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Back pain physical therapy

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
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
Erik Carvalho, Janet P Bettger, Lynn Bowlby, Marissa Carvalho, Daniel Dore, Misty W Corcoran, Ashley A Harris, Jennifer Bond, Adam P Goode
INTRODUCTION: Annually, >50% of the US population reports musculoskeletal (MSK) pain to a provider, with direct healthcare costs exceeding $185 billion. The number of MSK complaints and the associated costs are projected to rise, increasing demand for and burden on providers. Establishing new care models to decrease inefficiencies may lower costs and optimise care delivery. The purpose of the Integration of Musculoskeletal Physical Therapy Care in the Patient-Centred Medical Home (IMPaC) study is to compare initial evaluation by a physical therapist (PT) integrated into primary care versus initial evaluation by a primary care provider (PCP) for patients with an MSK complaint...
August 8, 2018: BMJ Open
Rui Soles Gonçalves, Carolina Quintal Caldeira, Mónica Vieira Rodrigues, Sabine Cardoso Felícia, Luís Manuel Cavalheiro, Pedro Lopes Ferreira
OBJECTIVE: To translate and culturally adapt the Oxford Shoulder Score (OSS) to the European Portuguese language, and to test its reliability (internal consistency, reproducibility and measurement error) and validity (construct validity). METHODS: The OSS Portuguese version was obtained through translations, back-translations, consensus panels, clinical review and cognitive pre-test. Portuguese OSS, Disabilities of the Arm, Shoulder and Hand (DASH) questionnaires, and the visual analogue scales of pain at rest [VAS rest] and during movement [VAS movement] were applied to 111 subjects with shoulder pain (degenerative or inflammatory disorders) and recommended for physical therapy...
April 2018: Acta Reumatológica Portuguesa
Priti J Bhatt, Elliot M Greenberg, Brian D Suh
A 71-year-old woman with a 10-month history of atraumatic low back pain was referred to physical therapy after an insidious exacerbation of symptoms. Red flags raised suspicions for spinal compression fracture, necessitating the physical therapist to contact her physician and recommend imaging. Radiographs and magnetic resonance imaging were ordered, the latter of which showed an acute fracture at T10, with lesions at T9 and in the liver suggesting metastasis. Following bone scintigraphy and an ultrasound-guided biopsy of a liver lesion, she was diagnosed with metastatic breast cancer...
July 2018: Journal of Orthopaedic and Sports Physical Therapy
Manasi Bohra, Deidre Cwian, Colleen Peyton
A 67-year-old woman presented 3 weeks following left total hip arthroplasty (THA) and received 12 physical therapy sessions over 2 months. One week after returning to work, the patient experienced severe left buttock pain and was diagnosed with degenerative L5-S1 spondylolisthesis and foraminal stenosis, for which she subsequently underwent L5-S1 laminectomy and fusion. She returned to physical therapy 2 weeks later and was referred back to the physician, who ordered radiographs that showed medial migration of the hip components...
August 2018: Journal of Orthopaedic and Sports Physical Therapy
Ferran Cuenca-Martínez, Sara Cortés-Amador, Gemma Victoria Espí-López
INTRODUCTION: Chronic low back pain is a pathological process that compromises the functionality and quality of life worldwide. The objective of the study was to evaluate the effectiveness of classical physiotherapy in the management of non-specific chronic low back pain. METHODS: A literature search in English electronic databases was performed from November to December of 2015. Only those studies addressing chronic non-specific low back pain by manual therapy and different types of exercises methods were included, and those, which combined acute or subacute pain with systematic reviews and clinical practice guidelines, were excluded...
2018: Physical Therapy Research
Emine Kolu, Raikan Buyukavci, Semra Akturk, Fatma Eren, Yuksel Ersoy
Objective: To compare the effects of high-intensity laser therapy (HILT) and a combination of transcutaneous nerve stimulation (TENS) with ultrasound (US) therapy on pain and functionality in patients with chronic lumbar radiculopathy. Methods: This prospective randomized comparative study was conducted in Department of physical medicine and rehabilitation, Turgut Ozal Medicine Center, Malatya, Turkey from April 2016 to September 2016. A total of 54 patients with chronic lumbar radiculopathy were enrolled in this study...
May 2018: Pakistan Journal of Medical Sciences Quarterly
Indiara Soares Oliveira, Leonardo Oliveira Pena Costa, Alessandra Narciso Garcia, Gisela Cristiane Miyamoto, Cristina Maria Nunes Cabral, Lucíola da Cunha Menezes Costa
OBJECTIVE: To identify potential prognostic factors that may predict clinical improvement of patients treated with different physical therapy interventions in the short-term. METHODS: This is a prospective cohort study. A total of 616 patients with chronic non-specific low back pain treated with interventions commonly used by physical therapists were included. These patients were selected from five randomized controlled trials. Multivariate linear regression models were used to verify if sociodemographic characteristics (age, gender, and marital status), anthropometric variables (height, body mass, and body mass index), or duration of low back pain, pain intensity at baseline, and disability at baseline could be associated with clinical outcomes of pain intensity and disability four weeks after baseline...
July 2018: Brazilian Journal of Physical Therapy
Priscila K Morelhão, Márcia R Franco, Crystian B Oliveira, Thalysi M Hisamatsu, Paulo H Ferreira, Leonardo Op Costa, Chris G Maher, Rafael Zambelli Pinto
OBJECTIVES: To compare the responsiveness of disability measures with physical activity measures in patients with chronic low back pain (CLBP) undergoing a course of physical therapy treatment. DESIGN: This is a prospective cohort study with two-month follow-up. SUBJECTS: A total of 106 patients presenting with non-specific CLBP of more than three months duration were recruited. MAIN MEASURES: Disability measures investigated were Quebec Back Pain Disability Scale and Roland Morris Disability Questionnaire...
July 1, 2018: Clinical Rehabilitation
Crystian B Oliveira, Chris G Maher, Rafael Z Pinto, Adrian C Traeger, Chung-Wei Christine Lin, Jean-François Chenot, Maurits van Tulder, Bart W Koes
OBJECTIVE: The aim of this study was to provide an overview of the recommendations regarding the diagnosis and treatment contained in current clinical practice guidelines for patients with non-specific low back pain in primary care. We also aimed to examine how recommendations have changed since our last overview in 2010. METHOD: The searches for clinical practice guidelines were performed for the period from 2008 to 2017 in electronic databases. Guidelines including information regarding either the diagnosis or treatment of non-specific low back pain, and targeted at a multidisciplinary audience in the primary care setting, were considered eligible...
July 3, 2018: European Spine Journal
Anthony Beutler
Physical therapy (PT) modalities are a diverse group of treatments for musculoskeletal pain. Iontophoresis, phonophoresis, kinesiology taping, laser therapy, and myofascial release are some of the most commonly used and are best considered as adjuncts to exercise. Each modality is relatively safe, but none is supported by high-quality evidence in the management of most musculoskeletal conditions. Individual patient response to such modalities is variable. Neither iontophoresis nor phonophoresis has been shown to have greater benefits for neck or back pain than supervised PT...
July 2018: FP Essentials
Ariëtte R J Sanders, Jozien M Bensing, Tessa Magnée, Peter Verhaak, Niek J de Wit
BACKGROUND: Although the recovery of patients suffering from low back pain is highly context dependent, patient preferences about treatment options are seldom incorporated into the therapeutic plan. Shared decision-making (SDM) offers a tool to overcome this deficiency. The reinforcement by the general practitioner (GP) of a 'shared' chosen therapy might increase patients' expectations of favourable outcomes and thus contribute to recovery. METHODS: In the Netherlands, a clustered randomised controlled trial was performed to assess the effectiveness of shared decision-making followed by positive reinforcement of the chosen therapy (SDM&PR) on patient-related clinical outcomes...
June 28, 2018: BMC Family Practice
Han-Tong Hu, Hong Gao, Rui-Jie Ma, Xiao-Feng Zhao, Hong-Fang Tian, Lu Li
BACKGROUND: To evaluate the efficacy and safety of dry needling (DN) for treating low back pain (LBP). METHODS: Nine databases were searched from inception to October 2017. Eligible randomized controlled trials (RCTs) involving DN for treating LBP were retrieved. Two reviewers independently screened the articles, extracted data, and evaluated the risk of bias among the included studies using the risk of bias assessment tool by Cochrane Collaboration. RESULTS: Sixteen RCTs were included and the risk of bias assessment of them was "high" or "unclear" for most domains...
June 2018: Medicine (Baltimore)
Adam Andersen, Russell Carter, Roberta O'Shea
Sacroiliac joint (SIJ) pain has been identified as a primary or contributing source of pain in patients with low back pain. The Laslett cluster of SIJ pain provocation tests has the strongest evidence for noninvasive clinical testing. The purpose of this report was to describe the impact of physical therapy treatments for a patient postpartum with SIJ pain who satisfied the Laslett cluster. Specifically, the goal was to assess the impact of progressive pelvic floor muscle exercise and manual therapy. The Modified Oswestry Low Back Pain Disability Questionnaire (MODI) was the primary outcome measure used in this case...
June 28, 2018: Physiotherapy Theory and Practice
Youwen Chen, Xueke Wang, Guoren Lin, Rukai Xiao
BACKGROUND: Fournier's gangrene is an acute surgical emergency characterized by high mortality rates ranging from approximately 13% to 45%. Therefore, aggressive multidisciplinary management is necessary. CASE PRESENTATION: A 29-year-old Asian man who had undergone surgical debridement at another hospital to treat a perianal abscess 5 days earlier was admitted to our hospital for severe scrotal and perianal pain, swelling, and high fever. A physical examination revealed a perianal abscess...
June 27, 2018: Journal of Medical Case Reports
Lynn Peterson, Douglas E Haladay
BACKGROUND: Low back pain (LBP) is the most commonly reported cause of disability in people under the age of 45 and is estimated to occur in 60-70% of the adult population in the industrialized world. This case report describes the use of Pilates-based exercise (PBE) in the physical therapy management of a patient with persistent chronic low back pain (CLBP) following transforaminal lumbar interbody fusion. CASE DESCRIPTION: The patient was a 24-year-old female with a 7-year history of LBP presenting 17 months following surgery...
June 26, 2018: Physiotherapy Theory and Practice
Karen M Galloway, Romy Parker
BACKGROUND: Expert clinicians and researchers in the field of spinal tuberculosis (STB) advocate for early identification and diagnosis as a key to reducing disability, severity of disease, expensive surgery and death, especially in tuberculosis (TB) endemic countries like South Africa. South Africa has the highest incidence per capita of tuberculosis in the world, and a conservative estimate of the incidence of STB in South Africa is 8-16:100 000. People living with STB may initially present to primary health care (PHC) centres, where the opportunity exists for early identification...
June 18, 2018: African Journal of Primary Health Care & Family Medicine
Donald M Bushnell, Steven I Blum, Hiltrud Liedgens, Mona L Martin, Rainer Freynhagen, Mark Wallace, Charles Argoff, Mariёlle Eerdekens, Maurits Kok, Donald L Patrick
We describe qualitative and quantitative development and preliminary validation of the Patient Assessment for Low Back Pain - Impacts (PAL-I), a patient-reported outcome measure for use in chronic low back pain (cLBP) clinical trials. Concept elicitation and cognitive interviews (qualitative methods) were used to identify and refine symptom concepts. Classical test theory and Rasch measurement theory (quantitative methods) were used to evaluate item-level and scale-level performance of the PAL-I using an iterative approach between qualitative and quantitative methods...
June 7, 2018: Pain
Stephen L Thorp, Thomas Suchy, Nalini Vadivelu, Erik M Helander, Richard D Urman, Alan D Kaye
BACKGROUND: Chronic pain is a major public health problem resulting in physical and emotional pain for individuals and families, loss of productivity, and an annual cost of billions of dollars. The lack of objective measures available to aid in diagnosis and evaluation of therapies for chronic pain continues to be a challenge for the clinician. OBJECTIVES: Functional magnetic resonance imaging (fMRI) is an imaging technique that can establish regional areas of interest and examine synchronous neuronal activity in functionally related but anatomically distinct regions of the brain, known as functional connectivity...
May 2018: Pain Physician
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