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            "itemType": "journalArticle",
            "title": "Efficacy of percutaneous electrical nerve stimulation and therapeutic exercise for older adults with chronic low back pain: a randomized controlled trial",
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                    "creatorType": "author",
                    "firstName": "Debra K",
                    "lastName": "Weiner"
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                {
                    "creatorType": "author",
                    "firstName": "Subashan",
                    "lastName": "Perera"
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                {
                    "creatorType": "author",
                    "firstName": "Thomas E",
                    "lastName": "Rudy"
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                {
                    "creatorType": "author",
                    "firstName": "Ronald M",
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                    "firstName": "Sonali",
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            "abstractNote": "",
            "publicationTitle": "Pain (03043959)",
            "publisher": "",
            "place": "",
            "date": "November 30, 2008",
            "volume": "140",
            "issue": "2",
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            "pages": "344-357 14p",
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            "shortTitle": "Efficacy of percutaneous electrical nerve stimulation and therapeutic exercise for older adults with chronic low back pain",
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            "creatorSummary": "Kumar S et al.",
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            "title": "Efficacy of dynamic muscular stabilization techniques (DMST) over conventional techniques in rehabilitation of chronic low back pain",
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                    "name": "Kumar S"
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                    "creatorType": "author",
                    "name": "Negi MPS"
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            "abstractNote": "Low back pain (LBP) is a common health problems. Although it is multifactorial, its treatment varies considerably, including medication, physical therapy modalities, and exercise therapy, and each have several interventions. Despite their effectiveness, their head-to-head comparisons are limited. This study was aimed at 1 such comparison. A total of 30 hockey players, 18 to 28 years of age, with subacute or chronic LBP were randomly assigned equally in 2 groups. One group was treated with conventional treatment--a combination of 2 electrotherapies (ultrasound and short-wave diathermy) and 1 exercise therapy (lumbar strengthening exercises)--and the other group was treated with dynamic muscular stabilization techniques (DMST), an active approach of stabilizing training. The results showed that both the treatments are effective in the management of LBP, but DMST was found to be more effective than conventional treatment. The walking, stand ups, climbing, and pain improved 4.7, 2.0, 1.4, and 2.1 times, respectively, more with DMST than with conventional treatment. With time (days), walking, stand ups, climbing, and pain improved (correlation) significantly (p < 0.01) higher in DMST (r = 0.83 to 0.92) than in conventional treatment (r = 0.40 to 0.75), and their rate of improvement (regression beta coefficients) were also significantly (p < 0.01) higher in DMST (beta = -0.16 to 0.73) than in conventional treatment (beta = -0.07 to 0.15). Subjects matching were perfect (p < 0.01) and test-retest reliability of all dependent variables was significantly (p < 0.01) high (intraclass correlation coefficient approximately 1). No major adverse effects were recorded in any of the patients in either group. This study concluded that for early recovery, DMST is more suitable than conventional treatment.",
            "publicationTitle": "Journal of Strength & Conditioning Research (Lippincott Williams & Wilkins)",
            "publisher": "",
            "place": "",
            "date": "December 2009",
            "volume": "23",
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            "tags": [
                {
                    "tag": "Adolescence",
                    "type": 1
                },
                {
                    "tag": "Adult",
                    "type": 1
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                    "type": 1
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                    "tag": "Data Analysis Software",
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            "creatorSummary": "Mu-Lien Lin et al.",
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            "title": "A comparison between pulsed radiofrequency and electro-acupuncture for relieving pain in patients with chronic low back pain",
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                    "creatorType": "author",
                    "name": "Mu-Lien Lin"
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                {
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                    "name": "Mu-Hung Lin"
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                {
                    "creatorType": "author",
                    "name": "Jun-Jeng Fen"
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                    "name": "Wei-Tso Lin"
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                {
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                    "name": "Chii-Wann Lin"
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                    "creatorType": "author",
                    "name": "Po-Quang Chen"
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            ],
            "abstractNote": "Many treatment options for chronic low back pain are available, including varied forms of electric stimulation. But little is known about the electricity effect between electro-acupuncture and pulsed radiofrequency. The objective of this study is to assess the difference in effectiveness of pain relief between pulsed radiofrequency and electro-acupuncture. Visual analog score (VAS) pain score, the Oswestry disability index (ODI) to measure a patient's permanent functional disability, and Short form 36 (SF-36) which is a survey used in health assessment to determine the cost-effectiveness of a health treatment, were used as rating systems to measure the pain relief and functional improvement effect of pulsed radiofrequency and electro-acupuncture, based on the methodological quality of the randomized controlled trials, the relevance between the study groups, and the consistency of the outcome evaluation. First, the baseline status before therapy shows no age and gender influence in the SF-36 and VAS score but it is significant in the ODI questionnaire. From ANOVA analyses, it is apparent that radiofrequency therapy is a significant improvement over electro-acupuncture therapy after one month. But electro-acupuncture also showed functional Improvement in the lumbar spine from the ODI. This study provides sufficient evidence of the superiority of pulsed radiofrequency (PRF) therapy for low back pain relief compared with both electro-acupuncture (EA) therapy and the control group. But the functional improvement of the lumbar spine was proved under EA therapy only. Both therapies are related to electricity effects.",
            "publicationTitle": "Acupuncture & Electro-Therapeutics Research",
            "publisher": "",
            "place": "",
            "date": "November 2010",
            "volume": "35",
            "issue": "3/4",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "133-146 14p",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "Acupuncture & Electro-Therapeutics Research",
            "DOI": "",
            "citationKey": "",
            "url": "http://libpublic3.library.isu.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104980847&site=ehost-live",
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            "PMCID": "",
            "ISSN": "0360-1293",
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            "shortTitle": "",
            "language": "",
            "libraryCatalog": "EBSCOhost",
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            "tags": [
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                    "tag": "Adult",
                    "type": 1
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                    "type": 1
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                    "type": 1
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                {
                    "tag": "Electrotherapy -- Economics",
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                {
                    "tag": "Electrotherapy -- Methods",
                    "type": 1
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                {
                    "tag": "Female",
                    "type": 1
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                    "type": 1
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            "creatorSummary": "Kallewaard JW et al.",
            "parsedDate": "2010-12-11",
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            "version": 2,
            "itemType": "journalArticle",
            "title": "15. Discogenic Low Back Pain",
            "creators": [
                {
                    "creatorType": "author",
                    "name": "Kallewaard JW"
                },
                {
                    "creatorType": "author",
                    "name": "Terheggen MAM"
                },
                {
                    "creatorType": "author",
                    "name": "Groen GJ"
                },
                {
                    "creatorType": "author",
                    "name": "Sluijter ME"
                },
                {
                    "creatorType": "author",
                    "name": "Derby R"
                },
                {
                    "creatorType": "author",
                    "name": "Kapural L"
                },
                {
                    "creatorType": "author",
                    "name": "Mekhail N"
                },
                {
                    "creatorType": "author",
                    "name": "Van Kleef M"
                }
            ],
            "abstractNote": "An estimated 40% of chronic lumbosacral spinal pain is attributed to the discus intervertebralis. Degenerative changes following loss of hydration of the nucleus pulposus lead to circumferential or radial tears within the annulus fibrosus. Annular tears within the outer annulus stimulate the ingrowth of blood vessels and accompanying nociceptors into the outer and occasionally inner annulus. Sensitization of these nociceptors by various inflammatory repair mechanisms may lead to chronic discogenic pain. The current criterion standard for diagnosing discogenic pain is pressure-controlled provocative discography using strict criteria and at least one negative control level. The strictness of criteria and the adherence to technical detail will allow an acceptable low false positive response rate. The most important determinants are the standardization of pressure stimulus by using a validated pressure monitoring device and avoiding overly high dynamic pressures by the slow injection rate of 0.05 mL/s. A positive discogram requires the reproduction of the patient's typical pain at an intensity of > 6/10 at a pressure of < 15 psi above opening pressure and at a volume less than 3.0 mL. Perhaps the most important and defendable response is the failure to confirm the discus is symptomatic by not meeting this strict criteria. Various interventional treatment strategies for chronic discogenic low back pain unresponsive to conservative care include reduction of inflammation, ablation of intradiscal nociceptors, lowering intranuclear pressure, removal of herniated nucleus, and radiofrequency ablation of the nociceptors. Unfortunately, most of these strategies do not meet the minimal criteria for a positive treatment advice. In particular, single-needle radiofrequency thermocoagulation of the discus is not recommended for patients with discogenic pain (2 B−). Interestingly, a little used procedure, radiofrequency ablation of the ramus communicans, does meet the (2 B+) level for endorsement. There is currently insufficient proof to recommend intradiscal electrothermal therapy (2 B±) and intradiscal biacuplasty (0). It is advised that ozone discolysis, nucleoplasty, and targeted disc decompression should only be performed as part of a study protocol. Future studies should include more strict inclusion criteria.",
            "publicationTitle": "Pain Practice",
            "publisher": "",
            "place": "",
            "date": "2010/11//Nov/Dec2010",
            "volume": "10",
            "issue": "6",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "560-579 20p",
            "series": "Evidence-based interventional pain medicine according to clinical diagnoses; 15",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "Pain Practice",
            "DOI": "10.1111/j.1533-2500.2010.00408.x",
            "citationKey": "",
            "url": "http://libpublic3.library.isu.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104934757&site=ehost-live",
            "accessDate": "2015-10-10T21:40:20Z",
            "PMID": "",
            "PMCID": "",
            "ISSN": "1530-7085",
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            "shortTitle": "",
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            "libraryCatalog": "EBSCOhost",
            "callNumber": "",
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            "extra": "",
            "tags": [
                {
                    "tag": "Adrenal Cortex Hormones -- Therapeutic Use",
                    "type": 1
                },
                {
                    "tag": "Discography -- Methods",
                    "type": 1
                },
                {
                    "tag": "Electric Stimulation",
                    "type": 1
                },
                {
                    "tag": "Electrocoagulation",
                    "type": 1
                },
                {
                    "tag": "Electrotherapy -- Methods",
                    "type": 1
                },
                {
                    "tag": "Injections, Intraspinal",
                    "type": 1
                },
                {
                    "tag": "Intervertebral Disk -- Innervation",
                    "type": 1
                },
                {
                    "tag": "Intervertebral Disk -- Pathology",
                    "type": 1
                },
                {
                    "tag": "Intervertebral Disk -- Radiography",
                    "type": 1
                },
                {
                    "tag": "Intervertebral Disk -- Surgery",
                    "type": 1
                },
                {
                    "tag": "Intervertebral Disk Displacement -- Pathology",
                    "type": 1
                },
                {
                    "tag": "Intervertebral Disk Displacement -- Therapy",
                    "type": 1
                },
                {
                    "tag": "Low Back Pain -- Diagnosis",
                    "type": 1
                },
                {
                    "tag": "Low Back Pain -- Etiology",
                    "type": 1
                },
                {
                    "tag": "Low Back Pain -- Therapy",
                    "type": 1
                },
                {
                    "tag": "Medical Practice, Evidence-Based",
                    "type": 1
                },
                {
                    "tag": "Minimally Invasive Procedures -- Adverse Effects",
                    "type": 1
                },
                {
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            "title": "The short- and long-term benefit in chronic low back pain through adjuvant electrical versus manual auricular acupuncture",
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                    "lastName": "Sator-Katzenschlager"
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                    "lastName": "Szeles"
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            "abstractNote": "Acupuncture is an established adjuvant analgesic modality for the treatment of chronic pain. Electrical stimulation of acupuncture points is considered to increase acupuncture analgesia. In this prospective, randomized, double-blind, controlled study we tested the hypothesis that auricular electroacupuncture (EA) relieves pain more effectively than conventional manual auricular acupuncture (CO) in chronic low back pain patients with insufficient pain relief (visual analogue scale [VAS] > or = 5) treated with standardized analgesic therapy. Disposable acupuncture needles were inserted in the auricular acupuncture points 29, 40, and 55 of the dominant side and connected to a newly developed battery-powered miniaturized stimulator worn behind the ear. Patients were randomized into group EA (n = 31) with continuous low-frequency auricular EA (1 Hz biphasic constant current of 2 mA) and group CO (n = 30) without electrical stimulation (sham-electroacupuncture). Treatment was performed once weekly for 6 wk, and in each group needles were withdrawn 48 h after insertion. During the study period and a 3-mo follow-up, patients were asked to complete the McGill questionnaire. Psychological well being, activity level, quality of sleep, and pain intensity were assessed by means of VAS; moreover, analgesic drug consumption was documented. Pain relief was significantly better in group EA during the study and the follow-up period as compared with group CO. Similarly, psychological well-being, activity, and sleep were significantly improved in group EA versus group CO, the consumption of analgesic rescue medication was less, and more patients returned to full-time employment. Neuropathic pain in particular improved in patients treated with EA. There were no adverse side effects. These results are the first to demonstrate that continuous EA stimulation of auricular acupuncture points improves the treatment of chronic low back pain in an outpatient population.\nIMPLICATIONS: Continuous electrical stimulation of auricular acupuncture points using the new point stimulation device P-stim significantly decreases pain intensity and improves psychological well-being, activity, and sleep in chronic low back pain patients.",
            "publicationTitle": "Anesthesia and Analgesia",
            "publisher": "",
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            "date": "May 2004",
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            "language": "eng",
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            "extra": "PMID: 15105215",
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            "title": "Spinal manipulative therapy for chronic low-back pain",
            "creators": [
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                    "firstName": "Sidney M",
                    "lastName": "Rubinstein"
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                    "firstName": "Marienke",
                    "lastName": "van Middelkoop"
                },
                {
                    "creatorType": "author",
                    "firstName": "Willem JJ",
                    "lastName": "Assendelft"
                },
                {
                    "creatorType": "author",
                    "firstName": "Michiel R",
                    "lastName": "de Boer"
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            "abstractNote": "Background\nBackground\n\nMany therapies exist for the treatment of low-back pain including spinal manipulative therapy (SMT), which is a worldwide, extensively practiced intervention.\n\nObjectives\nObjectives\n\nTo assess the effects of SMT for chronic low-back pain.\n\nSearch methods\nSearch methods\n\nAn updated search was conducted by an experienced librarian to June 2009 for randomised controlled trials (RCTs) in CENTRAL (The Cochrane Library 2009, issue 2), MEDLINE, EMBASE, CINAHL, PEDro, and the Index to Chiropractic Literature.\n\nSelection criteria\nSelection criteria\n\nRCTs which examined the effectiveness of spinal manipulation or mobilisation in adults with chronic low-back pain were included. No restrictions were placed on the setting or type of pain; studies which exclusively examined sciatica were excluded. The primary outcomes were pain, functional status and perceived recovery. Secondary outcomes were return-to-work and quality of life.\n\nData collection and analysis\nData collection and analysis\n\nTwo review authors independently conducted the study selection, risk of bias assessment and data extraction. GRADE was used to assess the quality of the evidence. Sensitivity analyses and investigation of heterogeneity were performed, where possible, for the meta-analyses.\n\nMain results\nMain results\n\nWe included 26 RCTs (total participants = 6070), nine of which had a low risk of bias. Approximately two-thirds of the included studies (N = 18) were not evaluated in the previous review. In general, there is high quality evidence that SMT has a small, statistically significant but not clinically relevant, short-term effect on pain relief (MD: -4.16, 95% CI -6.97 to -1.36) and functional status (SMD: -0.22, 95% CI -0.36 to -0.07) compared to other interventions. Sensitivity analyses confirmed the robustness of these findings. There is varying quality of evidence (ranging from low to high) that SMT has a statistically significant short-term effect on pain relief and functional status when added to another intervention. There is very low quality evidence that SMT is not statistically significantly more effective than inert interventions or sham SMT for short-term pain relief or functional status. Data were particularly sparse for recovery, return-to-work, quality of life, and costs of care. No serious complications were observed with SMT.\n\nAuthors' conclusions\nAuthors' conclusions\n\nHigh quality evidence suggests that there is no clinically relevant difference between SMT and other interventions for reducing pain and improving function in patients with chronic low-back pain. Determining cost-effectiveness of care has high priority. Further research is likely to have an important impact on our confidence in the estimate of effect in relation to inert interventions and sham SMT, and data related to recovery.",
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            "publicationTitle": "Revista da Associação Médica Brasileira",
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            "date": "11/2013",
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            "pages": "536-553",
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            "title": "Efficacy of microcurrent therapy in the treatment of chronic nonspecific back pain: a pilot study",
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                {
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                    "name": "van Wijck AJ"
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            "abstractNote": "OBJECTIVES: Microcurrent therapy (MCT) is a novel treatment for pain syndromes. The MCT patch is hypothesized to produce stimuli that promote tissue healing by facilitating physiologic currents. Solid evidence from randomized clinical trials is lacking. To evaluate the efficacy of MCT in treating aspecific, chronic low-back pain, we conducted a double-blind, randomized, crossover, pilot trial. METHODS: Ten succeeding patients presenting with nonspecific, chronic low-back pain in our university hospital were included. Patients started with two, 9-day baseline period followed by a 5-day treatment periods. During the treatment periods, either a placebo or MCT (verum) patch was randomly assigned. Mean and worst pain scores were evaluated daily by a visual analog scale (VAS). Furthermore, analgesic use, side effects, and quality of life were assessed after each period. Differences between the last 4 days of a treatment period and the baseline period were calculated. Differences between verum and placebo periods per patient were compared using paired t tests. A 20-mm VAS score reduction was considered clinically relevant. RESULTS: The VAS score was lower during verum treatment, with a reduction [95% confidence interval (CI] of -0.43 (-1.74; 0.89) in mean and -1.07 (-2.85; 0.71) in worst pain. Analgesic use decreased during verum treatment, except for nonsteroid anti-inflammatory drug use, which increased. Quality of life improved during verum treatment. However, note of the findings were statistically significant. DISCUSSION: A positive trend in MCT use for aspecific, chronic low-back pain is reported. Further investigations are required to evaluate the significance and relevance of this.",
            "publicationTitle": "Clinical Journal of Pain",
            "publisher": "",
            "place": "",
            "date": "July 2009",
            "volume": "25",
            "issue": "6",
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            "partNumber": "",
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            "pages": "495-499 5p",
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            "journalAbbreviation": "Clinical Journal of Pain",
            "DOI": "10.1097/AJP.0b013e31819a6f3e",
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            "PMID": "",
            "PMCID": "",
            "ISSN": "0749-8047",
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            "shortTitle": "Efficacy of microcurrent therapy in the treatment of chronic nonspecific back pain",
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                    "tag": "Antiinflammatory Agents, Non-Steroidal -- Therapeutic Use",
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            "creatorSummary": "Kulisch A et al.",
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            "version": 2,
            "itemType": "journalArticle",
            "title": "Effect of thermal water and adjunctive electrotherapy on chronic low back pain: a double-blind, randomized, follow-up study",
            "creators": [
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                    "creatorType": "author",
                    "name": "Kulisch A"
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                {
                    "creatorType": "author",
                    "name": "Bender T"
                },
                {
                    "creatorType": "author",
                    "name": "Németh A"
                },
                {
                    "creatorType": "author",
                    "name": "Szekeres L"
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            ],
            "abstractNote": "OBJECTIVE: The aim of this study was to evaluate the effectiveness of thermal mineral water, compared with tap water in the treatment of low back pain. METHODS: This randomized, double-blind, controlled, follow-up study included 71 patients who underwent 20-minute daily treatment sessions with medicinal water or with tap water, both at a temperature of 34 degrees C, on 21 occasions. Both groups underwent additional adjunctive electrotherapy. Outcome measures were visual analogue scale scores, Schober's sign, Domján's signs, Oswestry disability and Short Form-36 questionnaire. The study parameters were administered at baseline, immediately after treatment, and after 15 weeks. RESULTS: After treatment, there was a significant improvement in all parameters in the thermal water group. This improvement was still evident after 15 weeks. The improvement in the control group was less substantial compared with baseline values. Comparison of the 2 treatments revealed a statistically significant difference in 3 outcome parameters (visual analogue scale scores III, IV and Schober's index). In the subset of patients who completed the study according to the protocol, the greater efficacy of treatment with thermal water was also confirmed by the other study parameters. CONCLUSION: In the group treated with thermal water, improvement occurred earlier, lasted longer and was statistically significant.",
            "publicationTitle": "Journal of Rehabilitation Medicine (Stiftelsen Rehabiliteringsinformation)",
            "publisher": "",
            "place": "",
            "date": "January 2009",
            "volume": "41",
            "issue": "1",
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            "partNumber": "",
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            "pages": "73-79 7p",
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            "journalAbbreviation": "Journal of Rehabilitation Medicine (Stiftelsen Rehabiliteringsinformation)",
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            "creatorSummary": "Salate and Sueishi",
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            "title": "Comparison of effectiveness between physical therapy with manual therapy and electrotherapy in pain and disability in individuals with low back pain",
            "creators": [
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                    "creatorType": "author",
                    "firstName": "Ana Claudia Bonome",
                    "lastName": "Salate"
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                {
                    "creatorType": "author",
                    "firstName": "Aline Mayumi",
                    "lastName": "Sueishi"
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            ],
            "abstractNote": "Introduction: The low back pain sufferers reach 70-85% of the entire world population with at least one episode in the life and interfere with daily activities, generating movement limitations until disability in more severe cases. Objective: The aim of this study was to compare the effects of two physical therapy protocols, one with manual therapy and another with electrotherapy using interferential current for the reduction of pain and disability in individuals with low back pain, seeking to identify which one is most effective. Method: Consisted of eight participants with chronic low back pain who underwent ten sessions in which eight of these sessions were used for treatment and two for initial and final evaluations. Subjects were divided into two groups: TM group (n = 8) treated with manual therapy and IFC group (n = 8) treated with electrical stimulation. For evaluation we used the Oswestry Disability Index, Visual Numeric Scale and McGill Pain Questionnaire. Results: There was observed significant improvement in functional capacity of participants in the group treated with manual therapy in the Oswestry Disability Index and the pain improves with reduction in the number of words chosen and the scores of categories sensory, affective and joint pain in Pain Questionnaire McGill. The decrease in the intensity of pain assessed by Visual Numerical Scale factor was significant in group TM. For the IFC group, there was significant difference just on sensory category in Pain Questionnaire McGill. Conclusion: The final results of this study relating the use of two distinct intervention protocols for low back pain treatment were significant. Even there were no significant differences between TM and IFC groups, the manual therapy results after and before treatment show more effectiveness results in reducing pain and disability than electrotherapy.",
            "publicationTitle": "Revista Terapia Manual",
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            "place": "",
            "date": "September 2011",
            "volume": "9",
            "issue": "45",
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            "pages": "635-640 6p",
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