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Functional restoration for chronic pain and disability

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https://www.readbyqxmd.com/read/28619687/use-of-the-central-sensitization-inventory-csi-as-a-treatment-outcome-measure-for-chronic-spinal-pain-disorder-patients-in-a-functional-restoration-program
#1
Randy Neblett, Meredith M Hartzell, Mark Williams, Kelley R Bevers, Tom G Mayer, Robert J Gatchel
BACKGROUND CONTEXT: The Central Sensitization Inventory (CSI) is a valid and reliable patient-reported instrument designed to identify patients whose presenting symptoms may be related to Central Sensitization (CS). Part A of the CSI measures a full array of 25 somatic and emotional symptoms associated with CS, and Part B asks if patients have previously been diagnosed with one or more specific Central Sensitivity Syndromes (CSSs) and related disorders. The CSI has previously been validated in a group of chronic pain patients who were screened by a trained psychiatrist for specific CSS diagnoses...
June 12, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28553139/periarticular-dextrose-prolotherapy-instead-of-intra-articular-injection-for-pain-and-functional-improvement-in-knee-osteoarthritis
#2
Zahra Rezasoltani, Mehrdad Taheri, Morteza Kazempour Mofrad, Seyed Amir Mohajerani
BACKGROUND: Osteoarthritis (OA) is a degenerative disease that can lead to painful and dysfunctional joints. Prolotherapy involves using injections to produce functional restoration of the soft tissues of the joint. Intra-articular injections are controversial because of the introduction of needles into the articular capsule. OBJECTIVES: To compare the effect of periarticular versus intra-articular prolotherapy on pain and disability in patients with knee OA. STUDY DESIGN: Randomized double-blind controlled clinical trial...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/28338573/a-machine-learning-based-surface-electromyography-topography-evaluation-for-prognostic-prediction-of-functional-restoration-rehabilitation-in-chronic-low-back-pain
#3
Naifu Jiang, Keith Dip-Kei Luk, Yong Hu
STUDY DESIGN: A retrospective study. OBJECTIVE: To investigate the feasibility and applicability of support vector machine (SVM) algorithm in classifying patients with LBP who would obtain satisfactory or unsatisfactory progress after the functional restoration rehabilitation program. SUMMARY OF BACKGROUND DATA: Dynamic surface electromyography (SEMG) topography has demonstrated the potential use in predicting the prognosis of functional restoration rehabilitation for patients with low back pain (LBP)...
March 23, 2017: Spine
https://www.readbyqxmd.com/read/28328697/the-fear-avoidance-components-scale-facs-responsiveness-to-functional-restoration-treatment-in-a-chronic-musculoskeletal-pain-disorder-cmpd-population
#4
Randy Neblett, Tom G Mayer, Mark J Williams, Sali Asih, Antonio I Cuesta-Vargas, Meredith M Hartzell, Robert J Gatchel
OBJECTIVES: To assess the clinical validity and factor structure of the Fear-Avoidance Components Scale (FACS), a new fear-avoidance (FA) measure. METHODS: In this study, 426 chronic musculoskeletal pain disorder (CMPD) patients were admitted to a functional restoration program (FRP). They were categorized into five FACS severity levels, from Subclinical to Extreme, at admission, and again at discharge. Associations with objective lifting performance and other patient-reported psychosocial measures were determined at admission and discharge, and objective work outcomes for this predominantly disabled cohort, were assessed one-year later...
March 21, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28267103/psychosocial-factors-related-to-functional-restoration-treatment-completion-and-return-to-function-for-patients-with-chronic-disabling-occupational-musculoskeletal-disorders
#5
Krista J Howard, Ricardo A Castaneda, Avia L Gray, Kelly B Haskard-Zolnierek, Krista Jordan
OBJECTIVE: The aim of this study was to identify demographic and psychosocial variables associated with successful completion of a functional restoration program and return-to-function within 3 months of treatment completion. METHODS: Three hundred seven patients admitted to the functional restoration program were evaluated for completion status and 200 patients with valid data were assessed for 3-month return-to-function status following completion. Psychosocial and functional status was assessed at baseline...
March 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28224414/does-the-length-of-disability-between-injury-and-functional-restoration-program-entry-affect-treatment-outcomes-for-patients-with-chronic-disabling-occupational-musculoskeletal-disorders
#6
Sali Asih, Randy Neblett, Tom G Mayer, Robert J Gatchel
Purpose Functional restoration programs (FRPs), for patients with chronic disabling occupational musculoskeletal disorders (CDOMDs), have consistently demonstrated positive socioeconomic treatment outcomes, including decreased psychosocial distress and increased work return. The pre-treatment length of disability (LOD), or time between injury and treatment admission, has been shown to influence FRP work outcomes. Some studies have found that shorter LOD is associated with better work outcomes. However, few studies have actually examined cohorts with LOD duration longer than 18 months...
February 21, 2017: Journal of Occupational Rehabilitation
https://www.readbyqxmd.com/read/27917457/patient-reported-outcomes-pros-after-total-extraperitoneal-hernia-repair-tep
#7
E H H Mommers, D R M Hünen, J C H M van Hout, M Guit, J A Wegdam, S W Nienhuijs, T S de Vries Reilingh
BACKGROUND: Patient-reported outcomes (PROs) such as quality of life (QoL), patient satisfaction, and work impairment, are arguably the most important outcomes of any medical treatment. In 2011, Staerkle and Villiger developed the Core Outcome Measurements Index (COMI) to standardise PROs and PRO measurement for inguinal hernia patients, in an attempt to increase inter-study comparability. The aim of this study is to prospectively evaluate the short- and long-term postoperative QoL, function, patient well-being, pain, and social/work disability, after total extraperitoneal (TEP) inguinal hernia repair and to provide the first clinical experience with the COMI-hernia questionnaire...
February 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/27755205/lumbar-facet-resurfacing-first-experience-with-the-fenix-implant
#8
Erik V de Kelft
STUDY DESIGN: This is a feasibility study to confirm the design, patient population, and the surgical technique for FENIX implants. OBJECTIVE: This study evaluated the safety and the clinical and radiologic performance of bilaterally implanted FENIX facet resurfacing device. INTRODUCTION: Facet joint osteoarthritis is responsible for up to 30% of chronic low back pain. Arthroplasty is a surgical treatment option that aims to relieve pain while maintaining or restoring motion...
November 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27609352/biotechnological-management-of-skin-burn-injuries-challenges-and-perspectives-in-wound-healing-and-sensory-recovery
#9
Dorothée Girard, Betty Laverdet, Virginie Buhé, Marina Trouillas, Kamélia Ghazi, Maïa M Alexaline, Christophe Egles, Laurent Misery, Bernard Coulomb, Jean-Jacques Lataillade, François Berthod, Alexis Desmoulière
Many wound management protocols have been developed to improve wound healing after burn with the primordial aim to restore the barrier function of the skin and also provide a better esthetic outcome. Autologous skin grafts remain the gold standard in the treatment of skin burn, but this treatment has its limitation especially for patients presenting limited donor sites due to extensive burn areas. Deep burn injuries also alter the integrity of skin-sensitive innervation and have an impact on patient's quality of life by compromising perceptions of touch, temperature, and pain...
February 2017: Tissue Engineering. Part B, Reviews
https://www.readbyqxmd.com/read/27491326/complex-regional-pain-syndrome
#10
Maria GalveVilla, Bjarne Rittig-Rasmussen, Lene Moeller Schear Mikkelsen, Anne Groendahl Poulsen
INTRODUCTION: Complex regional pain syndrome (CRPS) is a chronic pain condition that can occur after a minor trauma or surgery. It is a multifactorial condition with a complex cause and even more complex pathophysiology. There are disturbances and changes in the sympathetic, somatosensory and motor nervous system, resulting in severe pain and disability. Patients with CRPS can have their quality of life and functional ability greatly affected and they need appropriate and interdisciplinary interventions...
December 2016: Manual Therapy
https://www.readbyqxmd.com/read/27417626/military-chronic-musculoskeletal-pain-and-psychiatric-comorbidity-is-better-pain-management-the-answer
#11
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...
June 30, 2016: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/27340523/efficacy-of-the-multifidus-retraining-program-in-computer-professionals-with-chronic-low-back-pain
#12
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
https://www.readbyqxmd.com/read/27292116/effectiveness-of-kyphoplasty-in-the-treatment-of-osteoporotic-vertebral-compression-fracture-patients-with-chronic-kidney-disease
#13
Hao Chen, He Yang, Pu Jia, Li Bao, Hai Tang
BACKGROUND: Kyphoplasty is a popular treatment option for osteoporotic vertebral compression fractures (OVCFs). However, there is still a lack of comprehensive clinical evidence demonstrating whether kyphoplasty is suitable for treatment of OVCFs complicated by chronic kidney disease (CKD). The purpose of this study was to evaluate the effectiveness and safety of kyphoplasty in the treatment of OVCFs in CKD. METHODS: Twelve OVCF patients with CKD who received kyphoplasty were retrospectively reviewed...
September 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/27228514/high-frequency-spinal-cord-stimulation-at-10-khz-for-the-treatment-of-chronic-pain-6-month-australian-clinical-experience
#14
MULTICENTER STUDY
Marc Russo, Paul Verrills, Bruce Mitchell, John Salmon, Adele Barnard, Danielle Santarelli
BACKGROUND: High frequency spinal cord stimulation at 10 kHz (HF10 therapy) represents a prominent advance in spinal cord stimulation (SCS) therapy, having demonstrated enhanced efficacy in patients with back and leg pain and pain relief without paresthesia that is sustained at 24 months post implant. OBJECTIVE: To report on the effectiveness HF10 SCS therapy for a wide range of intractable pain conditions in clinical practice. STUDY DESIGN: Retrospective investigation of 256 patients who trialed HF10 SCS for chronic intractable pain of various etiologies...
2016: Pain Physician
https://www.readbyqxmd.com/read/27218046/outcome-of-radial-head-arthroplasty-in-comminuted-radial-head-fractures-short-and-midterm-results
#15
Arash Moghaddam, Tim Friedrich Raven, Eike Dremel, Stefan Studier-Fischer, Paul Alfred Grutzner, Bahram Biglari
BACKGROUND: Comminuted radial head fractures are often associated with secondary injuries and elbow instability. OBJECTIVES: The aim of this retrospective study was to evaluate how well the modular metallic radial head implant EVOLVE® prosthesis restores functional range of motion (ROM) and stability of the elbow in acute care. PATIENTS AND METHODS: Eighty-five patients with comminuted radial head fractures and associated injuries received treatment with an EVOLVE® prosthesis between May 2001 and November 2009...
February 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27145020/lumbar-facet-resurfacing-first-experience-with-the-fenix%C3%A2-implant
#16
Erik Van de Kelft
STUDY DESIGN: This is a feasibility study to confirm the design, the patient population and the surgical technique for FENIX™ implants. OBJECTIVE: This study evaluated the safety, the clinical and radiological performance of bilaterally implanted FENIX™ facet resurfacing device. INTRODUCTION: Facet joint osteoarthritis is responsible for up to 30% of chronic low back pain. Arthroplasty is a surgical treatment option that aims to relieve pain while maintaining or restoring motion...
May 3, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27128390/motor-control-exercise-for-nonspecific-low-back-pain-a-cochrane-review
#17
REVIEW
Bruno T Saragiotto, Christopher G Maher, Tiê P Yamato, Leonardo O P Costa, Luciola C Menezes Costa, Raymond W J G Ostelo, Luciana G Macedo
STUDY DESIGN: A systematic review. OBJECTIVE: The aim of this review was to evaluate the effectiveness of motor control exercise (MCE) in patients with nonspecific low back pain (LBP). SUMMARY OF BACKGROUND DATA: MCE is a common form of exercise used for managing LBP. MCE focuses on the activation of the deep trunk muscles and targets the restoration of control and coordination of these muscles, progressing to more complex and functional tasks integrating the activation of deep and global trunk muscles...
August 15, 2016: Spine
https://www.readbyqxmd.com/read/26866644/calcaneofibular-ligament-transfer-for-recurrent-peroneal-tendon-subluxation-in-pediatric-and-young-adult-patients
#18
Derek S Stenquist, Tyler A Gonzalez, Frances A Tepolt, Dennis E Kramer, Mininder S Kocher
BACKGROUND: Peroneal tendon subluxation is an uncommon cause of lateral ankle pain and instability but can be disabling for some young patients. Surgical management may be required to restore function for patients who fail nonoperative management. The purpose of this study was to determine the functional outcomes after surgical management of peroneal tendon subluxation in pediatric and adolescent patients. METHODS: A retrospective review of patients presenting to our institution over a 10-year period yielded 18 cases of recurrent subluxation refractory to nonoperative management in 14 children or young adults (mean age 15...
February 10, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26653716/reduced-physical-activity-in-children-and-adolescents-with-juvenile-idiopathic-arthritis-despite-satisfactory-control-of-inflammation
#19
Anna-Helene Bohr, Susan Nielsen, Klaus Müller, Freddy Karup Pedersen, Lars Bo Andersen
BACKGROUND: Vascular health is of concern in patients with Juvenile Idiopathic Arthritis (JIA) since Rheumatoid Arthritis (RA) epidemiologically has a well-described association with premature development of atherosclerosis. Chronic inflammation with persisting systemic circulating inflammatory proteins may be a cause of vascular damage, but general physical inactivity could be an important contributor. Pain and fatigue are common complaints in patients with JIA and may well lead to an inactive sedentary lifestyle...
2015: Pediatric Rheumatology Online Journal
https://www.readbyqxmd.com/read/26330300/interpersonal-responses-and-pain-management-within-the-us-military
#20
Cindy A McGeary, Tabatha H Blount, Alan L Peterson, Robert J Gatchel, Willie J Hale, Donald D McGeary
Purpose Chronic pain poses a significant problem for the US military. The benefits of self-management treatments for chronic pain are well-documented, but interpersonal responses also influence physical and psychological health and may not be addressed through self-management treatments alone. The current study examines whether perceived interpersonal responses to pain, as measured by the Multidimensional Pain Inventory (MPI), change as a result of participation in an intensive pain management program. It was hypothesized that interpersonal responses to pain would be significantly correlated to psychosocial and physical pain outcomes and that interpersonal responses to pain would change significantly for completers of a functional restoration (FR) program compared to those who were randomized to treatment-as-usual in the military medical system...
June 2016: Journal of Occupational Rehabilitation
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