Effective treatment of back injuries: A Synthesis of Findings from 25 Studies

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Original Abstract of the Article

Major research findings

Various approaches have been tried in the treatment of back injuries. 4 suggests that aquatic therapy is a viable rehabilitation alternative for the treatment of spinal pain and dysfunction. The unique physical properties of water make it an ideal medium for the rehabilitation of low back injuries. Aquatic programs can be used in conjunction with a land-based program or as a sole treatment approach. 1 shows that functional restoration approach is an effective treatment for injured workers with chronic pain. This approach aims to restore the function of patients and support their return to physical activity and work. 6 concluded that an intensive exercise program is effective for the treatment of acute soft tissue and back injuries. This program consists of intensive, time-limited exercises emphasizing mobility, muscle strengthening, work conditioning, sequence training, and appropriate education sessions. 7 examined the association between the intensity of physical therapy (PT) treatments and work and health outcomes in injured workers with back pain. The study found that the intensity of PT treatments may be associated with healthy outcomes for workers. 3 investigated a mixed treatment comparison of selected osteopathic techniques used to treat acute nonspecific low back pain. Osteopathic therapy may be effective in the management of back pain compared to other non-pharmacological therapies, such as heat, massage, acupuncture, and spinal manipulation.

Treatment Summary

There are various treatment options for back injuries, including aquatic therapy 4 , functional restoration approach 1 , intensive exercise program 6 , physical therapy 7 , and osteopathic therapy 3 . Each treatment method is adapted depending on the patient's condition and the severity of the injury.

Benefits and Risks

Benefits Summary

There are various approaches to the treatment of back injuries, such as aquatic therapy, functional restoration approach, and intensive exercise program, and these treatments can provide many benefits, such as improved functional outcomes for patients, return to work, and pain relief. In particular, aquatic therapy is an effective option for patients suffering from back pain because water pressure and buoyancy can reduce the burden on joints. 4

Risks Summary

The risks associated with the treatment of back injuries vary depending on the treatment method. For example, taking opioids can carry risks such as addiction and respiratory depression. 9 Also, intensive exercise programs can worsen injuries if performed without proper guidance. 6 Therefore, it is important to consult with a doctor or specialist when receiving treatment and to choose the appropriate treatment method.

Comparison between studies

Commonalities between studies

Many studies suggest that exercise and rehabilitation play an important role in the treatment of back injuries. 4 1 6 7 Also, these studies suggest that the intensity of treatment may affect outcomes. 7

Differences between studies

Studies differ in terms of treatment methods, target patient populations, and evaluation methods. For example, 4 focuses on aquatic therapy, while 1 focuses on functional restoration approach. 6 is a study that evaluated an intensive exercise program, while 7 is a study that examined the association between the intensity of physical therapy and outcomes. These differences between the studies reflect the diversity and complexity of the treatment options for back injuries.

Consistency and contradictions of results

While many studies suggest that exercise and rehabilitation are effective in the treatment of back injuries, it is not yet clear which treatment method is the most effective or which patients are best suited to which treatment method. 4 1 6 7 Further research is needed to answer these questions.

Notes on applying results to real life

Treatment of back injuries should be tailored to the individual circumstances of the patient. 4 It is dangerous to choose a treatment method on your own or to stop treatment without consulting a doctor. 1 If you have back pain, consult a doctor or specialist and receive appropriate treatment.

Limitations of current research

While many studies provide useful information about the treatment of back injuries, not all of these studies are perfect. For example, some studies may have limited target patient populations, so the results may not be generalizable. 21 Also, differences in research methods and evaluation methods can make it difficult to compare results. 17 Further research is needed to overcome these limitations and obtain more reliable information.

Future research directions

Research on the treatment of back injuries should continue. In particular, studies comparing the effectiveness and safety of various treatment methods, development of treatment methods tailored to the individual circumstances of the patient, and evaluation of the long-term effects of treatment are important. 24

Conclusion

There are various options for the treatment of back injuries. 4 Which treatment method is best depends on the individual circumstances of the patient. 1 Consult a doctor or specialist and receive appropriate treatment. 6

Treatment List

Aquatic therapy, functional restoration approach, intensive exercise program, physical therapy, osteopathic therapy

Literature analysis of 25 papers
Positive Content
20
Neutral Content
0
Negative Content
5
Article Type
5
2
0
8
25
1.

The functional restoration approach to the treatment of chronic pain in patients with soft tissue and back injuries.

Author: MitchellR I, CarmenG M

Reduced absence from work
Reduced compensation costs
Reduced disability costs
Reduced total costs

Functional restoration treatment was compared to a control group in a study of injured workers with persistent pain. The treated group had a shorter duration of absence from work and lower costs, but these differences were not statistically significant.

Clinical TrialA clinical trial is a planned study conducted on humans to evaluate the efficacy and safety of pharmaceuticals, medical devices, and treatment methods. It aims to explore the possibilities of new treatments and improve the health of patients.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.

Language : English

2.

A controlled trial of an educational program to prevent low back injuries.

Author: DaltroyL H, IversenM D, LarsonM G, LewR, WrightE, RyanJ, ZwerlingC, FosselA H, LiangM H

Reduced injuries

The study examines the effectiveness of employee education programs in preventing low back injuries in the workplace.

Clinical TrialA clinical trial is a planned study conducted on humans to evaluate the efficacy and safety of pharmaceuticals, medical devices, and treatment methods. It aims to explore the possibilities of new treatments and improve the health of patients.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.
Research Support, U.S. Gov't, P.H.S.Research funding provided by the Public Health Service (PHS).

Language : English

3.

A mixed treatment comparison of selected osteopathic techniques used to treat acute nonspecific low back pain: a proof of concept and plan for further research.

Author: PriceJames W

ANLBP treatment

Back injuries are common and expensive in the US. Doctors often recommend non-medication treatments for acute low back pain, but these recommendations only include heat, massage, acupuncture, and spinal manipulation. More research is needed on the effectiveness of spinal manipulation for acute low back pain.

Comparative StudyResearch that compares multiple groups/interventions to determine differences/similarities in outcomes/characteristics.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Meta-AnalysisA statistical technique that integrates the results of multiple studies to draw more general conclusions about a particular issue.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.

Language : English

4.

Aquatic therapy: making a wave in the treatment of low back injuries.

Author: KonlianC

Aquatic therapy
Spinal pain relief
Spinal injury complications

Aquatic therapy is a beneficial rehabilitation option for spinal pain and dysfunction. Water's unique physical properties make it an ideal medium for low back injury rehabilitation. Aquatic programs can be used alone or in conjunction with land-based therapy.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.

Language : English

5.

The functional restoration approach to the treatment of chronic pain in patients with soft tissue and back injuries.

Author: MitchellR I, CarmenG M

Reduced absence from work
Reduced compensation costs
Reduced disability costs
Reduced total costs

Functional restoration treatment was compared to a control group in a study of injured workers with persistent pain. The treated group had a shorter duration of absence from work and lower costs, but these differences were not statistically significant.

Clinical TrialA clinical trial is a planned study conducted on humans to evaluate the efficacy and safety of pharmaceuticals, medical devices, and treatment methods. It aims to explore the possibilities of new treatments and improve the health of patients.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.

Language : English

6.

Results of a multicenter trial using an intensive active exercise program for the treatment of acute soft tissue and back injuries.

Author: MitchellR I, CarmenG M

Cost savings
Early return to work

An intensive, time-limited exercise program was more effective in treating acute soft tissue and back injuries than conventional treatment methods, resulting in earlier return to work and cost savings.

Clinical TrialA clinical trial is a planned study conducted on humans to evaluate the efficacy and safety of pharmaceuticals, medical devices, and treatment methods. It aims to explore the possibilities of new treatments and improve the health of patients.
Comparative StudyResearch that compares multiple groups/interventions to determine differences/similarities in outcomes/characteristics.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Multicenter StudyResearch conducted in collaboration with multiple research institutions. It aims to collect a wide range of data and obtain more generalizable results.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.

Language : English

7.

Intensity of physical therapy services: Association with work and health outcomes in injured workers with back pain in Washington State.

Author: ChinBrian, RundellSean D, SearsJeanne M, Fulton-KehoeDeborah, SpectorJune T, FranklinGary M

Health outcome
Work outcome

This study aimed to explore the association between the intensity of physical therapy (PT) treatments and work and health outcomes in injured workers with back pain. The study will examine whether higher PT intensity is positively associated with improved outcomes in this population.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Research Support, N.I.H., ExtramuralResearch funding provided by the NIH to external research institutions and researchers.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.

Language : English

9.

Workers' compensation prescription medication patterns and associated outcomes.

Author: FreemanAndrew, DavisKermit G, YingJun, LangDavid A, HuthJeffery R, LiuPeihua

Increased costs
Increased deaths

Opioid use for musculoskeletal injuries presents a complex decision-making process balancing benefits and risks. This study investigates whether opioid prescriptions are associated with increased costs and deaths through an injury mechanism or as a direct result of the opioid prescription.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.
Research Support, U.S. Gov't, P.H.S.Research funding provided by the Public Health Service (PHS).

Language : English

10.

A mixed treatment comparison of selected osteopathic techniques used to treat acute nonspecific low back pain: a proof of concept and plan for further research.

Author: PriceJames W

ANLBP treatment

Back injuries are common and expensive in the US. Doctors often recommend non-medication treatments for acute low back pain, but these recommendations only include heat, massage, acupuncture, and spinal manipulation. More research is needed on the effectiveness of spinal manipulation for acute low back pain.

Comparative StudyResearch that compares multiple groups/interventions to determine differences/similarities in outcomes/characteristics.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Meta-AnalysisA statistical technique that integrates the results of multiple studies to draw more general conclusions about a particular issue.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.

Language : English

12.

Lumbar Compression Fracture Caused by Cardioversion.

Author: KodaErik K

Atrial fibrillation treatment
Lumbar compression fracture

Cardioversion, a safe and effective treatment for atrial fibrillation, has a rare but potentially underreported adverse effect of lumbar compression fracture. The case highlights the importance of counseling patients about this risk and broadening the differential diagnosis in cases of back pain following cardioversion.

Case ReportsIn the medical field, a report that describes in detail a unique case, an unusual medical condition, or the effect of a treatment. Provides new insights and possibilities for treatment through individual patient cases.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.

Language : English

13.

Modifying bowling kinematics in cricket pace bowlers with exercise-based injury prevention: A cluster-randomised controlled trial.

Author: ForrestMitchell R L, HebertJeffrey J, ScottBrendan R, DempseyAlasdair R

Improved kinematics

An exercise-based injury prevention program (IPP) for adolescent pace bowlers effectively maintained shoulder counter-rotation and lateral trunk flexion, potentially reducing the risk of low back injury.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.

Language : English

14.

Back Injuries.

Author: DanielsJames M, ArguellesCesar, GleasonChristopher, DixonWilliam H

Low back pain treatment

This article reviews the challenges and considerations in treating athletes with low back injury/pain.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.

Language : English

15.

Influencing lumbar posture through real-time biofeedback and its effects on the kinematics and kinetics of a repetitive lifting task.

Author: BoocockMark, NaudéYanto, TaylorSteve, KilbyJeff, MawstonGrant

Low back injury prevention

This study focuses on the lack of evidence for the effectiveness of postural biofeedback in preventing low back injuries, particularly for repetitive, fatiguing tasks.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.

Language : English

16.

Occupational lumbar back accidents in the private sector: prevalence and factors associated with their severity and sequelae in central Tunisia.

Author: BrahemAïcha, BouhlelMohamed, KacemImène, MaouaMaher, BoughattasWided, KhalfaouiDorra, RejebKamel, ChattiSouhaiel, El MaalelOlfa, MrizakNejib

Occupational lumbar back accident prevention
Occupational lumbar back accidents

This study investigated occupational lumbar back accidents in the private sector in Tunisia. It found that occupational category was associated with accident severity.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.

Language : English

17.

Comparison of standing postural control and gait parameters in people with and without chronic low back pain: a cross-sectional case-control study.

Author: MacRaeCatharine Siân, CritchleyDuncan, LewisJeremy S, ShortlandAdam

Chronic low back pain

This study hypothesized that there would be a difference in postural control and gait between people with and without chronic low back pain.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.

Language : English

18.

Golf Injuries: Epidemiology, Pathophysiology, and Treatment.

Author: ZouziasIoannis C, HendraJeff, StodelleJason, LimpisvastiOrr

Golf injuries

Golf is a popular sport that can cause various injuries. Upper extremity injuries, especially at impact, are common, affecting hands, elbows, and shoulders. Lower back and lower extremity injuries are also frequent. Overuse and poor swing mechanics are the main causes. Understanding biomechanics and forces of the golf swing is crucial for diagnosing and managing these injuries.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.

Language : English

20.

Diagnosis of psychosocial risk factors in prevention of low back pain in athletes (MiSpEx).

Author: WippertPia-Maria, PuschmannAnne-Katrin, ArampatzisAdamantios, SchiltenwolfMarcus, MayerFrank

Chronic pain

This study aims to investigate the transferability of psychosocial screening tools developed in the general population to athletes and define athlete-specific thresholds for these tools in the context of low back pain.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.

Language : English

22.

Common Ice Hockey Injuries and Treatment: A Current Concepts Review.

Author: MosenthalWilliam, KimMichael, HolzshuRobert, HanypsiakBryan, AthivirahamAravind

Improved sports-specific care
Cervical spine injury
Concussion
Lower extremity injury
Upper extremity injury

This article reviews the diagnoses and treatment of common injuries in ice hockey players, including concussions, cervical spine injuries, and upper and lower extremity injuries.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.

Language : English

24.

The effects of a free-weight-based resistance training intervention on pain, squat biomechanics and MRI-defined lumbar fat infiltration and functional cross-sectional area in those with chronic low back.

Author: WelchNeil, MoranKieran, AntonyJoseph, RichterChris, MarshallBrendan, CoyleJoe, FalveyEanna, Franklyn-MillerAndrew

Resistance training for back pain

This study aims to investigate the effects of a free-weight-based resistance training intervention on pain and lumbar fat infiltration in individuals with chronic low back pain.

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.

Language : English

25.

Isolated rupture of teres major in a goalkeeper.

Author: MacielRafael Almeida, ZogaibRodrigo Kallas, PochiniAlberto De Castro, EjnismanBenno

Teres major repair

This case report describes the first reported case of an isolated rupture of the teres major muscle in a professional football goalkeeper. Conservative treatment was successful, with a prompt return to sport.

Case ReportsIn the medical field, a report that describes in detail a unique case, an unusual medical condition, or the effect of a treatment. Provides new insights and possibilities for treatment through individual patient cases.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.

Language : English

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