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            "title": "Treatment and ergonomics training of work-related lower back pain and body posture problems for nurses",
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                    "firstName": "Melinda",
                    "lastName": "Jaromi"
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                    "lastName": "Nemeth"
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            "abstractNote": "Aims: The purpose of the study was to measure the effectiveness of a spine training programme (Back School) in nurses who have been living with chronic low back pain. It was hypothesised that active therapy, ergonomics and education called Back School will significantly decrease the pain intensity levels and improve the body posture of the study participants. Background: A chronic low back pain is a significant work-related health problem among healthcare workers around the world. Proper body posture is essential for decreasing pain in healthcare workers who have history of chronic low back pain. By teaching proper body posture and with the creation of occupational settings that are ‘spine-friendly’ hospitals and other healthcare settings can significantly lower the suffering of their nursing staff. Design: Single-blinded randomised controlled trial was utilised with six- and 12-months follow-up. Methods: The study was carried out at the University of Pecs, Faculty of Health Sciences from 2007 to 2008 involving 124 nurses with low back pain. Participants were randomly assigned to the study group (who have received ergonomics training and education called Back School) with an intervention conducted once a week for a six-week period. The control group received passive physiotherapy once a week for a six-week period. Further follow-up measurements were conducted at six and 12 months, respectively. The study variables and outcome measures were pain intensity and body posture (angle of thoracic kyphosis and lumbar lordosis). The pain intensity was investigated with the Visual Analogue Scale. Body posture was recorded and analysed with the Zebris biomechanical motion analysis system. Results: The statistical analysis of repeated measures indicated a significant decrease in back pain intensity after the therapy in both groups, compared with measurements before the therapy; however, the BS group showed significantly better results during the six-month and one-year follow-up period. The biomechanical analysis of postures after the therapy in the BS group showed significant improvements over the control group; during the follow-up, the difference was still significant, yet slightly reduced. Conclusions: This study has shown that a significant reduction in the pain intensity and improvement in body posture can be achieved by the usage of the active physical therapy methods (Back School) in nurses who are experiencing chronic lower back pain. Relevance to clinical practice: The Back School programme when compared with the passive physical therapies (such as massage, ultrasound treatment, etc.) shows significant improvement in reduction in pain and greatly improves the posture of healthcare workers. The adoption of the Back School programme for the treatment of the healthcare workers with chronic low back problems should be a treatment of choice and standard that should be adopted when designing occupational healthcare policies and procedures. (PsycINFO Database Record (c) 2012 APA, all rights reserved) (journal abstract)",
            "publicationTitle": "Journal of Clinical Nursing",
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            "title": "Spinal manipulative therapy for low-back pain",
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                    "creatorType": "author",
                    "firstName": "Ei",
                    "lastName": "Yu"
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                    "firstName": "Mj",
                    "lastName": "Suttorp"
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                    "firstName": "Pg",
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            "abstractNote": "BACKGROUND: Low-back pain is a costly illness for which spinal manipulative therapy is commonly recommended. Previous systematic reviews and practice guidelines have reached discordant results on the effectiveness of this therapy for low-back pain. OBJECTIVES: To resolve the discrepancies related to the use of spinal manipulative therapy and to update previous estimates of effectiveness, by comparing spinal manipulative therapy with other therapies and then incorporating data from recent high-quality randomized, controlled trials (RCTs) into the analysis. SEARCH METHODS: The Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE and CINAHL were electronically searched from their respective beginning to January 2000, using the Back Group search strategy; references from previous systematic reviews were also screened. SELECTION CRITERIA: Randomized, controlled trials (RCT) that evaluated spinal manipulative therapy for patients with low-back pain, with at least one day of follow-up, and at least one clinically-relevant outcome measure. DATA COLLECTION AND ANALYSIS: Two authors, who served as the authors for all stages of the meta-analysis, independently extracted data from unmasked articles. Comparison treatments were classified into the following seven categories: sham, conventional general practitioner care, analgesics, physical therapy, exercises, back school, or a collection of therapies judged to be ineffective or even harmful (traction, corset, bed rest, home care, topical gel, no treatment, diathermy, and minimal massage). MAIN RESULTS: Thirty-nine RCTs were identified. Meta-regression models were developed for acute or chronic pain and short-term and long-term pain and function. For patients with acute low-back pain, spinal manipulative therapy was superior only to sham therapy (10-mm difference [95% CI, 2 to 17 mm] on a 100-mm visual analogue scale) or therapies judged to be ineffective or even harmful. Spinal manipulative therapy had no statistically or clinically significant advantage over general practitioner care, analgesics, physical therapy, exercises, or back school. Results for patients with chronic low-back pain were similar. Radiation of pain, study quality, profession of manipulator, and use of manipulation alone or in combination with other therapies did not affect these results. AUTHORS' CONCLUSIONS: There is no evidence that spinal manipulative therapy is superior to other standard treatments for patients with acute or chronic low-back pain.",
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            "place": "",
            "date": "2013",
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                    "tag": "Manipulation, Chiropractic",
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                    "creatorType": "author",
                    "firstName": "George A.",
                    "lastName": "Wells"
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                {
                    "creatorType": "author",
                    "firstName": "Stéphane",
                    "lastName": "Poitras"
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                {
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                {
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                    "firstName": "Lynn",
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                    "firstName": "Michael",
                    "lastName": "Novikov"
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                    "firstName": "Laurianne",
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                    "firstName": "Danijel",
                    "lastName": "Sredic"
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                {
                    "creatorType": "author",
                    "firstName": "Sarah",
                    "lastName": "Clément"
                },
                {
                    "creatorType": "author",
                    "firstName": "Amélie",
                    "lastName": "Gravelle"
                },
                {
                    "creatorType": "author",
                    "firstName": "Daniel",
                    "lastName": "Kresic"
                },
                {
                    "creatorType": "author",
                    "firstName": "Kevin",
                    "lastName": "Hua"
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                    "creatorType": "author",
                    "firstName": "Ana",
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                    "firstName": "Gabrielle",
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                {
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                    "firstName": "Stéphanie",
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                {
                    "creatorType": "author",
                    "firstName": "Marie-André",
                    "lastName": "Bolduc"
                },
                {
                    "creatorType": "author",
                    "firstName": "Isabelle",
                    "lastName": "Ratté"
                },
                {
                    "creatorType": "author",
                    "firstName": "Jessica",
                    "lastName": "McEwan"
                },
                {
                    "creatorType": "author",
                    "firstName": "Andrea D.",
                    "lastName": "Furlan"
                },
                {
                    "creatorType": "author",
                    "firstName": "Anita",
                    "lastName": "Gross"
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            ],
            "abstractNote": "Summary: Objective: To update evidence-based clinical practice guidelines (EBCPG) on massage therapy compared to control or other treatment for adults (>18 years) suffering from acute, sub-acute and chronic low back pain (LBP). Methods: A literature search was performed for relevant articles between January 1, 1948 and December 31, 2010. Eligibility criteria were then applied focussing on participants, interventions, controls, and outcomes, as well as methodological quality. Recommendations based on this evidence were then assigned a grade (A, B, C, C+, D, D+, D−) based on their strength. Results: A total of 100 recommendations were formulated from 11 eligible articles, including 37 positive recommendations (25 grade A and 12 grade C+) and 63 neutral recommendations (49 grade C, 12 grade D, and 2 grade D+). Discussion: These guidelines indicate that massage therapy is effective at providing pain relief and improving functional status. Conclusion: The Ottawa Panel was able to demonstrate that massage interventions are effective to provide short term improvement of sub-acute and chronic LBP symptoms and decreasing disability at immediate post treatment and short term relief when massage therapy is combined with therapeutic exercise and education. Copyright &y& Elsevier",
            "publicationTitle": "Journal of Bodywork & Movement Therapies",
            "publisher": "",
            "place": "",
            "date": "October 2012",
            "volume": "16",
            "issue": "4",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "424-455",
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            "seriesTitle": "",
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            "tags": [
                {
                    "tag": "*BACKACHE -- Treatment",
                    "type": 1
                },
                {
                    "tag": "*CHRONIC pain -- Treatment",
                    "type": 1
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                    "tag": "*CINAHL (Information retrieval system)",
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                    "tag": "DESCRIPTIVE statistics",
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                    "tag": "EVALUATION",
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            "abstractNote": "This is a clinical trial which aims to evaluate the efficiency of massage in the reduction of occupational low back pain, and its influence on the performance of work and life activities for the nursing team. The sample consisted of 18 employees who received seven to eight sessions after their work period. From the Numerical Pain Rating Scale, significant improvements were found between the 3rd and 1st evaluations (p = 0.000) and between the 3rd and 2nd (p = 0.004), using the Wilcoxon test. Regarding the Oswestry Disability Index, the paired t test showed a statistical difference (p = 0.02) between the baseline, with a mean of 21.33% and the second evaluation (18.78%), which was also seen between the second and third evaluation (16.67%). The score for the Handling and Transfer Risk Evaluation Scale was 18 points (medium risk). It is concluded that massage was effective in reducing occupational low back pain, and provided improvement in activities of work and life. (PsycINFO Database Record (c) 2013 APA, all rights reserved) (journal abstract)",
            "publicationTitle": "Revista Latino-Americana de Enfermagem",
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