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https://www.readbyqxmd.com/read/29446692/can-bracing-help-adults-with-chronic-back-pain-and-scoliosis-short-term-results-from-a-pilot-study
#1
Fabio Zaina, Martina Poggio, Sabrina Donzelli, Stefano Negrini
BACKGROUND: Adult scoliosis is sometimes associated with back pain. Recently, the Peak ™ Scoliosis Brace was designed to alleviate pain in adult patients with scoliosis. OBJECTIVES: To test the efficacy of the Peak Scoliosis Brace in reducing pain in adult scoliosis patients. STUDY DESIGN: Prospective experimental cohort study. METHODS: A total of 20 adult females with back pain secondary to idiopathic scoliosis were included...
February 1, 2018: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29444776/association-between-spectral-characteristics-of-paraspinal-muscles-and-functional-disability-in-patients-with-low-back-pain-a-cohort-study
#2
Shin-Yi Chiou, Ermis Koutsos, Pantelis Georgiou, Paul H Strutton
OBJECTIVES: Characteristics of muscle activity, represented by surface electromyography (EMG), have revealed differences between patients with low back pain (LBP) and healthy adults; how they relate to functional and clinical parameters remains unclear. The purpose of the current study was to examine the correlation between frequency characteristics of EMG (analysed using continuous wavelet transform (CWT) analysis) and patients' self-rated score of disability. DESIGN AND SETTING: This is a case-control study with 15 patients with mechanical LBP without radicular symptoms...
February 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29432327/mixed-methods-development-of-a-new-patient-reported-outcome-instrument-for-chronic-low-back-pain-part-1-the-patient-assessment-for-low-back-pain-symptoms-pal-s
#3
Mona L Martin, Steven I Blum, Hiltrud Liedgens, Donald M Bushnell, Kelly P McCarrier, Noël V Hatley, Abhilasha Ramasamy, Rainer Freynhagen, Mark Wallace, Charles Argoff, Mariёlle Eerdekens, Maurits Kok, Donald L Patrick
We describe the mixed-methods (qualitative and quantitative) development and preliminary validation of the Patient Assessment for Low Back Pain - Symptoms (PAL-S), a patient-reported outcome measure for use in chronic low back pain (cLBP) clinical trials. Qualitative methods (concept elicitation, cognitive interviews) were used to identify and refine symptom concepts and quantitative methods (Classical test theory, Rasch measurement theory) were used to evaluate item- and scale-level performance of the measure using an iterative approach...
February 7, 2018: Pain
https://www.readbyqxmd.com/read/29424674/usefulness-of-corset-adoption-after-single-level-lumbar-discectomy-a-randomized-controlled-trial
#4
Cesare Zoia, Daniele Bongetta, Cristiano Alicino, Marcella Chimenti, Raffaelino Pugliese, Paolo Gaetani
OBJECTIVE In this paper, the authors sought to verify whether corset adoption could improve the short-term and midterm outcome scores of patients after single-level lumbar discectomy. METHODS A monocentric, randomized controlled trial of 54 consecutive patients who underwent single-level lumbar discectomy at the authors' institution was performed from September 2014 to August 2015. Patients were randomly assigned to use or not use a lumbar corset in the upright position. Patients with previous interventions for disc herniation or with concomitant canal or foraminal stenosis were excluded...
February 9, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29410582/comparison-of-pain-disorder-back-performance-and-psychological-factors-in-patients-with-low-back-pain-and-radicular-pain
#5
Seunghwan Kim, Jung Hyun Kim, You Lim Kim, Suk Min Lee
[Purpose] This study investigated the relationship between pain intensity, lumber disability, and psychological factors in patients with low back pain. [Subjects and Methods] A total of 166 outpatients (116 female, 50 male) with chronic low back pain presenting for physical therapy participated in this study. Patients were divided into two groups: those with low back pain alone and those with both low back pain and radicular pain. Pain intensity and lumbar disability were measured using a visual analogue scale and the Roland-Morris Disability Questionnaire...
January 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29410172/impact-of-additional-treatment-of-para-lumbar-and-peripheral-nerve-diseases-after-lumbar-spine-surgery
#6
Juntaro Matsumoto, Toyohiko Isu, Kyongsong Kim, Naotaka Iwamoto, Kazuyoshi Yamazaki, Daijiro Morimoto, Masanori Isobe
INTRODUCTION: Some patients suffer failed back surgery syndrome (FBSS) after lumbar spine surgery. We report the effect of additional treatments for para-lumbar- and peripheral nerve diseases addressing residual symptoms after lumbar spine surgery. MATERIALS AND METHODS: We enrolled 74 patients (59 men and 15 women, mean age 62.9 years) who had undergone lumbar posterior decompression surgery in our department. Mean follow-up after initial lumbar surgery was 26...
January 31, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29405872/short-term-effects-of-kinesio-taping%C3%A2-on-electromyographic-characteristics-of-paraspinal-muscles-pain-and-disability-in-patients-with-lumbar-disc-herniation
#7
Marcin Grześkowiak, Zbigniew Krawiecki, Wojciech Łabędź, Jacek Kaczmarczyk, Jacek Lewandowski, Dawid Łochyński
CONTEXT: Kinesio taping® (KT) is a therapeutic modality frequently used in the clinical practice for the treatment of various musculoskeletal disorders. It is often applied in patients with chronic low back pain (CLBP) to decrease pain and improve functional capacity. However, it is not known, whether thoracolumbar fascia Kinesio Taping® (KT) technique can decrease back pain, restore normal activity of paraspinal muscles and improve functional capacity in patients with lumbar disc herniation (LDH)...
February 6, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29403252/functional-and-radiological-outcomes-of-thoracolumbar-traumatic-spine-fractures-managed-conservatively-according-to-thoracolumbar-injury-severity-score
#8
Rajdeep Singh Bagga, Arvind B Goregaonkar, Aditya Anand Dahapute, Saurabh R Muni, Sandeep Gokhale, Jitesh Manghwani
Aim: To study the functional and radiological outcomes in cases managed conservatively for single-level traumatic thoracolumbar spine fractures without neurological deficit. Materials and Methods: In this prospective study design, thirty patients who presented to tertiary care hospital and diagnosed with posttraumatic thoracolumbar vertebral fracture without any neurodeficit were recruited. All the patients were managed conservatively as per the protocol which included bed rest, spinal braces, and physiotherapy...
October 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29392235/co-occurrence-of-posttraumatic-stress-symptoms-pain-and-disability-12-months-after-traumatic-injury
#9
Melita J Giummarra, Sara L Casey, Anna Devlin, Liane J Ioannou, Stephen J Gibson, Nellie Georgiou-Karistianis, Paul A Jennings, Peter A Cameron, Jennie Ponsford
Introduction: Chronic pain is common after traumatic injury and frequently co-occurs with posttraumatic stress disorder (PTSD) and PTSD symptoms (PTSS). Objectives: This study sought to understand the association between probable PTSD, PTSS, and pain. Methods: Four hundred thirty-three participants were recruited from the Victorian Orthopaedic Trauma Outcomes Registry and Victorian State Trauma Registry and completed outcome measures. Participants were predominantly male (n = 324, 74...
September 2017: Pain Reports (Baltimore, Md.)
https://www.readbyqxmd.com/read/29391206/long-term-outcomes-of-a-large-prospective-observational-cohort-of-older-adults-with-back-pain
#10
Jeffrey G Jarvik, Laura S Gold, Katherine Tan, Janna L Friedly, Srdjan S Nedeljkovic, Bryan A Comstock, Richard A Deyo, Judith A Turner, Brian W Bresnahan, Sean D Rundell, Kathryn T James, David R Nerenz, Andrew L Avins, Zoya Bauer, Larry Kessler, Patrick J Heagerty
BACKGROUND CONTEXT: Although back pain is common among older adults, there is relatively little research on the course of back pain in this age group. PURPOSE: Our primary goals were to report 2-year outcomes of older adults initiating primary care for back pain and to examine the relative importance of patient factors vs. medical interventions in predicting 2-year disability and pain. STUDY DESIGN/SETTING: Predictive model using data from a prospective, observational cohort from a primary care setting...
January 29, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29333872/effects-and-underlying-mechanisms-of-unstable-shoes-on-chronic-low-back-pain-a-randomized-controlled-trial
#11
Juan Francisco Lisón, Borja Ortega-Santana, Álvaro Antón-Nogués, Palmy González-Requena, Cristina Vera-Hervás, Julio Doménech-Fernández, Daniel Sánchez-Zuriaga, Pablo Salvador-Coloma
OBJECTIVE: To investigate the effects that wearing unstable shoes has on disability, trunk muscle activity, and lumbar spine range of motion (ROM) in patients with chronic lower back pain (CLBP). DESIGN: Randomized controlled trial. SETTING: Orthopedic Surgery Service. PARTICIPANTS: We randomized 40 adults with nonspecific CLBP either to an unstable shoes group ( n = 20) or to the control group ( n = 20). INTERVENTION: The participants in the unstable shoes group were advised to wear these shoes for a minimum of six hours a day for four weeks...
January 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29301172/myelography-in-the-assessment-of-degenerative-lumbar-scoliosis-and-its-influence-on-surgical-management
#12
George McKay, Peter Alexander Torrie, Wendy Bertram, Priyan Landham, Stephen Morris, John Hutchinson, Roland Watura, Ian Harding
OBJECTIVE: Myelography has been shown to highlight foraminal and lateral recess stenosis more readily than computed tomography (CT) or magnetic resonance imaging (MRI). It also has the advantage of providing dynamic assessment of stenosis in the loaded spine. The advent of weight-bearing MRI may go some way towards improving assessment of the loaded spine and is less invasive, however availability remains limited. This study evaluates the potential role of myelography and its impact upon surgical decision making...
December 2017: Korean Journal of Spine
https://www.readbyqxmd.com/read/29284521/exercise-intervention-for-unilateral-amputees-with-low-back-pain-study-protocol-for-a-randomised-controlled-trial
#13
Joseph G Wasser, Daniel C Herman, MaryBeth Horodyski, Jason L Zaremski, Brady Tripp, Phillip Page, Kevin R Vincent, Heather K Vincent
BACKGROUND: Atraumatic lower limb amputation is a life-changing event for approximately 185,000 persons in the United States each year. A unilateral amputation is associated with rapid changes to the musculoskeletal system including leg and back muscle atrophy, strength loss, gait asymmetries, differential mechanical joint loading and leg length discrepancies. Even with high-quality medical care and prostheses, amputees still develop secondary musculoskeletal conditions such as chronic low back pain (LBP)...
December 29, 2017: Trials
https://www.readbyqxmd.com/read/29277836/kinesio-taping-vs-placebo-in-reducing-pregnancy-related-low-back-pain-a-cross-over-study
#14
Paweł Kalinowski, Anna Krawulska
BACKGROUND Spinal pain affects approximately 45-56% of pregnant women. Kinesio taping (KT) involves application of flexible water-resistant elastic bands on the patient's body, resulting in painless and non-invasive stimulation. The aim of the study was to determine the influence of KT on reduction of low back pain in pregnant women. MATERIAL AND METHODS Kinesio Tex Gold tapes were applied using the muscular-ligament technique and Polovis Plus textile cladding blinded the sample. The starting position for the KT and placebo with lumbar spine flexion with rotation was in the opposite direction to the application...
December 26, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/29246188/antibiotic-treatment-in-patients-with-chronic-low-back-pain-and-modic-changes-the-aim-study-study-protocol-for-a-randomised-controlled-trial
#15
Kjersti Storheim, Ansgar Espeland, Lars Grøvle, Jan Sture Skouen, Jörg Aßmus, Audny Anke, Anne Froholdt, Linda M Pedersen, Anne Julsrud Haugen, Terese Fors, Elina Schistad, Olav Lutro, Gunn Hege Marchand, Thomas Kadar, Nils Vetti, Sigrun Randen, Øystein Petter Nygaard, Jens Ivar Brox, Margreth Grotle, John-Anker Zwart
BACKGROUND: A previous randomised controlled trial (RCT) of patients with chronic low back pain (LBP) and vertebral bone marrow (Modic) changes (MCs) on magnetic resonance imaging (MRI), reported that a 3-month, high-dose course of antibiotics had a better effect than placebo at 12 months' follow-up. The present study examines the effects of antibiotic treatment in chronic LBP patients with MCs at the level of a lumbar disc herniation, similar to the previous study. It also aims to assess the cost-effectiveness of the treatment, refine the MRI assessment of MCs, and further evaluate the impact of the treatment and the pathogenesis of MCs by studying genetic variability and the gene and protein expression of inflammatory biomarkers...
December 15, 2017: Trials
https://www.readbyqxmd.com/read/29243999/efficacy-of-intraoperative-epidural-triamcinolone-application-in-lumbar-microdiscectomy-a-matched-control-study
#16
Martin N Stienen, Holger Joswig, Ivan Chau, Marian C Neidert, David Bellut, Thomas Wälchli, Karl Schaller, Oliver P Gautschi
OBJECTIVE The purpose of this study was to investigate whether the intraoperative application of an epidural steroid (ES) on the decompressed nerve root improves short- and midterm subjective and objective clinical outcomes after lumbar microdiscectomy. METHODS This study was a retrospective analysis of a 2-center database including consecutive cases in which patients underwent lumbar microdiscectomy. All patients who received ES application (40 mg triamcinolone, ES group) were matched by age and sex to patients who had not received ES application (control group)...
December 15, 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29239235/assessing-self-reported-disability-in-a-low-literate-population-with-chronic-low-back-pain-cross-cultural-adaptation-and-psychometric-testing-of-igbo-roland-morris-disability-questionnaire
#17
Chinonso N Igwesi-Chidobe, Chinwe Obiekwe, Isaac O Sorinola, Emma L Godfrey
PURPOSE: Cross-culturally adapt and validate the Igbo Roland Morris Disability Questionnaire. METHOD: Cross-cultural adaptation, test-retest, and cross-sectional psychometric testing. Roland Morris Disability Questionnaire was forward and back translated by clinical/non-clinical translators. An expert committee appraised the translations. Twelve participants with chronic low back pain pre-tested the measure in a rural Nigerian community. Internal consistency using Cronbach's alpha; test-retest reliability using intra-class correlation coefficient and Bland-Altman plot; and minimal detectable change were investigated in a convenient sample of 50 people with chronic low back pain in rural and urban Nigeria...
December 14, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29202204/cost-effectiveness-of-yoga-for-managing-musculoskeletal-conditions-in-the-workplace
#18
N Hartfiel, G Clarke, J Havenhand, C Phillips, R T Edwards
Background: Back pain and musculoskeletal conditions negatively affect the health-related quality of life (HRQL) of employees and generate substantial costs to employers. Aims: To assess the cost-effectiveness of yoga for managing musculoskeletal conditions. Methods: A randomized controlled trial evaluated an 8-week yoga programme, with a 6-month follow-up, for National Health Service (NHS) employees. Effectiveness in managing musculoskeletal conditions was assessed using repeated-measures generalized linear modelling for the Roland-Morris Disability Questionnaire (RDQ) and the Keele STarT Back Screening Tool...
November 30, 2017: Occupational Medicine
https://www.readbyqxmd.com/read/29194127/core-outcome-measurement-instruments-for-clinical-trials-in-non-specific-low-back-pain
#19
Alessandro Chiarotto, Maarten Boers, Richard A Deyo, Rachelle Buchbinder, Terry P Corbin, Leonardo O P Costa, Nadine E Foster, Margreth Grotle, Bart W Koes, Francisco M Kovacs, Chung-Wei Christine Lin, Chris G Maher, Adam M Pearson, Wilco C Peul, Mark L Schoene, Dennis C Turk, Maurits W van Tulder, Caroline B Terwee, Raymond W Ostelo
To standardize outcome reporting in clinical trials of patients with non-specific low back pain (LBP), an international multidisciplinary panel recommended physical functioning, pain intensity, and health-related quality of life (HRQoL) as core outcome domains. Given the lack of consensus on measurement instruments for these three domains in patients with LBP, this study aimed to generate such consensus. The measurement properties of 17 patient-reported outcome measures for physical functioning, three for pain intensity, and five for HRQoL were appraised in three systematic reviews following COSMIN methodology...
November 24, 2017: Pain
https://www.readbyqxmd.com/read/29184289/proprioceptive-change-impairs-balance-control-in-older-patients-with-low-back-pain
#20
Tadashi Ito, Yoshihito Sakai, Kazunori Yamazaki, Kazuma Igarashi, Noritaka Sato, Kiyoko Yokoyama, Yoshifumi Morita
[Purpose] This study aims to determine the specific proprioceptive control strategy used during postural balance in older patients with low back pain (LBP) and non-LBP (NLBP) and to assess whether this strategy is related to proprioceptive decline and LBP. [Subjects and Methods] Pressure displacement center was determined in 47 older persons with LBP and 64 older persons with NLBP during upright stance on a balance board without vision. Gastrocnemius (GS) and lumbar multifidus muscle (LM) vibratory stimulations of 60 and 240-Hz, respectively, were applied to evaluate the relative contributions of different proprioceptive signals (relative proprioceptive weighting ratio, RPW) used in postural control...
October 2017: Journal of Physical Therapy Science
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