Physical therapy for acute and sub-acute low back pain: A systematic review and expert consensus.

OBJECTIVE: To review the effectiveness of different physical therapies for acute and sub-acute low back pain supported by evidence, and create clinical recommendations and expert consensus for physiotherapists on clinical prescriptions. DATA SOURCES: A systematic search was conducted in PubMed and the Cochrane Library for studies published within the previous 15 years. REVIEW METHODS: Systematic review and meta-analysis, randomized controlled trials assessing patients with acute and sub-acute low back pain were included. Two reviewers independently screened relevant studies using the same inclusion criteria. The Physiotherapy Evidence Database and the Assessment of Multiple Systematic Reviews tool were used to grade the quality assessment of randomized controlled trials and systematic reviews, respectively. The final recommendation grades were based on the consensus discussion results of the Delphi of 22 international experts. RESULTS: Twenty-one systematic reviews and 21 randomized controlled trials were included. Spinal manipulative therapy and low-level laser therapy are recommended for acute low back pain. Core stability exercise/motor control, spinal manipulative therapy, and massage can be used to treat sub-acute low back pain. CONCLUSIONS: The consensus statements provided medical staff with appliable recommendations of physical therapy for acute and sub-acute low back pain. This consensus statement will require regular updates after 5-10 years.

[The influence of the screw thread and the height of constraints on the stress distribution around dental implants by using three-dimensional finite element analysis].

OBJECTIVE: To study the influence of the screw thread and the height of constraints on the stress distribution of the implants. METHODS: The three-dimensional emulational models of the implants with different screw-pitch were constructed by a CAD/CAM package. The Von Mises stress of the models was analyzed by three-dimensional finite element method. RESULTS: The constraints of the long implant were high. When the constraint height reduced, the change of the stress value of the implants without screw thread was much less than that of the implants with screw thread. The difference of screw-pitch had little influence on the stress value and the stress concentration of the implants. CONCLUSION: The strength requirement of screw implant was high. Stress distribution of the long dental implants was more reasonable than the other, which will contribute to the success of dental implants.