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low back pain AND amputee

Sana Salah, Mariem Rekik, Iheb Bel Haj Youssef, Soumaya Boudokhane, Houda Migaou, Anis Jellad, Zohra Ben Salah Frih
OBJECTIVE: The objective of this study was to assess the musculoskeletal disorders (MSD) of diabetes mellitus (DM) patients in a Physical Medicine and Rehabilitation (PMR) department. MATERIAL/PATIENTS AND METHODS: We carried out a retrospective study (January-December 2013) in which we enrolled 193 patients with DM. General (epidemic and clinical) characteristics were measured. Statistical analysis was performed using the statistical software SPSS 16. RESULTS: The participants' median age was 58 years (20-86), 98 men (50...
September 2016: Annals of Physical and Rehabilitation Medicine
Bahar Anaforoğlu, Fatih Erbahçeci, Mehmet Atıf Erol Aksekili
BACKGROUND/AIM: A few studies have been carried out in lower limb amputees (LLAs) and they examined the incidence of and reasons for low back pain. The aim of this study was to assess the effectiveness of a back school program in LLAs with mechanical low back pain (MLBP). MATERIALS AND METHODS: Forty male unilateral transfemoral amputees with MLBP were randomly allocated into two groups. A back school program was applied to Group 1 over 2 weeks. A booklet for home use was given to each participant in Group 2...
2016: Turkish Journal of Medical Sciences
Adam J Yoder, Anthony J Petrella, Anne K Silverman
People with unilateral, transtibial amputation (TTA) have an increased prevalence of chronic low back pain (LBP) relative to able-bodied people. However, a definitive cause of increased LBP susceptibility has not been determined. The purpose of this work was to compare dynamic trunk-pelvis biomechanics between people with (n=6) and without (n=6) unilateral TTA during walking using a computational modeling approach. A generic, muscle-actuated whole body model was scaled to each participant, and experimental walking data were used in a static optimization framework to calculate trunk-pelvis motion, L4L5 joint contact forces, and muscle forces within the trunk-pelvis region...
March 2015: Gait & Posture
Elizabeth Russell Esposito, Jason M Wilken
Low back pain (LBP) is common in individuals with transfemoral amputation and may result from altered gait mechanics associated with prosthetic use. Inter-segmental coordination, assessed through continuous relative phase (CRP), has been used to identify specific patterns as risk factors. The purpose of this study was to explore pelvis and trunk inter-segmental coordination across three walking speeds in individuals with transfemoral amputations with and without LBP. Nine individuals with transfemoral amputations with LBP and seven without pain were compared to twelve able-bodied subjects...
September 2014: Gait & Posture
Brad D Hendershot, Erik J Wolf
OBJECTIVE: To analyze mediolateral joint powers at the low back during gait among persons with and without unilateral transfemoral amputation to better understand the functional contributions of tissues in and around the low back to altered lateral trunk movements in this population. DESIGN: Retrospective analysis of biomechanical gait data. SETTING: Gait laboratory. PARTICIPANTS: Twenty persons with unilateral transfemoral amputation and 20 uninjured controls (N=40)...
January 2015: Archives of Physical Medicine and Rehabilitation
Hemakumar Devan, Paul Hendrick, Daniel Cury Ribeiro, Leigh A Hale, Allan Carman
Low back pain (LBP) is a major secondary disabling condition following lower limb amputation including persons with above-knee and below-knee amputation. Whilst the increasing prevalence of this musculoskeletal problem in people with lower limb amputation is well recognised, the mechanisms of LBP in this population have been poorly explored. Asymmetrical movements and loading patterns have been found in persons following lower limb amputation and linked to the high prevalence of LBP in this population. However, some argue that such asymmetries are part of the 'normal' adaptive process following lower limb amputation...
January 2014: Medical Hypotheses
Ernesto Cruz, Harsh T Dangaria
Phantom limb pain is a frequent sequela of amputation. A high prevalence of residual limb pain and back pain also exists among amputees. We present a case of a new-onset severe phantom limb pain resulting from a metastatic spinal mass in an 81-year-old patient with a history of malignant sarcoma and an old hip disarticulation amputation. The metastatic lesion, upon imaging, was found to involve the L3 vertebra and caused moderate compression of the thecal sac on the right and severe right lateral recess stenosis...
July 2013: PM & R: the Journal of Injury, Function, and Rehabilitation
Laurent Frossard, Laurence Cheze, Raphael Dumas
BACKGROUND: Calculation of lower limb kinetics is limited by floor-mounted force-plates. OBJECTIVES: Comparison of hip joint moments, power and mechanical work on the prosthetic limb of a transfemoral amputee calculated by inverse dynamics using either the ground reactions (force-plates) or knee reactions (transducer). STUDY DESIGN: Comparative analysis. METHODS: Kinematics, ground reaction and knee reaction data were collected using a motion analysis system, two force-plates, and a multi-axial transducer mounted below the socket, respectively...
June 2011: Prosthetics and Orthotics International
R Tranberg, R Zügner, J Kärrholm
This study describes the changes in hip and pelvic kinematics in 19 trans-femoral amputees, who were treated with an osseointegrated trans-femoral prosthesis. Patients were studied with 3-dimensional gait analysis, walking with socket prosthesis within two days before the osseointergration procedure. The post-operative gait analysis was carried out at the 2 year follow-up visit. Fifty-seven; age-, side- and gender-matched healthy subjects served as controls. Post-operative data showed that patients who had an osseointegrated transfemoral prosthesis increased their hip extension by 7...
February 2011: Gait & Posture
David C Morgenroth, Michael S Orendurff, Ali Shakir, Ava Segal, Jane Shofer, Joseph M Czerniecki
OBJECTIVE: Low-back pain is an important cause of secondary disability in transfemoral amputees. The primary aim of our study is to assess the differences in lumbar spine kinematics during gait between transfemoral amputees with and without low-back pain. DESIGN: Lumbar spine kinematics in three planes were measured when the subjects walked in a motion analysis laboratory. Nine transfemoral amputees with low-back pain, eight transfemoral amputees without low-back pain, and six healthy, nonamputee subjects participated...
August 2010: American Journal of Physical Medicine & Rehabilitation
Hamidreza Taghipour, Yashar Moharamzad, Ahmad R Mafi, Arash Amini, Mohammad Mehdi Naghizadeh, Mohammad Reza Soroush, Abed Namavari
OBJECTIVE: To determine the factors that have an adverse effect on the long-term health-related quality of life (HRQOL) of veterans who have lost their extremities on the battlefield. DESIGN: Cross-sectional study. SETTING: Tertiary prosthesis center. PARTICIPANTS: One hundred forty-one male Iranian veterans who have sustained unilateral lower extremity amputation during the Iran-Iraq War (1980-1988) were evaluated after an average of 21...
August 2009: Journal of Orthopaedic Trauma
Christopher B Robbins, Daniel J Vreeman, Mark S Sothmann, Stephen L Wilson, Neil B Oldridge
The rate of war-related amputations in current U.S. military personnel is now twice that experienced by military personnel in previous wars. We reviewed the literature for health outcomes following war-related amputations and 17 studies were retrieved with evidence that (a) amputees are at a significant risk for developing cardiovascular disease; (b) insulin may play an important role in regulating blood pressure in maturity-onset obesity; (c) lower-extremity amputees are at risk for joint pain and osteoarthritis; (d) transfemoral amputees report a higher incidence of low back pain than transtibial amputees; and (e) 50 to 80% report phantom limb pain, with many amputees stating they were either told that their pain was imagined or their mental state was questioned...
June 2009: Military Medicine
David C Morgenroth, Ali Shakir, Michael S Orendurff, Joseph M Czerniecki
OBJECTIVE: Low-back pain (LBP) is an important cause of secondary disability in transfemoral amputees (TFA). The correction of leg-length discrepancy (LLD) is a common clinical approach to the treatment of LBP in this population. The aim of our study is to assess the relationship of static and dynamic LLD and LBP in a sample TFA population. DESIGN: Nine TFA with LBP and eight TFA without LBP were studied. Static leg length was measured with subjects standing in a self-selected comfortable position...
February 2009: American Journal of Physical Medicine & Rehabilitation
Ademir Kusljugić, Suada Kapidzić-Duraković, Zijada Kudumović, Amela Cickusić
Low back pain (LBP) is a common condition in individuals which experienced psychology and physical trauma. LBP is usually found in persons with lower-limb amputation (LLA), as the most common sign of somatisation or inappropriately made prostheses. Our goal was to investigate cases of chronic pain syndrome in persons with LLA and to determine factors, which influence their functional inability due to LBP. Pain after LLA has been studied. 37 persons, including 26 war veterans (70.2 %) and 11 (29.8 %) civilians with LLA due to an illness, were examined...
May 2006: Bosnian Journal of Basic Medical Sciences
M Rabuffetti, M Recalcati, M Ferrarin
The paper deals with the identification of motor strategies adopted by trans-femoral amputees to compensate for the constraints of hip motion induced by the interference of the socket with the pelvis and, particularly, with the ischial tuberosity. A group of 11 subjects with trans-femoral amputation, three of whom wore two different prostheses, giving a sample size of 14 cases, were studied by gait-analysis protocols: the present paper focuses on the pelvis-thigh kinematics at foot strike. The results showed that, at the prosthetic side, the hip is significantly less flexed and less extended, respectively, at the ipsilateral and contralateral foot strike...
August 2005: Prosthetics and Orthotics International
Karen Friel, Elizabeth Domholdt, Douglas G Smith
For this study, we compared the physical impairments and functional deficits of individuals with lower-limb amputation (LLA) for those with and without low back pain (LBP). Nineteen participants with LLA were placed into two groups based on visual analog scores of LBP. We assessed functional limitations, iliopsoas length, hamstring length, abdominal strength, back extensor strength, and back extensor endurance. Data analysis included correlations and t-tests. We found significant correlations between pain score and functional limitations, iliopsoas length, and back extensor endurance...
March 2005: Journal of Rehabilitation Research and Development
J Kulkarni, W J Gaine, J G Buckley, J J Rankine, J Adams
OBJECTIVE: To ascertain the prevalence of back pain amongst traumatic lower limb amputees attending a regional rehabilitation centre and to determine the possible causes of back pain. DESIGN: All traumatic lower limb amputees given a semi-structured questionnaire to complete and a comparative subgroup of amputees with back pain and without back pain underwent physical examination, gait analysis, magnetic resonance scanning (MRI) and gait/standing stability analysis...
January 2005: Clinical Rehabilitation
H Flor
If patients with chronic low back pain are stimulated in the painful region, an expanded representation of the back in the primary somatosensory cortex becomes visible that increases with chronicity. This "pain memory" might play an important role in the chronicity process. In patients with phantom limb pain, e.g. subsequent to the amputation of an arm or leg, a shift in the representation of neighboring areas into the deafferented area in primary somatosensory cortex has been observed. This reorganization of functional brain maps is not present in congenital amputees or amputees without phantom limb pain...
May 2004: Der Orthopäde
R Haigh, A Tennant, F Biering-Sørensen, G Grimby, C Marincek, S Phillips, H Ring, L Tesio, J L Thonnard
The aim of the study was to survey the use of outcome measures in rehabilitation within Europe. It was envisaged that this would provide the basis for further studies on the cross-cultural validity of outcome measures. A postal questionnaire was distributed in November 1998 to 866 units providing rehabilitation. In total, 418 questionnaires were returned, corresponding to a response rate of 48%. These 418 centres treated an estimated 113,000 patients annually, undertaking 360,000 assessments. The survey focused on nine diagnostic groups: hip and knee replacement, low back pain, lower limb amputees, multiple sclerosis, neuromuscular disorders, rheumatoid arthritis, spinal cord lesions, stroke and traumatic brain injury...
November 2001: Journal of Rehabilitation Medicine
C Sjödahl, G B Jarnlo, B M Persson
A conscious therapeutic approach was used combining methods in physiotherapy with psychological awareness to re-educate nine transfemoral amputees during 10 months in outdoor environments. All were rehabilitated trauma or tumour cases, mean age 33 years, and had worn their prostheses for more than 18 months. The method aimed at integrating the prosthesis in normal movements and increasing body awareness. Gait was measured with a three-dimensional motion analysis system. Self-selected comfortable and brisk gait speed increased from mean 0...
March 2001: Journal of Rehabilitation Medicine
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