Coluna

Revisão sistemática | Exercício é uma terapia efetiva para tratar dor lombar de longa duração?

4 Out, 2021 | 10:00h

Resumo: Is exercise an effective therapy to treat long-lasting low back pain? – Cochrane Library

Estudo original: Exercise therapy for chronic low back pain – Cochrane Library

 

Comentário no Twitter

New @CochraneBack Cochrane review – 249 RCTs – ~25,000 participants – consistent, moderately strong evidence that #exercise treatment was more effective than no treatment or usual care for the management of chronic #backpain 📚 #systematicreview: https://t.co/X10rUtnNNb pic.twitter.com/O0AtZK2gZq

— Cochrane UK (@CochraneUK) October 2, 2021

 

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Revisão sistemática | Abordagem da dor após cirurgia complexa de coluna.

24 Ago, 2021 | 11:31h

Pain management after complex spine surgery – European Journal of Anaesthesiology

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Estudo randomizado | Uma única sessão de ensino de habilidades para controle da dor não foi inferior a 8 sessões de terapia cognitivo-comportamental em adultos com dor lombar crônica.

24 Ago, 2021 | 11:23h

Comparison of a Single-Session Pain Management Skills Intervention With a Single-Session Health Education Intervention and 8 Sessions of Cognitive Behavioral Therapy in Adults With Chronic Low Back Pain: A Randomized Clinical Trial – JAMA Network Open

Comentários:

Single two-hour session of pain management skills could offer as much benefit as longer-course of CBT – News Medical

New approach effectively relieves chronic low back pain – Stanford Medicine

 

Comentário no Twitter

NEW STUDY: Our Empowered Relief trial just published!

A *single-session* pain relief skills class was non-inferior to 8-session CBT for pain & symptom reduction at 3 months post-treatmenthttps://t.co/HYmWNkxUoR via @JAMANetworkOpen part of @JAMANetwork

funded by @NIH_NCCIH

— Beth Darnall, PhD (@BethDarnall) August 16, 2021

 

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Diretriz | Intervenções não cirúrgicas para estenose lombar que leva a claudicação neurogênica.

13 Ago, 2021 | 12:13h

Non-Surgical Interventions for Lumbar Spinal Stenosis Leading To Neurogenic Claudication: A Clinical Practice Guideline – Journal of Pain

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Estudo randomizado | Descompressão isolada não é inferior à descompressão com fusão em pacientes com espondilolistese lombar degenerativa.

6 Ago, 2021 | 11:37h

Decompression with or without Fusion in Degenerative Lumbar Spondylolisthesis – New England Journal of Medicine

Comentário: Decompression Noninferior for Degenerative Spondylolisthesis – HealthDay

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Estudo de coorte | Evidência de uma “cascata de prescrição” potencialmente danosa e inadequada de gabapentinoide seguida de diurético em idosos com dor lombar.

2 Ago, 2021 | 17:19h

Evidence of a gabapentinoid and diuretic prescribing cascade among older adults with lower back pain – Journal of the American Geriatrics Society (link para o resumo – $ para o texto completo)

Conteúdo relacionado:

Are you the victim of a prescribing cascade?

Study: Evaluation of a Common Prescribing Cascade of Calcium Channel Blockers and Diuretics in Older Adults with Hypertension

Prescribing Cascade in a Cardiology Practice

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Disfunção de articulação sacroilíaca: fisiopatologia, diagnóstico e tratamento.

21 Jul, 2021 | 09:45h

Sacroiliac joint dysfunction: pathophysiology, diagnosis, and treatment – European Spine Journal

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M-A | Pouco benefício no uso de relaxantes musculares para adultos com dor lombar não específica.

9 Jul, 2021 | 15:49h

Efficacy, acceptability, and safety of muscle relaxants for adults with non-specific low back pain: systematic review and meta-analysis – The BMJ

Comentário: New analysis finds muscle relaxant drugs to be largely ineffective for low back pain – News Medical

Estudos relacionados: M-A: Effectiveness of treatments for acute and subacute mechanical non-specific low back pain E RCT: Little benefit from osteopathic manipulative treatment on activity limitations in patients with nonspecific subacute and chronic low back pain E M-A: Little benefit from antidepressants for low back pain E Meta-analysis: Little benefit from antidepressants for the treatment of back pain and osteoarthritis E ACP/AAFP Guideline: Nonpharmacologic and pharmacologic management of acute pain from non–low back, musculoskeletal injuries in adults

 

Comentários no Twitter

Muscle relaxants are largely ineffective for #lowback #pain. They might increase the risk of side effects.

Published today in @bmj_latest ⬇️

Proud to be a part of this excellent team led by @AidanCashin

Paper: https://t.co/4p7gd7PJIe pic.twitter.com/3CLvL7JUfI

— Hayley Leake (@HayleyLeake) July 8, 2021

This systematic review found very low certainty evidence that muscle relaxant drugs for the treatment of acute low back pain might provide a small and not clinically meaningful improvement in pain intensity at two weeks or less @Pain_NeuRa https://t.co/HGwN4Oekrq

— The BMJ (@bmj_latest) July 8, 2021

 

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Revisão sistemática: Fatores prognósticos para a cronicidade da dor lombar – “Maior intensidade da dor, maior peso corporal, cargas pesadas e/ou má postura no ambiente de trabalho e depressão foram os fatores de risco mais frequentemente observados nos casos de dor lombar crônica.”

20 Mai, 2021 | 10:49h

Prognostic factors for pain chronicity in low back pain: a systematic review – Pain Reports

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Possíveis efeitos danosos dos relatórios de RM sobre pacientes e cirurgiões e os benefícios de um “relatório clínico”: resultados de um ensaio cego e randomizado.

19 Mai, 2021 | 09:26h

The catastrophization effects of an MRI report on the patient and surgeon and the benefits of ‘clinical reporting’: results from an RCT and blinded trials – European Spine Journal

Relacionado: You cannot unsee your MRI report E Direct communication between radiologists and patients improves the quality of imaging reports – European Radiology

 

Comentário no Twitter

Can viewing your MRI result in harm?
Interesting study in LBP patients. 👇https://t.co/jTxMgWZip9

You cannot forget your MRI result… https://t.co/AplRMQQZWj

— Howard Luks MD (@hjluks) May 11, 2021

 

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