Effectiveness of lumbar orthoses in low back pain: Review of the literature and our results
Back pain and diseases of the spine are today a health disorder of outstanding epidemiological, medical, and health economic importance. The cost of care for patients with lumbosciatic complaints are steadily increasing. Accordingly, the guidelines and treatments are constantly renewed. One concept...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Open Medical Publishing
2018-12-01
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| Series: | Orthopedic Reviews |
| Subjects: | |
| Online Access: | https://www.pagepress.org/journals/index.php/or/article/view/7791 |
| _version_ | 1818917816134270976 |
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| author | Cordelia Schott Sonja Zirke Jillian Marie Schmelzle Christel Kaiser Lluis Aguilar i Fernández |
| author_facet | Cordelia Schott Sonja Zirke Jillian Marie Schmelzle Christel Kaiser Lluis Aguilar i Fernández |
| author_sort | Cordelia Schott |
| collection | DOAJ |
| description | Back pain and diseases of the spine are today a health disorder of outstanding epidemiological, medical, and health economic importance. The cost of care for patients with lumbosciatic complaints are steadily increasing. Accordingly, the guidelines and treatments are constantly renewed. One concept is the orthotic care. In the following we want to give an overview of the literature and the effectiveness of lumbar orthoses in low back pain supplemented by our own data. A prospective randomized study with 230 patients, divided into three groups, each with two subgroups. Three Orthoses by the TIGGES-Zours GmbH were prescribed; a demountable two-step lumbar orthosis, three-step bridging orthosis and a four-step flexion orthosis modular system. Each were compared to the nonmodular equivalent. All six groups showed improvement in pain intensity and functional capacity at 6 and 12 weeks. The modular groups were found to have improvement in the frequency of use. The subjective effectiveness and sensitivity for the modular and non-modular groups was assessed as being good. In the literature, there are no clear guidelines for an orthotic supply. The studies do not seem to be meaningful and universal due to the difficult ascertainability of pain. There is a need for further research here. Nevertheless, the authors of this review are of the opinion that the implementation of trunk orthoses is void of side effects and beneficial to patients. The modular systems seem to have an advantage as well as higher patient satisfaction. |
| first_indexed | 2024-12-20T00:40:04Z |
| format | Article |
| id | doaj.art-af55589e8e444513912fb6bcbb205ca8 |
| institution | Directory Open Access Journal |
| issn | 2035-8237 2035-8164 |
| language | English |
| last_indexed | 2024-12-20T00:40:04Z |
| publishDate | 2018-12-01 |
| publisher | Open Medical Publishing |
| record_format | Article |
| series | Orthopedic Reviews |
| spelling | doaj.art-af55589e8e444513912fb6bcbb205ca82022-12-21T19:59:38ZengOpen Medical PublishingOrthopedic Reviews2035-82372035-81642018-12-0110410.4081/or.2018.7791Effectiveness of lumbar orthoses in low back pain: Review of the literature and our resultsCordelia Schott0Sonja Zirke1Jillian Marie Schmelzle2Christel Kaiser3Lluis Aguilar i Fernández4Institut für Wirbelsäulenforschung, EssenInstitut für Wirbelsäulenforschung, BochumAmerican Society of Anesthesiologists, MacNeal Hospital, Berwyn, ILDepartment of Orthopedics and Trauma Surgery, University Hospital, EssenClínica Corachán, BarcelonaBack pain and diseases of the spine are today a health disorder of outstanding epidemiological, medical, and health economic importance. The cost of care for patients with lumbosciatic complaints are steadily increasing. Accordingly, the guidelines and treatments are constantly renewed. One concept is the orthotic care. In the following we want to give an overview of the literature and the effectiveness of lumbar orthoses in low back pain supplemented by our own data. A prospective randomized study with 230 patients, divided into three groups, each with two subgroups. Three Orthoses by the TIGGES-Zours GmbH were prescribed; a demountable two-step lumbar orthosis, three-step bridging orthosis and a four-step flexion orthosis modular system. Each were compared to the nonmodular equivalent. All six groups showed improvement in pain intensity and functional capacity at 6 and 12 weeks. The modular groups were found to have improvement in the frequency of use. The subjective effectiveness and sensitivity for the modular and non-modular groups was assessed as being good. In the literature, there are no clear guidelines for an orthotic supply. The studies do not seem to be meaningful and universal due to the difficult ascertainability of pain. There is a need for further research here. Nevertheless, the authors of this review are of the opinion that the implementation of trunk orthoses is void of side effects and beneficial to patients. The modular systems seem to have an advantage as well as higher patient satisfaction.https://www.pagepress.org/journals/index.php/or/article/view/7791Lumbar orthosis, Modular orthosis system, Low back pain, Low back and leg pain, Therapeutically correct modular treatment, Off-training measures. |
| spellingShingle | Cordelia Schott Sonja Zirke Jillian Marie Schmelzle Christel Kaiser Lluis Aguilar i Fernández Effectiveness of lumbar orthoses in low back pain: Review of the literature and our results Orthopedic Reviews Lumbar orthosis, Modular orthosis system, Low back pain, Low back and leg pain, Therapeutically correct modular treatment, Off-training measures. |
| title | Effectiveness of lumbar orthoses in low back pain: Review of the literature and our results |
| title_full | Effectiveness of lumbar orthoses in low back pain: Review of the literature and our results |
| title_fullStr | Effectiveness of lumbar orthoses in low back pain: Review of the literature and our results |
| title_full_unstemmed | Effectiveness of lumbar orthoses in low back pain: Review of the literature and our results |
| title_short | Effectiveness of lumbar orthoses in low back pain: Review of the literature and our results |
| title_sort | effectiveness of lumbar orthoses in low back pain review of the literature and our results |
| topic | Lumbar orthosis, Modular orthosis system, Low back pain, Low back and leg pain, Therapeutically correct modular treatment, Off-training measures. |
| url | https://www.pagepress.org/journals/index.php/or/article/view/7791 |
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