Últimos assuntos
Tópicos mais visitados
The Efficacy of Systematic Active Conservative Treatment for Patients With Severe Sciatica: A Single-Blind, Randomized, Clinical, Controlled Trial.
Página 1 de 1
15052012
The Efficacy of Systematic Active Conservative Treatment for Patients With Severe Sciatica: A Single-Blind, Randomized, Clinical, Controlled Trial.
AB Study Design. Prospective single-blind, randomized, clinical, controlled trial. Objective. To evaluate the efficacy of active conservative treatment and to compare 2 active conservative treatment programs for patients with severe sciatica. Summary of Background Data. Reviews have demonstrated little or no efficacy for passive conservative treatment modalities in patients suffering from sciatica. The results for surgery are conflicting. Cohort studies have shown excellent results for active treatment modalities in patients with sciatica. Methods. One hundred eighty-one consecutive patients with radicular pain below the knee were examined at the baseline, at 8 weeks, and at 1 year after the treatment. Participants were randomized into 2 groups: (1) symptom-guided exercises + information + advice to stay active and (2) sham exercises + information + advice to stay active. Symptom-guided exercises consisted of a variety of back-related exercises given in accordance with a written algorithm in which symptoms or response to exercises determined the exercises given ( http://www.sygehuslillebaelt.dk/wm345075, click exercises). Sham exercises were optional, designed to increase general blood circulation, and had no targeted effect on the back. The information was comprehensive and included anatomy, pathogenesis, and how discs heal without surgery. The advice included encouragement to stay as active as possible but to reduce activity if leg pain increased. The use of medication was optional, but only paracetamol and nonsteroidal anti-inflammatory drugs were recommended. Results. A mean of 4.8 treatment sessions were provided. All patients experienced statistically significant and clinically important improvements in global assessment, functional status, pain, vocational status, and clinical findings. The symptom-guided exercise group improved significantly more than the sham exercise group in most outcomes. Conclusion. Active conservative treatment was effective for patients who had symptoms and clinical findings that would normally qualify them for surgery. Although participating patients had greater faith in the sham exercises before treatment, the symptom-guided exercises were superior for most outcomes. (C) 2012 Lippincott Williams & Wilkins, Inc.
dango- Mensagens : 23
Data de inscrição : 20/02/2012
Localização : RIO DE JANEIRO
The Efficacy of Systematic Active Conservative Treatment for Patients With Severe Sciatica: A Single-Blind, Randomized, Clinical, Controlled Trial. :: Comentários
Nenhum comentário
Permissões neste sub-fórum
Não podes responder a tópicos
Ter Ago 28, 2012 4:54 pm por Felipe Reis
» DIFERENÇA NO CÓRTEX FEMININO - Hermunculos??
Seg Jul 23, 2012 9:17 pm por Felipe Reis
» DOR LOMBAR: O QUE DEVEMOS TRATAR?
Seg Jul 23, 2012 9:02 pm por Felipe Reis
» THRUST CERVICAL OU NÃO? QUANDO ESCOLHER?
Seg Jul 23, 2012 8:57 pm por Felipe Reis
» RELAÇÃO TERAPEUTA-PACIENTE
Seg Jul 09, 2012 11:11 pm por Felipe Reis
» PRESCRIÇÃO DE CALÇADOS PARA CORREDORES
Dom Jul 08, 2012 1:59 pm por Felipe Reis
» RESTRIÇÃO DO AM DO JOELHO - O QUE FAZER?
Qui Jul 05, 2012 1:43 pm por Felipe Reis
» DISFUNÇÃO FÊMUROPATELAR
Sex Jun 22, 2012 3:07 pm por Felipe Reis
» EVIDÊNCIAS SOBRE A MANIPULAÇÃO LOMBAR
Seg Jun 11, 2012 9:22 pm por Felipe Reis