Medicine and Health Sciences Commons^™

Mechanisms Of Education And Graded Sensorimotor Retraining In People With Chronic Low Back Pain: A Mediation Analysis, Aidan Cashin, Hopin Lee, Benedict Wand, Matthew K. Bagg, Edel O'Hagan, Rodrigo Rn Rizzo, Tasha Stanton, G. Lorimer Moseley, James Mcauley

Physiotherapy Papers and Journal Articles

An improved understanding of the biopsychosocial influences that contribute to and maintain pain has promoted the development of new efficacious treatments for chronic low back pain (CLBP). This study aimed to investigate the mechanisms of a new treatment—education and graded sensorimotor retraining—on pain and disability. We conducted a preplanned causal mediation analysis of a randomized clinical trial which allocated 276 participants with CLBP to 12 weekly clinical sessions of education and graded sensorimotor retraining (n = 138) or a sham and attention control (n = 138). Outcomes were pain intensity and disability, both assessed at 18 weeks. Hypothesized mediators included …

Determining The Effectiveness Of Nonpharmacological Treatment Modalities For Adult Patients With Chronic Low Back Pain: An Integrative Review, Sydia Nichole Spence

Doctoral Dissertations and Projects

Chronic low back pain continues to be a major health issue, affecting a significant percentage of the population worldwide. It is one of the major contributors to long-term disability. People with ongoing and recurrent low back pain experience lowered quality of life, long-term disability, lost productivity, and medical costs due to urgent and emergency care visits. Pharmacological treatment modalities often present with serious safety concerns, ineffectiveness due to limited evidence-based studies, undesirable side effects, and the possibility of addiction. Therefore, many clinicians and patients seek alternative approaches to remedy persistent low back pain. Various nonpharmacological therapies have shown favorable results …

Educational Tool For Chronic Low Back Pain Interventional Procedures And Modalities, Stacy Dominy

MSN Capstone Projects

Chronic low back pain is a problem for many people. It can be debilitating and those suffering often have a difficult time finding relief. Many times, people rely on potentially dangerous and and addicting medications for pain relief. There is a great need to educate people on the dangers of this route and the potential benefits of interventional procedures and modalities for pain relief. By creating an educational tool backed by evidence-based information, patients can be empowered to make the best choices for their health.

Paracetamol, Nsaids And Opioid Analgesics For Chronic Low Back Pain: A Network Meta-Analysis (Protocol), Matthew K. Bagg, Andrew J. Mclachlan, Christopher G. Maher, Steven J. Kamper, Christopher M. Williams, Nicholas Henschke, Benedict M. Wand, G L. Moseley, Markus Hubscher, Neil E. O'Connell, Maurits W. Van Tulder, Adriani Nikolakopoulou, James H. Mcauley

Physiotherapy Papers and Journal Articles

This is a protocol for a Cochrane Review (Intervention). The objectives are as follows:

To answer the clinical question: ‘what analgesic medicine shall I prescribe this patient with chronic low back pain to reduce their pain?’.

The objectives are to determine the analgesic effects, safety, effect on function, and relative rank according to analgesic effect, safety and effect on function of a single course of opioid analgesics, NSAIDs or paracetamol or combinations of these medicines.

Safety And Feasibility Of Transcranial Direct Current Stimulation (Tdcs) Combined With Sensorimotor Retraining In Chronic Low Back Pain: A Protocol For A Pilot Randomised Controlled Trial, A Ouellette, M Liston, W Chang, D Walton, B Wand, S Schabrun

Physiotherapy Papers and Journal Articles

Introduction Chronic low back pain (LBP) is a common and costly health problem yet current treatments demonstrate at best, small effects. The concurrent application of treatments with synergistic clinical and mechanistic effects may improve outcomes in chronic LBP. This pilot trial aims to (1) determine the feasibility, safety and perceived patient response to a combined transcranial direct current stimulation (tDCS) and sensorimotor retraining intervention in chronic LBP and (2) provide data to support a sample size calculation for a fully powered trial should trends of effectiveness be present.

Methods and analysis A pilot randomised, assessor and participant-blind, sham-controlled trial will …

Disrupted Self-Perception In People With Chronic Low Back Pain. Further Evaluation Of The Fremantle Back Awareness Questionnaire, B Wand, M Catley, M Rabey, P O'Sullivan, E O'Connell, A Smith

Physiotherapy Papers and Journal Articles

Several lines of evidence suggest that body-perception is altered in people with chronic back pain. Maladaptive perceptual awareness of the back might contribute to the pain experience as well as serve as a target for treatment. The Fremantle Back Awareness Questionnaire (FreBAQ) is a simple questionnaire recently developed to assess back-specific altered self-perception. The aims of this study were to present the outcomes of a comprehensive evaluation of the questionnaire’s psychometric properties and explore the potential relationships between body-perception, nociceptive sensitivity, distress and beliefs about back pain and the contribution these factors might play in explaining pain and disability. Two-hundred …

The Self Reported Aggravating Activities Of Chronic Non Specific Low Back Pain Patients Do Not Demonstrate A Consistent Directional Pattern: An Observational Study, Benedict M. Wand, Rebecca Hunter, Neil E. O'Connell, Louise Marston, James Mcauley

Health Sciences Papers and Journal Articles

Question: Do the self-reported aggravating activities of chronic non-specific low back pain patients demonstrate a consistent directional pattern?

Design: Cross-sectional observational study. Participants: 240 chronic non specific low back pain patients.

Outcome measure: We invited experienced clinicians to classify each of the three self-nominated aggravating activities from the Patient Specific Functional Scale by the direction of lumbar spine movement. Patients were described as demonstrating a directional pattern if all nominated activities moved the spine into the same direction. Analyses were undertaken to determine if the proportion of patients demonstrating a directional pattern was greater than would be expected by chance. …