Therapeutic ultrasound for chronic low-back pain

Ebadi, Safoora; Henschke, Nicholas; Ansari, Noureddin Nakhostin; Fallah, Ehsan; Tulder, Maurits W. van

doi:10.1002/14651858.cd009169.pub2

Cited by 67 publications

(27 citation statements)

References 57 publications

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“…Low back pain (LBP) is the most frequently self-reported form of musculoskeletal pain. LBP is defined as a form of discomfort or pain that affects the lumbosacral region between the last rib and the gluteal creases (Ebadi, Henschke, Nakhostin, Fallah, & van Tulder, 2011). The occurrence of LBP differs by gender and race.…”

Section: Introductionmentioning

confidence: 99%

Substantive review of the literature of medication treatment of chronic low back pain among adults

Falope

Appel

2015

Journal of the American Association of Nurse Practitioners

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Purpose Pain can be debilitating, and it is often inadequately treated, particularly among patients with chronic low back pain (CLBP). CLBP has a substantial economic impact, as it affects an individual's ability to perform activities of daily living and maintain employment. This study aims to review original studies related to the evidence‐based management of patients with CLBP to develop an algorithm for prescribing medications and recommending other treatment modalities for patients with CLBP. Data sources An electronic search of PubMed, CINAHL, and the Cochrane Database was conducted to identify studies related to the evidence‐based management of CLBP that were performed between 2003 and 2012. The following keywords were used: low back pain, back pain, chronic back pain, medication management, and adjunct therapy. The selected articles were specific to CLBP, medication‐based management, and additional treatment options, such as adjunct therapies. Conclusions The collected data revealed that there are a number of approaches to the management of CLBP. Medication regimens are frequently used and widely available, but alternative treatment modalities can also be effective. Implications for practice Providers should encourage patients to explore a variety of treatment modalities that can provide pain relief and improve functionality and overall well‐being.

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Section: Introductionmentioning

confidence: 99%

Substantive review of the literature of medication treatment of chronic low back pain among adults

Falope

Appel

2015

Journal of the American Association of Nurse Practitioners

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“…Therapeutic US is the most commonly used electrophysical agents in clinical practice [2]. It is totally different from the diagnostic US and is used in the treatment of diseased or damaged parts of the body.…”

Section: Discussionmentioning

confidence: 99%

“…With therapeutic US, adverse bioeffects such as burns and serious bleedings may develop. For this reason, treatment should be started after considering the reduction of side effects, standardization, dosing and benefit-loss ratio [2,3]. Although US is a frequently used therapeutic agent in musculoskeletal injuries, there is limited number of clinical trials and guides to use.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the effect of ultrasonic heating and exercise heating on muscles by ultrasound elastography: An experimental clinical trial

Demirel¹,

Baykara²,

Koca³

et al. 2018

Journal of Surgery and Medicine

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How to cite / Atıf için: Demirel A, Baykara M, Koca TT, Berk E. Evaluation of the effect of ultrasonic heating and exercise heating on muscles by ultrasound elastography: An experimental clinical trial.This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND 4.0) where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. AbstractAim: Ultrasound (US) has been used for therapeutic purposes for many years due to its biological beneficial effects. İn this report we compare the effect of therapeutic ultrasonic heating with exercise-heating on the gastrocnemius / soleus muscles by quantitative measurements of ultrasound elastography. Methods: İt is designed as a single blind experimental clinical study. Fourty (40) healthy male patients aged between 19-23 years were included randomly in the study. To the first group, we applied a continuous wave therapeutic US on both calfs (symmetrically) consisting gastrocnemius / soleus muscle groups at a frequency of 3 Mhz, 2 w / cm 2 dose, for 6 minutes. To the second group, we applied a 15-minute jogging exercise program. Bilateral, symmetric measurements were made in the first 5 minutes with a wide band linear probe, US elastography before and after application.Results: A statistically significant decrease in ultrasound elastography strain value (UESV) after therapeutic US in gastrocnemius / soleus muscle groups was observed (p < 0.001 / p < 0.001). There was no statistically significant change in UESV in the gastrocnemius / soleus muscle groups in the jogging group (p = 0.792 / p =0.187). When the percentages of ultrasound elastography strain ratio (UESR) were examined, there was a significant difference in the change of percentages in the gastrocnemius / soleus muscle groups in both groups (p = 0.005/ p = 0.001). According to this, in both muscle groups, the elasticity increased and the stiffness decreased in group 1 and in group 2, the stiffness increased in some cases and decreased in some, and in overall it was observed to increase. Conclusion: Therapeutic US-heating is an effective, reliable method that generally increases elasticity and reduces stiffness in calf muscles than exercise-heating.

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“…Zwei systematische Übersichtsarbeiten von RCT beschäftigten sich mit der Anwendung von Ultraschall bei chronischen nicht-spezifischen Kreuzschmerzen. In Bezug auf Schmerzen ergab sich für therapeutischen Ultraschall kein Vorteil gegenüber Placebo, jedoch in Bezug auf körperliche Funktionsfähigkeit zeigte sich ein kleiner signifikanter Effekt (SMD -0,45 (95% KI -0,84; -0,05)), allerdings ohne klinische Relevanz [204]. Im Vergleich mit anderen Therapien war therapeutischer Ultraschall unterlegen [203].…”

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Janssen¹,

Füssel²,

Hanisch³

et al. 2019

MMW - Fortschritte der Medizin

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Therapeutic ultrasound for chronic low-back pain

Cited by 67 publications

References 57 publications

Substantive review of the literature of medication treatment of chronic low back pain among adults

Substantive review of the literature of medication treatment of chronic low back pain among adults

Evaluation of the effect of ultrasonic heating and exercise heating on muscles by ultrasound elastography: An experimental clinical trial

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