BACKGROUND Lumbar disc herniation and non-specific low back pain are common conditions that seriously affect patients’health-related quality of life(HRQoL).Although empirical evidence has demonstrated that novel Ther...BACKGROUND Lumbar disc herniation and non-specific low back pain are common conditions that seriously affect patients’health-related quality of life(HRQoL).Although empirical evidence has demonstrated that novel Thermobalancing therapy and Dr Allen’s Device can relieve chronic low back pain,there have been no randomised controlled trials for these indications.AIM To evaluate the efficacy of Dr Allen’s Device in lumbar disc herniation(LDH)and non-specific low back pain(NSLBP).METHODS A randomised clinical trial was conducted investigating 55 patients with chronic low back pain due to LDH(n=28)or NSLBP(n=27),out of which 15 were randomly assigned to the control group and 40 were assigned to the treatment group.The intervention was treatment with Dr Allen’s Device for 3 mo.Changes in HRQoL were assessed using the Numerical Pain Rating Scale and the Japanese Orthopedic Association Back Pain Questionnaire.RESULTS Thermobalancing therapy with Dr Allen’s Device showed a significant reduction in pain in the treatment group(P<0.001),with no recorded adverse effects.Both pain assessment scales showed a significant improvement in patients’perception of pain indicating improvement in HRQoL.CONCLUSION The out-of-hospital use of Thermobalancing therapy with Dr Allen’s Device for Low Back Treatment relieves chronic low back pain significantly and without adverse effects,improves the level of activity and HRQoL among patients with LDH and NSLBP.This study demonstrates the importance of this safe first-line therapy that can be used for effective at-home management of chronic low back pain.展开更多
Sport-related concussion(SRC)is a common and increasingly recognised sport-related injury and accounts for between 1%and 9%of all cycling-specific injuries.Attention has been drawn to the difficulty in managing suspec...Sport-related concussion(SRC)is a common and increasingly recognised sport-related injury and accounts for between 1%and 9%of all cycling-specific injuries.Attention has been drawn to the difficulty in managing suspected SRC in a fast-paced sport such as road cycling,particularly the lack of an effective and time-efficient assessment protocol.A meeting on cycling SRC was convened in Harrogate,United Kingdom,in an attempt to resolve this problem.The aim was to agree on standard terminology,definitions,diagnostic protocols and return to play protocols for the various differing codes of cycle sport.Seven experts in the field of cycling medicine were invited to participate by the International Cycling Union and are the authors of this report.The panel recognised that the sport of cycling consists of varied disciplines,some of which provide a setting in which a sideline assessment is possible which is in line with the Berlin Consensus statement.However,other disciplines provide challenging circumstances where health care providers have limited access to participants and where participants are unable to discontinue participation and participate in sideline assessment.Consensus-based discipline-specific protocols and guidelines which recognise the limitations posed by these circumstances,but nevertheless,improve on the current situation specific to the sport of cycling are presented as a potential solution to the unique chal-lenges posed by these cycling disciplines.展开更多
文摘BACKGROUND Lumbar disc herniation and non-specific low back pain are common conditions that seriously affect patients’health-related quality of life(HRQoL).Although empirical evidence has demonstrated that novel Thermobalancing therapy and Dr Allen’s Device can relieve chronic low back pain,there have been no randomised controlled trials for these indications.AIM To evaluate the efficacy of Dr Allen’s Device in lumbar disc herniation(LDH)and non-specific low back pain(NSLBP).METHODS A randomised clinical trial was conducted investigating 55 patients with chronic low back pain due to LDH(n=28)or NSLBP(n=27),out of which 15 were randomly assigned to the control group and 40 were assigned to the treatment group.The intervention was treatment with Dr Allen’s Device for 3 mo.Changes in HRQoL were assessed using the Numerical Pain Rating Scale and the Japanese Orthopedic Association Back Pain Questionnaire.RESULTS Thermobalancing therapy with Dr Allen’s Device showed a significant reduction in pain in the treatment group(P<0.001),with no recorded adverse effects.Both pain assessment scales showed a significant improvement in patients’perception of pain indicating improvement in HRQoL.CONCLUSION The out-of-hospital use of Thermobalancing therapy with Dr Allen’s Device for Low Back Treatment relieves chronic low back pain significantly and without adverse effects,improves the level of activity and HRQoL among patients with LDH and NSLBP.This study demonstrates the importance of this safe first-line therapy that can be used for effective at-home management of chronic low back pain.
文摘Sport-related concussion(SRC)is a common and increasingly recognised sport-related injury and accounts for between 1%and 9%of all cycling-specific injuries.Attention has been drawn to the difficulty in managing suspected SRC in a fast-paced sport such as road cycling,particularly the lack of an effective and time-efficient assessment protocol.A meeting on cycling SRC was convened in Harrogate,United Kingdom,in an attempt to resolve this problem.The aim was to agree on standard terminology,definitions,diagnostic protocols and return to play protocols for the various differing codes of cycle sport.Seven experts in the field of cycling medicine were invited to participate by the International Cycling Union and are the authors of this report.The panel recognised that the sport of cycling consists of varied disciplines,some of which provide a setting in which a sideline assessment is possible which is in line with the Berlin Consensus statement.However,other disciplines provide challenging circumstances where health care providers have limited access to participants and where participants are unable to discontinue participation and participate in sideline assessment.Consensus-based discipline-specific protocols and guidelines which recognise the limitations posed by these circumstances,but nevertheless,improve on the current situation specific to the sport of cycling are presented as a potential solution to the unique chal-lenges posed by these cycling disciplines.
