Seriously, do recommend self-management for LBP
n/a
Oliveria et al just published a systematic review with meta analysis in Arthritis Care and Research looking at the effectiveness of self-management for low back pain. Here is the conclusion:
Not what I would expect, nor I’m sure the authors! This goes against any clinician’s goal, no matter their approach. We want patients to be self-responsible and have active care in their bodies. This just makes sense right. A dentist would never say do not floss or brush your teeth daily due to one study. But, be cautious with interpreting the results. Let’s delve further.
I want to thank colleagues of mine (Eric Jorde and Alex Siyufy) whom I shared this article with for their opinion. I respect their perspective and it is well worth to share with all readers their experience and expertise.
Dr. Siyufy examined the actual studies. If you look at the self-management strategies, you see that most of the studies allot pamphlets, back school, websites, booklets or even leaflets. Then others are listed just as self-management. We know the former just does not work. I have seen minimal effects myself with any of these tactics in my practice and don’t even consider them now.
Dr. Jorde looked at this from another angle. He mentioned this is another example of running a systematic review on symptoms, not a diagnosis. It is like trying to find the effectiveness of treatment for chest pain, versus actually treating symptoms arising from the heart (myocardial infarction) or esophagus (GERD). We know the treatment is different for these two entities.
I would like to see this same type of analysis performed in about 5 years from now with studies looking at patients being subgrouped into classifications based on directional preference, centralization, manipulation, core stabilization, etc. We are moving more into this now and I find better results with my patients. It leads to a more specific movement approach with fewer exercises, improves compliance and outcomes. It worked for me (read here).
Listen to the authors. Be well advised with systematic reviews. Maybe we should just focus on case reports.
Filed under: Lumbar Spine/SIJ http://intouchpt.wordpress.com/
2013-01-16 06:48:44
Source: http://intouchpt.wordpress.com/2013/01/16/seriously-do-recommend-self-management-for-lbp/
Source:
Anyone can join.
Anyone can contribute.
Anyone can become informed about their world.
"United We Stand" Click Here To Create Your Personal Citizen Journalist Account Today, Be Sure To Invite Your Friends.
Before It’s News® is a community of individuals who report on what’s going on around them, from all around the world. Anyone can join. Anyone can contribute. Anyone can become informed about their world. "United We Stand" Click Here To Create Your Personal Citizen Journalist Account Today, Be Sure To Invite Your Friends.
LION'S MANE PRODUCT
Try Our Lion’s Mane WHOLE MIND Nootropic Blend 60 Capsules
Mushrooms are having a moment. One fabulous fungus in particular, lion’s mane, may help improve memory, depression and anxiety symptoms. They are also an excellent source of nutrients that show promise as a therapy for dementia, and other neurodegenerative diseases. If you’re living with anxiety or depression, you may be curious about all the therapy options out there — including the natural ones.Our Lion’s Mane WHOLE MIND Nootropic Blend has been formulated to utilize the potency of Lion’s mane but also include the benefits of four other Highly Beneficial Mushrooms. Synergistically, they work together to Build your health through improving cognitive function and immunity regardless of your age. Our Nootropic not only improves your Cognitive Function and Activates your Immune System, but it benefits growth of Essential Gut Flora, further enhancing your Vitality.
Our Formula includes: Lion’s Mane Mushrooms which Increase Brain Power through nerve growth, lessen anxiety, reduce depression, and improve concentration. Its an excellent adaptogen, promotes sleep and improves immunity. Shiitake Mushrooms which Fight cancer cells and infectious disease, boost the immune system, promotes brain function, and serves as a source of B vitamins. Maitake Mushrooms which regulate blood sugar levels of diabetics, reduce hypertension and boosts the immune system. Reishi Mushrooms which Fight inflammation, liver disease, fatigue, tumor growth and cancer. They Improve skin disorders and soothes digestive problems, stomach ulcers and leaky gut syndrome. Chaga Mushrooms which have anti-aging effects, boost immune function, improve stamina and athletic performance, even act as a natural aphrodisiac, fighting diabetes and improving liver function. Try Our Lion’s Mane WHOLE MIND Nootropic Blend 60 Capsules Today. Be 100% Satisfied or Receive a Full Money Back Guarantee. Order Yours Today by Following This Link.
| Visits: | 1,708,794,046 |
| Stories: | 8,451,266 |
Whistler Blowers, Insiders
