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functional restoration program pain

Andrew J Hahne, Jon J Ford, Rana S Hinman, Matthew C Richards, Luke D Surkitt, Alexander Yp Chan, Sarah L Slater, Nicholas F Taylor
BACKGROUND CONTEXT: Physical therapy is commonly sought by people with lumbar disc herniation and associated radiculopathy. It is unclear whether physical therapy is effective for this population. PURPOSE: To determine the effectiveness of physical therapist delivered individualized functional restoration as an adjunct to guideline-based advice in people with lumbar disc herniation and associated radiculopathy. DESIGN: Pre-planned subgroup analysis of a multicenter parallel group randomized controlled trial...
October 17, 2016: Spine Journal: Official Journal of the North American Spine Society
Julien Nardoux
OBJECTIVE: Chronic low-back pain is accompanied by physical deconditioning which result among other by lower VO2max and by disturbances isokinetic explorations. The objective of this study was to investigate whether there was a correlation between VO2max and isokinetic parameters spine before and after a functional restoration program (FRP). MATERIAL/PATIENTS AND METHODS: Uni-centric retrospective study in routine care. Isokinetic spine muscle strength evaluation and functional exercise exploration were performed before and after FRP for all hospitalized patients for 4 weeks to FRP...
September 2016: Annals of Physical and Rehabilitation Medicine
Clémence Coll, Elsa Mauruc, Célia Valser, Luce Condamine, Emilie Hutin, Yves Coulomb, Jean-Michel Gracies, Shahab Fardjad
OBJECTIVE: The efficacy of multidisciplinary functional restoration spine programs (FRP) has been demonstrated in terms of secondary prevention in chronic low-back pain (LBP), working lumbar spine reconditioning. Our LBP patients follow a FRP program, one day/week over 5 weeks, with self-rehabilitation the other days called "mini FRP". The objective of the study is to compare responses to a mini-FRP program, between two groups from a population of patients working with LBP: "Sedentary Workers (SW)" and "Force Workers (FW)"...
September 2016: Annals of Physical and Rehabilitation Medicine
Mathilde Berger, Alessandro Farné, Karen Reilly, Emmanuelle Chaléat-Valayer
OBJECTIVE/INTRODUCTION: The body image refers to the conscious representation of our own body. It can be modulated by various sensory manipulations and can also be disturbed in people with chronic pain [1,2]. OBJECTIVE: The objective of this study is to assess the body image of people with chronic low back pain (CLBP) and its evolution after a functional restoration program (FRP). MATERIAL/PATIENTS AND METHODS: Prospective and single-center study, carried out on a population of people with CLBP receiving a FRP lasting four weeks...
September 2016: Annals of Physical and Rehabilitation Medicine
Joséphine Métréau, Frédéric Brogniart, Claude Grandjean, Bertrand Morineaux
OBJECTIVE: Postural balance is ensured by the involvement of several coping strategies. There is however an alteration of the proprioceptive system with chronic low back pain patients making it vulnerable to any type of disruptive force (endogenous and exogenous) and physiologically compensated by the postural system. The aim of this study is to measure the postural changes during a functional restoration protocol. MATERIAL/PATIENTS AND METHODS: Were included in this study, 8 chronic low back pain patients, seen in consultation before being included in the rehabilitative care unit of the Bourbonne-les-Bains Hospital as part of a functional restoration protocol for 5-6 weeks...
September 2016: Annals of Physical and Rehabilitation Medicine
François Segretin, Guillaume Paris, Sarah Cheriet, Yohann Delarue
OBJECTIVE: The chronic lateral epicondylitis is a common pathology with an economic impact. Actually, many costly therapies are prescribed without evidence of their effectiveness. Physical therapies seem to be neglected. However, they can correct actions at risk and involve the patient in his rehabilitation. MATERIAL/PATIENTS AND METHODS: This study evaluated the effectiveness of a standardized 2 month rehabilitation program composed of: an outpatient group education session, 18 liberal physical therapy sessions with correction of the posture of the trunk and shoulder, eccentric strengthening of the supinator muscles and the wrist extensor muscles, stretching, and some self daily exercises (transverse friction massage and stretching) according to Pernot-Comtet protocol...
September 2016: Annals of Physical and Rehabilitation Medicine
Ibrahim M Moustafa, Aliaa A Diab, Deed E Harrison
BACKGROUND: Cervicogenic dizziness is a disabling condition commonly associated with cervical dysfunction. Although the growing interest with the importance of normal sagittal configuration of cervical spine, the missing component in the management of cervicogenic dizziness might be altered structural alignment of the cervical spinal region itself. AIM: To investigate the immediate and long-term effects of a 1-year multimodal program, with the addition of cervical lordosis restoration and anterior head translation (AHT) correction, on the severity of dizziness, disability, cervicocephalic kinesthetic sensibility, and cervical pain in patients with cervicogenic dizziness...
August 30, 2016: European Journal of Physical and Rehabilitation Medicine
Cindy A McGeary, Donald D McGeary, Jose Moreno, Robert J Gatchel
Chronic musculoskeletal pain, such as low back pain, often appears in the presence of psychiatric comorbidities (e.g., depression, posttraumatic stress disorder (PTSD)), especially among U.S. military service members serving in the post-9/11 combat era. Although there has been much speculation about how to best address pain/trauma psychiatric symptom comorbidities, there are little available data to guide practice. The present study sought to examine how pre-treatment depression and PTSD influence outcomes in a functional restoration pain management program using secondary analysis of data from the Department of Defense-funded Functional and Orthopedic Rehabilitation Treatment (FORT) trial...
2016: Healthcare (Basel, Switzerland)
Isabelle Caby, Nicolas Olivier, Frédérick Janik, Jacques Vanvelcenaher, Patrick Pelayo
STUDY DESIGN: A controlled and retrospective study of 144 chronic low back pain patients to evaluate the effectiveness of an intensive functional restoration program in France. OBJECTIVE: Evaluating the efficiency of an intensive, dynamic and multidisciplinary functional restoration program in patients with chronic low back pain (LBP), during 6 and 12 months follow up. SUMMARY OF BACKGROUND DATA: Chronic low back pain disease has a multifactor nature, involving physical, psychological professional and social factors...
2016: Healthcare (Basel, Switzerland)
M Fagevik Olsén, G Kjellby Wendt, E Hammerlid, U Smedh
BACKGROUND AND AIMS: There is a risk of decreased physical function, quality of life and persistent pain after open surgery for esophageal cancer. There are currently no studies that evaluate the effect of any postoperative intervention, including physical exercises, after this type of surgery. The aim of the study was therefore to evaluate the effect of a training intervention after Ivor-Lewis resection of the esophagus. MATERIAL AND METHODS: Patients scheduled for esophagus resection according to Ivor-Lewis were randomized to an intervention group or a control group...
July 1, 2016: Scandinavian Journal of Surgery: SJS
S Jun Son, Hyunsoo Kim, Matthew K Seeley, J Ty Hopkins
OBJECTIVE: To examine the influence of experimental knee pain on perceived knee pain and gait patterns, and examine efficacy of TENS on pain-induced knee gait mechanics. DESIGN: Crossover. SETTING: Biomechanics laboratory. SUBJECTS: Recreationally active, healthy subjects aged 18-35 years (n=30). INTERVENTIONS: Thirty able-bodied subjects were assigned to either a TENS (n=15) or placebo group (n=15)...
June 22, 2016: Archives of Physical Medicine and Rehabilitation
Leo Rathinaraj Antony Soundararajan, Sreeja Mannickal Thankappan
STUDY DESIGN: Randomized controlled trial. PURPOSE: To contrast the efficacy of two exercise programs-multifidus retraining program (MRP) and traditional back exercises (TBE)-on pain and functional disability in individuals with chronic low back pain. OVERVIEW OF LITERATURE: Low back pain is a common musculoskeletal disorder. Mechanical low back pain does not involve nerve roots. Stability of the spine is provided by the ligaments and muscles of the lower back and abdomen...
June 2016: Asian Spine Journal
Kewwan Kim, Kyoungkyu Jeon
[Purpose] The aim of the present study was to construct an integrated rehabilitation exercise program to prevent chronic pain and improve motor ability in cases of ankle injury and re-injury. [Subjects and Methods] Twenty-six male soccer players who required functional strength exercises due to repeated ankle injury were the subjects. A 12-week rehabilitation exercise program was constructed with the aim of improving muscle strength in the ankle and dynamic coordination of the lower limb. Muscle strength and dynamic coordination were evaluated using the Y Balance Test, and isokinetic muscle strength of ankle dorsiflexion, plantarflexion, inversion, and eversion were measured before and after the 12-week program...
May 2016: Journal of Physical Therapy Science
Iikka Lantto, Juuso Heikkinen, Tapio Flinkkila, Pasi Ohtonen, Pertti Siira, Vesa Laine, Juhana Leppilahti
BACKGROUND: The optimal treatment of acute Achilles tendon ruptures for active patients is under debate. PURPOSE: To compare clinical outcomes and calf muscle strength recovery after the nonsurgical treatment and open surgical repair of acute Achilles tendon ruptures with identical accelerated rehabilitation programs. STUDY DESIGN: Randomized controlled trial; Level of evidence, 1. METHODS: From 2009 to 2013, a total of 60 patients with an acute Achilles tendon rupture were randomized to surgery or nonsurgical treatment...
September 2016: American Journal of Sports Medicine
Birgitte Hede Christensen, Kathrine Skov Andersen, Sten Rasmussen, Elizabeth Lykholt Andreasen, Lotte Mejlvig Nielsen, Steen Lund Jensen
BACKGROUND: Rotator cuff rupture is associated with dysfunction, pain and muscular weakness related to the upper extremity. Some evidence exists to support the beneficial effect of exercises but there is lack of evidence of which exercises imply the best effect and how physiotherapy should be administered. Therefore, the purpose of this study was to examine the effect of a neuromuscular exercise program for patients with irreparable rotator cuff rupture. METHODS: Based on sample-size calculations thirty patients with chronic irreparable rotator cuff tears (of at least m...
2016: BMC Musculoskeletal Disorders
Isabelle Tavares Figueiredo, Arnaud Dupeyron, Bao Tran, Claire Duflos, Marc Julia, Christian Herisson, Emmanuel Coudeyre
BACKGROUND: Defining individual educational, or learning, targets is part of the initial educational assessment in rehabilitation programs, but no data are available on how to achieve these goals. OBJECTIVE: We aimed to evaluate whether educational objectives established with the patient as part of a functional spine restoration program integrating self-care sessions were met after the program and associated therapy outcomes. METHODS: This retrospective study involved 104 patients with chronic low-back pain who participated in a self-care rehabilitation program between 2008 and 2012...
May 2, 2016: Annals of Physical and Rehabilitation Medicine
Ahmad Zamir Che Daud, Matthew K Yau, Fiona Barnett, Jenni Judd, Rhondda E Jones, Rashdeen Fazwi Muhammad Nawawi
STUDY DESIGN: Randomized Controlled Trial (RCT). INTRODUCTION: Engagement in daily occupations and day to day activities helps to restore function in individuals with injured hands and provides a platform to practise selected occupations. PURPOSE: The purpose of this study was to investigate the effectiveness of a combination of Occupation Based Intervention (OBI) and Therapeutic Exercise (TE) compared to TE alone for the rehabilitation of hand injuries...
January 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Lynette A Pujol, Lewis Sussman, Jamie Clapp, Rebekah Nilson, Howare Gill, Justin Boge, Benjamin Keizer, Margaux M Salas, Brandon Goff
No abstract text is available yet for this article.
October 2015: U.S. Army Medical Department Journal
Chun-Ju Chang, Na-Ling Lin, Mel S Lee, Jen-Suh Chern
To understand the progression of recovery in postural stability and physical functioning after patients received the minimally invasive total hip arthroplasty (MTHA), we monitor the pain level, functional capacity, and postural stability before and after operation within one year. In total of 23 subjects in our study, we found out that MTHA was effective in relieving pain in first 2 weeks and restoring the hip joint integrity, but the postural stability was influenced especially in tandem stand in both anterior-posterior and medial-lateral directions...
2015: BioMed Research International
B Arnold, H-R Casser, K Klimczyk, J Lutz, T Brinkschmidt, I Gralow, D Irnich, U Kaiser, B Nagel, M Schiltenwolf, M Pfingsten, R Sabatowski, W Söllner
Multimodal pain treatment programs are widely accepted as the medical treatment standard in the management of patients with chronic pain syndromes. The concepts and treatment strategies are based on the biopsychosocial model of pain and programs for early restoration of function. Although this concept is primarily implemented in the curative field, i.e. in hospitals for the treatment of patients with chronic pain diseases, modified programs based on the International Classification of Functioning (ICF) can now also be found in rehabilitation clinics...
December 2015: Der Schmerz
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