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https://www.readbyqxmd.com/read/29345522/goal-setting-practice-in-chronic-low-back-pain-what-is-current-practice-and-is-it-affected-by-beliefs-and-attitudes
#1
Tania Gardner, Kathryn Refshauge, James McAuley, Markus Hübsher, Stephen Goodall, Lorraine Smith
INTRODUCTION: Goal setting, led by the patient, is promising as an effective treatment for the management of chronic low back pain (CLBP); however, little is known about current practice. The aims of the study were to explore (1) current goal setting practice in CLBP among physiotherapists; (2) perceived barriers to goal setting in CLBP; and (3) relationship between clinician's attitudes and beliefs and goal setting practice. METHOD: A cross-sectional observational survey...
January 18, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29336694/-it-has-changed-my-whole-life-the-systemic-implications-of-chronic-low-back-pain-among-older-adults
#2
Meredith L Stensland, Sara Sanders
Chronic low back pain (CLBP) is the most common pain complaint among older adults. Despite its prevalence, very little research has qualitatively examined the diverse consequences of living with CLBP in later life. As part of a larger study aiming to understand the experience of CLBP among older adults, the objective of this manuscript is to understand how older adults experience CLBP and its impacts on the functioning of older adults. Guided by van Manen's phenomenological method, 23 semi-structured interviews with 21 pain clinic patients aged 66-83 were conducted...
January 16, 2018: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/29333872/effects-and-underlying-mechanisms-of-unstable-shoes-on-chronic-low-back-pain-a-randomized-controlled-trial
#3
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/29332033/effect-of-dual-tasking-on-anticipatory-and-compensatory-postural-adjustments-in-response-to-external-perturbations-in-individuals-with-nonspecific-chronic-low-back-pain-electromyographic-analysis
#4
Ladan Hemmati, Soraya Piroozi, Zahra Rojhani-Shirazi
BACKGROUND: In patients with chronic low back pain (CLBP), postural control is a demanding task in terms of attention. Although the attentional demands of postural control have been investigated in these patients, the attentional demands of postural recovery during dual task performance have not been evaluated in patients with nonspecific CLBP. OBJECTIVE: To investigate the effect of dual tasking on anticipatory and compensatory postural adjustments in response to an external perturbation in patients with nonspecific CLBP...
December 29, 2017: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/29319801/not-so-golden-after-all-the-complexities-of-chronic-low-back-pain-in-older-adulthood
#5
Meredith L Stensland, Sara Sanders
Background and Objectives: The study objective was to understand how Chronic low back pain (CLBP) impacts key aging concepts such as retirement, housing, health, and independence. Research Design and Methods: Twenty-one pain clinic patients (66-83 years old) with CLBP engaged in 23 in-depth semistructured interviews, which were audio-recorded and transcribed verbatim. Guided by van Manen's phenomenological method, researchers used line-by-line thematic coding to analyze data through an iterative process...
January 8, 2018: Gerontologist
https://www.readbyqxmd.com/read/29315426/an-e-learning-module-on-chronic-low-back-pain-in-older-adults-effect-on-medical-resident-attitudes-confidence-knowledge-and-clinical-skills
#6
Zachary G Jacobs, D Michael Elnicki, Subashan Perera, Debra K Weiner
Objective: To determine 1) the feasibility of implementing an e-learning module on chronic low back pain (CLBP) in an older adult into an existing internal medicine residency curriculum and 2) the impact of this module on resident attitudes, confidence, knowledge, and clinical skills relating to CLBP. Methods: Participants were assigned to complete either the online module (N = 73) or the Yale Office-based curriculum on CLBP (N = 70). Attitudes, confidence, and knowledge were evaluated pre- and postintervention via survey...
January 5, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29306215/treatment-characteristics-of-various-sediment-components-spiked-with-2-chlorobiphenyl-using-reactive-activated-carbon
#7
Hyeok Choi
Previously, the concept of reactive activated carbon (RAC), where the porous structure of activated carbon (AC) is impregnated with palladized zerovalent iron, has been proposed to be effective to adsorb and dechlorinate polychlorinated biphenyls (PCBs). To explain the low dechlorination of PCBs bound to actual aquatic sediments under remediation with RAC, this study investigated the role of various solid organic and inorganic sediment components in adsorbing and desorbing PCBs. Detailed fate and transport mechanism of 2-chlorinated biphenyl (2-ClBP) spiked to sediment components, including kaolin, montmorillonite (MMT), coal, graphite, AC, and their mixture, was revealed...
December 17, 2017: Journal of Hazardous Materials
https://www.readbyqxmd.com/read/29282846/meta-analysis-of-transcutaneous-electrical-nerve-stimulation-for-relief-of-spinal-pain
#8
REVIEW
L Resende, E Merriwether, É P Rampazo, D Dailey, J Embree, J Deberg, R E Liebano, K A Sluka
We conducted a systematic review and meta-analysis analysing the existing data on transcutaneous electrical nerve stimulation (TENS) or interferential current (IFC) for chronic low back pain (CLBP) and/or neck pain (CNP) taking into account intensity and timing of stimulation, examining pain, function and disability. Seven electronic databases were searched for TENS or IFC treatment in non-specific CLBP or CNP. Four reviewers independently selected randomized controlled trials (RCTs) of TENS or IFC intervention in adult individuals with non-specific CLBP or CNP...
December 27, 2017: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/29279756/prevalence-of-chronic-nonspecific-low-back-pain-and-its-associated-factors-among-middle-aged-and-elderly-people-an-analysis-based-on-data-from-a-musculoskeletal-examination-in-japan
#9
Yoichi Iizuka, Haku Iizuka, Tokue Mieda, Daisuke Tsunoda, Tsuyoshi Sasaki, Tsuyoshi Tajika, Atsushi Yamamoto, Kenji Takagishi
Study Design: A cross-sectional study. Purpose: To clarify the prevalence of chronic nonspecific low back pain (CNSLBP) and its associated factors among middle-aged and elderly Japanese individuals using data from a musculoskeletal examination conducted in general Japanese populations. Overview of Literature: Most studies evaluating low back pain-associated factors have been conducted in Western countries, but they have not always evaluated CNSLBP...
December 2017: Asian Spine Journal
https://www.readbyqxmd.com/read/29279747/prevalence-of-neuropathic-pain-and-patient-reported-outcomes-in-korean-adults-with-chronic-low-back-pain-resulting-from-neuropathic-low-back-pain
#10
Jin-Hwan Kim, Jae Taek Hong, Chong-Suh Lee, Keun-Su Kim, Kyung-Soo Suk, Jin-Hyok Kim, Ye-Soo Park, Bong-Soon Chang, Deuk Soo Jun, Young-Hoon Kim, Jung-Hee Lee, Woo-Kie Min, Jung-Sub Lee, Si-Young Park, In-Soo Oh, Jae-Young Hong, Hyun-Chul Shin, Woo-Kyung Kim, Joo-Han Kim, Jung-Kil Lee, In-Soo Kim, Yoon Ha, Soo-Bin Im, Sang Woo Kim, In-Ho Han, Jun-Jae Shin, Byeong Cheol Rim, Bo-Jeong Seo, Young-Joo Kim, Juneyoung Lee
Study Design: A noninterventional, multicenter, cross-sectional study. Purpose: We investigated the prevalence of neuropathic pain (NP) and patient-reported outcomes (PROs) of the quality of life (QoL) and functional disability in Korean adults with chronic low back pain (CLBP). Overview of Literature: Among patients with CLBP, 20%-55% had NP. Methods: Patients older than 20 years with CLBP lasting for longer than three months, with a visual analog scale (VAS) pain score higher than four, and with pain medications being used for at least four weeks before enrollment were recruited from 27 general hospitals between December 2014 and May 2015...
December 2017: Asian Spine Journal
https://www.readbyqxmd.com/read/29273083/effectiveness-costs-and-cost-effectiveness-of-chiropractic-care-and-physiotherapy-compared-with-information-and-advice-in-the-treatment-of-non-specific-chronic-low-back-pain-study-protocol-for-a-randomised-controlled-trial
#11
Filip Gedin, Martin Skeppholm, Kristina Burström, Vibeke Sparring, Mesfin Tessma, Niklas Zethraeus
BACKGROUND: Low back pain is a global public health problem and a leading cause of disability all over the world. The lifetime prevalence of low back pain is 70-80% and a significant proportion of people affected develop chronic low back pain (CLBP). Besides a severe negative impact on people's health and health-related quality of life, CLBP is associated with substantial costs for society. Medical costs for the management of CLBP and costs for production losses due to absenteeism from work are sizeable...
December 22, 2017: Trials
https://www.readbyqxmd.com/read/29261533/intraarticular-triamcinolone-versus-hyaluronate-injections-for-low-back-pain-with-symptoms-suggestive-of-lumbar-zygapophyseal-joint-arthropathy-a-pragmatic-double-blind-randomized-controlled-trial
#12
Thiru M Annaswamy, Corey Armstead, Luke Carlson, Nicholas J Elkins, Denizen Kocak, Samuel M Bierner
OBJECTIVE: To compare hyaluronate to triamcinolone injections in treating chronic low back pain (CLBP) suggestive of lumbar zygopophyseal joint (ZJT) arthropathy. DESIGN: Prospective, double-blind, randomized controlled trial. 30 subjects were randomly assigned to receive bilateral L3-S1 ZJT injections with triamcinolone (KA) or Synvisc-One® (HA). Pain [Visual Analog Scale (VAS)] and Pain Disability Questionnaire (PDQ) scores at 1, 3, and 6-months were evaluated...
December 19, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29259814/diagnosis-of-psychosocial-risk-factors-in-prevention-of-low-back-pain-in-athletes-mispex
#13
Pia-Maria Wippert, Anne-Katrin Puschmann, Adamantios Arampatzis, Marcus Schiltenwolf, Frank Mayer
Background: Low back pain (LBP) is a common pain syndrome in athletes, responsible for 28% of missed training days/year. Psychosocial factors contribute to chronic pain development. This study aims to investigate the transferability of psychosocial screening tools developed in the general population to athletes and to define athlete-specific thresholds. Methods: Data from a prospective multicentre study on LBP were collected at baseline and 1-year follow-up (n=52 athletes, n=289 recreational athletes and n=246 non-athletes)...
2017: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29248528/feasibility-safety-and-efficacy-of-subcutaneous-peripheral-nerve-field-stimulation-for-the-treatment-of-refractory-low-back-pain-a-two-year-single-center-study
#14
Basem Ishak, Benito Campos, Heike Brunn, Andreas W Unterberg, Rezvan Ahmadi
Chronic low back pain is challenging to treat. Minimal invasive neurostimulation therapies, such as subcutaneous peripheral nerve field stimulation (SPNS), improve pain relief and quality of life,. The goal of the present study was to assess the usefulness, safety, and efficacy of SPNS in patients with chronic low back pain (CLBP). Twenty-six consecutive patients with CLBP were prospectively included in the study. For trial neurostimulation, two electrodes were implanted vertically at a depth of 1 cm into the subcutaneous tissue, ≤ 10 cm from the region of maximum pain...
December 14, 2017: Neuroscience
https://www.readbyqxmd.com/read/29244235/new-therapy-for-refractory-chronic-mechanical-low-back-pain-restorative-neurostimulation-to-activate-the-lumbar-multifidus-one-year-results-of-a-prospective-multicenter-clinical-trial
#15
REVIEW
Kristiaan Deckers, Kris De Smedt, Bruce Mitchell, David Vivian, Marc Russo, Peter Georgius, Matthew Green, John Vieceli, Sam Eldabe, Ashish Gulve, Jean-Pierre van Buyten, Iris Smet, Vivek Mehta, Shankar Ramaswamy, Ganesan Baranidharan, Richard Sullivan, Robert Gassin, James Rathmell, Chris Gilligan
OBJECTIVES: The purpose of the international multicenter prospective single arm clinical trial was to evaluate restorative neurostimulation eliciting episodic contraction of the lumbar multifidus for treatment of chronic mechanical low back pain (CMLBP) in patients who have failed conventional therapy and are not candidates for surgery or spinal cord stimulation (SCS). MATERIALS AND METHODS: Fifty-three subjects were implanted with a neurostimulator (ReActiv8, Mainstay Medical Limited, Dublin, Ireland)...
December 15, 2017: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/29241047/knee-misalignment-and-exercise-amount-predictive-value-for-chronic-low-back-pain-in-young-competitive-athletes
#16
Andreas Rosenhagen, Daniel Niederer, Lutz Vogt, Winfried Banzer
Sports medical examinations of juvenile athletes provide an opportunity for preventive measures against sports-related diseases. Determining the leg axis deviation as a risk factor for future constraints may offer approaches for such measures. Data were obtained from 789 youth athletes: 166 with coronal plane knee misalignment and 623 without. After a seven-year period, 64 participants (m: 33, f: 31) from both groups were reassessed for the incidence of nonspecific chronic low back pain (CLBP). To distinguish participants with increased risk for CLBP, contingency tables for comparison of expected and joint frequency distribution testing and receivers operating characteristic (ROC) analyses for the weekly training time were conducted...
December 11, 2017: Human Movement Science
https://www.readbyqxmd.com/read/29230905/muscle-control-and-non-specific-chronic-low-back-pain
#17
REVIEW
Marc Russo, Kristiaan Deckers, Sam Eldabe, Kyle Kiesel, Chris Gilligan, John Vieceli, Peter Crosby
OBJECTIVES: Chronic low back pain (CLBP) is the most prevalent of the painful musculoskeletal conditions. CLBP is a heterogeneous condition with many causes and diagnoses, but there are few established therapies with strong evidence of effectiveness (or cost effectiveness). CLBP for which it is not possible to identify any specific cause is often referred to as non-specific chronic LBP (NSCLBP). One type of NSCLBP is continuing and recurrent primarily nociceptive CLBP due to vertebral joint overload subsequent to functional instability of the lumbar spine...
December 12, 2017: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/29225944/biopsychosocial-factors-associated-with-chronic-low-back-pain-disability-in-rural-nigeria-a-population-based-cross-sectional-study
#18
Chinonso Nwamaka Igwesi-Chidobe, Bolaji Coker, Chika N Onwasigwe, Isaac O Sorinola, Emma L Godfrey
Introduction: Many people in Nigeria are living with disability due to chronic low back pain (CLBP), with the greatest burden accounted for by people living in rural Nigeria. However, factors associated with disability in rural Nigeria have not yet been established. We investigated the biomechanical and psychosocial predictors of CLBP disability in a rural Nigerian population. Methods: A cross-sectional study of adults with non-specific CLBP recruited from rural communities in Enugu State, South-eastern Nigeria...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29187306/contribution-of-load-expectations-to-neuromechanical-adaptations-during-a-freestyle-lifting-task-a-pilot-study
#19
Anne Courbalay, Charles Tétreau, Arnaud Lardon, Thomas Deroche, Vincent Cantin, Martin Descarreaux
OBJECTIVES: The main goal of this study was to determine to what extent load expectations modulate neuromechanical adaptations in individuals with and without chronic low back pain (cLBP) when lifting and lowering various loads. The second goal was to assess the feasibility of a simple lifting protocol during which expectations about loads were manipulated. METHODS: Seventeen participants with cLBP and 18 participants without low back pain were asked to lift and lower boxes of mild to moderate loads...
October 2017: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/29181575/is-l5-s1-motion-segment-different-from-the-rest-a-radiographic-kinematic-assessment-of-72-patients-with-chronic-low-back-pain
#20
Ashutosh B Sabnis, Uphar Chamoli, Ashish D Diwan
PURPOSE: The relationship between biomechanical instability and degenerative changes in the lumbar spine in chronic low back pain (CLBP) patients remains controversial. The main objective of this retrospective radiographical study was to evaluate changes in kinematics at different lumbar levels (in particular the L5-S1 level) with progressive grades of disc degeneration and facet joint osteoarthritis in CLBP patients. METHODS: Using standing neutral and dynamic flexion/extension (Fx/Ex) radiographs of the lumbar spine, in vivo segmental kinematics at L1-L2 through L5-S1 were evaluated in 72 consecutive CLBP patients...
November 27, 2017: European Spine Journal
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