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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

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Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Understanding Adolescent Low Back Pain From a Multidimensional Perspective: Implications for Management.

Peter O'Sullivan, Anne Smith, Darren Beales

    The Journal of Orthopaedic and Sports Physical Therapy
    |September 13, 2017
    PubMed
    Summary

    Low back pain (LBP) is a major cause of disability, often starting in adolescence. This study found predictors of disabling LBP include female sex, poor mental health, and negative beliefs, challenging traditional views.

    Keywords:
    geneticslifestylelumbar spinepsychosocial

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    Area of Science:

    • Orthopedics
    • Public Health
    • Adolescent Medicine

    Background:

    • Low back pain (LBP) is the primary cause of disability globally, frequently initiating during adolescence.
    • The Raine Study cohort tracked LBP from age 14 into early adulthood, revealing its prevalence and impact.

    Purpose of the Study:

    • To investigate the prevalence and predictors of disabling low back pain in adolescents.
    • To challenge traditional beliefs about LBP predictors and propose a multidimensional assessment and management approach.

    Main Methods:

    • Longitudinal tracking of the Raine Study cohort from adolescence to early adulthood.
    • Analysis of multidimensional predictors including psychological, social, and physical factors.

    Main Results:

    • LBP is prevalent in 14-year-olds and increases through adolescence, reaching adult rates by age 22.
    • Predictors of disabling adolescent LBP include female sex, negative beliefs, poor mental health, somatic complaints, sports involvement, and stress responses.
    • Traditional factors like poor posture and weak back muscles were not strong predictors.

    Conclusions:

    • Adolescent LBP requires a flexible, multidimensional assessment and management strategy.
    • A cognitive functional approach is recommended, addressing negative beliefs, providing education, restoring function, and promoting healthy habits.
    • Findings challenge established clinical beliefs regarding LBP etiology and management.