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}, "data": { "key": "Z36N6UNE", "version": 3, "parentItem": "W3A55H5P", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2015-10-10T19:28:34Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/23208945", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2015-10-10T19:28:34Z", "dateModified": "2015-10-10T19:28:34Z" } }, { "key": "W3A55H5P", "version": 3, "library": { "type": "group", "id": 413553, "name": "physical Agents Assignment 1_Beckstead", "links": { "alternate": { "href": "https://www.zotero.org/groups/physical_agents_assignment_1_beckstead", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/413553/items/W3A55H5P", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/physical_agents_assignment_1_beckstead/items/W3A55H5P", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2657803, "username": "beckrobe", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/beckrobe", "type": "text/html" } } }, "creatorSummary": "Vibe Fersum et al.", "parsedDate": "2013-07", "numChildren": 1 }, "data": { "key": "W3A55H5P", "version": 3, "itemType": "journalArticle", "title": "Efficacy of classification-based cognitive functional therapy in patients with non-specific chronic low back pain: a randomized controlled trial", "creators": [ { "creatorType": "author", "firstName": "K.", "lastName": "Vibe Fersum" }, { "creatorType": "author", "firstName": "P.", "lastName": "O'Sullivan" }, { "creatorType": "author", "firstName": "J. S.", "lastName": "Skouen" }, { "creatorType": "author", "firstName": "A.", "lastName": "Smith" }, { "creatorType": "author", "firstName": "A.", "lastName": "Kvåle" } ], "abstractNote": "BACKGROUND: Non-specific chronic low back pain disorders have been proven resistant to change, and there is still a lack of clear evidence for one specific treatment intervention being superior to another.\nMETHODS: This randomized controlled trial aimed to investigate the efficacy of a behavioural approach to management, classification-based cognitive functional therapy, compared with traditional manual therapy and exercise. Linear mixed models were used to estimate the group differences in treatment effects. Primary outcomes at 12-month follow-up were Oswestry Disability Index and pain intensity, measured with numeric rating scale. Inclusion criteria were as follows: age between 18 and 65 years, diagnosed with non-specific chronic low back pain for >3 months, localized pain from T12 to gluteal folds, provoked with postures, movement and activities. Oswestry Disability Index had to be >14% and pain intensity last 14 days >2/10. A total of 121 patients were randomized to either classification-based cognitive functional therapy group n = 62) or manual therapy and exercise group (n > = 59).\nRESULTS: The classification-based cognitive functional therapy group displayed significantly superior outcomes to the manual therapy and exercise group, both statistically (p < 0.001) and clinically. For Oswestry Disability Index, the classification-based cognitive functional therapy group improved by 13.7 points, and the manual therapy and exercise group by 5.5 points. For pain intensity, the classification-based cognitive functional therapy improved by 3.2 points, and the manual therapy and exercise group by 1.5 points.\nCONCLUSIONS: The classification-based cognitive functional therapy produced superior outcomes for non-specific chronic low back pain compared with traditional manual therapy and exercise.", "publicationTitle": "European Journal of Pain (London, England)", "publisher": "", "place": "", "date": "Jul 2013", "volume": "17", "issue": "6", "section": "", "partNumber": "", "partTitle": "", "pages": "916-928", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Eur J Pain", "DOI": "10.1002/j.1532-2149.2012.00252.x", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1532-2149", "archive": "", "archiveLocation": "", "shortTitle": "Efficacy of classification-based cognitive functional therapy in patients with non-specific chronic low back pain", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "PMID: 23208945\nPMCID: PMC3796866", "tags": [ { "tag": "Adult", "type": 1 }, { "tag": "Chronic Pain", "type": 1 }, { "tag": "Cognitive Therapy", "type": 1 }, { "tag": "Disability Evaluation", "type": 1 }, { "tag": "Exercise Therapy", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Low Back Pain", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Middle Aged", "type": 1 }, { "tag": "Musculoskeletal Manipulations", "type": 1 }, { "tag": "Pain Measurement", "type": 1 }, { "tag": "Physical Therapy Modalities", "type": 1 }, { "tag": "Posture", "type": 1 }, { "tag": "Treatment Outcome", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2015-10-10T19:28:34Z", "dateModified": "2015-10-10T19:28:34Z" } }, { "key": "QA4VUMR9", "version": 2, "library": { "type": "group", "id": 413553, "name": "physical Agents Assignment 1_Beckstead", "links": { "alternate": { "href": "https://www.zotero.org/groups/physical_agents_assignment_1_beckstead", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/413553/items/QA4VUMR9", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/physical_agents_assignment_1_beckstead/items/QA4VUMR9", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/413553/items/PXPH678D", "type": "application/json" } }, "meta": { "createdByUser": { "id": 2657803, "username": "beckrobe", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/beckrobe", "type": "text/html" } } } }, "data": { "key": "QA4VUMR9", "version": 2, "parentItem": "PXPH678D", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2015-10-10T19:24:42Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/23537462", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2015-10-10T19:24:42Z", "dateModified": "2015-10-10T19:24:42Z" } }, { "key": "PXPH678D", "version": 2, "library": { "type": "group", "id": 413553, "name": "physical Agents Assignment 1_Beckstead", "links": { "alternate": { "href": "https://www.zotero.org/groups/physical_agents_assignment_1_beckstead", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/413553/items/PXPH678D", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/physical_agents_assignment_1_beckstead/items/PXPH678D", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2657803, "username": "beckrobe", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/beckrobe", "type": "text/html" } } }, "creatorSummary": "Thiese et al.", "parsedDate": "2013", "numChildren": 1 }, "data": { "key": "PXPH678D", "version": 2, "itemType": "journalArticle", "title": "Electrical stimulation for chronic non-specific low back pain in a working-age population: a 12-week double blinded randomized controlled trial", "creators": [ { "creatorType": "author", "firstName": "Matthew S.", "lastName": "Thiese" }, { "creatorType": "author", "firstName": "Matthew", "lastName": "Hughes" }, { "creatorType": "author", "firstName": "Jeremy", "lastName": "Biggs" } ], "abstractNote": "BACKGROUND: Non-invasive electrotherapy is commonly used for treatment of chronic low back pain. Evidence for efficacy of most electrotherapy modalities is weak or lacking. This study aims to execute a high-quality, double-blinded randomized controlled clinical trial comparing 1) H-Wave(®) Device stimulation plus usual care with 2) transcutaneous electrical nerve stimulation (TENS) plus usual care, and 3) Sham electrotherapy plus usual care to determine comparative efficacy for treatment of chronic non-specific low back pain patients.\nMETHODS/DESIGN: PATIENTS: Chronic non-specific low back pain patients between ages of 18-65 years, with pain of at least 3 months duration and minimal current 5/10 VAS pain. Patients will have no significant signs or symptoms of lumbosacral nerve impingement, malignancy, spinal stenosis, or mood disorders.\nSTUDY DESIGN: Double blind RCT with 3 arms and 38 subjects per arm. Randomization by permuted blocks of random length, stratified by Workers Compensation claim (yes vs. no), and use of opioids. The null hypothesis of this study is that there are no statistically significant differences in functional improvement between treatment types during and at the end of a 12-week week treatment period.\nDATA COLLECTION: Subjective data will be collected using Filemaker Pro™ database management collection tools. Objective data will be obtained through functional assessments. Data will be collected at enrollment and at 1, 4, 8, and 12 weeks for each participant by a blinded assessor.\nINTERVENTIONS: H-Wave(®) device stimulation (Intervention A) plus usual care, transcutaneous electrical nerve stimulation (TENS) (Intervention B) plus usual care, and sham electrotherapy plus usual care (control). Each treatment arm will have identical numbers of visits (4) and researcher contact time (approximately 15 hours).\nOUTCOMES: PRIMARY OUTCOME MEASURE: Oswestry Disability Index. Secondary measures include: Rowland Morris Instrument, VAS pain score, functional evaluation including strength when pushing and pulling, pain free range of motion in flexion and extension. Outcome measures assessed at baseline, 1, 4, 8, and 12 weeks. Treatment failure will be defined if patient terminates assigned treatment arm for non-efficacy or undergoes invasive procedure or other excluded cointerventions. Data will be analyzed using intention-to-treat analysis and adjusted for covariates related to LBP (e.g. age) as needed.\nDISCUSSION: Study strengths include complex randomization, treatment group allocation concealment, double blinding, controlling for co-interventions, rigorous inclusion criteria, assessment of compliance, plans for limiting dropout, identical assessment methods and timing for each treatment arm, and planned intention-to-treat analyses.", "publicationTitle": "BMC musculoskeletal disorders", "publisher": "", "place": "", "date": "2013", "volume": "14", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "117", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "BMC Musculoskelet Disord", "DOI": "10.1186/1471-2474-14-117", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1471-2474", "archive": "", "archiveLocation": "", "shortTitle": "Electrical stimulation for chronic non-specific low back pain in a working-age population", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "PMID: 23537462\nPMCID: PMC3626857", "tags": [ { "tag": "Adolescent", "type": 1 }, { "tag": "Adult", "type": 1 }, { "tag": "Aged", "type": 1 }, { "tag": "Chronic Pain", "type": 1 }, { "tag": "Double-Blind Method", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Low Back Pain", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Middle Aged", "type": 1 }, { "tag": "Pain Measurement", "type": 1 }, { "tag": "Transcutaneous Electric Nerve Stimulation", "type": 1 }, { "tag": "Treatment Outcome", "type": 1 }, { "tag": "Young Adult", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2015-10-10T19:24:42Z", "dateModified": "2015-10-10T19:24:42Z" } } ]