Lumbar Bracing for Chronic Low Back Pain

Annaswamy, Thiru M.; Cunniff, Kegan J; Kroll, Mitchell; Yap, Lori; Hasley, Matthew; Lin, Chung‐Kuang; Petrasic, Jason

doi:10.1097/phm.0000000000001743

Cited by 11 publications

(10 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Regarding low back pain, different study protocols reported a positive effect of lumbar orthosis in 115 patients [2,6,18,21]. In contrast, four different randomized studies did not provide any pain relief after six months observation of 266 patients [8,14,17,30]. No positive effect of wearing a lumbar orthosis on muscle thickness measured by ultrasound was reported in 44 patients [19].…”

Section: Discussionmentioning

confidence: 99%

“…All meta-analyses and literature research reviewed did not provide medical or technical differentiation [1,6,8,[11][12][13][14][15][16][17][18][19]24,26,27]. Thus, general orthotic designations such as "lumbar support" are used in the following.…”

Section: Overview Of the Current Literaturementioning

confidence: 99%

“…Wordings were non-specific with regard to low back pain, back pain, etc. [6,8,14,[17][18][19]22,27,28]. Within meta-analyses, review articles and an online survey, the causes of the pain were not differentiated [10,12,15,16,24,26,29].…”

Section: Summary Of the Literature And Whether It Supports The Indication Of Spinal Orthosis Treatment In Low Back Painmentioning

confidence: 99%

See 2 more Smart Citations

An Indication-Based Concept for Stepwise Spinal Orthosis in Low Back Pain According to the Current Literature

Landauer

Trieb

2022

JCM

View full text Add to dashboard Cite

Background: The current literature is not conclusive for spinal orthosis treatment in low back pain. Therefore, two questions have to be answered: Does the current literature support the indication of spinal orthosis treatment in low back pain? Which treatment concept can be derived from the result? Method: The 30 highest-rated literature citations (PubMed: best match, 30 December 2021) dealing with low back pain and spine orthosis were included in the study. Excluded were all articles related to Kinesio Taping, scoliosis, physical exercise, or dealing with side effects and unrelated to treatment effect. Thus, the literature list refers only to “low back pain and spine orthoses”. These articles were analyzed according to the PRISMA criteria and divided according to “specific diagnosis”, when the cause of pain was explained (group A), or when “specific diagnosis is not given” (group B). The articles were also distinguished by the information about the orthosis. Articles with biomechanical information about the function of the orthoses were called “diagnosis-based orthosis” (group C). All other articles were part of the group “unspecific orthotic treatment” (group D). The results were compared to each other in terms of effectiveness. According to anatomical causes, a concept of orthosis selection depending on diagnosis of low back pain for clinical practice was developed. The risk of bias lies in the choice of the MESH terms. The synthesis of the results was a clinical treatment concept based on findings from the current literature. Results: The literature citations with 1749 patients and 2160 citations of literature were processed; 21 prospective clinical or biomechanical studies and 9 review articles were included. The combination of literature citations according to “specific diagnosis” (group A) and “diagnosis based orthosis” (group C) was very likely to lead to a therapeutic effect (seven articles). No positive effect could be found in four articles, all dealing with postoperative treatment. When “specific diagnosis is not given” (group B) and combined with “unspecific orthotic treatment” (group D), therapy remained without measurable effect (15 articles). An effect was described in four articles (three biomechanical studies and one postoperative study). In review articles, according to specific diagnosis, only one article dealt with fractures and another with stenosis. In all review articles where specific diagnosis was not given, no effect with spine orthoses could be found. Using this knowledge, we created a clinical treatment concept. The structure was based on diagnosis and standardized orthoses. According to pain location and pathology (muscle, intervertebral disc, bone, statics, postoperative) the orthoses were classified to anatomical extent and the mechanical limitation (bandage, bodice, corset, orthosis with shoulder straps and erecting orthosis). Conclusion: The effectiveness of spinal orthoses could not be deduced from the current literature. The most serious limitation was the inconsistency of the complaint and the imprecise designation of the orthoses. Interpretation: Articles with a precise allocation of the complaint and a description of the orthosis showed a positive effect. The treatment concept presented here is intended to provide a basis for answering the question concerning the effectiveness of spinal orthoses as an accompanying treatment option in low back pain.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Overview Of the Current Literaturementioning

confidence: 99%

See 1 more Smart Citation

An Indication-Based Concept for Stepwise Spinal Orthosis in Low Back Pain According to the Current Literature

Landauer

Trieb

2022

JCM

View full text Add to dashboard Cite

show abstract

“…The authors of a recent meta-analysis [ 11 ] showed that there is insufficient evidence to demonstrate the superiority of a rigid brace over a soft brace or no brace. Nevertheless, the most controversial yet widespread use of spinal bracing is in the treatment of non-specific low back pain, be it acute [ 12 ] or chronic [ 13 ]. Although it has been shown that orthoses improve posture and control in patients with non-specific low back pain [ 14 ], the evidence to support this application is scarce [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Movement Restriction of Spinal Orthoses Using Inertial Measurement Units

Fercho

Krakowiak

Yuser

et al. 2022

IJERPH

View full text Add to dashboard Cite

Despite the frequent use of orthopedic braces or spine stabilizers in diseases such as kyphosis, lordosis, and scoliosis, as well as in the case of injuries and rehabilitation after surgeries, there is no clear evidence of their proper stabilization of the spine while carrying out daily activities. This study sought to assess the spine’s mobility while wearing three different orthopedic braces while performing basic tasks. Ten healthy subjects were enrolled. Three Inertial Measurement Units (IMUs) were attached superficially along the spine at approximate levels: cervical (C7), between thoracic (T8) and lumbar (L3), and sacrum. The angle between sensors was monitored to provide data on the sagittal profile. In addition, the displacement of the spine’s longitudinal axis was measured (rotation). There are three types of orthopedic braces: the semi-rigid Hohmann corset, the Jewett brace, and the Thoracolumbar Fixed Spinal Orthosis (TLSO). Four tasks were monitored: standing, sitting, walking, and picking up an item from the floor with one hand. All braces provided a similar level of stability in both the sagittal plane and rotational axis while lifting an object. On the other hand, while walking and sitting, the TLSO was the only orthosis providing a statistically significant rigidity in the sagittal plane. When performing a more voluntary task, the measured rigidity of softer braces was significantly increased when compared with more involuntary tasks. A certain degree of motion restriction with spinal orthoses may come from the feedback pressure, which stimulates paraspinal muscles to contract and thus increases the overall rigidity of the trunk.

show abstract

“…Multiple studies have shown an association with paraspinal muscle quality, MC, and presence of low back pain [ 89–93 ], but it remains unknown how treatments to address paraspinal muscle deficits might impact those with vertebrogenic low back pain. A retrospective study of bracing for those with CLBP and MC1 reported short term pain relief [ 94 ]; however, RCTs have questioned the effectiveness of this intervention in general LBP populations [ 95 ].…”

Section: Treatment Of Vertebrogenic Low Back Painmentioning

confidence: 99%

Vertebrogenic Pain: A Paradigm Shift in Diagnosis and Treatment of Axial Low Back Pain

Conger

Smuck

Truumees³

et al. 2022

Pain Medicine

View full text Add to dashboard Cite

Lumbar Bracing for Chronic Low Back Pain

Cited by 11 publications

References 24 publications

An Indication-Based Concept for Stepwise Spinal Orthosis in Low Back Pain According to the Current Literature

An Indication-Based Concept for Stepwise Spinal Orthosis in Low Back Pain According to the Current Literature

Evaluation of Movement Restriction of Spinal Orthoses Using Inertial Measurement Units

Vertebrogenic Pain: A Paradigm Shift in Diagnosis and Treatment of Axial Low Back Pain

Contact Info

Product

Resources

About