Comparative Effectiveness of Sacroiliac Belt versus Lumbar Orthosis Utilization on Nonspecific Low Back Pain: a Crossover Randomized Clinical Trial.

Autor:	Lee DJ; The Warren Alpert Medical School of Brown University., Ahmed SA; The Warren Alpert Medical School of Brown University., Tang OY; The Warren Alpert Medical School of Brown University., Yang DS; The Warren Alpert Medical School of Brown University., Alsoof D; Department of Orthopaedics, Warren Alpert Medical School of Brown University., McDonald CL; Department of Orthopaedics, Warren Alpert Medical School of Brown University., Eltorai AEM; The Warren Alpert Medical School of Brown University., Daniels AH; Department of Orthopaedics, Warren Alpert Medical School of Brown University.
Jazyk:	angličtina
Zdroj:	Orthopedic reviews [Orthop Rev (Pavia)] 2022 Aug 25; Vol. 14 (3), pp. 37471. Date of Electronic Publication: 2022 Aug 25 (Print Publication: 2022).
DOI:	10.52965/001c.37471
Abstrakt:	Background: Back braces are commonly utilized in the management of low back pain (LBP). Objective: The aim of this study is to evaluate (1) user satisfaction with a sacroiliac belt versus a lumbar orthosis and (2) the effect of a sacroiliac belt versus a lumbar orthosis on pain, functional disability status, and analgesic use for subjects with subacute or chronic non-specific LBP. Methods: This is a prospective randomized crossover study. For the two-week study period, control group subjects wore the Horizon 627 Lumbar Brace ("lumbar orthosis") during the first week and the Serola Sacroiliac Belt ("sacroiliac belt") during the second week; experimental group subjects wore the sacroiliac belt during the first week and the lumbar orthosis during the second week. User satisfaction (Quebec User Evaluation of Satisfaction with Assistive Technology 2.0 [QUEST 2.0] score), functional disability status (Oswestry Disability Index [ODI]), pain, and analgesic use were recorded. Results: Overall, the sacroiliac belt demonstrated significantly higher user satisfaction than the Horizon brace (QUEST Score = 20.31 vs. 16.17, p = 0.0375) for the entire study period. Significant negative correlations were identified between user satisfaction and functional disability (t = -4.71, p < 0.0001), pain magnitude (t = -6.81, p < 0.0001) as well as pain frequency (t = -6.66, p < 0.0001). Conclusion: In this prospective randomized crossover study, subject satisfaction was associated with improvements in functional disability, pain magnitude and pain frequency. The sacroiliac belt demonstrated significantly higher user satisfaction and similar effectiveness compared to the lumbar orthosis.
Databáze:	MEDLINE
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