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Graded activity low back pain

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https://www.readbyqxmd.com/read/29740548/low-back-pain-obesity-and-inflammatory-markers-exercise-as-potential-treatment
#1
REVIEW
Isabela Maia da Cruz Fernandes, Rafael Zambelli Pinto, Paulo Ferreira, Fábio Santos Lira
Low back pain is a health issue with significant impact to patients and society. This narrative review aims to synthesize the relationship between obesity, low-grade inflammation and low back pain. It is known that a sedentary lifestyle is a risk factor for obesity and related disorders. The adipose tissue of obese people secretes a range of cytokines of character pro- and anti-inflammatory, with many molecular effects. In addition, pro-inflammatory cytokines are sensitizers of C-reactive protein (CRP), a marker of acute inflammation that can be linked to the musculoskeletal pain sensation individuals with back pain...
April 2018: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/29732428/minimum-ten-year-follow-up-of-spinal-stenosis-with-degenerative-spondylolisthesis-treated-with-decompression-and-dynamic-stabilization
#2
Kotryna Veresciagina, Arne Mehrkens, Stefan Schären, Bernhard Jeanneret
Background: The Dynesys system remains the most widely implanted posterior non-fusion pedicle screw system. Various study designs used in investigations with good to excellent short- and mid-term results have been reported in the current literature. However, there is a lack of information concerning long-term outcomes following treatment for spinal stenosis with degenerative spondylolisthesis. Methods: The aim of our study was twofold. Firstly, to assess whether the dynamic stabilization in situ with the Dynesys System without bone grafting provides enough stability to prevent progression of spondylolisthesis and secondarily to maintain significant clinical improvement in a long-term follow-up (FU)...
March 2018: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29730393/virtual-immersive-gaming-to-optimize-recovery-vigor-in-low-back-pain-a-phase-ii-randomized-controlled-trial
#3
Christopher R France, James S Thomas
The virtual immersive gaming to optimize recovery (VIGOR) study is a randomized controlled trial of the effects of virtual reality games to encourage lumbar spine flexion among individuals with chronic low back pain and fear of movement. Whereas traditional graded activity or graded exposure therapies for chronic low back pain have high attrition and poor long-term efficacy, we believe that virtual reality games have distinct advantages that can enhance adherence and clinical outcomes. First, they are engaging and enjoyable activities that can distract from pain and fear of harm...
May 3, 2018: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29710470/mir-21-promotes-ecm-degradation-through-inhibiting-autophagy-via-the-pten-akt-mtor-signaling-pathway-in-human-degenerated-np-cells
#4
Wen-Jun Wang, Wei Yang, Zhi-Hua Ouyang, Jing-Bo Xue, Xue-Lin Li, Jian Zhang, Wen-Si He, Wen-Kang Chen, Yi-Guo Yan, Cheng Wang
Intervertebral disc degeneration (IDD) is the most common cause leading to low back pain, a highly prevalent, costly and crippling condition worldwide. Overexpression of miR-21 has been shown to promote proliferation of nucleus pulposus (NP) cells. However, it remains unclear whether miR-21 can promote the degradation of type II collagen (Col II) and aggrecan, two main extracellular matrix components within the disc. Here, the miRNA microassay assay identified 29 differentially expressed miRNAs in NP tissues from IDD patients compared with healthy controls...
March 2018: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
https://www.readbyqxmd.com/read/29682329/active-discopathy-a-clinical-reality
#5
REVIEW
Margaux Boisson, Marie-Martine Lefèvre-Colau, François Rannou, Christelle Nguyen
In the late 1980s, the description by Modic and colleagues of elementary discovertebral changes detected on MRI (Modic classification) suggested for the first time a possible correlation between anatomical and clinical features in a subgroup of patients with non-specific chronic low back pain. Degenerative disc disease is frequent and usually asymptomatic, but Modic 1 changes in the vertebral endplates adjacent to a degenerated disc are associated with inflammatory-like chronic low back pain and low-grade local and systemic inflammation, which led to the concept of 'active discopathy'...
2018: RMD Open
https://www.readbyqxmd.com/read/29562715/effectiveness-of-integration-and-re-integration-into-work-strategies-for-persons-with-chronic-conditions-a-systematic-review-of-european-strategies
#6
REVIEW
Carla Sabariego, Michaela Coenen, Elizabeth Ito, Klemens Fheodoroff, Chiara Scaratti, Matilde Leonardi, Anastasia Vlachou, Panayiota Stavroussi, Valentina Brecelj, Dare S Kovačič, Eva Esteban
Due to low employment rates associated to chronic conditions in Europe, it is essential to foster effective integration and re-integration into work strategies. The objective of this systematic review is to summarize the evidence on the effectiveness of strategies for integration and re-integration to work for persons with chronic diseases or with musculoskeletal disorders, implemented in Europe in the past five years. A systematic search was conducted in MedLine, PsycINFO, CDR-HTA, CDR-DARE and Cochrane Systematic Reviews...
March 19, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29525768/using-an-internet-intervention-to-support-self-management-of-low-back-pain-in-primary-care-findings-from-a-randomised-controlled-feasibility-trial-supportback
#7
Adam W A Geraghty, Rosie Stanford, Beth Stuart, Paul Little, Lisa C Roberts, Nadine E Foster, Jonathan C Hill, Elaine M Hay, David Turner, Wansida Malakan, Linda Leigh, Lucy Yardley
OBJECTIVE: To determine the feasibility of a randomised controlled trial of an internet intervention for low back pain (LBP) using three arms: (1) usual care, (2) usual care plus an internet intervention or (3) usual care plus an internet intervention with additional physiotherapist telephone support. DESIGN AND SETTING: A three-armed randomised controlled feasibility trial conducted in 12 general practices in England. PARTICIPANTS: Primary care patients aged over 18 years, with current LBP, access to the internet and without indicators of serious spinal pathology or systemic illness...
March 9, 2018: BMJ Open
https://www.readbyqxmd.com/read/29430880/frequency-and-anatomic-distribution-of-magnetic-resonance-imaging-features-in-the-sacroiliac-joints-of-young-athletes-exploring-background-noise-toward-a-data-driven-definition-of-sacroiliitis-in-early-spondyloarthritis
#8
Ulrich Weber, Anne Grethe Jurik, Anna Zejden, Ejnar Larsen, Steen Hylgaard Jørgensen, Kaspar Rufibach, Christian Schioldan, Søren Schmidt-Olsen
OBJECTIVE: Low-grade bone marrow edema (BME) has been reported in the sacroiliac (SI) joints of 25% of healthy individuals and patients with nonspecific mechanical back pain, thus challenging the specificity and predictive value of magnetic resonance imaging (MRI) for the discrimination of early spondyloarthritis (SpA). It is unknown whether stress injury in competition sports may trigger BME. This study sought to explore the frequency and anatomic distribution of SI joint MRI lesions in recreational and elite athletes...
May 2018: Arthritis & Rheumatology
https://www.readbyqxmd.com/read/29409639/the-effects-of-breaks-on-low-back-pain-discomfort-and-work-productivity-in-office-workers-a-systematic-review-of-randomized-and-non-randomized-controlled-trials
#9
REVIEW
Pooriput Waongenngarm, Kantheera Areerak, Prawit Janwantanakul
The purpose of this study was to evaluate the effectiveness of breaks on low back pain, discomfort, and work productivity in office workers. Publications were systematically searched in several databases from 1980 to December 2016. Relevant randomized and non-randomized controlled trials were retrieved and assessed for methodological quality by two independent reviewers. Quality of evidence was assessed and rated according to GRADE guidelines. Eight randomized controlled trials and three non-randomized controlled trials were included in this review, of which 10 were rated as high-quality studies...
April 2018: Applied Ergonomics
https://www.readbyqxmd.com/read/29371112/manipulation-and-mobilization-for-treating-chronic-low-back-pain-a-systematic-review-and-meta-analysis
#10
REVIEW
Ian D Coulter, Cindy Crawford, Eric L Hurwitz, Howard Vernon, Raheleh Khorsan, Marika Suttorp Booth, Patricia M Herman
BACKGROUND CONTEXT: Mobilization and manipulation therapies are widely used to benefit patients with chronic low back pain. However, questions remain about their efficacy, dosing, safety, and how these approaches compare with other therapies. PURPOSE: The present study aims to determine the efficacy, effectiveness, and safety of various mobilization and manipulation therapies for treatment of chronic low back pain. STUDY DESIGN/SETTING: This is a systematic literature review and meta-analysis...
January 31, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29362274/effect-of-differentiating-exercise-guidance-based-on-a-patient-s-level-of-low-back-pain-in-primary-care-a-mixed-methods-systematic-review-protocol
#11
Jens Erik Jorgensen, Tamana Afzali, Allan Riis
INTRODUCTION: Low back pain (LBP) is one of the health conditions that lead to the most disability worldwide. Guidelines aimed at management of LBP recommend non-invasive and non-pharmacological management, including patient education, advice to stay active and exercise therapy; however, the guidelines offer no recommendation as to the allowable level of pain during exercise or how specific levels of pain should be reflected in the stage and progression of exercises or activities. The purpose of this review is to study the effect of differentiation of exercise guidance based on the level of LBP in patients in primary care...
January 23, 2018: BMJ Open
https://www.readbyqxmd.com/read/29276459/immediate-effect-of-lumbar-mobilization-on-activity-of-erector-spinae-and-lumbar-multifidus-muscles
#12
Fahed Mehyar, Marcio Santos, Sara E Wilson, Vincent S Staggs, Neena K Sharma
Objective: The purpose of this study was to investigate the effect of grade IV lumbar mobilization on the activity/contraction of erector spinae (ES) and lumbar multifidus (LM) muscles in healthy people. Methods: A randomized, repeated-measures design was used. Sixteen healthy subjects attended 3 testing sessions with a different intervention in each session (no intervention, grade IV central lumbar mobilization at L4, and placebo/light touch). Lying in a prone position, subjects lifted a light weight with their right arm while ultrasound images of LM and surface electromyography signals of ES were captured before and immediately after application of the intervention in the session...
December 2017: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/29191118/spondylolisthesis-identified-using-ultrasound-imaging
#13
George J Beneck, Andrea N Gard, Kimberly A Fodran
57-year-old woman was recruited for a research study of muscle activation in persons with low back pain. She described a progressive worsening of left lower lumbar pain, which began 5 years prior without any precipitating incident, and intermittent pain at the left gluteal fold (diagnosed as a proximal hamstring tear 2 years prior). Ultrasound revealed marked anterior displacement of the L3-4 and L4-5 facet joints. The subject was recommended for a radiograph using a lateral recumbent view, which demonstrated a grade II spondylolisthesis...
December 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29188299/are-work-organization-interventions-effective-in-preventing-or-reducing-work-related-musculoskeletal-disorders-a-systematic-review-of-the-literature
#14
Susan R Stock, Nektaria Nicolakakis, Nicole Vézina, Michel Vézina, Louis Gilbert, Alice Turcot, Hélène Sultan-Taïeb, Kathryn Sinden, Marie-Agnès Denis, Céline Delga, Clément Beaucage
Objectives We sought to determine whether interventions that target work organization or the psychosocial work environment are effective in preventing or reducing work-related musculoskeletal disorders (WMSD) compared to usual work. Methods We systematically reviewed the 2000-2015 English- and French-language scientific literature, including studies evaluating the effectiveness of an organizational or psychosocial work intervention on incidence, prevalence or intensity of work-related musculoskeletal pain or disorders in the neck, shoulders, upper limbs and/or back or of work absence due to such problems, among non-sick-listed workers...
March 1, 2018: Scandinavian Journal of Work, Environment & Health
https://www.readbyqxmd.com/read/29181342/early-loosening-of-spinal-rod-in-a-case-of-degenerative-grade-1-spondylolisthesis-treated-with-unilateral-pedicle-screw-fixation-and-transforaminal-cage-for-interbody-fusion
#15
Prasoon Kumar, Vishal Kumar, Rakesh John, Rajbahadur Sharma
Introduction: Unilateral pedicle screw fixation and transforaminal cage for interbody fusion are well-established form of treatment for lumbar spondylolisthesis. It is cost effective and has shown to have a comparable outcome to bilateral pedicle screw fixation. We present a case of unilateral pedicle screw fixation and transforaminal cage for interbody fusion in a patient of Grade 1 Degenerative spondylolisthesis who had an early implant failure, and try to assess the possible events leading to it...
July 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29097779/high-prevalence-of-inadequate-sitting-and-sleeping-postures-a-three-year-prospective-study-of-adolescents
#16
Matias Noll, Cláudia Tarragô Candotti, Bruna Nichele da Rosa, Marja Bochehin do Valle, Arthur Antoniolli, Adriane Vieira, Jefferson Fagundes Loss
There is a paucity of information regarding the development of body posture during adolescence. This three-year prospective study aimed to evaluate sitting and sleeping postures among adolescents, and to determine whether these postures are associated with age and sex. We assessed 525 adolescents aged 11-16 years from the fifth to eighth grades. These adolescents were reassessed three years later. The Back Pain and Body Posture Evaluation Instrument was used to evaluate the sleeping posture and three sitting positions: sitting to write, to use a computer, and during leisure activities...
November 2, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29093794/minimally-invasive-versus-conventional-repair-of-spondylolysis-in-athletes-a-review-of-outcomes-and-return-to-play
#17
REVIEW
John Paul G Kolcun, Lee Onn Chieng, Karthik Madhavan, Michael Y Wang
Spondylolysis from pars fracture is a common injury among young athletes, which can limit activity and cause chronic back pain. While current literature has examined the relative benefits of surgical and conservative management of these injuries, no study has yet compared outcomes between conventional direct repair of pars defects and modern minimally invasive procedures. The goals of surgery are pain resolution, return to play at previous levels of activity, and a shorter course of recovery. In this review, the authors have attempted to quantify any differences in outcome between patients treated with conventional or minimally invasive techniques...
October 2017: Asian Spine Journal
https://www.readbyqxmd.com/read/28962911/from-the-international-space-station-to-the-clinic-how-prolonged-unloading-may-disrupt-lumbar-spine-stability
#18
Jeannie F Bailey, Stephanie L Miller, Kristine Khieu, Conor W O'Neill, Robert M Healey, Dezba G Coughlin, Jojo V Sayson, Douglas G Chang, Alan R Hargens, Jeffrey C Lotz
BACKGROUND CONTEXT: Prolonged microgravity exposure is associated with localized low back pain and an elevated risk of post-flight disc herniation. Although the mechanisms by which microgravity impairs the spine are unclear, they should be foundational for developing in-flight countermeasures for maintaining astronaut spine health. Because human spine anatomy has adapted to upright posture on Earth, observations of how spaceflight affects the spine should also provide new and potentially important information on spine biomechanics that benefit the general population...
January 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28803704/effectiveness-of-graded-activity-versus-physiotherapy-in-patients-with-chronic-nonspecific-low-back-pain-midterm-follow-up-results-of-a-randomized-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
Maurício Oliveira Magalhães, Josielli Comachio, Paulo Henrique Ferreira, Evangelos Pappas, Amélia Pasqual Marques
BACKGROUND: Low back pain (LBP) is a major health and economic problem worldwide. Graded activity and physiotherapy are commonly used interventions for nonspecific low back pain. However, there is currently little evidence to support the use of one intervention over the other in the medium-term. OBJECTIVE: To compare the effectiveness of graded activity exercises to physiotherapy-based exercises at mid-term (three and six months' post intervention) in patients with chronic nonspecific LBP...
January 2018: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/28688789/yoga-treatment-for-chronic-non-specific-low-back-pain-2017
#20
Alison Whitehead, Susan Gould Fogerite
Wieland LS, Skoetz N, Pilkington K, Vempati R, D׳Adamo CR, Berman BM. Yoga treatment for chronic non-specific low back pain.Cochrane Database Syst Rev2017, Issue 1. Art. No.: CD010671. DOI: 10.1002/14651858.CD010671.pub2. 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...
July 2017: Explore: the Journal of Science and Healing
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