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Graded activity low back pain

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...
November 11, 2016: Journal of Back and Musculoskeletal Rehabilitation
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
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
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
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
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
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)
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
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
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
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
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
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
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
Crystian B Oliveira, Marcia R Franco, Christopher G Maher, Chung-Wei Christine Lin, Priscila K Morelhão, Amanda C Araujo, Ruben F Negrão Filho, Rafael Z Pinto
OBJECTIVE: To investigate if physical activity interventions increase objectively measured physical activity levels of patients with chronic musculoskeletal pain (e.g. osteoarthritis, low back pain) compared to no/minimal intervention. METHODS: We performed a systematic review with meta-analysis (Prospero registration CRD42014015363) searching the MEDLINE, EMBASE, CINAHL, SPORTDiscus and PEDro and the main clinical trial registers. Quasi- or randomized controlled trials investigating the effect of physical activity interventions on objectively measured physical activity levels (e...
April 25, 2016: Arthritis Care & Research
Corinna Leonhardt, Katrin Kuss, Annette Becker, Heinz-Dieter Basler, Jeroen de Jong, Brigitta Flatau, Marjan Laekeman, Peter Mattenklodt, Matthias Schuler, Johan Vlaeyen, Sabine Quint
BACKGROUND AND PURPOSE: Fear-avoidance beliefs in older adults with chronic low back pain (CLBP) can lead to disability. Graded exposure-based active physical therapy could be an option to enhance physical ability in older patients with CLBP. The purpose of this study was to develop a standardized graded exposure treatment according to the fear-avoidance model of musculoskeletal pain for older patients with CLBP and to examine its effectiveness and feasibility in the German health care system...
April 7, 2016: Journal of Geriatric Physical Therapy
Varun Chandra, Raj Kumar Singh
UNLABELLED: Spondylolisthesis presenting as low back pain is not an uncommon condition. Many of such patients are treated conservatively. For those that require surgical management, various treatment options are in vogue e.g. Postero-lateral fusion (PLF) with decompression or posterior fusion with instrumentation and anterior lumbar inter-body fusion (ALIF). Each technique has produced satisfactory outcome with benefits and disadvantages. AIM OF THE STUDY: To compare the outcome of surgical management of low grade spondylolisthesis with two treatments modalities--Postero-lateral fusion (PLF) and Anterior lumbar inter-body fusion (ALIF) with posterior instrumentation in similar patient profile...
March 2016: Acta Orthopaedica Belgica
C Demoulin, N Roussel, M Marty, C Mathy, S Genevay, Y Henrotin, M Tomasella, G Mahieu, M Vanderthommen
OBJECTIVE: to summarize the knowledge regarding the maladaptive beliefs of patients with non-specific low back pain. METHODS: a narrative literature review on these beliefs was conducted by an international and multidisciplinary team of experts in the field. RESULTS: these beliefs, which can result in negative consequences on functioning and on patient prognosis, have various origins: family and friends, media, previous experience and/or health care professionals' messages...
January 2016: Revue Médicale de Liège
Júlio Alberto Agante Fernandes, Caio Vitor Dos Santos Genebra, Nicoly Machado Maciel, Alexandre Fiorelli, Marta Helena Souza de Conti, Alberto De Vitta
OBJECTIVE: To determine the prevalence of low back pain in children and its relationship with gender, age, exercise practice and sedentary activities (time on TV and on computer and/or video game). METHODS: We conducted a cross-sectional study with a sample of 1,461 students, being 754 males and 707 females enrolled in the 5(th) to 8(th) grades of all five local elementary schools of urban Ourinhos, SP, Brasil, aged 10-14 years old, from whom sociodemographic data, time spent on sedentary activities such as TV and computer and/or video game were collected...
September 2015: Acta Ortopedica Brasileira
Jena B Ogston, Richard D Crowell, Brian K Konowalchuk
BACKGROUND: Approaches in the treatment of general chronic low back pain (CLBP) are multifaceted relative to specific interventions. In the past, passive interventions have commonly been employed with little evidence to support their effectiveness. Recent reviews suggest a focus on active exercises programs that includes pain education and cognitive behavioral therapy. OBJECTIVE: To investigate the outcomes of CLBP patients and describe the approach in persons undergoing a group spinal rehabilitation program using graded exercise, and operant conditioning...
November 21, 2016: Journal of Back and Musculoskeletal Rehabilitation
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