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Advances in the Diagnosis and Management of Low Back Pain: A Multidisciplinary Approach

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: closed (15 November 2024) | Viewed by 2540

Special Issue Editor


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Guest Editor
1. Department of Physical Therapy, Zefat Academic College, Zefat, Israel
2. Department of Anatomy and Anthropology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
Interests: morphological characterization of degenerative lumbar spinal stenosis; low back pain; degenerative lumbar spine disease

Special Issue Information

Dear Colleagues,

Low back pain (LBP) is considered the most common musculoskeletal syndrome that affects individuals of all ages. It causes a huge economic burden in Western countries. In addition, LBP is the leading worldwide reason for healthcare disability that rises along with an increasing and aging population. It has been well accepted that LBP is a multifactorial entity, comprising anthropometric, environmental, and emotional aspects, that covers a spectrum of different origins of pain. Past studies have demonstrated that 60% of people with LBP will continue to suffer from pain or frequent recurrences one year after its onset.

Despite the huge amount of investigations on the management of LBP, its etiology, pathogenesis, and risk factors are still ambiguous. It is essential to shed light on the risk factors of LBP and their consequences in order to prevent or eliminate its onset. In addition, primary prevention, such as a program for back education and cognitive behavior, as well as promotion for early return-to normal activity is required to reduce its recurrence and chronicity.

This Special Issue provides a good opportunity to share many of the recent advances and perspectives of this medical phenomenon. We welcome all experts in this field to submit their research for consideration for this Special Issue.

Dr. Janan Abbas
Guest Editor

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Keywords

  • epidemiology
  • risk factors
  • intervention
  • prevention strategies
  • management

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Published Papers (2 papers)

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14 pages, 659 KiB  
Article
The Importance of Mind–Body in Pilates Method in Patients with Chronic Non-Specific Low Back Pain—A Randomized Controlled Trial
by Pablo Vera-Saura, Jesús Agudo-Pavón, Dara María Velázquez-Torres, María Martín-Alemán, Felipe León-Morillas, Aday Infante-Guedes and David Cruz-Díaz
J. Clin. Med. 2024, 13(16), 4731; https://doi.org/10.3390/jcm13164731 - 12 Aug 2024
Cited by 1 | Viewed by 1403
Abstract
Background/Objectives: Chronic non-specific low back pain (CNSLBP) is a prevalent condition causing significant distress and healthcare costs globally. Despite various treatments, effective management remains challenging. Pilates, recognized for its focus on core strength and postural alignment, has emerged as a promising intervention. This [...] Read more.
Background/Objectives: Chronic non-specific low back pain (CNSLBP) is a prevalent condition causing significant distress and healthcare costs globally. Despite various treatments, effective management remains challenging. Pilates, recognized for its focus on core strength and postural alignment, has emerged as a promising intervention. This study investigates the impact of mind–body in Pilates for directing participants on CNSLBP outcomes. Methods: A randomized controlled trial was conducted with 67 participants, aged 18 to 65 years, suffering from CNSLBP. They were allocated into two groups: Pilates with mind–body cueing (n = 34) and Pilates without cueing (n = 33). Both groups underwent 60 min sessions twice weekly for 8 weeks. Outcome measures included pain intensity (Visual Analogue Scale), functional disability (Roland Morris Disability Questionnaire), fear of movement (Tampa Scale of Kinesiophobia), and adherence (percentage of sessions attended). Statistical significance was determined through repeated measures ANOVA. Results: Both groups showed significant improvement in pain reduction, functional ability, and kinesiophobia. However, the mind–body group demonstrated a statistically significant reduction in kinesiophobia compared to the non-cueing group (p = 0.048), indicating the potential additional benefit of mind–body cueing in managing movement-related fear in CNSLBP. Conclusions: This study underscores the effectiveness of an 8-week Pilates intervention in managing CNSLBP, highlighting the added value of mind–body cueing in reducing fear of movement. These findings suggest incorporating mind–body cueing in Pilates could enhance the therapeutic benefits, particularly for patients with high levels of movement-related fear, potentially improving long-term adherence to physical activity and rehabilitation outcomes. Full article
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12 pages, 751 KiB  
Systematic Review
A Systematic Review on the Neuropsychological Assessment of Patients with LBP: The Impact of Chronic Pain on Quality of Life
by Anna Anselmo, Maria Pagano, Irene Cappadona, Davide Cardile, Fabrizio Russo, Alice Laudisio, Giuseppe Francesco Papalia, Angelo Quartarone, Rocco Salvatore Calabrò and Francesco Corallo
J. Clin. Med. 2024, 13(20), 6149; https://doi.org/10.3390/jcm13206149 - 15 Oct 2024
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Abstract
Background and objective: Low back pain (LBP) is most common pain syndrome in Europe, affecting approximately 50% of European citizens. LBP is a complex condition that negatively affects many aspects of an individual’s life such as work productivity, mobility, and mental health. The [...] Read more.
Background and objective: Low back pain (LBP) is most common pain syndrome in Europe, affecting approximately 50% of European citizens. LBP is a complex condition that negatively affects many aspects of an individual’s life such as work productivity, mobility, and mental health. The aim of this study is to assess the impact of pain associated with chronic LBP on patients’ quality of life. Methods: Clinical studies reviewed in our search with no time restrictions were identified from PubMed, Web of Science, Scopus, and Cochrane Library databases. Of the initial 1929 studies, only 15 met inclusion criteria. Results: Results of our study indicate that chronic pain has a negative impact on numerous functions and areas in which the individual is involved and that this condition leads to reduced performance. Conclusions: LBP is a debilitating condition for patients, negatively affecting quality of life. Future studies should focus on validating a standardized assessment that examines all aspects affected by LBP through a customized questionnaire. Full article
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