Lumbar Spine & Low Back Pain

A hypothesis of chronic back pain: Ligament subfailure injuries lead to muscle control dysfunction

Monohar M. Panjabi, Biomechanics ResearchLaboratory, Department of Orthopedics and Rehabilitation, Yale University School of Medicine, New Haven, CT.   Full Text Article Download

Efficacy of Preventive Spinal Manipulation for Chronic Low-Back Pain and Related Disabilities: A Preliminary Study

Journal of Manipulative and Physiological Therapeutics October 2004 Volume 27, Issue 8, Pages 509–514 Martin Descarreaux Abstract Objective To document the potential role of maintenance chiropractic spinal manipulation to reduce overall pain and disability levels associated with chronic low-back conditions after an initial phase of intensive chiropractic treatments. Methods Thirty patients with chronic nonspecific low-back […]

MR Aortography and Serum Cholesterol Levels in Patients With Long-Term Nonspecific Lower Back Pain

Kauppila, Leena I., MD, PhD Spine: October 1, 2004 – Volume 29 – Issue 19 – p 2147-2152 doi: 10.1097/01.brs.0000141168.77393.b8 Study Design. A cross-sectional analysis of the feeding arteries of the lumbar spine and cholesterol levels on patients with long-term nonspecific lower back pain. Objectives. To evaluate whether occlusion of lumbar and middle sacral arteries […]

Safety of Spinal Manipulation in the Treatment of Lumbar Disk Herniations: A Systematic Review and Risk Assessment

Drew Oliphant, DC Journal of Manipulative and Physiological Therapeutics Volume 27, Issue 3 , Pages 197-210, March 2004 Journal Reference Abstract Objective To provide a qualitative systematic review of the risk of spinal manipulation in the treatment of lumbar disk herniations (LDH) and to estimate the risk of spinal manipulation causing a severe adverse reaction […]

Correlation of clinical examination characteristics with three sources of chronic low back pain

Sharon Young, PT Young S, et al. The Spine Journal. November 2003; Vol. 3, Iss. 6, pp. 460-465. Background context Research has demonstrated some progress in using a clinical examination to predict discogenic or sacroiliac (SI) joint sources of pain. No clear predictors of symptomatic lumbar zygapophysial joints have yet been demonstrated. Purpose To identify significant […]

The effect of walking faster on people with acute low back pain

Nicholas F. Taylor European Spine Journal April 2003, Volume 12, Issue 2, pp 166-172 Abstract. Little is known about self-selected speed and fast walking in people with acute low back pain. This study aimed to investigate (1) the strategies that people with acute low back pain use to change from self-selected speed to fast walking […]

The knee-spine syndrome – Full Text Article

J Bone Joint Surg Br. 2003 Jan;85(1):95-9. The knee-spine syndrome. Association between lumbar lordosis and extension of the knee. Murata Y1, Takahashi K, Yamagata M, Hanaoka E, Moriya H. Author information Abstract Degenerative changes of the knee often cause loss of extension. This may affect aspects of posture such as lumbar lordosis. A total of […]

Philadelphia Panel Evidence-Based Clinical Practice Guidelines on Selected Rehabilitation Interventions for Low Back Pain – 2001

John Albright, MD, Clinical Specialty Expert Physical Therapy October 2001 vol. 81 no. 10 1641-1674 Abstract Introduction. A structured and rigorous methodology was developed for the formulation of evidence-based clinical practice guidelines (EBCPGs), then was used to develop EBCPGs for selected rehabilitation interventions for the management of low back pain. Methods. Evidence from randomized controlled […]

Clinical Guidelines for the management of Acute Low Back Pain – Royal College of General Practitioners Review – 1999

Waddell G, McIntosh A, Hutchinson A, Feder G, Lewis M, (1999) Low Back Pain Evidence Review London: Royal College of General Practitioners There is now a considerable weight of evidence, linked with international experience, to show that clinical guidelines are only likely to influence practice if these guidelines form part of an implementation programme. In […]

Randomised comparison of chiropractic and hospital outpatient management for low back pain

BMJ. 1995 Aug 5;311(7001):349-51. Randomised comparison of chiropractic and hospital outpatient management for low back pain: results from extended follow up. Meade TW, Dyer S, Browne W, Frank AO. Abstract OBJECTIVE: To compare the effectiveness over three years of chiropractic and hospital outpatient management for low back pain. DESIGN: Randomised allocation of patients to chiropractic […]

Acute Low Back Problems in Adults – AHCPR Clinical Practice Guidelines – 1994 update 2012

AHCPR Clinical Practice Guidelines, No. 14 S Bigos, O Bowyer, and G Braen. Rockville (MD): Agency for Health Care Policy and Research (AHCPR); December 1994. Report No.: 95-0642 Findings and recommendations on the assessment and treatment of adults with acute low back problems-activity limitations due to symptoms in the low back and/or back-related leg symptoms […]

Low back pain and urinary incontinence. A hypothetical relationship.

Spine (Phila Pa 1976). 1994 May 15;19(10):1148-52. Eisenstein SM1, Engelbrecht DJ, el Masry WS. Abstract STUDY DESIGN: An apparent association of low back pain with urinary incontinence was observed. Sixteen patients were investigated for organic neurologic and genito-urinary disease or deficit, which could provide a conventional explanation for the incontinence. OBJECTIVES: The unusual association of […]

A Benefit of Spinal Manipulation as Adjunctive Therapy for Acute Low-Back Pain: A Stratified Controlled Trial

HADLER, NORTIN M. MD Spine: September 1987 Abstract Fifty-four subjects volunteered to participate in a controlled study contrasting spinal manipulation with spinal mobilization without the rotational forces and leverage required to move facet joints. All suffered from regional low-back pain for less than 1 month, were ages 18-40, had never previously undergone any form of […]