Integrative treatment for low back pain: An exploratory systematic review and meta-analysis of randomized controlled trials

Hu, Xiao-Yang; Chen, Ni-Ni; Chai, Qianyun; Yang, Guoyan; Trevelyan, Esmé; Lorenc, Ava; Liu, Jianping; Robinson, Nicola

doi:10.1007/s11655-015-2125-2

Cited by 8 publications

(3 citation statements)

References 43 publications

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“…Based on this background and taking into account the existence of unmet care and follow-up care of low back (25), our aim is to describe and compare the impact in a sample of people with SLBP and general population without LBP with normalized reference values.…”

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confidence: 99%

Evaluation of Depression in Subacute Low Back Pain: A Case Control Study

López

2017

Pain Phys

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Background: Low back pain (LBP) is the most common musculoskeletal disorder affecting the general population and it is believed to be associated with depression. Objective: The study aim was to describe and compare the impact in a sample of people with subacute LBP (SLBP) and patients without LBP with normalized reference values in the light of the scores obtained with regard using the Beck Depression Inventory (BDI). Study Design: This was a case-control study. Settings: Physiotherapist area at a care center. Methods: A sample of 164 participants of a mean age of 41.45 ± 0.97 came to a physical therapy clinic where self-reported data were registered, informants’ professional activity was determined, and the scores obtained were compared in the BDI. Results: Total BDI scores at SLBP and their controls were 21.52 ± 6.93 (11 – 43) and 17.30 ± 5.09 (11 – 30), respectively (P < 0.001). The SLBP patient has 2.12 times more likely to have moderate depression (OR 2.12 (1.07 – 4.18) and 18.82 times more likely to have serious depression (OR 18.82 (1.06 – 331.81) compared to their controls (P < 0.05). Limitations: The study was not a randomized controlled trial. Although primary outcome data were self-reported, the assessor was not blinded. Conclusions: People with SLBP also have a significant increase in depression based on BDI scores, regardless of gender. Key words: Depression, low back pain, musculoskeletal diseases

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confidence: 99%

Evaluation of Depression in Subacute Low Back Pain: A Case Control Study

López

2017

Pain Phys

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“…Studies declared that hand to floor test can be used as a sensitive and objective index (33) These results explicit the use of IM to promote adherence to AT and also cost-effectiveness and feasibility of employing AT in developing countries. In Hue et al study in 2015, it was stated that AT training coupled by exercise, created more cost-effectiveness (34). However, it is necessary to maintain motivation by providing personal support and texting persuasive SMSs or reminder classes.…”

Section: Discussionmentioning

confidence: 99%

Education of Teachers with Chronic Low Back Pain Based on Integrative Model of Behavioral Prediction

et al. 2019

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Background: Individuals suffering from chronic low back pain (CLBP) experience major physical, social, and occupational disruptions. Strong evidence confirms the effectiveness of Alexander technique (AT) training for CLBP. Objectives: The present study applied an integrative model of behavioral prediction (IM) to design AT training for education of teachers with CLBP. Methods: This was a quasi-experimental study conducted on female teachers with non-specific LBP in southern Tehran in 2014. The intervention group consisted of 42 teachers (AT training based on IM) and the control group included 35 teachers (AT training only). The validity and reliability of the 108-item AT questionnaire based on IM constructs were confirmed using content validity (CVR 0.87, CVI 0.96) and Cronbach's α (0.84). Data were analyzed by Independent and Paired Sample t-test, Mann-Whitney U test, Wilcoxon, and covariance. Results:The results of the study indicated that AT behaviors, skills and abilities, direct and indirect perceived behavioral control, indirect subjective norms, direct and indirect attitude, and perceived risk were higher in the intervention group three months after the intervention (all P values < 0.05). Disability score (P < 0.001), hand to floor test (P = 0.023), and pain frequency (P = 0.022) showed a significantly higher reduction in the intervention group. Conclusions:The IM educational framework coupled with AT training may facilitate applying AT directions and finally, lead to pain reduction in CLBP.

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“…[22][23][24][25] Due to the promising empirical data, combined with greater safety relative to pharmacotherapy and potential health care cost savings among those who use NPTs compared to those who do not, 26 NPTs are being increasingly recommended. 27 For individuals with chronic low back pain, NPTs are now recommended by the American College of Physicians as a first-line intervention. 25 Among patients with musculoskeletal pain, estimates of the prevalence of use for various NPTs for pain management range from 6 to 58%, with massage or chiropractic interventions being the most common and yoga or herbal supplements the least common.…”

Section: Introductionmentioning

confidence: 99%