade da dor, três meses após o final do tratamento. Utentes com maiores níveis de incapacidade funcional no início do estudo, apresentam maior probabilidade de atingirem resultados de sucesso, ao nível da incapacidade funcional, imediatamente após o final do programa de exercício aquático.
Abstract:Introduction and Objectives: There is little evidence about potential prognostic factors that can influence the successful outcomes of patients with CLBP. The aim of this study was to assess prognostic factors for the success of an aquatic exercise program, for pain intensity, disability and global impression change, in patients with CLBP; immediately after the treatment and in a 3 months follow-up. Methodology: It was used a prospective cohort study with 42 participants, who undertake an exercise aquatic program for 6 weeks. The results of the program were assessed immediately after the treatment, and at 3 months follow-up. The primary outcomes were pain intensity, measured by Visual Analogic Scale (VAS), functional disability, measured by Quebek Back Pain Disability Scale – Portuguese Version (QBPDS-PT), and the global impression of change, measured by the Patient Global Impression Change Scale – Portuguese Version (PGIC-PT). The socio-demographic and clinical data were used as potential prognostic factors. Success with the treatment was defined considering the Minimal Clinically Important Difference (MCID) reported on the literature for the three instruments used. Results: For pain intensity, the variables pain intensity in the baseline (OR= 1,049; 95% IC 1,004-1,097) and presence of irradiating pain (OR=13,418; 95% IC 1,963-91,716), were associated with successful results for pain intensity, immediately after the end of the exercise aquatic program; and the pain intensity in the baseline were associated with successful results in the 3 months follow-up (OR=1,045; 95% IC 1,004-1,089). In what concerns to functional disability, only the score obtained in the QBPDS-PT, at the baseline, was associated with the functional disability assessed immediately after the end of the treatment (OR=1,061 95% IC 1,009-1,115). Conclusions: Participants with more pain intensity and presence of irradiating pain in the baseline, were more associated with results of success in pain intensity, immediately after a program of aquatic exercise; and participants with more pain intensity, in the baseline, were more probably associated with results of success in pain intensity, at the follow-up of 3 months. Participants with more disability at the baseline were more likely to present successful results, in functional disability, immediately after the end of the treatment.
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Harman, Katherine. "Sleep and chronic low back pain." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/NQ26854.pdf.

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Harman, Katherine (Katherine Maureen) Carleton University Dissertation Psychology. "Sleep and chronic low back pain." Ottawa, 1997.

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Armstrong, Mary P. "Chronic low back pain : effectiveness of pain management programmes." Thesis, University of Ulster, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.273038.

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Sudwell, Mark Ian. "Chronic back pain : a narrative analysis." Thesis, University of Exeter, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367457.

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Seidler, Anna Lene, Constanze Rethberg, Jochen Schmitt, Albert Nienhaus, and Andreas Seidler. "Health utilities for chronic low back pain." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2017. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-230878.

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Background Chronic low back pain (LBP) is a common health problem, with a large potential for primary prevention. Health utilities (HU) reflect which proportion of their expected remaining life time individuals would hypothetically trade to be alleviated of a health condition of interest. A value of 0 means “prefer to die immediately”, a value of 1 means “not willing to trade any life time”. The aim of this cross-sectional study was to assess HU for LBP patients and for healthy participants and to examine whether HU for LBP are useful indicators to substantiate preventive and therapeutic decision making. Methods Healthy participants (n = 126) and LBP patients (n = 32) were recruited mainly among the employees of a tertiary care hospital in Germany. Standardized LBP scenarios were presented to all participants and HU values were assessed using the time-trade-off method. Results Median HU for LBP were 0.90 (IQR 0.31) for participants and 0.93 (IQR 0.10) for LBP patients. Measurements were consistent across illness severity ratings with HU and with a visual analogue scale (VAS); in the healthy sample the intraclass correlation coefficient (ICC) was 0.61 (95% CI 0.23–1.00, F(1125) = 190, p < .001), in the patient sample the ICC was 0.66 (95% CI = 0.24–1.00, F(1,31) = 62, p < .001). 8% of participants reported HU of 1. There was no statistically significant relation between HU and age, income, or gender. Conclusion On average, participants chose a 7 to 10% shorter life expectancy to avoid LBP, but almost 1 in 10 participants were not willing to trade any life years. The results indicate a certain stability of HU due to the comparability of HU ratings across patients and healthy participants, the measurement consistency when comparing VAS and HU ratings, and the lack of association between demographic variables and HU. This underlines the usefulness of HU for measuring illness severity in comparative health economics evaluations of preventive and therapeutic measures that address chronic LBP or other pain-characterized diseases. Future studies should focus on different LBP intensities and derive stratified HU that reflect the distribution of pain intensity in the population.
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Newton, Mary. "Assessment and rehabilitation of chronic low back pain." Thesis, University of Glasgow, 1996. http://theses.gla.ac.uk/4250/.

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This thesis presents a set of studies which investigated chronic low back pain. The specific aim of this thesis was to develop reliable methods for the assessment and rehabilitation of chronic low back pain. The two assessment methods tested were a broad based clinical evaluation and an isokinetic assessment of trunk muscle strength. The first part of the thesis describes the reliability and validity studies of the clinical methods for measuring trunk mobility, trunk muscle strength, spinal shape and palpation. A total of 27 physical tests were studied using 70 patients and 10 normal subjects. Twenty-three of these tests were found to be reliable and were incorporated into the isokinetic assessment study. The second part of the study reports the standardisation and reliability studies for the isokinetic assessment of trunk muscle strength in 70 normal subjects and 120 patients with chronic low back pain. The results showed that the main isokinetic measures were reliable for both normal subjects and patients. There was a significant learning effect from test 1 to test 2 in both normal subjects and patients. The magnitude of this learning effect was greater in patients than normal subjects. The normal subjects were followed up by a postal questionnaire in a two year prospective study to predict future back pain using the isokinetic measures. None of the measures used showed any significant differences between those subjects who developed back pain and those who did not. The third part of the thesis describes studies to develop a rehabilitation programme for patients with chronic low back pain using the isokinetic machines, both as a means of monitoring progress and as an exercise regime. The first study of 26 patients indicated that the programme was safe and effective, but also revealed a major problem with adherence to a six week exercise programme. The second study investigated the problem of adherence and examined the time course of response to isokinetic exercise by repeating the tests at three weeks and six weeks.
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Cooper, Nicholas A. "Gluteus medius dysfunction in chronic low back pain." Diss., University of Iowa, 2017. https://ir.uiowa.edu/etd/5445.

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Low back pain is a common but severe health problem. Chronic low back pain accounts for the bulk of the burden of low back pain. Exercise interventions are effective in the management of chronic low back pain. Current clinical thinking in physical therapy treats low back pain as a heterogeneous entity seeking to match specific interventions to subpopulations. None of these subgroups assess the role of gluteus medius dysfunction in chronic low back pain. These projects seek to describe the prevalence of gluteus medius weakness in people with chronic low back pain and test the effectiveness of a gluteus medius strengthening exercise intervention in people with chronic low back pain. Gluteus medius strength was assessed in 150 people seeking care for chronic low back pain and 75 healthy people without low back pain. Gluteus medius was found to be weaker on affected sides compared to unaffected sides within people with chronic low back pain and weaker than people without low back pain. Gluteus medius weakness was a strong predictor of the presence of low back pain. A gluteus medius strengthening program was compared with lumbar stabilization exercises in 56 people with chronic low back pain. Although there was a clinically significant improvement in pain in people who performed the gluteus medius strengthening exercise program, this was not significantly different from the stabilization exercise intervention. Adherence to exercise was significantly correlated with reduction in pain and perceived improvement of low back pain. Although gluteus medius weakness is common in people with low back pain and treating this weakness with a targeted exercise intervention is effective, it is not better than a standard stabilization exercise intervention. Doing exercise is likely more important than what exercise is done.
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Books on the topic "Chronic Low Back Pain (CLBP)"

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Leech, Clement. Preventing chronic disability from low back pain: Renaissance project. Dublin: Stationery Office, 2004.

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Chronic low back pain: Assessment and treatment from a behavioral rehabilitation perspective. Amsterdam: Swets & Zeitlinger, 1991.

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Adams, Nicola B. K. Psychophysiological and neurochemical substrates of chronic low back pain and modulation by treatment. [s.l: The Author], 1992.

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Vällfors, B. Acute, subacute and chronic low back pain: Clinical symptoms, absenteeism and working environment. Göteborg: [s. n., 1985.

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Allen, Sara Elizabeth. What is the evidence for the effectiveness of non-drug pain management on patients with chronic low back pain?. Oxford: Oxford Brookes University, 2002.

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Watson, Paul John. The function of the paraspinal muscles in chronic low back pain patients: A comparison of surface electromyography in normal, healthy control group and an evaluation of the effects of a pain management programme. Manchester: University of Manchester, 1995.

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Knezevic, Nebojsa Nick, Teresa M. Kusper, and Kenneth D. Candido. Chronic Low Back Pain in a Young Patient. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190271787.003.0023.

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Chronic low back pain (CLBP) in young adults is a great public health concern. CLBP affects individuals across all age groups with varying frequency, and it is associated with significant disability and morbidity, missed school or work, loss of productivity, and substantial health care expenditures. It can occur suddenly as a result of injury, or develop gradually due to degenerative changes in the spine. Correct diagnosis and proper management, usually involving a multidisciplinary approach, are paramount for optimal pain management. Usually, combinations of conservative management (pharmacologic and nonpharmacologic) with epidural steroid injections can achieve long-term pain relief and relapse prevention.
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Knezevic, Nebojsa Nick, Benjamin Cantu, Ivana Knezevic, and Kenneth D. Candido. Chronic Back Pain in the Elderly: Spinal Stenosis. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190271787.003.0022.

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Chronic low back pain (CLBP) is a common reason for physician office visits among the elderly. Predictive factors for CLBP are female sex, social isolation, hypertension, and joint pain. In the elderly, CLBP may be related to degenerative spinal stenosis with disk degeneration and overall spondylosis. A detailed medical history and a targeted, comprehensive physical examination are the initial approaches to rule out underlying disease that requires urgent attention. Clinical and evidence-based approaches to management suggest avoiding early MRI or CT, as imaging in elderly patients has proven both impractical and uneconomical. Instead, good clinical judgment should be used for making diagnoses. Consensus on the best initial approaches for managing CLBP has not yet been achieved, and conservative therapy is suggested, varying from use of pharmacologic agents, physical therapy, electrical stimulation, and physical manipulations to epidural injections. Surgical alternatives are avoided due to confounding and multiple comorbidities in older patients.
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Acute and chronic low back pain. York: NHS Centre for Reviews and Dissemination, University of York, in association with Royal Society of Medicine Press, 2000.

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Jain, Rakesh, and Shailesh Jain. Disability in chronic low back pain. Edited by Paul Farquhar-Smith, Pierre Beaulieu, and Sian Jagger. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198834359.003.0076.

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The landmark paper discussed in this chapter, ‘Pain-related fear is more disabling than pain itself: Evidence on the role of pain-related fear in chronic back pain disability’, published by Crombez et al. in 1999, investigates the issue of disability in chronic low back pain and explores the role of psychological factors in disability. The paper reports on three independent chronic low back pain studies in which behavioural performance and the degree of reported disability were correlated with psychological factors such as catastrophization, negative affect, anxiety, and pain-related fear (e.g. fear of re-injury). In a counterintuitive finding, pain-related fear was more disabling that the pain itself. This paper thus highlighted the need to assess and address the psychological domains of pain; it also validated three questionnaires that are important in the pain field, and established a biopsychosocial approach to understanding, explaining, and treating chronic low back pain.
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Book chapters on the topic "Chronic Low Back Pain (CLBP)"

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Carragee, Eugene J., and Don Young Park. "Chronic Low Back Pain." In Clinical Pain Management, 225–34. Oxford, UK: Wiley-Blackwell, 2010. http://dx.doi.org/10.1002/9781444329711.ch27.

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May, Stephen. "Chronic Low Back Pain." In Handbook of Pain and Palliative Care, 231–45. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-1-4419-1651-8_16.

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van Tulder, Maurits, and Bart Koes. "Chronic Low Back Pain." In Evidence-Based Chronic Pain Management, 69–82. West Sussex, UK: John Wiley & Sons, Ltd., 2010. http://dx.doi.org/10.1002/9781444314380.ch7.

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May, Stephen. "Chronic Low Back Pain." In Handbook of Pain and Palliative Care, 245–60. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-95369-4_14.

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Vøllestad, Nina. "Chronic Low Back Pain." In Encyclopedia of Quality of Life and Well-Being Research, 903–4. Dordrecht: Springer Netherlands, 2014. http://dx.doi.org/10.1007/978-94-007-0753-5_368.

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Benzel, Edward C., Erik Van de Kelft, and Judith Scheman. "Chronic Low Back Pain." In Surgery of the Spine and Spinal Cord, 383–97. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-27613-7_23.

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Vasudevan, Sridhar. "Common Pain Problems: Low Back Pain." In Multidisciplinary Management of Chronic Pain, 155–75. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-20322-5_9.

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Zauk, Jenna E., and Christopher J. Winfree. "Chronic Low Back Pain: Definitions and Diagnosis." In Encyclopedia of Pain, 611–16. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-28753-4_695.

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Diener, Ina. "Self-Management and Low Back Pain." In Self-Management in Chronic Illness, 75–95. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-69736-5_6.

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Manfrè, Luigi. "Causes of Chronic Low Back Pain." In Radiofrequency Treatments on the Spine, 19–24. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-41462-1_3.

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Conference papers on the topic "Chronic Low Back Pain (CLBP)"

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Melizza, Nur, and Ulum Mabruroh. "Effectiveness Of Cognitive Behavior Therapy (Cbt) For Chronic Low Back Pain (Clbp): A Systematic Review." In 8th International Nursing Conference on Education, Practice and Research Development in Nursing (INC 2017). Paris, France: Atlantis Press, 2017. http://dx.doi.org/10.2991/inc-17.2017.16.

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Tiller, G., D. Deutsch, S. Gozani, and X. Kong. "Wearable transcutaneous electrical nerve stimulation (TENS) reduces pain interference with activity in individuals with chronic low back pain (CLBP)." In Deutscher Kongress für Orthopädie und Unfallchirurgie. Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1717345.

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Houssien, D., and A. Houssien. "THU0528 The relief of chronic low back pain (CLBP) immediately after one session of low level laser acupuncture therapy (LLLAT)." In Annual European Congress of Rheumatology, EULAR 2018, Amsterdam, 13–16 June 2018. BMJ Publishing Group Ltd and European League Against Rheumatism, 2018. http://dx.doi.org/10.1136/annrheumdis-2018-eular.3354.

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Qiang, Tian, Zhao Jia-you, Guo Ru-song, and Wu Shan. "Effect of Chinese bone-seting for chronic low back pain." In 2014 IEEE International Conference on Bioinformatics and Biomedicine (BIBM). IEEE, 2014. http://dx.doi.org/10.1109/bibm.2014.6999349.

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Ortenburger, Dorota. "SELECTED PERSONALITY PREDICTORS IN DEPRESSION AT CHRONIC LOW BACK PAIN." In 4th SGEM International Multidisciplinary Scientific Conferences on SOCIAL SCIENCES and ARTS Proceedings. STEF92 Technology, 2017. http://dx.doi.org/10.5593/sgemsocial2017/33/s12.086.

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Zhao, Jiayou, Zhennan Wu, Zhiyong Fan, Shuhua Lai, and Shan Wu. "The Study of Functional Magnetic Resonance for Chronic Low Back Pain." In 2019 10th International Conference on Information Technology in Medicine and Education (ITME). IEEE, 2019. http://dx.doi.org/10.1109/itme.2019.00060.

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Henry, Sharon M., Juvena R. Hitt, Stephanie L. Jones, and Janice Y. Bunn. "Alteration of Postural Responses Due to Chronic Recurrent Low Back Pain." In ASME 2004 International Mechanical Engineering Congress and Exposition. ASMEDC, 2004. http://dx.doi.org/10.1115/imece2004-60708.

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This study characterized postural responses in subjects with (n=26, 39 ± 13 yrs) and without (n=24, 32 ± 10 yrs) chronic ( &gt;6 months), recurrent low back pain (LBP) in response to support surface translations, randomly delivered in 12 different horizontal directions. Using kinematic, force plate and anthropometric data, the net center of pressure (CP), total body center of mass (CM), and net joint torques (sagittal and frontal planes) at the ankle, knee, hip and trunk were examined to characterize the neuromuscular responses in the two subject groups. LBP subjects exhibited larger anterior and posterior CM displacements compared to NLBP (p = 0.0267) and smaller anterior and posterior CP displacements (p &lt;0.0001). Overall, torque responses in persons with LBP were smaller, delayed and developed more quickly compared to NLBP subjects and the responses were non-directionally specific. These data suggest the automatic postural control of subjects with LBP is altered such that there is an overall stiffening strategy for LBP subjects, which is reflected in the reduced CP displacement and the smaller and delayed torque responses.
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Wen, Yuhong, Xurui Liu, and Yiming Zhang. "The Rehabilitation Effect of Water Exercise for Chronic Low Back Pain." In International Congress on Sport Sciences Research and Technology Support. SCITEPRESS - Science and and Technology Publications, 2014. http://dx.doi.org/10.5220/0005151100530056.

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Evcik, D., and A. Yücel. "FRI0241 Lumbar lordosis in acute and chronic low back pain patients." In Annual European Congress of Rheumatology, Annals of the rheumatic diseases ARD July 2001. BMJ Publishing Group Ltd and European League Against Rheumatism, 2001. http://dx.doi.org/10.1136/annrheumdis-2001.545.

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Novitasari, Elisa, RB Soemanto, and Hanung Prasetya. "Acupuncture Therapy in Reducing Pain in Patients with Low Back Pain: Meta Analysis." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.05.43.

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ABSTRACT Background: With growing evidence of high prevalence in developing countries, LBP is no longer recognized as a disorder confined to high-income nations but is a major health problem globally. The functional limitations and consequent disability create a heavy economic burden on individuals and society. This study aimed to acupuncture therapy in reducing pain in patients with low back pain. Subjects and Method: A meta-analysis and systematic review was conducted by search published articles from PubMed, Google Schoolar, Mendeley, Hindawi, and Clinical key databases. Keywords used “acupuncture low back pain” OR “acupuncture chronic pain” AND “efficacy acupuncture” AND “chronic low back pain” AND “effect acupuncture for low back pain” AND “randomized controlled trial” AND “visual analogue scale”. The inclusion criteria were full text and using randomized controlled trial (RCT) study design. The articles were selected by PRISMA flow chart and the quantitative data were analyzed by Revman 5.3. Results: 7 studies were met criteria. This study showed that acupuncture therapy reduced pain in patients with low back pain (Mean Difference= -0.40; 95% CI= -0.80 to 0.01; p= 0.05) with heterogeneity I2= 83%. Conclusion: Acupuncture therapy reduces pain in patients with low back pain. Keywords: low back pain, acupuncture chronic low back pain, randomized controlled trial. Correspondence: Elisa Novitasari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: elisanovita58@gmail.com. Mobile: 085727851938. DOI: https://doi.org/10.26911/the7thicph.05.43
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Reports on the topic "Chronic Low Back Pain (CLBP)"

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Delitto, Anthony, Charity G. Patterson, Joel M. Stevans, Gerard P. Brennan, Stephen T. Wegener, David C. Morrisette, Jason M. Beneciuk, Steven Z. George, and Robert B. Saper. Comparing Ways to Treat Low Back Pain and Prevent Chronic Pain and Disability -- The TARGET Trial. Patient-Centered Outcomes Research Institute (PCORI), May 2021. http://dx.doi.org/10.25302/05.2021.pcs.140210867.

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Schrader, Jeffrey L. A Double-Blind Randomized Placebo Controlled Trial of Magnesium Oxide for Alleviation of Chronic Low Back Pain. Fort Belvoir, VA: Defense Technical Information Center, September 1999. http://dx.doi.org/10.21236/ad1012239.

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Song, Hongyu, Jiahui Zhu, Xiaogang Zhang, Hong Ma, and Ying Jiang. Efficacy of sling exercise therapy for chronic nonspecific low back pain ：a systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, February 2021. http://dx.doi.org/10.37766/inplasy2021.2.0070.

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Cheng, Shirui, Ming Xin, Jun Zhou, Ziwen Wang, Ruirui Sun, and Fanrong Liang. Structural and functional alterations in the brain of chronic low back pain: A systematic review and multimodal meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2020. http://dx.doi.org/10.37766/inplasy2020.5.0103.

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Sung, Won-Suk, Yejin Hong, and Eun-Jung Kim. The effectiveness and safety of electroacupuncture for non-specific chronic low back pain: A protocol for systematic review and/or meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, December 2020. http://dx.doi.org/10.37766/inplasy2020.12.0039.

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Yue, Lei, Mingshuai Sun, Meixia Shang, and Haolin Sun. Extracorporeal shockwave therapy for treating chronic low-back pain: a protocol of a systematic review and meta-analysis of randomized controlled trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, April 2021. http://dx.doi.org/10.37766/inplasy2021.4.0100.

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A commonly used treatment does not improve chronic low back pain. National Institute for Health Research, November 2017. http://dx.doi.org/10.3310/signal-000500.

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