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Lower-Back Pain

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Research Brief
Spinal Manipulation for Chronic Lower Back or Neck Pain
Across a sample of patients seen by chiropractors, spinal manipulation was rated by experts as appropriate for most patients with chronic lower back pain and as equivocal (uncertain) for most patients with chronic neck pain.
Mar 12, 2021
Report
Quality and Safety of Pain Care in the Military Health System
Pain is the leading cause of disability among active-duty service members. Given its potential impact on well-being and force readiness, providing high-quality treatment is a strategic priority. An assessment of outpatient care for acute and chronic pain, including opioid prescribing, can help the MHS continue to improve care.
Mar 16, 2022

Explore Lower-Back Pain

Journal Article
Income as a Predictor of Self-Efficacy for Managing Pain and for Coping With Symptoms Among Patients With Chronic Low Back Pain
The purpose of this study was to evaluate pain self-efficacy (PSE) and coping self-efficacy (CSE) for people with chronic low back pain, and to assess whether lower income may be associated with less PSE and CSE in the U.S.
Feb 25, 2022
Journal Article
Measuring the Appropriateness of Spinal Manipulation for Chronic Low Back and Chronic Neck Pain in Chiropractic Patients
The RAND/UCLA Appropriateness Method is applied to chiropractic manipulation for patients with chronic low-back pain and chronic neck pain, to determine the rate of appropriate care provided by U.S. chiropractors.
Feb 25, 2022
Journal Article
Predictors of Visit Frequency for Patients Using Ongoing Chiropractic Care for Chronic Low Back and Chronic Neck Pain: Analysis of Observational Data
An observational longitudinal study looking at visit frequency and outcomes for patients using ongoing chiropractic care for chronic low-back and neck pain.
Feb 25, 2022
Journal Article
Longitudinal Associations of PROMIS-29 Anxiety and Depression Symptoms With Low Back Pain Impact in a Sample of U.S. Military Service Members
This study examines longitudinal associations between psychological symptoms and the Impact Stratification Score among military service members.
Nov 19, 2021
Journal Article
Crosswalking the Patient-Reported Outcomes Measurement Information System Physical Function, Pain Interference, and Pain Intensity Scores to the Roland-Morris Disability Questionnaire and the Oswestry Disability Index
Using data from three large samples of adults with chronic low back pain, we examined associations of the three PROMIS scores with the Oswestry Disability Index and the Roland-Morris Disability Questionnaire.
Nov 19, 2021
Journal Article
Support for the Reliability and Validity of the National Institutes of Health Impact Stratification Score in a Sample of Active-Duty U.S. Military Personnel with Low Back Pain
This study provides support for the reliability and validity of the Impact Stratification Score as a patient-reported summary measure for acute, subacute, and chronic low back pain.
Nov 19, 2021
Journal Article
Update of Markov Model on the Cost-effectiveness of Nonpharmacologic Interventions for Chronic Low Back Pain Compared to Usual Care
Markov modeling facilitates comparisons across interventions for lower back pain not directly compared in trials.
Dec 16, 2020
Journal Article
Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part 5: Selection, Protection, and Abstraction
Of the records abstracted, many revealed incomplete provider documentation regarding the details of and rationale for care. Better documentation and more standardized record keeping would facilitate future research using patient records.
Jun 11, 2020
Journal Article
Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part 4: Putting Practice Back Into Evidence-based Practice by Recruiting Clinics and Patients
This study found that clinics can be successfully recruited for practice-based studies, and patients can be recruited using iPads. Obtaining patient records presents considerable challenges, and clinics varied in whether they had electronic files, nonelectronic records, or a mixture.
Jun 10, 2020
Journal Article
Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part 3: Designing Instruments With Patient Input
This article documents the challenges and the efforts involved in designing data collection tools to facilitate the inclusion of patient data into appropriateness decisions.
Jun 10, 2020
Journal Article
Coping and Management Techniques Used by Chronic Low Back Pain Patients Receiving Treatment From Chiropractors
Persons with chronic back pain were proactive in their coping strategies and frequently used self-care coping strategies like those provided by chiropractors in patient education. In alignment with patients' beliefs that their condition was chronic and lifelong, many patients attempted a wide range of coping strategies to relieve their pain.
Jun 9, 2020
Journal Article
Group and Individual-level Change on Health-related Quality of Life in Chiropractic Patients With Chronic Low Back or Neck Pain
This study suggests some benefits of chiropractic on functioning and well-being of patients with low back pain or neck pain.
Mar 31, 2020
Journal Article
The Use of Complementary and Integrative Health Approaches for Chronic Musculoskeletal Pain in Younger US Veterans: An Economic Evaluation
Chronic pain is prevalent among Veterans in general, but especially among younger Veterans, including participants in Operation Enduring Freedom, Operation Iraqi Freedom and Operation New Dawn. Musculoskeletal pain is the most common type of chronic pain. This pain also often co-occurs with conditions such as anxiety, depression, post-traumatic stress disorder, and substance abuse.
Jun 11, 2019
Journal Article
Use of Complementary and Integrated Health: A Retrospective Analysis of U.S. Veterans with Chronic Musculoskeletal Pain Nationally
This article addresses the use of a variety of nonherbal CIH therapies among any large patient population having chronic pain by exploring the frequency and predictors of CIH therapy use among a national population of VHA users with chronic musculoskeletal pain.
Jun 11, 2019
Journal Article
Characteristics of Chiropractic Patients Being Treated for Chronic Low Back and Neck Pain
This study describes the characteristics of a large sample of chronic low back pain and chronic neck pain patients in the United States who use chiropractic care for their chronic low back pain and chronic neck pain.
Jun 11, 2019
Journal Article
Yoga Versus Education for Veterans with Chronic Low Back Pain: Study Protocol For a Randomized Controlled Trial
This study will help determine if yoga can become an effective treatment for Veterans with chronic low back pain and psychological comorbidities.
Jun 11, 2019
Journal Article
Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part 2: What Every Researcher and Practitioner Should Know About the Health Insurance Portability and Accountability Act and Practice-based Research in the United States
In this series of articles, we describe how we gathered the varied and detailed data required to achieve the following study objectives: (1) to measure the appropriateness of M/M for CLBP and CCP and (2) to determine whether patient preferences and costs affect appropriateness, and further, whether appropriateness affects outcomes.
Jun 10, 2019
Journal Article
Are Nonpharmacologic Interventions for Chronic Low Back Pain More Cost Effective Than Usual Care? Proof of Concept Results from a Markov Model
This study presents the results of a proof-of-concept modeling effort that utilized individual patient-level data from ten randomized studies and the categorization of these study's participants by chronic pain impact level to estimate the effectiveness and cost-effectiveness of adding recommended nonpharmacologic therapies for CLBP to usual care.
Jun 10, 2019

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