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https://www.readbyqxmd.com/read/28135365/musculoskeletal-low-back-pain-in-school-aged-children-a-review
#1
James MacDonald, Emily Stuart, Richard Rodenberg
Importance: Low back pain (LBP) in children and adolescents is a common problem. The differential diagnosis of LBP in this population is broad and different from that seen in the adult population. Most causes of LBP are musculoskeletal and benign in their clinical course. Clinicians should have an understanding of the relevant anatomy and the most commonly encountered etiologic factors of LBP in children and adolescents to provide effective care. Observations: Low back pain is rarely seen in youth before they reach school age...
January 30, 2017: JAMA Pediatrics
https://www.readbyqxmd.com/read/28128000/assessment-and-rehabilitation-of-chronic-low-back-pain-in-baseball-part-ii
#2
Joseph G Wasser, Jason L Zaremski, Daniel C Herman, Heather K Vincent
Repetitive throwing and hitting motions in baseball place mechanical stresses to the lumbar spine which may cause low back pain (LBP). Pain may be due to vertebral stress reactions or insufficiency fractures, intervertebral disc degeneration or intervertebral disc herniation. Untreated chronic conditions have high potential to lead to a more significant injury such as spondylolysis. Chronic LBP increases the risk for missed playing time, early career termination and lower quality of life after retirement. Proper clinical assessment and prevention/rehabilitation of LBP in this population is thus important for performance, play time and overall long-term quality of life...
January 27, 2017: Research in Sports Medicine
https://www.readbyqxmd.com/read/28051824/atypical-femoral-fracture-as-first-sign-of-non-hodgkin-lymphoma-case-report-with-a-brief-review-of-the-literature
#3
G Saviola, P Prometti, P R Ferrari, L G Dalle Carbonare
ABSTRACT: Atypical subtrochanteric and diaphyseal femoral fractures (AFF) have been suggested to be associated with the use of bisphosphonates (BPs), but the role of these drugs is still under debate. A 64-year old female, never treated with BPs was admitted to our Rehabilitation Institute because of a recent right AFF. The patient began suffering from low back pain radiating to the groin and to the anterior regions of the right thigh and leg, A nuclear magnetic resonance (NMR) of the lumbar spine showed disc protrusions at the L3-L4 and L5-S1 levels with impingement of the spinal nerve root...
November 2016: La Clinica Terapeutica
https://www.readbyqxmd.com/read/28039769/a-review-of-methods-to-assess-coactivation-in-the-spine
#4
REVIEW
Peter Le, Thomas M Best, Safdar N Khan, Ehud Mendel, William S Marras
Coactivation is an important component for understanding the physiological cost of muscular and spinal loads and their associations with spinal pathology and potentially myofascial pain. However, due to the complex and dynamic nature of most activities of daily living, it can be difficult to capture a quantifiable measure of coactivation. Many methods exist to assess coactivation, but most are limited to two-muscle systems, isometric/complex analyses, or dynamic/uniplanar analyses. Hence, a void exists in that coactivation has not been documented or assessed as a multiple-muscle system under realistic complex dynamic loading...
February 2017: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/27993739/septic-arthritis-of-an-atlantoaxial-facet-joint-with-normal-inflammatory-markers-case-report-and-literature-review
#5
Gokhan Kuyumcu, Claus S Simpfendorfer, Maja Babic, Iain H Kalfas, Lucileia Teixeira-Johnson, Carl S Winalski
BACKGROUND: Septic arthritis of the atlantoaxial facet joint is extremely rare. Contiguous spread to the median atlantoaxial joints with subsequent dens erosion can lead to atlantoaxial instability. Misleading normal inflammatory markers can result in delayed diagnosis and catastrophic consequences. CASE DESCRIPTION: A 56-year-old man presented with right-sided neck pain that had lasted for 2 days. He did not have fever or chills, and his serum C-reactive protein and erythrocyte sedimentation rate were normal...
December 18, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27992296/comparison-of-the-therapeutic-effects-of-a-sling-exercise-and-a-traditional-stabilizing-exercise-for-clinical-lumbar-spinal-instability
#6
Yong Wook Kim, Na Young Kim, Won Hyuk Chang, Sang Chul Lee
CONTEXT: Specific muscle stabilization training can be more relevant to patients with clinical spinal instability symptoms. Therefore, we hypothesized that performing sling exercise using an elastic band in patients with clinical spinal instability leads to pain reduction and improved lumbar spine stability. OBJECTIVE: To compare supervised sling exercise with an elastic band with traditional stabilizing exercise in chronic lower back pain (LBP) patients with clinical spinal instability...
December 19, 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27927497/acute-renal-infarction-after-lateral-lumbar-interbody-spinal-fusion-for%C3%A2-kyphoscoliosis
#7
Sanjeev J Suratwala, MaryAnne Cronin, Katelyn Kondra, Vincent Leone
STUDY DESIGN: Case report. OBJECTIVES: Case report of acute renal infarction following lateral interbody fusion with posterior instrumentation for adult lumbar kyphoscoliosis. SUMMARY OF BACKGROUND DATA: This is the first reported renal infarction following minimally invasive lateral interbody fusion and posterior spinal instrumentation. METHODS: We report a case of acute renal infarction in a 72-year-old woman following direct lateral interbody fusion (DLIF) with percutaneous pedicle screw and rod fixation from L1 to L5 for correction of kyphoscoliosis...
September 2016: Spine Deformity
https://www.readbyqxmd.com/read/27925241/vertebral-subluxation-repair-in-a-pet-goat
#8
Sara Nannarone, Enrico Bellezza, Yves P Moens, Paula Larenza Menzies
OBJECTIVES: To describe the perioperative management, including surgery, anesthesia, metabolic derangements, and physiotherapy, in a goat referred for paraparesis secondary to a road traffic accident. STUDY DESIGN: Case report. ANIMALS: 2-year-old mixed breed dwarf 44 kg female pet goat. METHODS: Clinical examination showed symptoms of early compensatory stages of shock, paraparesis with hyperextension of the thoracic limbs, pain on palpation of the thoracolumbar spine, increased patellar reflexes of both pelvic limbs without superficial sensitivity, but preserved deep pain sensation...
January 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/27912991/malignant-spinal-cord-compression-adapting-conventional-rehabilitation-approaches
#9
REVIEW
Lisa Marie Ruppert
Spinal tumors are classically grouped into 3 categories: extradural, intradural extramedullary, and intradural intramedullary. Spinal tumors may cause spinal cord compression and vascular compromise resulting in pain or neurologic compromise. They may also alter the architecture of the spinal column, resulting in spinal instability. Oncologic management of spinal tumors varies according to the stability of the spine, neurologic status, and presence of pain. Treatment options include surgical intervention, radiation therapy, chemotherapy, and hormonal manipulation...
February 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/27891243/a-comprehensive-musculoskeletal-and-peripheral-nervous-system-assessment-of-war-related-bilateral-upper-extremity-amputees
#10
Mostafa Allami, Batool Mousavi, Mehdi Masoumi, Ehsan Modirian, Hadi Shojaei, Fatemeh Mirsalimi, Maryam Hosseini, Pirouz Pirouzi
BACKGROUND: Upper limb amputations are one of the unpleasant war injuries that armed forces are exposed to frequently. The present study aimed to assess the musculoskeletal and peripheral nervous systems in Iraq-Iran war veterans with bilateral upper extremity amputation. METHODS: The study consisted of taking a history and clinical examinations including demographic data, presence and location of pain, level of amputation, passive and active ranges of movement of the joints across the upper and lower extremities and spine, manual palpation, neurological examination, blood circulation pulses and issues related to a prosthetic limb...
2016: Military Medical Research
https://www.readbyqxmd.com/read/27870804/the-effects-of-low-load-motor-control-exercises-and-a-high-load-lifting-exercise-on-lumbar-multifidus-thickness-a-randomized-controlled-trial
#11
Lars Berglund, Björn Aasa, Peter Michaelson, Ulrika Aasa
STUDY DESIGN: Randomized controlled trial OBJECTIVE.: The aim of this study was to compare the effects of low-load motor control exercises and a high-load lifting exercise, on lumbar multifidus (LM) thickness on either side of the spine and whether the effects are affected by pain intensity or change in pain intensity, among patients with nociceptive mechanical LBP. SUMMARY OF BACKGROUND DATA: There is evidence that patients with low back pain may have a decreased size of the (LM) muscles with an asymmetry between sides in the lower back...
November 18, 2016: Spine
https://www.readbyqxmd.com/read/27816390/biomechanical-analysis-of-combining-head-down-tilt-traction-with-vibration-for-different-grades-of-degeneration-of-the-lumbar-spine
#12
Sicong Wang, Lizhen Wang, Yawei Wang, Chengfei Du, Ming Zhang, Yubo Fan
In recent years, a combination of traction and vibration therapy is usually used to alleviate low back pain (LBP) in clinical settings. Combining head-down tilt (HDT) traction with vibration was demonstrated to be efficacious for LBP patients in our previous study. However, the biomechanics of the lumbar spine during this combined treatment is not well known and need quantitative analysis. In addition, LBP patients have different grades of degeneration of the lumbar spinal structure, which are often age related...
January 2017: Medical Engineering & Physics
https://www.readbyqxmd.com/read/27813685/physical-activity-and-intermittent-postconcussion-symptoms-after-a-period-of-symptom-limited-physical-and-cognitive-rest
#13
REVIEW
Quinton Sawyer, Brian Vesci, Tamara C Valovich McLeod
: Reference: Schneider KJ, Iverson GL, Emery CA, McCrory P, Herring SA, Meeuwisse WH. The effects of rest and treatment following sport-related concussion: a systematic review of the literature. Br J Sports Med. 2013;47(5):304-307. CLINICAL QUESTION: After concussion and a period of symptom-limited physical and cognitive rest, do athletes who experience intermittent symptoms return to asymptomatic condition more quickly with physical activity than with prolonged physical rest? DATA SOURCES: One investigator performed an individual search for each research question using the following databases: CINAHL, Cochrane Controlled Trials Registers, EMBASE, HealthSTAR, ProQuest, PsychInfo, PubMed, SPORTDiscus, and Web of Science...
September 2016: Journal of Athletic Training
https://www.readbyqxmd.com/read/27795545/a-symptomatic-case-of-thoracic-vertebral-hemangioma-causing-lower-limb-spastic-paresis
#14
Mohammad Alfawareh, Tariq Alotaibi, Abdallah Labeeb, Ziad Audat
BACKGROUND Despite being the most common tumor of the spine, vertebral hemangioma is rarely symptomatic in adults. In fact, only 0.9-1.2% of all vertebral hemangiomas may be symptomatic. When hemangiomas occur in the thoracic vertebrae, they are more likely to be symptomatic due to the narrow vertebral canal dimensions that mandate more aggressive management prior to the onset of severe neurological sequelae. CASE REPORT An 18-year-old male presented to the emergency room with a one-month history of mild to moderate mid-thoracic back pain, radiating to both lower limbs...
October 31, 2016: American Journal of Case Reports
https://www.readbyqxmd.com/read/27784233/physiotherapy-for-ankylosing-spondylitis-systematic-review-and-a-proposed-rehabilitation-protocol
#15
Deepak Sharan, Joshua Samuel Rajkumar
Ankylosing Spondylitis (AS) is a chronic inflammatory disease of insidious onset, mostly affecting the axial skeleton. It leads to varying degrees of restricted spinal mobility, pain and loss of functional capacity. Rehabilitation, especially Physiotherapy and exercises, are considered integral components of its management. Various rehabilitation modalities are available for the benefit of individuals with AS, but a sequenced protocol has not been reported. A scientific review was performed using the following search engines: MEDLINE (Pubmed), COCHRANE Library and Physiotherapy Evidence Database (PEDro)...
October 25, 2016: Current Rheumatology Reviews
https://www.readbyqxmd.com/read/27709870/avoiding-errors-in-the-management-of-pediatric-polytrauma-patients
#16
Kenneth Chin, Joshua M Abzug, Donald S Bae, Bernard D Horn, Martin Herman, Craig P Eberson
Management of pediatric polytrauma patients is one of the most difficult challenges for orthopaedic surgeons. Multisystem injuries frequently include complex orthopaedic surgical problems that require intervention. The physiology and anatomy of children and adolescent trauma patients differ from the physiology and anatomy of an adult trauma patient, which alters the types of injuries sustained and the ideal methods for management. Errors of pediatric polytrauma care are included in two broad categories: missed injuries and inadequate fracture treatment...
February 15, 2016: Instructional Course Lectures
https://www.readbyqxmd.com/read/27677038/correlation-between-vo2max-and-isokinetic-parameters-spine-before-and-after-functional-restoration-program-in-chronic-low-back-pain
#17
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
https://www.readbyqxmd.com/read/27677035/compare-of-efficiency-of-a-mini-frp-program-between-sedentary-workers-and-force-workers
#18
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
https://www.readbyqxmd.com/read/27676974/botulinum-toxin-a-for-treatment-of-pisa-syndrome-towards-a-decision-making-algorithm
#19
Emilie Viollet, Arnaud Dupeyron, Corine Gagnard-Landra
OBJECTIVE: Pisa syndrome (PS) is a common abnormal posture of the trunk in Parkinson disease which is defined as a lateral flexion of the spine in the coronal plane and/or scoliosis. Few studies described focal treatment of dystonia of paraspinal muscles, with unpredictable results, while the participation of quadratus lumborum and external oblique homolateral seem to be interesting. The aim of this study is to estimate the effects of treatment by botulinum toxin of trunk muscles dystonia in PS...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27606282/pudendal-nerve-entrapment-syndrome-due-to-a-ganglion-cyst-a-case-report
#20
Jae Wook Lee, Sung-Moon Lee, Dong Gyu Lee
Pudendal nerve entrapment syndrome is an unusual cause of chronic pelvic pain. We experienced a case of pudendal neuralgia associated with a ganglion cyst. A 60-year-old male patient with a tingling sensation and burning pain in the right buttock and perineal area visited our outpatient rehabilitation center. Pelvis magnetic resonance imaging showed the presence of multiple ganglion cysts around the right ischial spine and sacrospinous ligament, and the pudendal nerve and vessel bundle were located between the ischial spine and ganglion cyst at the entrance of Alcock's canal...
August 2016: Annals of Rehabilitation Medicine
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