Most Read Articles
Roshini Claire Anthony, 6 days ago

Patients with mild hypertension who are at low risk for cardiovascular disease (CVD) do not appear to derive mortality or CVD benefit from antihypertensive treatments, raising questions on the need for treatment in this population, according to a recent study from England.

Pearl Toh, 09 Nov 2018
A personalized computerized neurofeedback intervention for training attention and memory shows potential in cognitive training for healthy elderly men, who improved in cognitive performance after the training, although no significant improvements were seen in the overall study population.
4 days ago
Type 1 diabetes impairs cognitive functioning in children, and this effect is exacerbated by extreme glycaemic levels, according to a recent meta-analysis.
Pearl Toh, 08 Nov 2018
The pneumonia-causing bacteria, Streptococcus pneumoniae (pneumococcus), can be spread through nose picking and rubbing after exposure of the hands to the bacteria — in addition to the conventionally known route of inhalation of airborne droplets, a study reveals.

Intensive patient education does not improve low back pain outcome

Jackey Suen
05 Nov 2018

Adding 2 hours of patient education to recommended first-line care in patients with acute low back pain does not improve their pain outcomes, a recent study has shown.

In this randomized trial, 202 patients with acute low back pain received recommended first-line care, and were randomized to receive additional two 1-hour sessions of patient education (information on pain and biopsychosocial contributors plus self-management techniques, such as remaining active and pacing) or placebo education (active listening, without information or device). [JAMA Neurol 2018, doi: 10.1001/jamaneurol.2018.3376]

The primary outcome was pain intensity at 3 months (11-point numeric rating scale). Secondary outcomes included disability at 1 week, and at 3, 6 and 12 months (24-point Roland Morris Disability questionnaire).

Results showed that intensive patient education was not more effective than placebo education at reducing pain intensity (3-month mean pain intensity, 2.1 vs 2.4; mean difference, -3). There was a small benefit with intensive patient education on the secondary outcome at 1 week (mean difference, -1.6) and 3 months (mean difference, -1.7), but not at 6 or 12 months.

“These short-term effects were below published guidance on clinically meaningful effects [2 points on a 24-point Roland Morris Disability Questionnaire and 1 point on a 11-point numeric rating scale],” the study authors noted.

“Our results challenge a widespread belief that patient education is an effective strategy for treatment of acute low back pain. For example, every clinical guideline recommends patient education to manage acute low back pain. These recommendations are, however, often unaccompanied by an evidence statement or instruction on how patient education interventions should be conducted,” they continued.

“As shown in our study, adding complex, time-consuming treatments to primary care-based advice and reassurance is likely to be unnecessary for most patients with acute low back pain,” the authors concluded. “Clinical guideline recommendations to provide complex and intensive support to high-risk patients may have been premature.”

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Doctor - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Roshini Claire Anthony, 6 days ago

Patients with mild hypertension who are at low risk for cardiovascular disease (CVD) do not appear to derive mortality or CVD benefit from antihypertensive treatments, raising questions on the need for treatment in this population, according to a recent study from England.

Pearl Toh, 09 Nov 2018
A personalized computerized neurofeedback intervention for training attention and memory shows potential in cognitive training for healthy elderly men, who improved in cognitive performance after the training, although no significant improvements were seen in the overall study population.
4 days ago
Type 1 diabetes impairs cognitive functioning in children, and this effect is exacerbated by extreme glycaemic levels, according to a recent meta-analysis.
Pearl Toh, 08 Nov 2018
The pneumonia-causing bacteria, Streptococcus pneumoniae (pneumococcus), can be spread through nose picking and rubbing after exposure of the hands to the bacteria — in addition to the conventionally known route of inhalation of airborne droplets, a study reveals.