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1

Chiarotto, Alessandro, and Bart W. Koes. "Nonspecific Low Back Pain." New England Journal of Medicine 386, no. 18 (2022): 1732–40. http://dx.doi.org/10.1056/nejmcp2032396.

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2

Teodorczyk-Injeyan, Julita A., John J. Triano, and H. Stephen Injeyan. "Nonspecific Low Back Pain." Clinical Journal of Pain 35, no. 10 (2019): 818–25. http://dx.doi.org/10.1097/ajp.0000000000000745.

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3

Nordin, Margareta, Federico Balagu??, and Christine Cedraschi. "Nonspecific Lower-back Pain." Clinical Orthopaedics and Related Research 443, : (2006): 156–67. http://dx.doi.org/10.1097/01.blo.0000198721.75976.d9.

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4

Maksimova, M. Yu, and Ya A. Kotlyar. "Chronic Nonspecific Back Pain." Human Physiology 48, no. 8 (2022): 968–74. http://dx.doi.org/10.1134/s0362119722080096.

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5

Weiner, Shira S., Sherri R. Weiser, Eugene J. Carragee, and Margareta Nordin. "Managing Nonspecific Low Back Pain." Spine 36, no. 23 (2011): 1987–94. http://dx.doi.org/10.1097/brs.0b013e3181fee8ef.

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6

Heymans, M. W., M. W. van Tulder, R. Esmail, C. Bombardier, and B. W. Koes. "Back Schools for Nonspecific Low Back Pain." Spine 30, no. 19 (2005): 2153–63. http://dx.doi.org/10.1097/01.brs.0000182227.33627.15.

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7

Günaydın, Okan, and Elzem Bolkan Günaydın. "Evaluation of hematological parameters related to systemic inflammation in acute and subacute/chronic low back pain." Biomarkers in Medicine 16, no. 1 (2022): 31–40. http://dx.doi.org/10.2217/bmm-2021-0431.

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Aim: To compare the hematological parameters associated with systemic inflammation between acute and subacute/chronic nonspecific low back pain and to evaluate their diagnostic roles in relation to chronicity in low back pain. Materials & methods: This retrospective case–control study included 150 participants aged 18–65 years with acute nonspecific low back pain, 150 with subacute/chronic nonspecific low back pain, 150 as the control group. Results: Red cell distribution width was significantly higher in the subacute/chronic pain group compared with the acute pain group (p = 0.003), and had a poor diagnostic value for chronicity (cutoff: 11.95, p = 0.003). There were no significant differences in terms of other parameters (p > 0.05). Conclusion: Red cell distribution width has a poor diagnostic value for chronicity in nonspecific low back pain.
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Weiser, Sherri, and M. Rossignol. "Triage for Nonspecific Lower-back Pain." Clinical Orthopaedics and Related Research 443, : (2006): 147–55. http://dx.doi.org/10.1097/01.blo.0000200244.37555.ad.

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Kaspiris, Angelos, Theodoros B. Grivas, Crisi Zafiropoulou, Elias Vasiliadis, and Olia Tsadira. "Nonspecific Low Back Pain During Childhood." JCR: Journal of Clinical Rheumatology 16, no. 2 (2010): 55–60. http://dx.doi.org/10.1097/rhu.0b013e3181cf3527.

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10

Antoci Jr, Valentin, and Alan S. Hilibrand. "Nonspecific back pain: approach and management." Future Rheumatology 3, no. 5 (2008): 485–92. http://dx.doi.org/10.2217/17460816.3.5.485.

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11

Urrútia, Gerard, Kim Burton, Antoni Morral, Xavier Bonfill, and Gustavo Zanoli. "Neuroreflexotherapy for Nonspecific Low Back Pain." Spine 30, no. 6 (2005): E148—E153. http://dx.doi.org/10.1097/01.brs.0000155575.85223.14.

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12

Hyodo, Hironori, Tetsuro Sato, Hirotoshi Sasaki, and Yasuhisa Tanaka. "Discogenic pain in acute nonspecific low-back pain." European Spine Journal 14, no. 6 (2005): 573–77. http://dx.doi.org/10.1007/s00586-004-0844-8.

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13

Anderson, Barton E., and Kellie C. Huxel Bliven. "The Use of Breathing Exercises in the Treatment of Chronic, Nonspecific Low Back Pain." Journal of Sport Rehabilitation 26, no. 5 (2017): 452–58. http://dx.doi.org/10.1123/jsr.2015-0199.

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Clinical Scenario:Research has shown a link between poor core stability and chronic, nonspecific low back pain, with data to suggest that alterations in core muscle activation patterns, breathing patterns, lung function, and diaphragm mechanics may occur. Traditional treatment approaches for chronic, nonspecific low back pain focus on exercise and manual therapy interventions, however it is not clear whether breathing exercises are effective in treating back pain.Focused Clinical Question:In adults with chronic, nonspecific low back pain, are breathing exercises effective in reducing pain, improving respiratory function, and/or health related quality of life?Summary of Key Findings:Following a literature search, 3 studies were identified for inclusion in the review. All reviewed studies were critically appraised at level 2 evidence and reported improvements in either low back pain or quality of life following breathing program intervention.Clinical Bottom Line:Exercise programs were shown to be effective in improving lung function, reducing back pain, and improving quality of life. Breathing program frequencies ranged from daily to 2–3 times per week, with durations ranging from 4 to 8 weeks. Based on these results, athletic trainers and physical therapists caring for patients with chronic, nonspecific low back pain should consider the inclusion of breathing exercises for the treatment of back pain when such treatments align with the clinician’s own judgment and clinical expertise and the patient’s preferences and values.Strength of Recommendation:Grade B evidence exists to support the use of breathing exercises in the treatment of chronic, nonspecific low back pain.
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14

Carter, Catherine, Carol Stratton, and Debra Mallory. "Yoga to Treat Nonspecific Low Back Pain." AAOHN Journal 59, no. 8 (2011): 355–61. http://dx.doi.org/10.3928/08910162-20110718-01.

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15

Ronai, Peter, and Paul Sorace. "Chronic Nonspecific Low Back Pain and Exercise." Strength and Conditioning Journal 35, no. 1 (2013): 29–32. http://dx.doi.org/10.1519/ssc.0b013e3182822bb1.

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16

Kukushkin, M. L. "Diagnosis and treatment of nonspecific back pain." Medical Council, no. 8 (January 1, 2016): 58–63. http://dx.doi.org/10.21518/2079-701x-2016-8-58-63.

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17

Abraham, Irwin. "The myth of nonspecific low back pain." International Musculoskeletal Medicine 38, no. 1 (2016): 1. http://dx.doi.org/10.1080/17536146.2016.1199339.

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18

Carter, Catherine, Carol Stratton, and Debra Mallory. "Yoga to Treat Nonspecific Low Back Pain." AAOHN Journal 59, no. 8 (2011): 355–62. http://dx.doi.org/10.1177/216507991105900804.

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19

Kukushkin, Mikhail Lvovich. "TREATMENT FOR ACUTE NONSPECIFIC LOWER BACK PAIN." Modern Rheumatology Journal, no. 3 (September 11, 2010): 17. http://dx.doi.org/10.14412/1996-7012-2010-614.

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20

Campello, Marco A., Sherri R. Weiser, Margareta Nordin, and Rudi Hiebert. "Work Retention and Nonspecific Low Back Pain." Spine 31, no. 16 (2006): 1850–57. http://dx.doi.org/10.1097/01.brs.0000227288.00378.d5.

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21

Blaisdell, Jay, and James B. Talmage. "Nonspecific Chronic Back Pain: Sixth Edition Approaches." Guides Newsletter 24, no. 5 (2019): 14–15. http://dx.doi.org/10.1001/amaguidesnewsletters.2019.sepoct03.

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Abstract Ratings for “non-specific chronic, or chronic reoccurring, back pain” are based on the diagnosis-based impairment method whereby an impairment class, usually representing a range of impairment values within a cell of a grid, is selected by diagnosis and “specific criteria” (key factors). Within the impairment class, the default impairment value then can be modified using non-key factors or “grade modifiers” such as functional history, physical examination, and clinical studies using the net adjustment formula. The diagnosis of “nonspecific chronic, or chronic reoccurring, back pain” can be rated in class 0 and 1; the former has a default value of 0%, and the latter has a default value of 2% before any modifications. The key concept here is that the physician believes that the patient is experiencing pain, yet there are no related objective findings, most notably radiculopathy as distinguished from “nonverifiable radicular complaints.” If the individual is found not to have radiculopathy and the medical record shows that the patient has never had clinically verifiable radiculopathy, then the diagnosis of “intervertebral disk herniation and/or AOMSI [alteration of motion segment integrity] cannot be used.” If the patient is asymptomatic at maximum medical improvement, then impairment Class 0 should be chosen, not Class 1; a final whole person impairment rating of 1% indicates incorrect use of the methodology.
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22

Kaarbø, Mette Bøymo, Gro Killi Haugstad, Audun Stubhaug, and Slawomir Wojniusz. "The Standardised Mensendieck Test as a tool for evaluation of movement quality in patients with nonspecific chronic low back pain." Scandinavian Journal of Pain 18, no. 2 (2018): 203–10. http://dx.doi.org/10.1515/sjpain-2018-0028.

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Abstract Background and aims: Nonspecific chronic low back pain is a multifactorial biopsychosocial health problem where accurate assessments of pain, function and movement are vital. There are few reliable and valid assessment tools evaluating movement quality, hence the aim was to investigate nonspecific chronic low back pain patients’ movement patterns with the Standardised Mensendieck Test. Methods: Twenty patients (mean age=41, SD=9.02) with nonspecific chronic low back pain were examined with the Standardised Mensendieck Test whilst being videotaped and compared with 20 healthy controls. A physiotherapist, blinded to participant’s group belonging, scored Standardised Mensendieck Test videos according to the standardised manual. Associations between movement quality, fear of movement and re(injury) i.e. kinesiophobia and pain intensity were also investigated. Results: Patients scored significantly poorer than the controls in all 5 Standardised Mensendieck Test domains (p<0.001). The biggest difference was observed with regard to movement pattern domain. In women we also found a difference in the respiration pattern domain. Conclusions: The Standardised Mensendieck Test was able to detect significant differences in quality of movement between patients and healthy controls. These results indicate that the Standardised Mensendieck Test may be a valuable examination tool in assessment and treatment of nonspecific chronic low back pain patients. Further, longitudinal studies should investigate whether poor movement and respiration patterns are important factors in nonspecific chronic low back pain, e.g. as predictors and/or mediators of therapeutic effects.
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23

Golovacheva, V. A., and A. A. Golovacheva. "Diagnostic and treatment algorithms for acute low back pain." Meditsinskiy sovet = Medical Council, no. 12 (September 19, 2021): 63–70. http://dx.doi.org/10.21518/2079-701x-2021-12-63-70.

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Low back pain (LBP) is one of the most common reasons to see a physician. In 90–95% of cases, LBP is nonspecific (musculoskeletal). Timely diagnosis of acute nonspecific LBP and its effective treatment are of practical importance, have a favorable effect on the prognosis of recovery and significantly reduce the risk of chronic pain. The diagnosis of acute nonspecific LBP is established on the basis of complaints, clinical picture, data of somatic and neurological examination, absence of “red flags” (symptoms and signs characteristic of specific causes of back pain, discogenic radiculopathy or lumbar stenosis). Drug and non-drug methods are used in the treatment of acute nonspecific LBP. In acute nonspecific LBP, great importance is attached to informing the patient about the causes of pain and a favorable prognosis, the need to stay active, avoid staying in bed and wearing corsets. As pharmacotherapy, the prescription of nonsteroidal anti-inflammatory drugs (NSAIDs) is effective. Nimesulide, an NSAID that is used to treat various pain syndromes, is effective and safe in the treatment of acute nonspecific LBP. In addition to NSAIDs, muscle relaxants and B vitamins may be prescribed. Therapeutic exercises are not prescribed during the acute period of back pain. Therapeutic exercises are effective in preventing exacerbations of LBP. We present our own clinical example of managing a patient with acute nonspecific LBP. Complex treatment based on international and Russian recommendations allowed to help her relatively quickly and effectively. The achieved positive effect was maintained for 3 months of follow-up of the patient.
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24

Sorokovikova, T. V., T. V. Menshikova, A. M. Morozov, and A. N. Kryukova. "Multidisciplinary options for the correction of chronic nonspecific low back pain syndrome (literature review)." Medical alphabet, no. 12 (August 12, 2024): 15–19. http://dx.doi.org/10.33667/2078-5631-2024-12-15-19.

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Chronic back pain is the complaint with which patients most often seek medical help from general practitioners, neurologists, surgeons, traumatologists and other subspecialists. Pain in the lower back can be either nonspecific, i. e., have no specific nosologic cause, or be specific, i. e., have a certain pathophysiologic mechanism of occurrence due to both spinal and extra-spinal causes. This fact determines the importance of complex and multidisciplinary assessment of the characteristics of chronic low back pain syndrome.The aim of the present study was to investigate the possibility of realizing a multidisciplinary approach in the treatment of nonspecific low back pain syndrome.Results. Low back pain is pain that is localized between the twelfth pair of ribs and the gluteal folds. It is not always possible to determine the source of pain when it is nonspecific; moreover, there is no convincing evidence that clarification of localization will favorably affect the course and outcome of the disease. There are three main causes of nonspecific low back pain: myofascial syndrome; pathology of joints and ligamentous apparatus of the spine; and lumbar osteochondrosis, which is a natural process of degeneration of spinal structures and is observed to varying degrees in all people, increasing significantly with age. It is believed that the pain syndrome of the back region has a multifaceted pathophysiology, which is influenced by somatic pathology, psychological and social factors. This explains the need for an integrated multidisciplinary approach to a particular patient and the compilation of an individual program of treatment, rehabilitation and prevention of subsequent exacerbations. Multidisciplinary approach means complex coordinated parallel work of specialists aimed at solving the problem of chronic pain.Conclusion. Multidisciplinary approach to the treatment of patients with chronic nonspecific low back pain syndrome is more effective than monotherapy, because it takes into account individual features of clinical symptoms, allows to carry out treatment and rehabilitation according to an individual plan, including a set of interrelated measures aimed at improving the quality of life of the patient and his functional capabilities.
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25

Swathi, Saina, Senthil P., and Shazia Neelam. "Nonspecific low back pain in sedentary workers: A narrative review." Biomedicine 42, no. 5 (2022): 863–69. http://dx.doi.org/10.51248/.v42i5.1484.

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A sedentary lifestyle is a risk factor, significantly increasing the incidence of low back pain (LBP). Higher levels of sedentary lifestyle were witnessed in the workers who spent the greatest amount of their time in sitting positions in the workplace and during free time. The incidence and prevalence of low back pain in sedentary workers were 14-37% and 34-62%. Noticeably, the people with low back pain had higher productivity loss. It specifies more research is required to help individuals with back pain to stay in their work. The main intention of this study briefly reviews the risk factors, associated adaptations, and Interventions in physical therapy for preventing and managing nonspecific low back pain in sedentary workers. To do this review, Information was gathered from the offline library resources and online electronic search databases (Scopus, COCHRANE, PUBMED). The keywords used were low back pain, sedentary workers, risk factors, adaptations, exercise therapy, and sedentary lifestyle. The prognosis and management of low back pain were greatly influenced by several risk factors related to physical, psychological, and occupational factors. During the transition of low back pain from acute to chronic stages, adaptations in various domains like psychological, behavioral, and neuromuscular changes are seen. Exercise therapy itself or in addition to other therapeutic approaches is successful in preventing and treatment of nonspecific low back pain in sedentary workforces. By identifying associated risk factors, and changes adapted by individual patients, Therapists can design proper exercise therapeutic approaches that will provide more effective interventions.
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26

Błach, Wiesław, Bartosz Klimek, Łukasz Rydzik, et al. "Nonspecific Low Back Pain among Kyokushin Karate Practitioners." Medicina 57, no. 1 (2020): 27. http://dx.doi.org/10.3390/medicina57010027.

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Background and objective: Spinal pain is a common and growing problem, not only in the general population but also among athletes. Lifestyle, occupation, and incorrectly exerted effort have a significant impact on low back pain. To assess the prevalence of low back pain among those practicing Kyokushin karate, we take into account age, body weight, sex, length of karate experience, level of skill, and occupation. Materials and Methods: The study involved 100 people practicing Kyokushin karate, aged 18 to 44. A questionnaire developed for this study and the Oswestry Disability Index (ODI) were used. Results: The research showed the prevalence of low back pain among karate practitioners (55%), depending on age (R = −0.24; p = 0.015), body weight (χ2 = 16.7; p = 0.002), occupation (χ2 = 18.4; p = 0.0004), and overall length of karate experience (R = −0.28; p = 0.04). A correlation was also found between sex (χ2 = 22.3; p = 0.001), occupation (χ2 = 51; p = 0.0000), length of experience (R = −0,28; p = 0.04), karate skill level (R = 0.39; p = 0.003), and the intensity of pain defined using the Visual Analogue Scale (VAS). Subjects with low back pain showed minimal (71%) and moderate (29%) disability according to the Oswestry index. Conclusions: Low back pain is common in karate practitioners and depends on age, weight, occupation, and length of karate experience. The intensity of low back pain is influenced by sex, occupation, overall length of training experience, and one’s level of karate skill. Lumbar spine ailments reduce functionality and quality of life to a small degree. Karate practitioners seldom seek treatment for spinal pains, and only few use physiotherapy and pharmacology.
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27

Coste, J., J. B. Paolaggi, and A. Spira. "Classification of Nonspecific Low Back Pain. I. Psychological Involvement in Low Back Pain." Spine 17, no. 9 (1992): 1028–37. http://dx.doi.org/10.1097/00007632-199209000-00004.

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28

Im, Sang-Cheol, Seong-Wook Seo, Na-Yeon Kang, Hoon Jo, and Kyoung Kim. "The Effect of Lumbar Belts with Different Extensibilities on Kinematic, Kinetic, and Muscle Activity of Sit-to-Stand Motions in Patients with Nonspecific Low Back Pain." Journal of Personalized Medicine 12, no. 10 (2022): 1678. http://dx.doi.org/10.3390/jpm12101678.

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Although lumbar belts can be used for the treatment and prevention of low back pain, the role of the lumbar belt remains unclear without clear guidelines. This study aimed to investigate the effect of lumbar belts with different extensibilities on the kinematics, kinetics, and muscle activity of sit-to-stand motions in terms of motor control in patients with nonspecific low back pain. A total of 30 subjects participated in the study: 15 patients with nonspecific low back pain and 15 healthy adults. Participants performed the sit-to-stand motion in random order of three conditions: no lumbar belt, wearing an extensible lumbar belt, and wearing a non-extensible lumbar belt. The sit-to-stand motion’s kinematic, kinetic, and muscle activity variables in each condition were measured using a three-dimensional motion analysis device, force plate, and surface electromyography. An interaction effect was found for the time taken, anterior pelvic tilt angle, and muscle activity of the vastus lateralis and biceps femoris. The two lumbar belts with different extensibilities had a positive effect on motor control in patients with nonspecific low back pain. Therefore, both types of extensible lumbar belts can be useful in the sit-to-stand motion, which is an important functional activity for patients with nonspecific low back pain.
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29

Leite, Paula M. S., Andreza R. C. Mendonça, Leonardo Y. S. Maciel, et al. "Does Electroacupuncture Treatment Reduce Pain and Change Quantitative Sensory Testing Responses in Patients with Chronic Nonspecific Low Back Pain? A Randomized Controlled Clinical Trial." Evidence-Based Complementary and Alternative Medicine 2018 (October 8, 2018): 1–8. http://dx.doi.org/10.1155/2018/8586746.

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Chronic nonspecific low back pain is common and one of the most disabling conditions in the world. There is moderate evidence that chronic low back pain patients present altered functional connectivity in areas related to pain processing. Quantitative sensory testing is a way of clinical measure of these alterations. Although there is not enough evidence, there are some reports that electroacupuncture is supposedly more effective in relieving pain than acupuncture because the addition of electric current could optimize the effects of traditional technique. Thus, the objective of this randomized clinical trial was to verify if electroacupuncture treatment reduces pain and changes quantitative sensory testing responses in patients with chronic nonspecific low back pain. Patients were evaluated before and after 10 sessions regarding pain (11-point numerical rating pain scale) and quantitative sensory testing (pressure pain threshold, temporal summation, and conditioned pain modulation). There were 1 treatment group (electroacupuncture (EA)) and three different control groups (CTR 1, CTR 2, and CTR 3). A total of 69 patients participated in the study. No significant differences were found in pain intensity or quantitative sensory testing responses when comparing electroacupuncture group to the three control groups. There was a significant reduction in both resting and movement pain intensity in groups EA, CTR 1, and CTR3. Although ten sessions of electroacupuncture have diminished pain intensity in both resting and movement, it could not change significantly quantitative sensory testing and diminish central sensitization in patients with chronic nonspecific low back pain. The implications of this study involve the fact that, maybe, in chronic nonspecific low back pain, electroacupuncture should be associated with other treatments that target central sensitization.
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30

Abbasi, Soheila, Mohammad Reza Hadian Rasanani, Nastaran Ghotbi, Gholam Reza Olyaei, and Omid Rasouli. "The Effect of Kinesio Taping on Pain, Functional Disability, and Trunk Range of Motion in People With Nonspecific Chronic Low Back Pain: A Single-group Pretest-Posttest Trial." Journal of Modern Rehabilitation 14, no. 1 (2020): 47–54. http://dx.doi.org/10.32598/jmr.14.1.6.

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Introduction: This study aimed to evaluate the effect of Kinesio Taping (KT) on low back/pelvis pain, disability, and trunk Range of Motion (ROM) in individuals with nonspecific chronic low back pain (CLBP) after 72 h.Materials and Methods: Eighteen patients with nonspecific CLBP participated in this study. Pain intensity, Oswestry low back pain disability questionnaire, and lumbar ROM were evaluated once before the intervention (KT with 50% tension) and then 72 h after. For statistical analysis, we used the paired sample t-test. Results: Pain intensity was significantly reduced (P<0.01). But KT did not improve disability and lumbar ROM (P>0.05).Conclusion: Based on the results, 72 h KT over the lumbopelvic area did not improve disability and lumbar ROM in people with nonspecific CLBP while there was a significant reduction in pain intensity. The proposed mechanism of the KT effects is inconsistent with these results.
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Koch, Kristina, Vilma Dudonienė, and Rima Solianik. "Effect of Different Kinesiotaping Techniques on Nonspecific Chronic Low Back Pain." Reabilitacijos mokslai: slauga, kineziterapija, ergoterapija 1, no. 30 (2024): 64–73. https://doi.org/10.33607/rmske.v1i30.1486.

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Background. Kinesiological taping (KinT) is proposed as one of the techniques that can alleviate back pain. However, no studies have been conducted to demonstrate the most effective kinesiology taping technique for women with chronic non-specific low back pain. The aim. To determine the effects of star-shaped, “H-shaped”, and placebo kinesiology taping methods on non-specific chronic back pain, trunk mobility, static endurance of trunk muscles, and functional status in women with non-specific low back pain. Methods. Fifteen women aged 18-36 years, experiencing chronic, non-specific back pain, participated in the study. Three different taping methods were chosen: H-shaped, star-shaped, and placebo taping. The lower back of each subject was taped using all three kinesiology taping (KinT) techniques with a one-week break between different taping cycles. Subjects' back pain, torso mobility, back muscle static endurance, and functional status were assessed using the Roland-Morris questionnaire. Results. Participants’ baseline assessments did not differ before applying different KinT techniques. Back pain intensity significantly reduced (p<0.05), and mobility and endurance of back extensor muscles increased (p<0.05) with star and H-shaped kinesio tape, but the effect of the techniques at 24 hours did not differ from each other after tape removal. Although there was no difference between taping methods after 24 hours, H-shaped taping had a greater effect than Z-shaped taping on mobility after 48 hours of taping (p<0.05). Meanwhile, functional disability decreased with all three taping methods (p<0.05) but did not differ between different taping methods. Conclusions. Star- and H-shaped KinT techniques had short-term significant positive effects on chronic non-specific back pain, lumbar mobility, static endurance of the trunk muscles, and functional status of subjects. Placebo (sham) KinT technique only reduced subjectively-assessed functional disability. Keywords: women, back pain, kinesiotaping, function.
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Isaikin, A. I., O. Yu Isaikina, T. I. Shadyzheva, Yu M. Shor, and M. S. Kachanovsky. "Back pain and osteoporosis." Neurology, Neuropsychiatry, Psychosomatics 11, no. 3 (2019): 63–68. http://dx.doi.org/10.14412/2074-2711-2019-3-63-68.

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The aging process is accompanied by a structural change and a decrease in the functional activity of organs and tissues, including the bone, with the development of osteoporosis (OP).Objective: to assess the characteristics of pain syndrome in OP patients with nonspecific chronic vertebrogenic lumbar ischialgia (CLI).Patients and methods. Sixty elderly patients with CLI in the presence and absence of OP were examined. All the patients underwent dual-energy X-ray absorptiometry and ultrasound to diagnose the degree of OP and spinal deformity; a flexible rod was used according to the method described by M.A. Kathleen to estimate the angle of kyphosis, lordosis, and scoliosis. The investigators determined pain intensity by a numerical rating scale, the presence of a neuropathic pain component by the DN4 pain scale, the level of anxiety and depression by the Hospital Anxiety and Depression Scale, cognitive status by the Montreal Cognitive Function Rating Scale, the degree of disability by the Oswestry questionnaire, and quality of life by the SF-12 Health Survey.Results and discussion. Our study showed that OP alone is not a cause of CLI in elderly patients. There were no statistically significant differences in the sources and intensity of pain, the degree of anxiety and depressive disorders, impaired quality of life, cognitive status, and degree of disability in patients with chronic lumbar pain syndrome in the presence and absence of OP. Vertebral deformity resulting from OP leads mainly to an obvious poor posture with an increase in thoracic kyphosis, straightening of lumbar lordosis, and S-curve lumbar and thoracic scoliosis, which can also cause secondary muscle spasm.Patients with back pain in the presence of OP are treated in accordance with the general principles of management of patients with non-specific back pain, but taking into account the underlying disease. The paper presents current recommendations for the treatment of nonspecific back pain, for the management of patients with OP, as well as the updated clinical recommendations for the prevention of fractures in OP and osteopenia.Conclusion. Patients with OP are noted to have predominantly chronic musculoskeletal pain in the presence of severe spinal deformity, but the level of this evidence is very low. The features of pain syndrome in patients with nonspecific vertebrogenic chronic lumbar ischialgia in the presence of OP call for further investigations.
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Albermann, Matthias, Maria Lehmann, Christian Eiche, Joachim Schmidt, and Johannes Prottengeier. "Low Back Pain in Commercial Airline Pilots." Aerospace Medicine and Human Performance 91, no. 12 (2020): 940–47. http://dx.doi.org/10.3357/amhp.5656.2020.

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BACKGROUND: In their working life, airline pilots are exposed to particular risk factors that promote nonspecific low back pain (LBP). Because of the varying incidence internationally, we evaluated the point prevalences of acute, subacute, and chronic nonspecific LBP, as well as the current prevalences in German airline pilots. Furthermore, we compared the prevalence to the general German population and to European counterparts.METHODS: An anonymous online survey of 698 participating German airline pilots was evaluated. The impairment between groups was analyzed. Prevalences from our data were compared to existing data.RESULTS: The following point prevalences were found: 8.2% acute, 2.4% subacute, 82.7% chronic LBP; 74.1% of all individuals were suffering from current LBP when answered the questionnaire. A total time spent flying greater than 600 h within the last 12 mo was significantly related to acute nonspecific LBP. Individuals with any type of LBP were significantly impaired compared to those unaffected. It was found that German airline pilots suffer more often from current LBP than the general population and have a higher point prevalence of total LBP than their European counterparts.CONCLUSIONS: The evaluation showed a surprisingly high, previously unidentified, prevalence of nonspecific LBP in German airline pilots. Why German airline pilots suffer more often from LBP remains uncertain. The number of flying hours appears to have a negative effect on developing acute low back pain, but causation cannot be concluded. Other risk factors could not be confirmed.Albermann M, Lehmann M, Eiche C, Schmidt J, Prottengeier J. Low back pain in commercial airline pilots. Aerosp Med Hum Perform. 2020; 91(12):940947.
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Schimidt, Ana Carla, Paula de Oliveira Herzinger, Danielle Pacheco Matias, and Leonardo C. Welling. "Influence of Pilates Method on Nonspecific Lumbar Pain." Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 39, no. 04 (2020): 300–305. http://dx.doi.org/10.1055/s-0040-1716561.

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AbstractLow back pain is defined as pain located between the lower rib cage and the gluteal folds, and its etiology is multifactorial, considerably affecting quality of life. The aim of this literature review was to analyze the influence of the Pilates method on the symptoms of patients with nonspecific low back pain, which is considered a promising treatment for this type of pathology. A narrative review of the literature was carried out using the PubMed, Pedro, Scopus and Scielo databases. To perform the search, Pilates AND Low back nonspecific AND Pain were used as keywords. Articles published in the last 5 years, randomized clinical trials that verified the influence of the Pilates method in adult individuals with unspecified low back pain and full text in English were included. Of the 77 articles identified, 7 articles met the inclusion criteria, 7 analyzed the primary outcomes of pain intensity and disability, 5 articles compared Pilates with other rehabilitation techniques and 2 studies compared the effectiveness of Pilates solo with Pilates apparatus. It was concluded that all the techniques that were compared with Pilates are effective, being difficult to affirm the superiority of Pilates over them in relation to the reduction of pain and disability and improvement of quality of life. However, the Pilates method has shown good results in pain perception and intensity, functional capacity, fear of movement and the idea that movement can worsen your condition, muscle strength, range of motion and flexibility.
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35

de Oliveira, Ronaldo Fernando, Junior Vitorino Fandim, Iuri Fioratti, Lívia Gaspar Fernandes, Bruno Tirotti Saragiotto, and Leonardo Oliveira Pena Costa. "The contemporary management of nonspecific lower back pain." Pain Management 9, no. 5 (2019): 475–82. http://dx.doi.org/10.2217/pmt-2019-0016.

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Low back pain (LBP) is extremely common and causes an enormous burden on the society. This perspective article aims to provide an evidence-based summary in the field of LBP. More specifically, we aimed to present epidemiological data on cost, diagnosis, prognosis, prevention and interventions for patients with LBP. It is critical that both clinicians and policymakers follow best practices by using high-value care for patients with LBP. In addition, nonevidence-based procedures must be immediately abandoned. These actions are likely to reduce societal costs and will improve the quality of life of these patients.
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Bernardo, Wanderley M., Roberto Del Valhe Abi Rached, Chennyfer Dobbins Paes da Rosa, et al. "Update on chronic nonspecific lower back pain: rehabilitation." Revista da Associação Médica Brasileira 60, no. 1 (2014): 3. http://dx.doi.org/10.1590/1806-9282.60.01.003.

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37

BERNARD, THOMAS N., and WILLIAM H. KIRKALDY-WILLIS. "Recognizing Specific Characteristics of Nonspecific Low Back Pain." Clinical Orthopaedics and Related Research &NA;, no. 217 (1987): 266???280. http://dx.doi.org/10.1097/00003086-198704000-00029.

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38

Liao, Jianglong, Tao Wang, Wei Dong, et al. "Acupoint injection for nonspecific chronic low back pain." Medicine 98, no. 29 (2019): e16478. http://dx.doi.org/10.1097/md.0000000000016478.

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39

Sivan, Manoj. "Letter to the Editor: Nonspecific Lower-back Pain." Clinical Orthopaedics and Related Research 452 (November 2006): 287. http://dx.doi.org/10.1097/01.blo.0000238817.48401.5b.

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40

Saragiotto, Bruno T., Christopher G. Maher, Tiê P. Yamato, et al. "Motor Control Exercise for Nonspecific Low Back Pain." SPINE 41, no. 16 (2016): 1284–95. http://dx.doi.org/10.1097/brs.0000000000001645.

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41

Lizier, Daniele Tatiane, Marcelo Vaz Perez, and Rioko Kimiko Sakata. "Exercises for Treatment of Nonspecific Low Back Pain." Brazilian Journal of Anesthesiology 62, no. 6 (2012): 838–46. http://dx.doi.org/10.1016/s0034-7094(12)70183-6.

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42

Bannwarth, Bernard, Marie Kostine, and Emilie Shipley. "Nonspecific low back pain: Assessment of available medications." Joint Bone Spine 79, no. 2 (2012): 134–36. http://dx.doi.org/10.1016/j.jbspin.2011.06.008.

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43

Whitehead, Phyllis Brown. "Yoga Treatment for Chronic Nonspecific Low Back Pain." Clinical Nurse Specialist 32, no. 6 (2018): 294–95. http://dx.doi.org/10.1097/nur.0000000000000410.

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44

Alekseeva, L. I., V. V. Alekseev, A. N. Barinov, and G. Singh. "NOVEL APPROACHES TO TREATING NONSPECIFIC LOW BACK PAIN." Rheumatology Science and Practice 54, no. 1 (2016): 16–20. http://dx.doi.org/10.14412/1995-4484-2016-16-20.

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45

van Tulder, Maurits W., Willem J. J. Assendelft, Bart W. Koes, and Lex M. Bouter. "Spinal Radiographic Findings and Nonspecific Low Back Pain." Spine 22, no. 4 (1997): 427–34. http://dx.doi.org/10.1097/00007632-199702150-00015.

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46

Beurskens, Anna J., Henrica C. de Vet, Albère J. Köke, et al. "Efficacy of Traction for Nonspecific Low Back Pain." Spine 22, no. 23 (1997): 2756–62. http://dx.doi.org/10.1097/00007632-199712010-00011.

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Hush, Julia M., Steven J. Kamper, Tasha R. Stanton, Raymond Ostelo, and Kathryn M. Refshauge. "Standardized Measurement of Recovery From Nonspecific Back Pain." Archives of Physical Medicine and Rehabilitation 93, no. 5 (2012): 849–55. http://dx.doi.org/10.1016/j.apmr.2011.11.035.

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48

van Middelkoop, Marienke, Sidney M. Rubinstein, Arianne P. Verhagen, Raymond W. Ostelo, Bart W. Koes, and Maurits W. van Tulder. "Exercise therapy for chronic nonspecific low-back pain." Best Practice & Research Clinical Rheumatology 24, no. 2 (2010): 193–204. http://dx.doi.org/10.1016/j.berh.2010.01.002.

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49

Behera, Dr Sanatan, GS Pattnaik, and Dr Chitrita Behera. "Chronic nonspecific low back pain: A diagnostic enigma." International Journal of Orthopaedics Sciences 9, no. 3 (2023): 01–07. http://dx.doi.org/10.22271/ortho.2023.v9.i3a.3397.

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50

Golovacheva, V. A., A. A. Golovacheva, and T. G. Fateyeva. "Clinical principles for the diagnosis and treatment of musculoskeletal (non-specific) lower back pain." Neurology, Neuropsychiatry, Psychosomatics 13, no. 3 (2021): 107–12. http://dx.doi.org/10.14412/2074-2711-2021-3-107-112.

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Low back pain (LBP) is one of the most common reasons for a neurologist visit. In 90–95% of cases, LBP is nonspecific (musculoskeletal). The diagnosis of nonspecific LBP based on symptoms, somatic and neurological examination data, the absence of «red flags» (symptoms and signs characteristic of specific causes of back pain, discogenic radiculopathy, or lumbar stenosis). We review the modern principles of acute, subacute, and chronic nonspecific LBP treatment. We also discuss interventional and non-interventional treatment approaches, emphasizing the importance of combination therapy and an interdisciplinary approach.
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