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"Low Back Pain"

Lenka Pešáková, Jana Hlávková, Marie Nakládalová, Pavel Urban, Petr Gaďourek, Tomáš Tichý, Alena Boriková, Andrea Laštovková, Daniela Pelclová
OBJECTIVE: As a part of regular revision of the List of Occupational Diseases in the Czech Republic, efforts have been made to add a new item so that lumbar spine disease caused by overload may be recognized as occupational one, with adherence to the valid national rules, that is, clinical criteria are met and objective assessment confirms working conditions under which, according to recent scientific knowledge, such an occupational disease develops. The aim is to provide information on the use of a proposed method for working condition assessment in a real setting, based on the initial experiences gained from a pilot study carried out to validate the method...
June 2018: Central European Journal of Public Health
Arun Prasad Balasundaram, Dipankar Choudhury
BACKGROUND: It has been established that Hyper-pronation of the foot may lead to postural changes in the lower limbs, with a resultant pelvic ante-version, and a subsequent risk of development of low back pain. However, the association between the presence of a hyper-pronated foot and the severity of disability in low back pain is currently not known. OBJECTIVES: The purpose of this study was to examine whether the presence of a hyper-pronated foot has any impact on the degree of severity of disability (functional status) in patients with non-specific low back pain...
July 2018: Journal of Bodywork and Movement Therapies
Jorge Hugo Villafañe, Luciano Bissolotti, Fabio Zaina, Chiara Arienti, Sabrina Donzelli, Stefano Negrini
OBJECTIVE: The aim of this study was to examine the association between trunk sagittal posture and nonspecific chronic low back pain (CLBP) by evaluating plumb-line distances in subjects recruited in an everyday clinical setting. METHODS: Of the 1364 subjects recruited, 63.1% were female (mean age ± SD: 56.2 ± 16.8 years). Subjects were categorized into CLBP and control groups and were prospectively assessed over a 3-month period. They provided information about their daily activities and their history of CLBP...
July 2018: Journal of Bodywork and Movement Therapies
Safoora Ebadi, Noureddin Nakhostin Ansari, Tannaz Ahadi, Ehsan Fallah, Bijan Forogh
BACKGROUND AND DESIGN: Chronic nonspecific low back pain (CNSLBP) has major socioeconomic as well as personal impact in many industrialized and developing countries. Physiotherapy is a common intervention for this group of patients and using anti-pain physical modalities is a common part of the physical therapy. In a randomized controlled trial we investigated the immediate effect of the Diadynamic current in comparison to TENS on reducing the pain in patients suffering from non specific chronic low back pain...
July 2018: Journal of Bodywork and Movement Therapies
Jan Dommerholt, Michelle Finnegan, Todd Hooks, Li-Wei Chou
In the current issue of this clinical overview, we are pleased to include several basic research studies ranging from the differentiation of radicular and non-radicular low back pain based on the presence of trigger points (TrPs) to the role of TrPs in patients with osteoarthritis, the diagnostic criteria of TrP, the accurate placement of needles in the piriformis muscle with dry needling (DN), and the reliability of TrP identification, among others. As usual, there are many new DN studies, but also several review papers, and manual TrP research...
July 2018: Journal of Bodywork and Movement Therapies
Amir Massoud Arab, Sanaz Shanbehzadeh, Omid Rasouli, Mohsen Amiri, Fatemeh Ehsani
OBJECTIVE: The purpose of this study was to assess muscle thickness changes in the deep and superficial abdominal muscles, during sitting on stable and unstable surfaces in subjects with and without chronic low back pain (CLBP). METHOD: A cross-sectional study was conducted involving 40 participants (20 CLBP and 20 healthy). Ultrasound imaging was used to assess changes in the thickness of the Transversus abdominis (TrA), Internal Oblique (IO), Rectus abdominis (RA) and External oblique (EO) muscles...
July 2018: Journal of Bodywork and Movement Therapies
Scott A Burns, Joshua A Cleland, Chad E Cook, Michael Bade, Darren A Rivett, Suzanne Snodgrass
OBJECTIVES: The purpose of this study was to identify descriptive factors in individuals with a primary complaint of low back pain (LBP) associated with improved pain and function after receiving physical therapy for LBP with or without manual therapy and exercise directed at the femoroacetabular joints. METHODS: Participants were enrolled in a randomized clinical trial investigating physical therapy interventions for their LBP, with or without interventions directed at the femoroacetabular joints (hips)...
August 9, 2018: Journal of Manipulative and Physiological Therapeutics
Saurab Sharma, Mark P Jensen, G Lorimer Moseley, J Haxby Abbott
INTRODUCTION: Low back pain (LBP) is the leading cause of years lived with disability in Nepal and elsewhere. Management of LBP that is evidence-based, easily accessible, cost-effective and culturally appropriate is desirable. The primary aim of this feasibility study is to determine if it is feasible to conduct a full randomised clinical trial evaluating the effectiveness of pain education as an intervention for individuals with LBP in Nepal, relative to guideline-based physiotherapy treatment...
August 10, 2018: BMJ Open
Alessandro Chiarotto, Lara J Maxwell, Raymond W Ostelo, Maarten Boers, Peter Tugwell, Caroline B Terwee
Visual Analogue Scale (VAS), Numeric Rating Scale (NRS), and Pain Severity subscale of the Brief Pain Inventory (BPI-PS)] are the most frequently used instruments to measure pain intensity in low back pain (LBP). However, their measurement properties in this population have not been systematically reviewed. The goal of this study was to provide such systematic evidence synthesis. Six electronic sources (MEDLINE, EMBASE, CINAHL, PsycINFO, SportDiscus, Google Scholar) were searched (July 2017). Studies assessing any measurement property in patients with non-specific LBP were included...
August 9, 2018: Journal of Pain: Official Journal of the American Pain Society
Mohammad R Pourahmadi, Rasool Bagheri, Elham Jannati, Ismail Ebrahimi Takamjani, Javad Sarrafzadeh, Holakoo Mohsenifar
OBJECTIVE: The purpose of this study was to determine the immediate effect of elastic therapeutic taping and sham taping of the abdominal musculature on maximum hold time of endurance tests in patients with chronic nonspecific low back pain (CNLBP). METHODS: Twenty-six people with CNLBP and 26 asymptomatic individuals were included in this study. The CNLBP participants were allocated to an elastic therapeutic tape group or a sham tape group. Standard adhesive elastic therapeutic tape was utilized for facilitatory application in the elastic therapeutic tape group...
August 8, 2018: Journal of Manipulative and Physiological Therapeutics
Torsten Diekhoff, Juliane Greese, Joachim Sieper, Denis Poddubnyy, Bernd Hamm, Kay-Geert A Hermann
OBJECTIVE: To compare the performance of a new three-dimensional MRI sequence (volumetric interpolated breath-hold examination; MR-VIBE) with a conventional T1-weighted sequence (MR-T1) for the detection of erosions in the sacroiliac joints (SIJs) using low-dose CT (ldCT) as reference. METHODS: ldCT and T1-MRI and MR-VIBE of 110 prospectively included patients with low back pain and suspected axial spondyloarthritis (axSpA) were scored for erosions by two readers...
August 10, 2018: Annals of the Rheumatic Diseases
Tânia Costa, Daniela Linhares, Manuel Ribeiro da Silva, Nuno Neves
BACKGROUND: Low back pain associated with lumbar disc herniation is common in the general population, with evident repercussion in quality of life and a significant economic burden. Patients refractory to conservative treatment seek additional treatment and minimally invasive interventions were proposed as valid options. Ozone therapy has been suggested as an alternative due to its potential analgesic and anti-inflammatory effect. OBJECTIVE: This systematic review aims to investigate the effectiveness and safety of ozone therapy for low back pain in patients with lumbar disc herniation...
July 18, 2018: Acta Reumatológica Portuguesa
Tej Azad, Daniel Vail, Jason Bentley, Summer Han, Paola Suarez, Kunal Varshneya, Vaishali Mittal, Anand Veeravagu, Manisha Desai, Jay Bhattacharya, John Ratliff
STUDY DESIGN: Retrospective longitudinal cohort analysis of patients diagnosed in 2010, with continuous enrollment six months prior to and 12 months following the initial visit. OBJECTIVE: To determine whether provider specialty influences patterns of opiate utilization long after initial diagnosis. SUMMARY OF BACKGROUND DATA: Patients with low back pain present to a variety of providers and receive a spectrum of treatments, including opiate medications...
August 7, 2018: Spine
Pardis Noormohammadpour, Alireza Borghei, Shadi Mirzaei, Mohammad Ali Mansournia, Mahboubeh Ghayour-Najafabadi, Mahla Kordi, Ramin Kordi
STUDY DESIGN: A prospective cross-sectional study OBJECTIVE.: To evaluate the prevalence and associated factors with low back pain (LBP) in female adolescents of high school age. SUMMARY OF BACKGROUND DATA: The prevalence of LBP in Tehran is high, and the majority of previous studies on LBP in adolescent and its risk factors have been performed in the developed countries. Therefore, identification of risk factors and planning appropriate protocols for prevention of LBP in adolescents may substantially decrease the prevalence of LBP and its burden developing countries in future...
August 7, 2018: Spine
Badii Hmida, Soumaya Boudokhane, Houda Migaou, Amine Kalai, Anis Jellad, Zohra Ben Salah
RATIONALE: Stress fractures of the sacrum and mechanical sacroiliac joint disease can occur not only during pregnancy but also postpartum. Mechanical sacroiliac joint disease is common in patients with low back pain but often misdiagnosed by practitioners. The association of the 2 conditions has not been studied yet. PATIENT CONCERNS: A 37-year-old woman physiatrist presented with 8-week history of persistent low back and left buttock pain that started in the third trimester of her pregnancy...
August 2018: Medicine (Baltimore)
Carsten Sommer, Diego Zuccolin, Valdo Arnera, Nicole Schmitz, Pernilla Adolfsson, Nicoletta Colombo, Raphaelle Gilg, Bryan McDowell
Clinical trials are slow and costly, built around the research centers that study local participants. Building clinical trials around patients in their homes and community through remote visits and monitoring could enhance recruitment and increase convenience for participants. This study evaluated different trial settings, a decentralized arm via telemedicine center (virtual study conduct), a conventional arm via health clinic (onsite study conduct) and a mixed model arm. Acute low-back pain patients (20-65 years) were recruited to this non-interventional trial in Switzerland...
September 2018: Contemporary Clinical Trials Communications
Charles Philip Gabel, Hamid Reza Mokhtarinia, Jonathan Hoffman, Jason Osborne, E-Liisa Laakso, Markus Melloh
OBJECTIVES: Investigate the relationships between the ability/inability to perform five physical test exercises and the presence or absence of low back pain (LBP). SETTING: Regional Australian council training facility. PARTICIPANTS: Consecutive participants recruited during 39 back education classes (8-26 participants per class) for workers in general office/administration, parks/gardens maintenance, roads maintenance, library, child care and management...
August 8, 2018: BMJ Open
Hyeun Sung Kim, Rabindra L Pradhan, Nitin Adsul, Jee-Soo Jang, Il-Tae Jang, Seong-Hoon Oh
BACKGROUND: Intradural disc herniation is a rare entity with less than 0.3-1% of all disc herniations and at an L2-L3 level even rarer. The dural defects repairs on ventral aspect are technically challenging and may not be possible after durotomy hence many authors have placed fascia, muscle, or plugging by the hemostatic material. The surgical treatment of intradural disc herniation is usually posterior open surgery with formal durotomy to remove the disc fragments with good to fair results while the poorer outcome in late-presenting cases...
August 6, 2018: World Neurosurgery
Matteo D'Este, David Eglin, Mauro Alini
Biomaterials science has achieved significant advancements for the replacement, repair and regeneration of intervertebral disc tissues. However, the translation of this research to the clinic presents hurdles. The goal of this paper is to identify strategies to recapitulate the intrinsic complexities of the intervertebral disc, to highlight the unresolved issues in basic knowledge hindering the clinical translation, and finally to report on the emerging technologies in the biomaterials field. On this basis, we identify promising research directions, with the hope of stimulating further debate and advances for resolving clinical problems such as cervical and low back pain using biomaterial-based approaches...
August 6, 2018: Acta Biomaterialia
Romain Perolat, Adrian Kastler, Benjamin Nicot, Jean-Michel Pellat, Florence Tahon, Arnaud Attye, Olivier Heck, Kamel Boubagra, Sylvie Grand, Alexandre Krainik
Low back pain (LBP) is the most common pain syndrome, and is an enormous burden and cost generator for society. Lumbar facet joints (FJ) constitute a common source of pain, accounting for 15-45% of LBP. Facet joint degenerative osteoarthritis is the most frequent form of facet joint pain. History and physical examination may suggest but not confirm facet joint syndrome. Although imaging (radiographs, MRI, CT, SPECT) for back pain syndrome is very commonly performed, there are no effective correlations between clinical symptoms and degenerative spinal changes...
August 8, 2018: Insights Into Imaging
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