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      Management of low back pain in computer users: A multidisciplinary approach

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          Abstract

          Background:

          Low back pain is a very common phenomenon in computer users. More than 80% people using computers for more than 4 h complain of back pain.

          Objective:

          To compare the effectiveness of multidisciplinary treatment approach and conventional treatment approach amongst computer users.

          Materials and Methods:

          A prospective interventional study was carried out at a private spine clinic amongst the computer users with the complaint of low back pain. The study participants were randomly distributed in two groups. The first group comprised the study participants treated by conventional approach and the second group was treated by multidisciplinary approach. Primary outcomes analyzed were pain intensity, sick leave availed, and quality of life. Statistical analysis was done using proportions, unpaired “ t” test, and Wilcoxon signed-rank test.

          Results:

          Totally 44 study participants were randomly assigned to groups I and II, and each group had 22 study participants. Intensity of pain was reduced significantly in the group treated by multidisciplinary approach ( t = 5.718; P = 0.0001). Similarly only 4 (19.19%) of the study participants of the group treated by multidisciplinary approach availed sick leave due to low back pain, while 14 (63.63%) study participants availed sick leave in the other group ( P = 0.02). The quality of life amongst the study participants treated by multidisciplinary approach was significantly improved compared to the group treated by conventional approach ( t = 7.037; P = 0.0001).

          Conclusion and Recommendation:

          The multidisciplinary treatment approach was better than the conventional treatment approach in low back pain cases when some factors like pain and quality of life were assessed. The multidisciplinary approach for treatment of low back pain should be promoted over conventional approach. Larger studies are required to confirm the findings in different settings.

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          Most cited references25

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          Systematic reviews: synthesis of best evidence for clinical decisions.

          Systematic reviews can help practitioners keep abreast of the medical literature by summarizing large bodies of evidence and helping to explain differences among studies on the same question. A systematic review involves the application of scientific strategies, in ways that limit bias, to the assembly, critical appraisal, and synthesis of all relevant studies that address a specific clinical question. A meta-analysis is a type of systematic review that uses statistical methods to combine and summarize the results of several primary studies. Because the review process itself (like any other type of research) is subject to bias, a useful review requires clear reporting of information obtained using rigorous methods. Used increasingly to inform medical decision making, plan future research agendas, and establish clinical policy, systematic reviews may strengthen the link between best research evidence and optimal health care.
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            Back pain and sciatica.

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              Multidisciplinary rehabilitation for chronic low back pain: systematic review.

              To assess the effect of multidisciplinary biopsychosocial rehabilitation on clinically relevant outcomes in patients with chronic low back pain. Systematic literature review of randomised controlled trials. A total of 1964 patients with disabling low back pain for more than three months. Pain, function, employment, quality of life, and global assessments. Ten trials reported on a total of 12 randomised comparisons of multidisciplinary treatment and a control condition. There was strong evidence that intensive multidisciplinary biopsychosocial rehabilitation with functional restoration improves function when compared with inpatient or outpatient non-multidisciplinary treatments. There was moderate evidence that intensive multidisciplinary biopsychosocial rehabilitation with functional restoration reduces pain when compared with outpatient non-multidisciplinary rehabilitation or usual care. There was contradictory evidence regarding vocational outcomes of intensive multidisciplinary biopsychosocial intervention. Some trials reported improvements in work readiness, but others showed no significant reduction in sickness leaves. Less intensive outpatient psychophysical treatments did not improve pain, function, or vocational outcomes when compared with non-multidisciplinary outpatient therapy or usual care. Few trials reported effects on quality of life or global assessments. The reviewed trials provide evidence that intensive multidisciplinary biopsychosocial rehabilitation with functional restoration reduces pain and improves function in patients with chronic low back pain. Less intensive interventions did not show improvements in clinically relevant outcomes.
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                Author and article information

                Journal
                J Craniovertebr Junction Spine
                J Craniovertebr Junction Spine
                JCVJS
                Journal of Craniovertebral Junction and Spine
                Medknow Publications & Media Pvt Ltd (India )
                0974-8237
                0976-9285
                Jan-Jun 2012
                : 3
                : 1
                : 7-10
                Affiliations
                [1]Spinalogy Clinic, Vidya building, Next to Hotel Sarja, ITI Road, Aundh, Pune, Maharashtra, India
                Author notes
                Corresponding author: Dr. Kiran M. Shete, Spinalogy Clinic, Vidya building, Next to Hotel Sarja, ITI Road, Aundh, Pune - 411 007, Maharashtra, India. E-mail: kiran.shete@ 123456spinalogy.com
                Article
                JCVJS-3-7
                10.4103/0974-8237.110117
                3669474
                23741122
                0d67fd18-ceed-4030-bf52-a929a04f5859
                Copyright: © Journal of Craniovertebral Junction and Spine

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Original Article

                Neurology
                low back pain,multidisciplinary approach,computer users
                Neurology
                low back pain, multidisciplinary approach, computer users

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