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chronic lower back pain

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https://www.readbyqxmd.com/read/28087062/timing-and-magnitude-of-lumbar-spine-contribution-to-trunk-forward-bending-and-backward-return-in-patients-with-acute-low-back-pain
#1
Iman Shojaei, Milad Vazirian, Elizabeth G Salt, Linda R Van Dillen, Babak Bazrgari
Alterations in the lumbo-pelvic coordination denote changes in neuromuscular control of trunk motion as well as load sharing between passive and active tissues in the lower back. Differences in timing and magnitude aspects of lumbo-pelvic coordination between patients with chronic low back pain (LBP) and asymptomatic individuals have been reported; yet, the literature on lumbo-pelvic coordination in patients with acute LBP is scant. A case-control study was conducted to explore the differences in timing and magnitude aspects of lumbo-pelvic coordination between females with (n=19) and without (n=19) acute LBP...
January 4, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/28076926/yoga-treatment-for-chronic-non-specific-low-back-pain
#2
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/28076310/the-serum-concentrations-of-leptin-and-mcp-1-independently-predict-low-back-pain-duration
#3
Giuseppe Lippi, Concetta Dagostino, Ruggero Buonocore, Rosalia Aloe, Chiara Bonaguri, Guido Fanelli, Massimo Allegri
BACKGROUND: Low back pain (LBP) is a very frequent condition, affecting most people at some point throughout their life. This cross-sectional study was aimed to investigate a selected panel of cytokines and inflammatory biomarkers in patients with or without LBP. METHODS: The study population consisted of 104 patients diagnosed with LBP (52 non-persistent and 52 persistent) and 52 healthy subjects with no LBP. Blood samples were collected for assessment of adiponectin, leptin, monocyte chemoattractant protein-1 (MCP-1) and C reactive protein (CRP)...
January 11, 2017: Clinical Chemistry and Laboratory Medicine: CCLM
https://www.readbyqxmd.com/read/28072802/efficacy-of-adjuvant-10-hypertonic-saline-in-transforaminal-epidural-steroid-injection-a-retrospective-analysis
#4
Eun Young Joo, Won Uk Koh, Seong-Soo Choi, Jae-Hyung Choi, Ho-Soo Ahn, Hye Joo Yun, Jin-Woo Shin
BACKGROUND: Chronic lower back pain with or without radiculopathy represents an important medical, social, and economic problem. Many treatment modalities and techniques, including surgery and epidural administration of steroids, have been used to manage this pain. Hypertonic saline, which has been used as an adjunct to percutaneous epidural adhesiolysis, can also be injected via a transforaminal approach in expectation of longer-lasting effects. OBJECTIVES: This study aimed to determine the effect of adding hypertonic saline to conventional transforaminal epidural steroid injections (TFEI) to provide pain relief for chronic radiculopathy patients...
January 2017: Pain Physician
https://www.readbyqxmd.com/read/28062862/efficacy-of-selected-electrical-therapies-on-chronic-low-back-pain-a-comparative-clinical-pilot-study
#5
Joanna Rajfur, Małgorzata Pasternok, Katarzyna Rajfur, Karolina Walewicz, Beata Fras, Bartosz Bolach, Robert Dymarek, Joanna Rosinczuk, Tomasz Halski, Jakub Taradaj
BACKGROUND In the currently available research publications on electrical therapy of low back pain, generally no control groups or detailed randomization were used, and such studies were often conducted with relatively small groups of patients, based solely on subjective questionnaires and pain assessment scales (lacking measurement methods to objectify the therapeutic progress). The available literature also lacks a comprehensive and large-scale clinical study. The purpose of this study was to assess the effects of treating low back pain using selected electrotherapy methods...
January 7, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/28031998/different-mechanosensory-stimulations-of-the-lower-back-elicit-specific-changes-in-hemodynamics-and-oxygenation-in-cortical-sensorimotor-areas-a-fnirs-study
#6
Andrea Vrana, Michael L Meier, Sabina Hotz-Boendermaker, Barry K Humphreys, Felix Scholkmann
BACKGROUND AND OBJECTIVES: This study aimed at investigating the feasibility of functional near-infrared spectroscopy (fNIRS) to measure changes in cerebral hemodynamics and oxygenation evoked by painful and nonpainful mechanosensory stimulation on the lower back. The main objectives were to investigate whether cortical activity can be (1) detected using functional fNIRS, and (2) if it is possible to distinguish between painful and nonpainful pressure as well as a tactile brushing stimulus based on relative changes in oxy- and deoxyhemoglobin ([O2Hb] and [HHb])...
December 2016: Brain and Behavior
https://www.readbyqxmd.com/read/28031951/electromagnetic-fields-in-the-treatment-of-chronic-lower-back-pain-in-patients-with-degenerative-disc-disease
#7
Amarjit S Arneja, Alan Kotowich, Doug Staley, Randy Summers, Paramjit S Tappia
AIM: To examine the effects of low-amplitude, low frequency electromagnetic field therapy (EMF) therapy in patients with persistent chronic lower back pain associated with degenerative disc disease. DESIGN: Double-blind, randomized and placebo controlled. INTERVENTION: EMF using a medical device resonator; control group underwent same procedures, except the device was turned off. OUTCOME MEASURES: Pain reduction and mobility...
March 2016: Future Science OA
https://www.readbyqxmd.com/read/28017604/effect-of-the-abdominal-hollowing-and-bracing-maneuvers-on-activity-pattern-of-the-lumbopelvic-muscles-during-prone-hip-extension-in-subjects-with-or-without-chronic-low-back-pain-a-preliminary-study
#8
Amir H Kahlaee, Leila Ghamkhar, Amir M Arab
OBJECTIVE: The purpose of this study was to compare the effect of abdominal hollowing (AH) and abdominal bracing (AB) maneuvers on the activity pattern of lumbopelvic muscles during prone hip extension (PHE) in participants with or without nonspecific chronic low back pain (CLBP). METHODS: Twenty women with or without CLBP participated in this cross-sectional observational study. The electromyographic activity (amplitude and onset time) of the contralateral erector spinae (CES), ipsilateral erector spinae (IES), gluteus maximus, and biceps femoris muscles was measured during PHE with and without abdominal maneuvers...
December 22, 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/28017166/comparison-of-transforaminal-and-interlaminar-epidural-steroid-injections-for-the-treatment-of-chronic-lumbar-pain
#9
Serbülent Gökhan Beyaz
STUDY DESIGN: A cross-sectional study. OBJECTIVE: We compared the 12 month outcomes of fluoroscopically guided transforaminal epidural steroid injections with interlaminar epidural steroid injections for the treatment of chronic lumbar spinal pain. Chronic lower back pain is a multifactorial disorder with many possible etiologies. The lifetime prevalence of spinal pain is reportedly 65-80% in the neck and lower back. Epidural injection of corticosteroids is a commonly used intervention for managing chronic spinal pain...
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27992778/comparison-of-lumbo-pelvic-kinematics-during-trunk-forward-bending-and-backward-return-between-patients-with-acute-low-back-pain-and-asymptomatic-controls
#10
Iman Shojaei, Elizabeth G Salt, Quenten Hooker, Linda R Van Dillen, Babak Bazrgari
BACKGROUND: Prior studies have reported differences in lumbo-pelvic kinematics during a trunk forward bending and backward return task between individuals with and without chronic low back pain; yet, the literature on lumbo-pelvic kinematics of patients with acute low back pain is scant. Therefore, the purpose of this study was set to investigate lumbo-pelvic kinematics in this cohort. METHODS: A case-control study was conducted to investigate the differences in pelvic and thoracic rotation along with lumbar flexion as well as their first and second time derivatives between females with and without acute low back pain...
December 10, 2016: Clinical Biomechanics
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
#11
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/27990219/acute-effects-of-walking-with-nordic-poles-in-persons-with-mild-to-moderate-low-back-pain
#12
Landon P Revord, Karen V Lomond, Peter V Loubert, Roger L Hammer
Regular walking with or without Nordic poles is effective over time at reducing discomfort in individuals with chronic low back pain (LBP). Nordic pole use increases balance and stability, distributes weight through the arms and torso, and decreases loading of the spine and lower limbs. The purpose of this study was to determine if Nordic poles would reduce perceived acute discomfort while self-paced walking in individuals with LBP. We also examined whether walking with or without poles increased heart rate (HR) and ratings of perceived exertion (RPE) or speed of movement...
2016: International Journal of Exercise Science
https://www.readbyqxmd.com/read/27975350/diagnosis-of-neuropathic-components-in-patients-with-back-pain-before-and-after-surgery
#13
Y-J Lee, E M W Koch, J B Breidebach, R Bornemann, D C Wirtz, R Pflugmacher
Background: The perception of back pain subjective is hard for physicians to measure. For this reason, questionnaires are an important instrument to evaluate the pain 1. The main point of this study was to verify differentiation of pain symptoms in patients with different pain mechanisms. The most important parameter was the PainDetect questionnaire, which can differentiate between nociceptive and neuropathic pain. Additional parameters were measured before and after surgery to characterise pain symptoms in detail...
December 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/27971757/health-related-quality-of-life-for-people-with-chronic-lower-back-pain-results-from-a-large-prospective-random-select-open-labelled-and-blinded-end-point-study-analysed-by-response-to-treatment
#14
M Hirst, E Thurgar, I E Sly, M A Überall
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27921277/surgery-for-acute-exacerbation-of-chronic-mesenteric-ischemia-a-case-report
#15
Shinji Abe, Tomoji Yamakawa, Hideaki Kawashima, Makoto Yoshida, Setsuji Takanashi, Motoya Kashiyama, Masahiro Ishigooka, Yasushige Shingu, Yoshiro Matsui
BACKGROUND: Chronic mesenteric ischemia (CMI) is a rare disease; however, symptomatic CMI has a risk of acute exacerbation without timely revascularization. CASE PRESENTATION: A 54-year-old man who had had postprandial pain for 6 months was admitted to our hospital because of vomiting and diarrhea. Although the celiac and superior mesenteric arteries were occluded at the proximal portion, contrast enhancement of the bowel wall was good in contrast-enhanced computed tomography (CECT)...
December 2016: Surgical Case Reports
https://www.readbyqxmd.com/read/27917384/genetic-alterations-in-intervertebral-disc-disease
#16
REVIEW
Nikolay L Martirosyan, Arpan A Patel, Alessandro Carotenuto, M Yashar S Kalani, Evgenii Belykh, Corey T Walker, Mark C Preul, Nicholas Theodore
BACKGROUND: Intervertebral disc degeneration (IVDD) is considered a multifactorial disease that is influenced by both environmental and genetic factors. The last two decades of research strongly demonstrate that genetic factors contribute about 75% of the IVDD etiology. Recent total genome sequencing studies have shed light on the various single-nucleotide polymorphisms (SNPs) that are associated with IVDD. AIM: This review presents comprehensive and updated information about the diversity of genetic factors in the inflammatory, degradative, homeostatic, and structural systems involved in the IVDD...
2016: Frontiers in Surgery
https://www.readbyqxmd.com/read/27911283/association-between-physical-activity-and-pain-processing-in-adults-with-chronic-low-back-pain-compared-to-pain-free-controls
#17
Lindsay C Orr, Steven Z George, Corey B Simon
BACKGROUND: Pain sensitivity has been negatively associated with physical activity levels. Few studies have examined associations between experimentally induced pain sensitivity and physical activity in adults with chronic low back pain and pain-free controls. OBJECTIVE: The objective of this study was to examine associations between physical activity levels and how an individual processes pain using experimentally induced pain stimuli. METHODS: Seventy subjects (CLBP = 49; mean age = 46...
November 25, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27909403/cortical-sensorimotor-processing-of-painful-pressure-in-patients-with-chronic-lower-back-pain-an-optical-neuroimaging-study-using-fnirs
#18
Andrea Vrana, Michael L Meier, Sabina Hotz-Boendermaker, Barry K Humphreys, Felix Scholkmann
In this study we investigated sensorimotor processing of painful pressure stimulation on the lower back of patients with chronic lower back pain (CLBP) by using functional near-infrared spectroscopy (fNIRS) to measure changes in cerebral hemodynamics and oxygenation. The main objectives were whether patients with CLBP show different relative changes in oxy- and deoxyhemoglobin ([O2Hb] and [HHb]) in the supplementary motor area (SMA) and primary somatosensory cortex (S1) compared to healthy controls (HC). Twelve patients with CLBP (32 ± 6...
2016: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/27902566/conditioned-pain-modulation-in-patients-with-nonspecific-chronic-back-pain-with-chronic-local-pain-chronic-widespread-pain-and-fibromyalgia
#19
Andreas Gerhardt, Wolfgang Eich, Rolf-Detlef Treede, Jonas Tesarz
Findings considering conditioned pain modulation (CPM) in chronic back pain (CBP) are contradictory. This might be because many patients with CBP report pain in further areas of the body, and altered CPM might influence spatial extent of pain rather than CBP per se. Therefore, we compared CPM in patients with CBP with different pain extent. Patients with fibromyalgia syndrome (FMS), for whom CPM impairment is reported most consistently, were measured for comparison. Based on clinical evaluation and pain drawings, patients were categorized into chronic local back pain (CLP; n = 53), chronic widespread back pain (CWP; n = 32), and FMS (n = 92)...
November 28, 2016: Pain
https://www.readbyqxmd.com/read/27895769/unusual-lower-back-pain-with-monocytosis-a-case-report
#20
Sheng-Cheng Wu, Tzu-Chuan Huang, Wen-Ya Yu, Yi-Ying Wu
There are numerous causes of lower back pain. In the oncological setting, spine metastasis from a solid tumor is the most common. However, hematological disorders should also be taken into consideration. The current study presents a case of chronic myelomonocytic leukemia with the initial presentation of chronic lower back pain, followed by symptoms that included urinary retention, stool incontinence and left gum swelling, in a patient who was eventually diagnosed with granulocytic sarcoma (GS) over the sacral region...
November 2016: Oncology Letters
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