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Roland morris

Robert Froud, Shilpa Patel, Dévan Rajendran, Philip Bright, Tom Bjørkli, Rachelle Buchbinder, Sandra Eldridge, Martin Underwood
BACKGROUND: Increasing patient-reported outcome measures in the 1980s and 1990s led to the development of recommendations at the turn of the millennium for standardising outcome measures in non-specific low back pain (LBP) trials. Whether these recommendations impacted use is unclear. Previous work has examined citation counts, but actual use and change over time, has not been explored. Since 2011, there has been some consensus on the optimal methods for reporting back pain trial outcomes...
2016: PloS One
Jason M Beneciuk, Jonathan C Hill, Paul Campbell, Ebenezer Afolabi, Steven Z George, Kate M Dunn, Nadine E Foster
: Identification of patient characteristics influencing treatment outcomes is a top low back pain (LBP) research priority. Results from the STarT Back Trial support the effectiveness of prognostic stratified care for LBP compared to current best care, however patient characteristics associated with treatment response have not yet been explored. The purpose of this secondary analysis was to identify treatment-effect modifiers within the STarT Back Trial at 4 months follow-up (n=688). Treatment response was dichotomized using back-specific physical disability measured by the Roland-Morris Disability Questionnaire (≥7)...
October 17, 2016: Journal of Pain: Official Journal of the American Pain Society
R J McDonald, J S McDonald, D F Kallmes, V T Lehman, F E Diehn, J T Wald, K R Thielen, A Dispenzieri, P H Luetmer
BACKGROUND AND PURPOSE: The role of vertebroplasty in patients with myeloma remains relatively undefined. Accordingly, we sought to better define the efficacy of vertebroplasty for myeloma-associated fractures and determine the effect of procedure timing relative to the initiation of systemic therapy on outcomes and complication rates. MATERIALS AND METHODS: Clinical, laboratory, and medication data were retrieved for 172 patients with multiple myeloma treated with vertebroplasty since October 2000...
October 6, 2016: AJNR. American Journal of Neuroradiology
Cláudia Carvalho, Joaquim Machado Caetano, Lidia Cunha, Paula Rebouta, Ted J Kaptchuk, Irving Kirsch
This randomized controlled trial was performed to investigate whether placebo effects in chronic low back pain could be harnessed ethically by adding open-label placebo (OLP) treatment to treatment as usual (TAU) for 3 weeks. Pain severity was assessed on three 0- to 10-point Numeric Rating Scales, scoring maximum pain, minimum pain, and usual pain, and a composite, primary outcome, total pain score. Our other primary outcome was back-related dysfunction, assessed on the Roland-Morris Disability Questionnaire...
October 13, 2016: Pain
Saru Singh, Kulvinder Singh, Ruchi Gupta, Nayyamat Kaur, Pranav Bansal, Sanjeet Singh
CONTEXT AND AIM: The assessment of severity of low back pain includes subjective questionnaires to quantify the impact on routine life. The objective of current study was to correlate various quality of life (QOL) scores to the clinical outcome measured as improvement in Visual Analog Score (VAS) after interventional treatment. SUBJECTS AND METHODS: Fifty-one consecutive chronic low backache patients were assessed for pain intensity using VAS, revised Oswestry Disability Index (ODI), Quebec's, Roland-Morris disability questionnaire (RMDQ), and depression score at presentation...
September 2016: Anesthesia, Essays and Researches
Carol Ann Flavell, Susan Gordon, Laurence Marshman
BACKGROUND: Physiotherapists use musculo-skeletal classification systems for patient assessment. Since its early development, the McKenzie lumbar spine assessment (MK) has been incorporated into examination algorithms and combined with a series of patho-anatomical diagnostic tests. No previous studies have used a MK and a combined examination (MK-C) to provide a detailed profile of patients, report and compare the classification characteristics of a chronic low back pain (CLBP) population...
October 5, 2016: Manual Therapy
Bodil Arnbak, Rikke Krüger Jensen, Claus Manniche, Oliver Hendricks, Peter Kent, Anne Grethe Jurik, Tue Secher Jensen
BACKGROUND: The aim of this study was to investigate subgroups of magnetic resonance imaging (MRI) findings for the spine and sacroiliac joints (SIJs) using latent class analysis (LCA), and to investigate whether these subgroups differ in their demographic and clinical characteristics. METHODS: The sample included 1037 patients aged 18-40 years with persistent low back pain (LBP). LCA was applied to MRI findings of the spine and SIJs. The resulting subgroups were tested for differences in self-reported demographic and clinical characteristics...
October 13, 2016: Arthritis Research & Therapy
Alfred C Gellhorn, Pradeep Suri, Sean Rundell, Nathan Olafsen, M Jake Carlson, Steve Johnson, Adrielle Fry, Thiru Anaswammy, Christopher Gilligan, Bryan Comstock, Patrick Heagerty, Janna Friedly, Jeffrey G Jarvik
BACKGROUND: Minimal longitudinal data exist regarding the role of lumbar musculature in predicting back pain and function. In cross sectional study designs, there is often atrophy of the segmental multifidus muscle in subjects with low back pain compared with matched controls. However, the cross sectional design of these studies prevents drawing conclusions regarding whether lumbar muscle characteristics predict or modify future back pain or function. OBJECTIVE: The primary objective is to determine if the cross sectional area (CSA) of lumbar muscles predicts functional status or back pain at 6- or 12-month follow-up in older adults with spinal degeneration...
October 6, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Flávia A Carvalho, Chris G Maher, Marcia R Franco, Priscila K Morelhão, Crystian B Oliveira, Fernanda G Silva, Rafael Z Pinto
OBJECTIVE: To assess the association of physical activity measures, derived from accelerometer and a self-reported questionnaire, with fear of movement in patients with chronic non-specific low back pain (LBP), and to investigate the association between disability and fear of movement in this population. DESIGN: Cross-sectional study. SETTING: Outpatient physical therapy university clinics. PARTICIPANTS: Patients presenting with non-specific LBP of greater than 3 months duration...
October 3, 2016: Archives of Physical Medicine and Rehabilitation
Aloma S A Feitosa, Jaqueline Barros Lopes, Eloisa Bonfa, Ari S R Halpern
OBJECTIVE: To identify the prognostic factors for conventional physical therapy in patients with chronic low back pain (CLBP). METHODS: Prospective observational study. PARTICIPANTS: One hundred thirteen patients with CLBP selected at the Spinal Disease Outpatient Clinic. MAIN OUTCOME MEASURES: Pain intensity was scored using the Numeric Rating Scale (NRS), and function was measured using the Roland-Morris Disability Questionnaire (RMDQ)...
September 2016: Revista Brasileira de Reumatologia
E Billis, C Koutsojannis, C Matzaroglou, J Gliatis, K Fousekis, G Gioftsos, M Papandreou, C McCarthy, J A Oldham, E Tsepis
BACKGROUND: Although low back pain (LBP) is a debilitating problem internationally, there is not a lot of research on its impact on physical, psychosocial and lifestyle factors. Especially in Mediterranean countries, such as Greece, it is not sufficiently explored whether physical (pain location, activity limitation etc.), sociodemographic (education, smoking etc.) or lifestyle factors (i.e. quality of life or anxiety) are influenced by LBP. OBJECTIVE: To estimate LBP prevalence in the Greek general population and explore its association with particular sociodemographic, physical and lifestyle factors...
September 23, 2016: Journal of Back and Musculoskeletal Rehabilitation
Sean D Rundell, Karen J Sherman, Patrick J Heagerty, Charles N Mock, Nathan J Dettori, Bryan A Comstock, Andrew L Avins, Srdjan S Nedeljkovic, David R Nerenz, Jeffrey G Jarvik
OBJECTIVE:  To identify predictors of persistent disability and back pain in older adults. DESIGN:  Prospective cohort study. SETTING:  Back pain outcomes using longitudinal data registry. SUBJECTS:  Five thousand two hundred twenty adults age 65 years and older with a new primary care visit for back pain. METHODS:  Baseline measurements included: demographics, health, and back pain characteristics...
September 28, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Martin N Stienen, Holger Joswig, Nicolas R Smoll, Marco V Corniola, Karl Schaller, Gerhard Hildebrandt, Oliver P Gautschi
OBJECTIVE: To analyse the influence of body mass index (BMI) on subjective and objective measures of pain, functional impairment and health-related quality of life (hrQoL) in patients with lumbar degenerative disc disease (DDD) undergoing surgery. METHODS: Prospective IRB-approved two-center study, measuring visual analogue scale (VAS) back and leg pain, Roland-Morris Disability Index (RMDI) and Oswestry Disability Index (ODI), Euro-Qol (EQ-5D) and Short Form-12 (SF-12 PCS) at baseline, six weeks (W6), six months (M6) and one year (Y1) postoperatively...
September 26, 2016: World Neurosurgery
Chidozie Emmanuel Mbada, Opeyemi Ayodiipo Idowu, Olawale Richard Ogunjimi, Olusola Ayanniyi, Elkanah Ayodele Orimolade, Ajibola Babatunde Oladiran, Olubusola Esther Johnson, Adesanmi Akinsulore, Temitope Olawale Oni
STUDY DESIGN: Translation, cross-cultural adaptation, and psychometric analysis. OBJECTIVE: To translate, cross-culturally adapt and validate the Yoruba version of the RMDQ. SUMMARY OF BACKGROUND DATA: The Roland-Morris Disability Questionnaire (RMDQ) is a valid outcome tool for Low-Back Pain (LBP) in clinical and research settings. There seems to be no valid and reliable version of the RMDQ in the Nigerian languages. METHODS: Following the Guillemin criteria, the English version of the RMDQ was forward and back translated...
September 23, 2016: Spine
Adnan Bashir Bhatti, Sunny Kim
OBJECTIVE: The aim of this study is to evaluate the efficacy of the different types of epidural injections (EI) to prevent surgical intervention in patients suffering from chronic sciatica due to lumbar disc herniation (LDH). MATERIAL AND METHODS: Studies were identified by searching PubMed, MEDLINE, and Google Scholar to retrieve all available relevant articles. Lists of references of several systematic reviews were also used for scanning further references. Publications from the past ten years (2006-2016) were considered, and all studies selected were in the English language only...
2016: Curēus
Maria Dolores Arguisuelas, Juan Francisco Lisón, Daniel Sánchez-Zuriaga, Isabel Martínez-Hurtado, Julio Doménech-Fernández
STUDY DESIGN: Double-blind, randomized parallel sham-controlled trial with concealed allocation and intention-to treat analysis. OBJECTIVE: To investigate the effects of an isolate Myofascial Release protocol (MFR) on pain, disability and fear- avoidance beliefs in patients with chronic low back pain (CLBP). SUMMARY OF BACKGROUND DATA: MFR is a form of manual medicine widely used by physiotherapists in the management of different musculoskeletal pathologies...
September 9, 2016: Spine
Şükrü Burak Tönük, Erdinc Serin, Fikriye Figen Ayhan, Zeynep Rezan Yorgancioglu
To investigate the effects of physical agents on the levels of stress hormones in patients with osteoarthritis (OA).Transcutaneous electrical nerve stimulation, hot packs, and therapeutic ultrasound were applied to the lumbar region and knees of patients with OA. Blood samples were taken for the measurement of the serum levels of glucose, insulin (INS), growth hormone (GH), prolactin (PRL), cortisol (COR), and plasma adrenocorticotropic hormone (ACTH) immediately before and after the 1st session, to investigate the acute effects of those physical agents on the endocrine system...
August 2016: Medicine (Baltimore)
Sangbong Ko, Sungguk Kim, Jaejung Kim, Taebum Oh
BACKGROUND: Although both pregabalin and gabapentin are known to be useful for treating lumbar radiating pain and reducing the incidence of surgery, the oral corticosteroids sometimes offer a dramatic effect on severe radiating pain despite the lack of scientific evidence. METHODS: A total of 54 patients were enrolled among 703 patients who complained of lumbar radiating pain. Twenty patients who received an oral corticosteroid was classified as group A and 20 patients who received the control drugs (pregabalin or gabapentin) as group B...
September 2016: Clinics in Orthopedic Surgery
Oliver P Gautschi, Nicolas R Smoll, Holger Joswig, Marco V Corniola, Karl Schaller, Gerhard Hildebrandt, Martin N Stienen
BACKGROUND: Demographic changes will lead to an increase of elderly people in our population and consecutively to a higher prevalence of patients suffering from degenerative disc disease (DDD). The goal of this study was to investigate age-related differences in pain intensity, subjective and objective functional impairment and health-related quality of life (HRQoL) in patients with lumbar DDD. METHODS: In a prospective two-center study, back and leg pain intensity (visual analogue scale (VAS)), functional impairment (Oswestry Disability Index (ODI), Roland-Morris Disability Index (RMDI)) and HRQoL (EuroQol-5D (EQ-5D), Short-Form (SF12)) were collected for consecutive patients undergoing lumbar spine surgery...
November 2016: Clinical Neurology and Neurosurgery
Gemma Mansell, Jonathan C Hill, Chris Main, Kevin E Vowles, Daniëlle van der Windt
: Interventions developed to improve disability outcomes for low back pain (LBP) often show only small effects. Mediation analysis was used to investigate what led to the effectiveness of the STarT Back trial, a large primary care-based trial which treated patients consulting with LBP according to their risk of a poor outcome. The high-risk subgroup, randomised to receive either psychologically-informed physiotherapy (n=93) or current best care (n=45), were investigated to explore pain-related distress and pain intensity as potential mediators of the relationship between treatment allocation and change in disability...
August 23, 2016: Journal of Pain: Official Journal of the American Pain Society
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