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Back pain physical therapy

David S Gregory, Velyn Wu, Preyasha Tuladhar
Women often see their primary care physicians for common acute conditions during pregnancy. These conditions may be caused by pregnancy (obstetric problems) or worsened by pregnancy (obstetrically aggravated problems), or they may require special consideration during pregnancy because of maternal or fetal risks (nonobstetric problems). Primary care physicians should know the differential diagnosis for common conditions during pregnancy and recognize the important findings of obstetric and urgent nonobstetric problems...
November 1, 2018: American Family Physician
Irene L Katzan, Nicolas R Thompson, Steven Z George, Sandi Passek, Frederick Frost, Mary Stilphen
BACKGROUND CONTEXT: The STarT Back Screening Tool (SBST) categorizes risk of future disability in patients with low back pain (LBP). Previous studies evaluating the use of SBST in physical therapy populations do not reflect the ethnic and socioeconomic diversity occurring in clinical practice and lack statistical power to evaluate factors associated with outcomes within each SBST risk category. PURPOSE: The purpose of this study is to further refine SBST risk categorization for predicting improvements in functional disability with attention towards patient level factors that might guide SBST use in routine outpatient physical therapy practice...
October 8, 2018: Spine Journal: Official Journal of the North American Spine Society
Scott A Burns, Joshua A Cleland, Darren A Rivett, Suzanne J Snodgrass
OBJECTIVES: The main research aims were to investigate whether physical therapists are examining the hip(s) in individuals with a primary complaint of low back pain (LBP) and if so, the interventions being provided that target the hip(s). METHODS: An anonymous electronic survey was distributed to the membership of the American Physical Therapy Association Orthopaedic and Sports Sections, as well as that of the American Academy of Orthopaedic Manual Physical Therapists...
October 2, 2018: Brazilian Journal of Physical Therapy
Lindsay A DiMarco, Benjamin C Ramger, Gregory P Howell, Ali M Serrani, Deborah L Givens, Daniel I Rhon, Chad E Cook
BACKGROUND: Recent clinical practice guidelines have suggested conservative treatment approaches, including physical therapy, are indicated as first line treatment for patients with low back pain (LBP); however, LBP continues to be managed with opioids, despite decreases in function, morbidity, and insignificant improvements in pain. OBJECTIVE: The primary purpose was to compare characteristics and downstream medication use between patients with LBP with prior opioid exposure versus opioid-naïve...
September 30, 2018: Pain Practice: the Official Journal of World Institute of Pain
Abdolhamid Hajihasani, Mitra Rouhani, Mahyar Salavati, Rosita Hedayati, Amir Hossein Kahlaee
OBJECTIVE: The purpose of this systematic review was to investigate the effect of adding the cognitive behavioral treatment (CBT) component to routine physical therapy (PT) on pain and depression reduction, improvement in quality of life, and enhanced function in patients with chronic low back pain (CLBP). TYPE: Systematic review LITERATURE SURVEY: Google Scholar, PubMed, Ovid, ScienceDirect, ProQuest, Scopus, Cochrane Library and Embase electronic databases were explored for the key terms of "behavioral (or behavioural) treatment" OR "behavior (behaviour) treatment" OR "behavior (behaviour) therapy" OR "cognitive behavior (or behaviour) treatment" OR "cognitive treatment" OR "cognitive therapy" OR "operant behavior (or behaviour) treatment" OR "respondent behavior (or behaviour) treatment" AND "Physical Therapy" OR "Physiotherapy" OR "exercise therapy" OR "electrotherapy" OR "electrical therapy" OR "manual therapy" OR "myofascial therapy" OR "rehabilitation" AND "Low Back Pain" OR "Lower Back Pain" OR "back pain" OR "chronic back pain" OR "chronic lower back pain", with no limitation on language, through January 2018...
September 25, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
John Magel, Jaewhan Kim, Anne Thackeray, Charles Hawley, Sterling Petersen, Julie M Fritz
Background: Patients who consult a physical therapist for low back pain (LBP) may receive initial and subsequent management from different therapists. The impact that physical therapy provider continuity has on health care utilization in patients with LBP is under studied. Objective: The objective of this study was to examine the impact of physical therapy provider continuity on health care utilization and costs in patients with LBP referred from primary care. Design: The study design included a retrospective analysis of claims data...
September 26, 2018: Physical Therapy
Yì Xiáng J Wáng, Ai-Min Wu, Fernando Ruiz Santiago, Marcello H Nogueira-Barbosa
Most patients with acute low back pain (LBP), with or without radiculopathy, have substantial improvements in pain and function in the first 4 weeks, and they do not require routine imaging. Imaging is considered in those patients who have had up to 6 weeks of medical management and physical therapy that resulted in little or no improvement in their LBP. It is also considered for those patients presenting with suspicion for serious underlying conditions, such as cauda equina syndrome, malignancy, fracture and infection...
October 2018: Journal of Orthopaedic Translation
John Magel, Pamela Hansen, Whitney Meier, Kim Cohee, Anne Thackeray, Matthew Hiush, Julie M Fritz
Background: Low Back pain (LBP) is one of the most common symptoms prompting a healthcare visit in the United States. Patients may receive escalated care, such as advanced imaging or invasive procedures, prior to guideline recommended options offered by physical therapists. We implemented a guideline concordant alternative care pathway (RapidAccess) that emphasized early physical therapy for patients with LBP prior to a consultation with a physiatrist. Evaluating the implementation of care pathways such as RapidAccess using the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework provides a broader understanding of the barriers to implementation...
September 25, 2018: Physical Therapy
Nasim Golchin, Mohaddeseh Sharifzadeh, Mina Fransawy Alkomos, Issac Sachmechi
Adult-onset Still's disease (AOSD) is a rare diagnosis. In small percentage of cases, AOSD is associated with other autoimmune diseases including schizophrenia. Despite the lack of sufficient studies, both conditions may share similar autoimmune pathogenic pathways. Herein we describe a 36-year-old woman with the past medical history of schizophrenia who presented with spiking fevers, arthralgia, evanescent rash and pleural chest pain. She reported developing these symptoms a while after poor compliance with her antipsychotic medication...
July 21, 2018: Curēus
Joshua Scott Will, David C Bury, John A Miller
Low back pain is usually nonspecific or mechanical. Mechanical low back pain arises intrinsically from the spine, intervertebral disks, or surrounding soft tissues. Clinical clues, or red flags, may help identify cases of nonmechanical low back pain and prompt further evaluation or imaging. Red flags include progressive motor or sensory loss, new urinary retention or overflow incontinence, history of cancer, recent invasive spinal procedure, and significant trauma relative to age. Imaging on initial presentation should be reserved for when there is suspicion for cauda equina syndrome, malignancy, fracture, or infection...
October 1, 2018: American Family Physician
Muhammad Waseem, Hossein Karimi, Syed Amir Gilani, Danish Hassan
BACKGROUND: Chronic non-specific low back is the most common musculoskeletal complaint that significantly affects the general population. Exercises are advocated as the main part of treatment for chronic low back pain. OBJECTIVE: The purpose of this study was to compare the effects of workouts of the core musculature and routine physical therapy exercise training for the treatment of disability caused by chronic low back pain. METHODS: In this single-blinded, randomized, controlled trial, 120 patients with non-specific low back pain were examined in Lahore, Pakistan...
September 14, 2018: Journal of Back and Musculoskeletal Rehabilitation
Fitnat Dincer, Serdar Kesikburun, Oya Ozdemir, Evren Yaşar, Susana Munoz, Raquel Valero, Alvydas Juocevidius, Michail Quittan, Aet Lukmann, Andreas Winkelman, Anita Vetra, Björn Gerdle, Carlotte Kiekens, Catarina Aguiar Branco, Eimear Smith, Mark Delargy, Elena Ilieva, François Constant Boyer, Frane Grubisic, Hermina Damjan, Liisamari Krüger, Markku Kankaanpää, Erieta Nikolikj Dimitrova, Marina Delic, Milica Lazovic, Natasa Tomic, Nikolaos Roussos, Xanthi Michail, Paolo Boldrini, Stefano Negrini, Peter Takac, Piotr Tederko, Yvona Angerova
BACKGROUND: Low back pain (LBP) is the most common type of musculoskeletal pain, thus it is one of the most commonly encountered conditions in Physical and Rehabilitation Medicine. The physicians who are primarily responsible for the nonsurgical management of LBP are physiatrists. OBJECTIVE: The present study aimed to investigate the approaches of physiatrists to low back pain across Europe. Preferences, tendencies, and priorities in the diagnosis, management, and treatment of LBP, as well as the epidemiological data pertaining to LBP in PRM practice were evaluated in this Europe-wide study...
September 7, 2018: Journal of Back and Musculoskeletal Rehabilitation
Dafne Port Nascimento, Gabrielle Zoldan Gonzalez, Amanda Costa Araujo, Leonardo Oliveira Pena Costa
OBJECTIVE: To describe the main characteristics of low back pain randomized controlled trials on the Physiotherapy Evidence Database, and to rank the journals where these trials were published according to their Impact Factor. METHODS: This is a cross sectional study based on a collection of randomized controlled trials. A random sample of 200 low back pain trials published between 2010 and 2015 were selected from Physiotherapy Evidence Database in February 2016...
September 13, 2018: Brazilian Journal of Physical Therapy
Nitin J Patil, R Nagaratna, Padmini Tekur, P V Manohar, Hemant Bhargav, Dhanashri Patil
Background: Chronic low back pain (CLBP) adversely affects quality of life (QOL) in nursing professionals. Integrated yoga has a positive impact on CLBP. Studies assessing the effects of yoga on CLBP in nursing population are lacking. Aim: This study was conducted to evaluate the effects of integrated yoga and physical exercises on QOL in nurses with CLBP. Methods: A total of 88 women nurses from a tertiary care hospital of South India were randomized into yoga group ( n = 44; age - 31...
September 2018: International Journal of Yoga
Edward A Shipton
Globally, in 2016, low back pain (LBP) contributed 57.6 million of total years lived with disability. Low Back Pain Guidelines regularly recommend the use of physical exercise for non-specific LBP. Early non-pharmacological treatment is endorsed. This includes education and self-management, and the recommencement of normal activities and exercise, with the addition of psychological programs in those whose symptoms persist. The aim of physical treatments is to improve function and prevent disability from getting worse...
September 18, 2018: Pain and Therapy
Aliza Selter, Christina Tsangouri, Sana B Ali, Diana Freed, Adrian Vatchinsky, James Kizer, Arnaud Sahuguet, Deneen Vojta, Vijay Vad, J P Pollak, Deborah Estrin
BACKGROUND: Although mobile health (mHealth) interventions can help improve outcomes among patients with chronic lower back pain (CLBP), many available mHealth apps offer content that is not evidence based. Limbr was designed to enhance self-management of CLBP by packaging self-directed rehabilitation tutorial videos, visual self-report tools, remote health coach support, and activity tracking into a suite of mobile phone apps, including Your Activities of Daily Living, an image-based tool for quantifying pain-related disability...
September 17, 2018: JMIR MHealth and UHealth
Scott A Burns, Joshua A Cleland, Darren A Rivett, Suzanne J Snodgrass
BACKGROUND: Recent evidence suggests that physical therapy interventions targeting the hips may improve outcomes, including pain and disability, for patients with low back pain (LBP). Currently, there is conflicting data in regard to whether an individual with LBP needs to have a concurrent hip impairment in order to respond to this approach. The purpose of this clinical trial will be to determine the short and long-term effectiveness of physical therapy interventions directed at the lumbar spine only, versus lumbar spine and hip(s), in individuals with a primary complaint of LBP with a concurrent hip impairment...
September 2018: Brazilian Journal of Physical Therapy
Carin E Reust, Amy Williams
Recurrent abdominal pain (RAP) in children is defined as at least three episodes of pain that occur over at least three months and affect the child's ability to perform normal activities. RAP is most often considered functional (nonorganic) abdominal pain, but an organic cause is found in 5% to 10% of cases. Further workup is warranted in children who have RAP and fever, vomiting, blood in the stool, more than three alarm symptoms, or a history of urinary tract infections. Physical examination findings that should prompt further workup include weight loss or failure to grow; jaundice; costovertebral tenderness or back pain with lower extremity neurologic symptoms; liver, spleen, or kidney enlargement; an abdominal mass; or localized tenderness on abdominal examination...
June 15, 2018: American Family Physician
Corey Lyon, Lindsey Kolar, Kristen DeSanto
No abstract text is available yet for this article.
July 15, 2018: American Family Physician
Mohamed A Sabbahi, Fikriye Ovak-Bittar
Objectives: The evaluation of patients with lower back pain (LBP) is based mainly on clinical examinations and imaging procedures that are subjective or anatomic in nature. The treatments, either physical therapy or osteopathy, lack evidence-based protocol and may be disruptive to the spine. Therefore, a neurophysiologic-based approach to managing such patients is necessary. Methods: A 40-year-old female complained of LBP and radiculopathy for more than 12 years, a condition that was accompanied by numbness, tingling and weakness in the left leg...
2018: Clinical Neurophysiology Practice
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