Chronic Low Back Pain

Reliability and Validity of a Kinematic Spine Model During Active Trunk Movement in Healthy Subjects and Patients With Chronic Non-specific Low Back Pain

Benjamin Hidalgo, PE, PT, DO, MT, Maxime Gilliaux, PT, William Poncin, PT and Christine Detrembleur, PT, PhD OBJECTIVE: To develop a standardized, reliable, valid spine model of active trunk movements that accurately discriminates kinematic patterns of patients with chronic non-specific low back pain from those of healthy subjects. DESIGN: Comparative cohort study. SUBJECTS: Healthy subjects […]

The Nervous System and Metabolic Dysregulation: Emerging Evidence Converges on Ketogenic Diet Therapy

David N. Ruskin Front Neurosci. 2012; 6: 33. Published online 2012 Mar 26. Prepublished online 2012 Jan 16. doi: 10.3389/fnins.2012.00033 Abstract A link between metabolism and brain function is clear. Since ancient times, epileptic seizures were noted as treatable with fasting, and historical observations of the therapeutic benefits of fasting on epilepsy were confirmed nearly […]

The Chiropractic Hospital-based Interventions Research Outcomes (CHIRO) study

Spine J. 2010 Dec;10(12):1055-64. doi: 10.1016/j.spinee.2010.08.019. The Chiropractic Hospital-based Interventions Research Outcomes (CHIRO) study: a randomized controlled trial on the effectiveness of clinical practice guidelines in the medical and chiropractic management of patients with acute mechanical low back pain. Bishop PB, Quon JA, Fisher CG, Dvorak MF. Abstract BACKGROUND CONTEXT: Evidence-based clinical practice guidelines (CPGs) […]

Effectiveness of manual therapies: the UK evidence report (Full Text)

Gert Bronfort, Mitch Haas, Roni Evans, Brent Leininger and Jay Triano Chiropractic & Osteopathy 2010, 18:3 Abstract Background The purpose of this report is to provide a succinct but comprehensive summary of the scientific evidence regarding the effectiveness of manual treatment for the management of a variety of musculoskeletal and non-musculoskeletal conditions. Methods The conclusions […]

Exercise Prescription for Chronic Back or Neck Pain: Who Prescribes It? Who Gets It? What Is Prescribed?

Arthritis Care Research News Alerts. 2009;61(2):192-200. Exercise is commonly used to improve physical function, decrease symptoms and minimize disability caused by chronic low back or neck pain. Numerous randomized trials and clinical practice guidelines have supported this practice, and studies suggest that individually tailored, supervised exercise programs are associated with the best outcomes. Nevertheless, there […]

Nonpharmacologic therapies for acute and chronic low back pain

A review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline Chou R, Huffman LH; American Pain Society; American College of Physicians. Ann Intern Med. 2007 Oct 2;147(7):492-504 PubMed Reference Abstract BACKGROUND: Many nonpharmacologic therapies are available for treatment of low back pain. PURPOSE: To assess benefits and harms of […]

The biochemical origin of pain: The origin of all pain is inflammation and the inflammatory response

The biochemical origin of pain: The origin of all pain is inflammation and the inflammatory response. Part 2 of 3 – Inflammatory profile of pain syndromes Sota Omoigui Division of Inflammation and Pain Research, L.A Pain Clinic, 4019 W. Rosecrans Avenue, Los Angeles, CA 90250, United States Published Online: August 29, 2007 Summary Every pain […]

Comparison of postural control in unilateral stance between healthy controls and lumbar discectomy patients with and without pain

Eur Spine J. 2006 Apr;15(4):423-32. Epub 2005 Aug 18. Comparison of postural control in unilateral stance between healthy controls and lumbar discectomy patients with and without pain. Bouche K1, Stevens V, Cambier D, Caemaert J, Danneels L. Abstract MAIN PROBLEM: Previous studies have demonstrated that sciatica patients have poorer postural control than healthy controls and […]

A hypothesis of chronic back pain: Ligament subfailure injuries lead to muscle control dysfunction

Monohar M. Panjabi, Biomechanics ResearchLaboratory, Department of Orthopedics and Rehabilitation, Yale University School of Medicine, New Haven, CT.   Full Text Article Download

Philadelphia Panel Evidence-Based Clinical Practice Guidelines on Selected Rehabilitation Interventions for Low Back Pain – 2001

John Albright, MD, Clinical Specialty Expert Physical Therapy October 2001 vol. 81 no. 10 1641-1674 Abstract Introduction. A structured and rigorous methodology was developed for the formulation of evidence-based clinical practice guidelines (EBCPGs), then was used to develop EBCPGs for selected rehabilitation interventions for the management of low back pain. Methods. Evidence from randomized controlled […]

Clinical Guidelines for the management of Acute Low Back Pain – Royal College of General Practitioners Review – 1999

Waddell G, McIntosh A, Hutchinson A, Feder G, Lewis M, (1999) Low Back Pain Evidence Review London: Royal College of General Practitioners There is now a considerable weight of evidence, linked with international experience, to show that clinical guidelines are only likely to influence practice if these guidelines form part of an implementation programme. In […]