It is Time to Change Our Mindset and Perform More High-quality Research in Low Back Pain

Back to the Future: A Report From the 16th International Forum for Back and Neck Pain Research in Primary Care and Updated Research Agenda

“…Now more than ever, we need high quality primary studies, including RCTs on innovative approaches, to advance knowledge. 30 However, to avoid shooting in all directions and destroying the large efforts made to "clean up" knowledge in the field, it seems crucial to work toward a better understanding of the underlying mechanisms of back and neck pain. We may have neglected the "bio" of the biopsychosocial model, a risk that was mentioned as early as in the fourth Forum.…”

“…But we still have to develop better interventions. Now more than ever, we need high quality primary studies, including RCTs on innovative approaches, to advance knowledge 30. However, to avoid shooting in all directions and destroying the large efforts made to “clean up” knowledge in the field, it seems crucial to work toward a better understanding of the underlying mechanisms of back and neck pain.…”

Does motor control training improve pain and function in adults with symptomatic lumbar disc herniation? A systematic review and meta-analysis of 861 subjects in 16 trials

“…Random-effects model was used for all meta-analyses based on the DerSimonian and Laird model, because of expected considerable heterogeneity between studies (eg, different exercises parameters, different co-interventions). Additionally, mean differences in pain score and functional status score were used to compare them with the absolute minimal clinically important difference (MCID) for pain and functional status 27–29. We used a reference MCID of 15 for pain and 10 for functional status based on previous findings 30–32.…”

The Highlighting of the Relationships between Biomechanical Parameters of Musculoskeletal System of the Spine Measured with Backfix Technology and its Statokinetic Functional State

“…The development trend of modern society has as a major consequence the performance of static, office activities, which are commonly associated with low back pain (Lagerveld et al, 2010) Therefore, the incidence of spinal decompensation and degeneration in adults is known to increase and affect the population in worrying percentages that range from 60% to 70% (O'Sullivan et al, 1997;Panjabi, 1992) A study focused on such a complex issue with many implications requires joining forces to conduct the research in several directions: symptoms, function, general wellbeing, work disability and satisfaction with care, meta-analyses, costeffectiveness analyses as well as multicenter studies (Deyo et al, 1998;Pourahmadi et al, 2021) Spinal decompensation of the statokinetic function caused by a sedentary lifestyle and its late detection through the potential mechanisms for these changes in control and, secondly, the effect or outcome of changes (Hodges & Lorimer, 2003) determine the onset of various pathologies over time, which affect both the neuromusculoskeletal system and internal organs. Personal, social and economic outcomes are wide ranging and alarming.…”

“…440 Pourahmadi et al, 2021). Analysis of the causal chain (vicious static postures maintained for a long time, muscle imbalance, musculoskeletal biomechanical changes, hypotonia, hypertonia, muscle shortening/ lengthening, permanent postural changes, pain and the onset of severe disorders (Arab et al, 2018;Korff, 1994;Omid et al, 2011) highlights the positioning of muscle imbalance between the primary links, playing a causal or enhancing role in triggering and aggravating or, if stabilization therapy is applied in due time, counteracting, delaying and improving subsequent links (Hansen et al, 1993;Kellett et al, 1991;Koumantakis et al, 2005).…”