Back pain reduces Australia�s GDP by $3.2 Billion per annum with over $1 billion being spent each year on low back pain treatments. While it makes sense to devote resources to prevention, unfortunately most prevention strategies do not work.We need a new approach based upon a better understanding of what triggers an episode of back pain. By studying risk factors that occur immediately prior to an episode of low back pain this project will increase understanding of what triggers an episode and op ....Back pain reduces Australia�s GDP by $3.2 Billion per annum with over $1 billion being spent each year on low back pain treatments. While it makes sense to devote resources to prevention, unfortunately most prevention strategies do not work.We need a new approach based upon a better understanding of what triggers an episode of back pain. By studying risk factors that occur immediately prior to an episode of low back pain this project will increase understanding of what triggers an episode and open the way for new, effective prevention programs.Read moreRead less
Low back pain (LBP) is highly prevalent and enormously expensive to society: total payments made by Workcover for injuries to the low back were in excess of $530 million in NSW in 1996. Chronic LBP (pain lasting more than 3 months) accounts for up to 90% of these costs. Prevention of a large part of this costly problem could be achieved by effective treatment at the earlier sub-acute phase of LBP (6 weeks to 3 months duration). Exercise and advice are two widely-used treatments for sub-acute LBP ....Low back pain (LBP) is highly prevalent and enormously expensive to society: total payments made by Workcover for injuries to the low back were in excess of $530 million in NSW in 1996. Chronic LBP (pain lasting more than 3 months) accounts for up to 90% of these costs. Prevention of a large part of this costly problem could be achieved by effective treatment at the earlier sub-acute phase of LBP (6 weeks to 3 months duration). Exercise and advice are two widely-used treatments for sub-acute LBP, yet remarkably, their efficacy is unknown. For the first time, this study will rigorously evaluate the effectiveness of both a supervised exercise program and advice to return to normal activity for sub-acute LBP. When this study is completed, Australian practitioners will be able to adopt evidence based practice when managing sub-acute LBP. In addition, the study's results will enable practitioners to select the most effective treatment for each individual patient. The results of this study should lead to a large reduction in the incidence of chronic LBP, therefore the results should lead to significant savings in terms of social and economic costs.Read moreRead less
Low back pain is a major global health problem and the leading cause of disability worldwide . This project will trial a new treatment for back pain that is specifically aimed at risk factors for developing ongoing back problems. Previously shown to be successful in patients suffering persistent back problems, this promising new treatment will be trialled in patients soon after they develop lower back pain as a preventative approach.
Chronic pain afflicts 1 in 5 Australians; it is one of our most expensive health care problems. Prof Moseley's research asks: (1) Why do some people get chronic pain but others don't? (ii) How can we treat chronic pain so sufferers can return to a meaningful, productive and comfortable life? (iii) How can we stop chronic pain from developing in the first place? His research involves behavioural and physiological experiments in humans, that lead to new treatments, which are tested in clinical tri ....Chronic pain afflicts 1 in 5 Australians; it is one of our most expensive health care problems. Prof Moseley's research asks: (1) Why do some people get chronic pain but others don't? (ii) How can we treat chronic pain so sufferers can return to a meaningful, productive and comfortable life? (iii) How can we stop chronic pain from developing in the first place? His research involves behavioural and physiological experiments in humans, that lead to new treatments, which are tested in clinical trials.Read moreRead less
Refining And Testing A Promising New Treatment For Chronic Pain.
Funder
National Health and Medical Research Council
Funding Amount
$743,947.00
Summary
Chronic pain costs Australia about 35 billion dollars a year. Recent scientific discoveries show that treatment aimed at correcting problems in how the brain processes sensory input can reduce pain and disability. This project will clarify some key aspects of these problems and use that information to make final adjustments to an already very promising treatment. We will then test the treatment in a definitive and comprehensive clinical trial.
Why Do People Keep Hurting Their Back: A Longitudinal Study Of Biological, Psychological And Social Predictors
Funder
National Health and Medical Research Council
Funding Amount
$739,946.00
Summary
We aim to identify why people continue to suffer episodes of back pain. If we can identify factors that predict the course of back pain we can target treatments to the right people to reduce the burden of this common condition. We will follow people for a year after an acute episode. We will measure novel issues like control of trunk muscles, inflammatory response, and how the nervous system deals with pain. We will also investigate how these factors interact with social and psychological issues
Spinal complaints present the greatest social and economic burden of musculoskeletal conditions in Australia. This reflects current realities: the cause remains unknown; 80% of the population is affected; and isolated professions perform a staggering array of interventions. The CCRE aims to target these realities and improve Australia's capacity to prevent and manage spinal disorders by supporting innovative interdisciplinary research and training. This community- and university-based centre wil ....Spinal complaints present the greatest social and economic burden of musculoskeletal conditions in Australia. This reflects current realities: the cause remains unknown; 80% of the population is affected; and isolated professions perform a staggering array of interventions. The CCRE aims to target these realities and improve Australia's capacity to prevent and manage spinal disorders by supporting innovative interdisciplinary research and training. This community- and university-based centre will align highly successful clinical and basic researchers in collaboration with a national network of spine scientists to foster interdisciplinary clinical researcher training, develop new diagnostics and therapeutics, and translate findings to the community. Through clinical research the centre aims to: (i) Advance understanding of physiology and pathophysiology of spinal pain (ii) Translate findings from basic research to clinical practice (iii) Establish coordinated multidisciplinary research to reduce the burden of spinal pain (iv) Predict and prevent the transition from acute to chronic states (v) Train a new generation of transdisciplinary clinical scientists (vi) Rapidly assess new treatment possibilities in pre-clinical studies (vii) Develop innovative technologies for diagnostics and therapeutics (viii) Encourage Australian commercialisation opportunities for new discoveries (ix) Encourage community-user participation in direction of research programs (x) Disseminate new findings and information of evidence-based practice to patients, clinicians, insurers, government and the scientific and wider communityRead moreRead less
Targeting Health System Change To Provide Better Care For People With Chronic Pain
Funder
National Health and Medical Research Council
Funding Amount
$1,562,250.00
Summary
Chronic pain causes serious impacts to quality of life but the healthcare system is not well suited to managing the problem. This research addresses 3 barriers to evidence-based care. A new model that integrates clinical care with health coaching will be adapted for different settings. A training program to help clinicians incorporate research into their practice will be designed and evaluated. A pain education program aimed at empowering people in regional areas will be rolled-out and assessed.
Improving Outcomes In Low Back Pain: Targeting Specific Therapies To Patient Subgroups
Funder
National Health and Medical Research Council
Funding Amount
$435,061.00
Summary
Low back pain is a major health problem worldwide. There is a lack of effective treatments and a “one size fits all” approach to treatment is being used. This innovative research program aims to change the way back pain is treated, by identifying specific types of back pain, determining the effectiveness of treatments for these types of back pain, and translating a targeted approach to management into clinical practice to improve the health of individuals with back pain.