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Graded activity low back pain

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https://www.readbyqxmd.com/read/28429142/national-clinical-guidelines-for-non-surgical-treatment-of-patients-with-recent-onset-low-back-pain-or-lumbar-radiculopathy
#1
REVIEW
Mette Jensen Stochkendahl, Per Kjaer, Jan Hartvigsen, Alice Kongsted, Jens Aaboe, Margrethe Andersen, Mikkel Ø Andersen, Gilles Fournier, Betina Højgaard, Martin Bach Jensen, Lone Donbæk Jensen, Ture Karbo, Lilli Kirkeskov, Martin Melbye, Lone Morsel-Carlsen, Jan Nordsteen, Thorvaldur Skuli Palsson, Zoreh Rasti, Peter Frost Silbye, Morten Zebitz Steiness, Simon Tarp, Morten Vaagholt
PURPOSE: To summarise recommendations about 20 non-surgical interventions for recent onset (<12 weeks) non-specific low back pain (LBP) and lumbar radiculopathy (LR) based on two guidelines from the Danish Health Authority. METHODS: Two multidisciplinary working groups formulated recommendations based on the GRADE approach. RESULTS: Sixteen recommendations were based on evidence, and four on consensus. Management of LBP and LR should include information about prognosis, warning signs, and advise to remain active...
April 20, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28377243/hybrid-bone-spect-ct-imaging-in-evaluation-of-chronic-low-back-pain-correlation-with-modic-changes-and-degenerative-disc-disease
#2
Vittorio M Russo, Ranju T Dhawan, Nishanth Dharmarajah, I Baudracco, Antonio I Lazzarino, Adrian T Casey
BACKGROUND CONTEXT: Multiple radiological modalities are used in the evaluation of patients with low back pain (LBP). Only limited evidence currently exists to support the use of Bone HDP (hydroxydiphosphonate) SPECT/CT (Single Photon Emission Computed Tomography) in patients with Modic changes (MC) and degenerative disc disease (DDD). PURPOSE: The aim of this study was to assess the value of the hybrid Bone SPECT/CT imaging in patients with chronic low back pain...
April 1, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28257986/totally-extraperitoneal-laparoscopic-inguinal-hernia-repair-using-a-self-expanding-nitinol-framed-hernia-repair-device-a-prospective-case-series
#3
Mathieu D'Hondt, Frederiek Nuytens, Emi Yoshihara, Els Adriaens, Franky Vansteenkiste, Hans Pottel
BACKGROUND: The use of a self-expanding nitinol framed prosthesis (ReboundHRD(®)) for totally extraperitoneal laparoscopic inguinal hernia repair (TEP-IHR) could solve issues of mesh shrinkage and associated pain. We prospectively evaluated the use of the ReboundHRD(®) mesh for TEP-IHR. MATERIALS AND METHODS: All patients who underwent a TEP-IHR using the ReboundHRD(®) Large mesh from April 2014 till May 2015, were included. No mesh fixation was performed. Follow-up assessments were performed at the day of surgery, 1, 2, and 7 days, 1, 3, 6, and 12 months...
April 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28076926/yoga-treatment-for-chronic-non-specific-low-back-pain
#4
REVIEW
L Susan Wieland, Nicole Skoetz, Karen Pilkington, Ramaprabhu Vempati, Christopher R D'Adamo, Brian M Berman
BACKGROUND: Non-specific low back pain is a common, potentially disabling condition usually treated with self-care and non-prescription medication. For chronic low back pain, current guidelines state that exercise therapy may be beneficial. Yoga is a mind-body exercise sometimes used for non-specific low back pain. OBJECTIVES: To assess the effects of yoga for treating chronic non-specific low back pain, compared to no specific treatment, a minimal intervention (e...
January 12, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28025356/graded-activity-for-older-adults-with-chronic-low-back-pain-program-development-and-mixed-methods-feasibility-cohort-study
#5
Katrin Kuss, Corinna Leonhardt, Sabine Quint, Dagmar Seeger, Michael Pfingsten, Udo Wolf Pt, Heinz-Dieter Basler, Annette Becker
BACKGROUND: Persistent pain is highly prevalent in older adults and can lead to functional limitations in activities of daily living, and to psychosocial distress. There is a lack of established active therapy programs, especially for older adults with chronic pain. OBJECTIVES: To develop a graded activity program and to evaluate its feasibility within a pilot study. DESIGN: Phase I/phase II trial of a complex intervention. A mixed methods design was chosen to evaluate the feasibility, acceptability, and preliminary evidence of effectiveness...
December 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/27939089/the-resolve-trial-for-people-with-chronic-low-back-pain-protocol-for-a-randomised-clinical-trial
#6
Matthew K Bagg, Markus Hübscher, Martin Rabey, Benedict M Wand, Edel O'Hagan, G Lorimer Moseley, Tasha R Stanton, Chris G Maher, Stephen Goodall, Sopany Saing, Neil E O'Connell, Hannu Luomajoki, James H McAuley
INTRODUCTION: Low back pain is the leading worldwide cause of disability, and results in significant personal hardship. Most available treatments, when tested in high-quality randomised, controlled trials, achieve only modest improvements in pain, at best. Recently, treatments that target central nervous system function have been developed and tested in small studies. Combining treatments that target central nervous system function with traditional treatments directed towards functioning of the back is a promising approach that has yet to be tested in adequately powered, prospectively registered, clinical trials...
January 2017: Journal of Physiotherapy
https://www.readbyqxmd.com/read/27858699/adolescent-lumbar-disc-herniation-impact-diagnosis-and-treatment
#7
Mustafa Karademir, Olcay Eser, Ergün Karavelioglu
BACKGROUND: Symptomatic lumbar intervertebral disc herniation (LDH) is rare in children and adolescents. To date, the treatments available for child and adolescent LDH, and the effect of each treatment, have not been fully reviewed. OBJECTIVE: The purpose of this retrospective study is to report the etiology, familial history, presenting symptoms, level of herniation, duration of symptoms, radiological findings, as well as treatment methods and outcome. METHODS: We retrospectively reviewed medical records of all patients with inclusion criteria of being younger than 20 years...
2017: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27755492/dysfunction-of-nucleus-accumbens-is-associated-with-psychiatric-problems-in-patients-with-chronic-low-back-pain-a-functional-magnetic-resonance-imaging-study
#8
Hideaki Kaneko, Shuo Zhang, Miho Sekiguchi, Takuya Nikaido, Koshi Makita, Jiro Kurata, Shin-Ichi Konno
STUDY DESIGN: Cross-sectional study. OBJECTIVE: To evaluate activity of the nucleus accumbens (NAc) in response to lumbar mechanical stimulation in patients with chronic low back pain (cLBP) using functional magnetic resonance imaging (fMRI). SUMMARY OF BACKGROUND DATA: Although a modified activity of the NAc was characterized in cLBP patients, its pathological significance has yet to be determined. We hypothesized that NAc activation in response to pain might differ depending on the extent of psychiatric problems, which might be associated with the affective/motivational background of chronic pain...
October 17, 2016: Spine
https://www.readbyqxmd.com/read/27680325/effects-of-supervised-aerobic-and-strength-training-in-overweight-and-grade-i-obese-pregnant-women-on-maternal-and-foetal-health-markers-the-gestafit-randomized-controlled-trial
#9
Virginia A Aparicio, Olga Ocón, Carmen Padilla-Vinuesa, Alberto Soriano-Maldonado, Lidia Romero-Gallardo, Milkana Borges-Cósic, Irene Coll-Risco, Pilar Ruiz-Cabello, Pedro Acosta-Manzano, Fernando Estévez-López, Inmaculada C Álvarez-Gallardo, Manuel Delgado-Fernández, Jonatan R Ruiz, Mireille N Van Poppel, Julio J Ochoa-Herrera
BACKGROUND: During pregnancy, a sedentary lifestyle may have negative consequences on maternal and foetal health status. The main objective of this project is to assess the effects of an exercise intervention in overweight and grade I obese pregnant on maternal and foetal health markers. METHODS/DESIGN: The present study aims to recruit 60 overweight and grade I obese women interested in participating in an exercise intervention program from the 17th gestational week until delivery...
September 29, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27634078/can-physical-therapy-centred-on-cognitive-and-behavioural-principles-improve-pain-self-efficacy-in-symptomatic-lumbar-isthmic-spondylolisthesis-a-case-series
#10
Silvano Ferrari, Carla Vanti, Francesco Costa, Maurizio Fornari
PURPOSE: Pain-related self-efficacy is defined as "the beliefs held by people with chronic pain that were able to carry out certain activities, even when experiencing pain", and it is considered a relevant mediator in the relationship between pain and disability in chronic low back pain. This case series describes a treatment aiming to improve pain self-efficacy in patients with symptomatic lumbar spondylolisthesis. METHOD: Ten consecutive outpatients with lumbar spondylolisthesis and chronic LBP referred to a rehabilitative clinic participated in this study...
July 2016: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/27565160/-alif-and-plif-interposition-in-low-grade-isthmic-spondylolisthesis-l5-s1-longterm-comparison-of-interbody-fusion-techniques-alif-plif
#11
C Fleege, M Arabmotlagh, W Rother, M Rauschmann, M Rickert
INTRODUCTION: For the treatment of isthmic spondylolisthesis two alternative interbody fusion techniques are available, the dorsoventral interposition in ALIF technique and the dorsal access interposition in PLIF technique. Due to the complications of anterior lumbar surgery and in order to avoid a second operation, the dorsoventral fusion technique is becoming uncommon and mainly a pure dorsal supply is performed. The aim of the study was to compare the clinical long-term results of both treatment techniques...
September 2016: Der Orthopäde
https://www.readbyqxmd.com/read/27388019/intervertebral-disc-classification-by-its-degree-of-degeneration-from-t2-weighted-magnetic-resonance-images
#12
Isaac Castro-Mateos, Rui Hua, Jose M Pozo, Aron Lazary, Alejandro F Frangi
PURPOSE: The primary goal of this article is to achieve an automatic and objective method to compute the Pfirrmann's degeneration grade of intervertebral discs (IVD) from MRI. This grading system is used in the diagnosis and management of patients with low back pain (LBP). In addition, biomechanical models, which are employed to assess the treatment on patients with LBP, require this grading value to compute proper material properties. MATERIALS AND METHODS: T2-weighted MR images of 48 patients were employed in this work...
September 2016: European Spine Journal
https://www.readbyqxmd.com/read/27336896/associations-between-television-viewing-and-physical-activity-and-low-back-pain-in-community-based-adults-a-cohort-study
#13
MULTICENTER STUDY
Sultana Monira Hussain, Donna M Urquhart, Yuanyuan Wang, David Dunstan, Jonathan E Shaw, Dianna J Magliano, Anita E Wluka, Flavia M Cicuttini
Two systematic reviews concluded that there was limited evidence to support an association between physical activity and sedentary behavior and developing low back pain (LBP). The aim of this study was to examine the associations of physical activity and television viewing time with LBP intensity and disability in community-based adults.Five thousand fifty-eight participants (44% men) of the Australian Diabetes, Obesity and Lifestyle Study had physical activity and television viewing time measured in 1999 to 2000, 2004 to 2005, and 2011 to 2012, and LBP intensity and disability assessed in 2013 to 2014 using the Chronic Pain Grade Questionnaire...
June 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27317910/electromyographic-changes-in-trunk-muscles-during-graded-lumbar-stabilization-exercises
#14
Chung Reen Kim, Dae Kwon Park, Seok Tae Lee, Ju Seok Ryu
BACKGROUND: Lumbar stabilization exercises are effective for the treatment of patients with low back pain. However, personalized exercise programs are required to facilitate more efficient treatment, as each individual exhibits the different characteristics of the trunk muscles and pain. OBJECTIVE: To determine the effects of graded lumbar stabilization exercises on the trunk muscles in healthy individuals, using surface electromyography. DESIGN: A cross-sectional prospective study...
June 16, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27294387/the-role-of-intense-athletic-activity-on-structural-lumbar-abnormalities-in-adolescent-patients-with-symptomatic-low-back-pain
#15
Gregory D Schroeder, Cynthia R LaBella, Marco Mendoza, Erika L Daley, Jason W Savage, Alpesh A Patel, Wellington K Hsu
PURPOSE: To determine if adolescent athletics increases the risk of structural abnormalities in the lumbar spine. METHODS: A retrospective review of patients (ages 10-18) between 2004 and 2012 was performed. Pediatric patients with symptomatic low back pain, a lumbar spine MRI, and reported weekly athletic activity were included. Patients were stratified to an "athlete" and "non-athlete" group. Lumbar magnetic resonance and plain radiographic imaging was randomized, blinded, and evaluated by two authors for a Pfirrmann grade, herniated disc, and/or pars fracture...
September 2016: European Spine Journal
https://www.readbyqxmd.com/read/27252578/the-effects-of-neurodynamic-straight-leg-raise-treatment-duration-on-range-of-hip-flexion-and-protective-muscle-activity-at-p1
#16
Ryan Neal Hanney, Colette Ridehalgh, Allan Dawson, Daniel Lewis, Deirdre Kenny
STUDY DESIGN: Randomized, single blind, same subject crossover trial. OBJECTIVES: To compare the effects of two neurodynamic treatment doses on range of hip flexion (ROM HF) and electromyographic (EMG) activity of semitendinosus, at first onset of pain (P1). METHODS: A total of 26 healthy participants without low back or leg pain received each treatment in a random order with at least 48 hours between sessions. Baseline ROM HF and EMG magnitude of semitendinosus at P1 were collected...
February 2016: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/27214232/clinical-and-imaging-signs-of-spondyloarthritis-in-first-degree-relatives-of-hla-b27-positive-ankylosing-spondylitis-patients-the-pre-spondyloarthritis-pre-spa-cohort-study
#17
Maureen C Turina, Janneke J de Winter, Jacky E Paramarta, Mihaela Gamala, Nataliya Yeremenko, Marita N Nabibux, Robert Landewé, Dominique L Baeten
OBJECTIVE: To investigate whether seemingly healthy first-degree relatives of patients with ankylosing spondylitis (AS) have clinical, laboratory, or imaging features of spondyloarthritis (SpA). METHODS: First-degree relatives (ages 18-40 years) of HLA-B27-positive AS patients were included in the pre-spondyloarthritis (Pre-SpA) cohort, a prospective inception cohort study. Clinical, biologic, and imaging features were recorded. First-degree relatives were classified according to several sets of SpA classification criteria...
October 2016: Arthritis & Rheumatology
https://www.readbyqxmd.com/read/27147479/characterization-of-subchondral-bone-histopathology-of-facet-joint-osteoarthritis-in-lumbar-spinal-stenosis
#18
Cordula Netzer, Karin Urech, Thomas Hügle, Robyn Melanie Benz, Jeroen Geurts, Stefan Schären
Facet joint osteoarthritis may be a cause of low back pain in degenerative spine diseases including lumbar spinal stenosis. Subchondral bone is regarded as a potential therapeutic target for osteoarthritis treatment. The goal of this study was to characterize subchondral bone histopathology in osteoarthritic facet joints from lumbar spinal stenosis patients. Fifteen patients with degenerative spinal stenosis scheduled for transforaminal lumbar interbody fusion surgery were recruited for this study. Osteoarthritis severity was graded on T1- and T2-weighted MRI images using Weishaupt scoring system...
August 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27128390/motor-control-exercise-for-nonspecific-low-back-pain-a-cochrane-review
#19
Bruno T Saragiotto, Christopher G Maher, Tiê P Yamato, Leonardo O P Costa, Luciola C Menezes Costa, Raymond W J G Ostelo, Luciana G Macedo
STUDY DESIGN: A systematic review. OBJECTIVE: The aim of this review was to evaluate the effectiveness of motor control exercise (MCE) in patients with nonspecific low back pain (LBP). SUMMARY OF BACKGROUND DATA: MCE is a common form of exercise used for managing LBP. MCE focuses on the activation of the deep trunk muscles and targets the restoration of control and coordination of these muscles, progressing to more complex and functional tasks integrating the activation of deep and global trunk muscles...
August 15, 2016: Spine
https://www.readbyqxmd.com/read/27113219/graded-activity-for-older-adults-with-chronic-low-back-pain-program-development-and-mixed-methods-feasibility-cohort-study
#20
Katrin Kuss, Corinna Leonhardt, Sabine Quint, Dagmar Seeger, Michael Pfingsten, Udo Wolf Pt, Heinz-Dieter Basler, Annette Becker
BACKGROUND: Persistent pain is highly prevalent in older adults and can lead to functional limitations in activities of daily living, and to psychosocial distress. There is a lack of established active therapy programs, especially for older adults with chronic pain. OBJECTIVES: To develop a graded activity program and to evaluate its feasibility within a pilot study. DESIGN: Phase I/phase II trial of a complex intervention. A mixed methods design was chosen to evaluate the feasibility, acceptability, and preliminary evidence of effectiveness...
April 25, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
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