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https://www.readbyqxmd.com/read/29036904/biopsychosocial-measures-related-to-chronic-low-back-pain-postural-control-in-older-adults
#1
Ryan Hulla, Robert J Gatchel, Angela Liegey-Dougall
This study examined the biopsychosocial measures related to postural control in the growing population of older adults (i.e., 60 years and older). The sample of the study consisted of 129 older adults (M = 74.45, SD = 6.95), with 34 males and 95 females; 36 were classified with chronic low-back pain (CLBP), and 93 without chronic low-back pain (NCLBP). Physical and psychosocial constructs were analyzed as predictors for postural control measures. Additionally, gender and classification of low-back pain were examined as moderators for all physical and psychosocial measures...
October 14, 2017: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/29036680/factors-associated-with-opioid-initiation-in-oef-oif-ond-veterans-with-traumatic-brain-injury
#2
Teresa J Hudson, Jacob T Painter, Laura E Gressler, Liya Lu, J Silas Williams, Brenda M Booth, Bradley C Martin, Mark D Sullivan, Mark J Edlund
Objective: These analyses examined opioid initiation and chronic use among Iraq (OIF) and Afghanistan (OEF/OND) veterans with a new diagnosis of traumatic brain injury (TBI) in the Veterans Health Administration (VHA). Methods: Data were obtained from national VHA data repositories. Analyses included OEF/OIF/OND veterans with a new TBI diagnosis in 2010-2012 who used the VHA at least twice, had not received a VHA opioid prescription in the 365 days before diagnosis, and had at least 365 days of data available after TBI diagnosis...
September 26, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29035297/variability-in-strength-pain-and-disability-changes-in-response-to-an-isolated-lumbar-extension-resistance-training-intervention-in-participants-with-chronic-low-back-pain
#3
James Steele, James Fisher, Stewart Bruce-Low, Dave Smith, Neil Osborne, Dave Newell
Strengthening the lumbar extensor musculature is a common recommendation for chronic low back pain (CLBP). Although reported as effective, variability in response in CLBP populations is not well investigated. This study investigated variability in responsiveness to isolated lumbar extension (ILEX) resistance training in CLBP participants by retrospective analysis of three previous randomized controlled trials. Data from 77 participants were available for the intervention arms (males = 43, females = 34) 37 participants data (males = 20, females = 17) from the control arms...
October 16, 2017: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/29035178/patient-perspectives-on-communication-with-primary-care-physicians-about-chronic-low-back-pain
#4
Sarah Evers, Clarissa Hsu, Karen J Sherman, Ben Balderson, Rene Hawkes, Georgie Brewer, Anne-Marie La Porte, John Yeoman, Dan Cherkin
OBJECTIVES: Chronic low back pain (CLBP) is a common health problem with challenges for providing satisfactory care. This study was undertaken to identify opportunities to improve key aspects of physicians' communications with CLBP-affected patients. METHODS: A series of 3 focus groups, each with 7 to 11 patients with CLBP, were recruited from primary care settings and grouped by risk level of reduced function resulting from back pain, to elicit perspectives about interactions with their primary care physicians...
2017: Permanente Journal
https://www.readbyqxmd.com/read/29033985/the-effects-of-acupressure-on-pain-severity-in-female-nurses-with-chronic-low-back-pain
#5
Maryam Movahedi, Somayeh Ghafari, Fateme Nazari, Mahboubeh Valiani
BACKGROUND: Low back pain causes physical and psychological impacts among nurses. This study aimed to investigate the effects of acupressure on the severity of pain in chronic low back pain in female nurses. MATERIALS AND METHODS: This study is a single-blinded randomized clinical trial conducted among 50 nurses suffering from chronic low back pain. After simple sampling, participants were randomly assigned into acupressure and sham groups using lottery method (25 patients in each group)...
September 2017: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/29030287/inhibition-of-pain-and-pain-related-brain-activity-by-heterotopic-noxious-counter-stimulation-and-selective-attention-in-chronic-non-specific-low-back-pain
#6
Alexandra Ladouceur, Nabi Rustamov, Jean-Daniel Dubois, Jessica Tessier, Alexandre Lehmann, Martin Descarreaux, Pierre Rainville, Mathieu Piché
The aim of the present study was to assess inhibition of pain and somatosensory-evoked potentials (SEP) by heterotopic noxious counter-stimulation (HNCS) and by selective attention in patients with chronic non-specific LBP. Seventeen patients and age/sex matched controls were recruited (10 men, 7 women; mean age ± SD: 43.3 ± 10.4 and 42.7 ± 11.1, respectively). On average, patients with LBP reported pain duration of 7.6 ± 6.5 years, light to moderate disability (19.3 ± 5.7/100) and low clinical pain intensity (21...
October 10, 2017: Neuroscience
https://www.readbyqxmd.com/read/29029606/patient-centered-professional-practice-models-for-managing-low-back-pain-in-older-adults-a-pilot-randomized-controlled-trial
#7
Christine M Goertz, Stacie A Salsbury, Cynthia R Long, Robert D Vining, Andrew A Andresen, Maria A Hondras, Kevin J Lyons, Lisa Z Killinger, Fredric D Wolinsky, Robert B Wallace
BACKGROUND: Low back pain is a debilitating condition for older adults, who may seek healthcare from multiple providers. Few studies have evaluated impacts of different healthcare delivery models on back pain outcomes in this population. The purpose of this study was to compare clinical outcomes of older adults receiving back pain treatment under 3 professional practice models that included primary medical care with or without chiropractic care. METHODS: We conducted a pilot randomized controlled trial with 131 community-dwelling, ambulatory older adults with subacute or chronic low back pain...
October 13, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29029551/low-back-pain-investigation-of-biases-in-outpatient-canadian-physical-therapy
#8
Maude Laliberté, Barbara Mazer, Tatiana Orozco, Gevorg Chilingaryan, Bryn Williams-Jones, Matthew Hunt, Debbie Ehrmann Feldman
Background: Previous research suggested that physical therapy services can be influenced by patient characteristics (age, sex, socioeconomic status) or insurance status rather than their clinical need. Objective: The aim of this study was to determine whether patient-related factors (age, sex, SES) and the source of reimbursement for physical therapy services (insurance status) influence wait time for, frequency of, and duration of physical therapy for low back pain...
October 1, 2017: Physical Therapy
https://www.readbyqxmd.com/read/29026672/intraoperative-navigation-guided-resection-of-anomalous-transverse-processes-in-patients-with-bertolotti-s-syndrome
#9
Harish Babu, Carlito Lagman, Terrence T Kim, Marshall Grode, J Patrick Johnson, Doniel Drazin
BACKGROUND: Bertolotti's syndrome is characterized by enlargement of the transverse process at the most caudal lumbar vertebra with a pseudoarticulation between the transverse process and sacral ala. Here, we describe the use of intraoperative three-dimensional image-guided navigation in the resection of anomalous transverse processes in two patients with Bertolotti's syndrome. CASE DESCRIPTIONS: Two patients diagnosed with Bertolotti's syndrome who had undergone the above-mentioned procedure were identified...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/29025132/most-relevant-neuropathic-pain-treatment-and-chronic-low-back-pain-management-guidelines-a-change-pain-latin-america-advisory-panel-consensus
#10
Cesar Amescua-Garcia, Frantz Colimon, Carlos Guerrero, Aziza Jreige Iskandar, Maria Berenguel Cook, Patricia Bonilla, Durval Campos Kraychete, William Delgado Barrera, Jose Alberto Flores Cantisani, John Jairo Hernandez-Castro, Argelia Lara-Solares, Concepcion Perez Hernandez, Maria Antonieta Rico, Maria Del Rocio Guillen Nunez, Manuel Sempertegui Gallegos, Joao Batista Santos Garcia
Objective: Chronic pain conditions profoundly affect the daily living of a significant number of people and are a major economic and social burden, particularly in developing countries. The Change Pain Latin America (CPLA) advisory panel aimed to identify the most appropriate guidelines for the treatment of neuropathic pain (NP) and chronic low back pain (CLBP) for use across Latin America. Methods: Published systematic reviews or practice guidelines were identified by a systematic search of PubMed, the Guidelines Clearinghouse, and Google...
August 24, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29025059/mindfulness-for-chronic-low-back-pain-a-qualitative-analysis
#11
José G Luiggi-Hernandez, Jean Woo, Megan Hamm, Carol M Greco, Debra K Weiner, Natalia E Morone
Objective: Mindfulness is a nonpharmacologic mind-body therapy that has been shown to be effective in older adults with chronic low back pain (cLBP). There are few first-person accounts in the literature that describe the older adult experience and perspective while learning mindfulness and meditation to treat pain. The objective of this study was to investigate dominant themes present in the experiences of older adults applying mindfulness and meditation to cope with cLBP. Design: Qualitative analysis of four focus groups...
August 16, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29024961/epidural-fat-and-its-association-with-pain-physical-function-and-disability-among-older-adults-with-low-back-pain-and-controls
#12
Jaclyn Megan Sions, Christina Angelica Rodriguez, Ryan Todd Pohlig, Gregory Evan Hicks, Peter Charles Coyle
Objective: To examine epidural fat and its relationship to pain, physical function, and disability among older adults with chronic low back pain, chronic low back pain plus leg pain, and controls. Design: Cross-sectional, comparative study. Setting: Standardized examinations were conducted in a research laboratory, and magnetic resonance images were obtained. Subjects: A total of 93 adults age 60 to 85 years (24 with chronic back pain, 25 with chronic back pain plus leg pain, and 44 controls)...
September 14, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29019641/spine-conditions-lumbar-spinal-stenosis
#13
Steven D Trigg, Zachary Devilbiss
Lumbar spinal stenosis (LSS) is a frequent cause of chronic low back and lower extremity pain in older patients. Symptomatic LSS typically is described as neurogenic claudication consisting of pain, weakness, numbness, and/or fatigue arising in the back and radiating into the buttock, thigh, or lower leg. The diagnosis is complicated by lack of reliable clinical or x-ray criteria. North American Spine Society guidelines recommend magnetic resonance imaging study without contrast to confirm anatomic narrowing of the spinal canal or nerve root impingement...
October 2017: FP Essentials
https://www.readbyqxmd.com/read/29019640/spine-conditions-mechanical-and-inflammatory-low-back-pain
#14
Christopher Ledford
Mechanical low back pain (LBP) is an injury or derangement of an anatomic structure in the low back. When evaluating patients with LBP, clinicians should maintain clinical suspicion for vertebral fracture, cancer, and cauda equina syndrome. Management includes patient education focused on exercise, massage, and behavioral approaches such as cognitive behavioral therapy. Acupuncture can be an effective alternative and specific herbal supplements may provide short-term pain relief. The prognosis for patients with mechanical LBP is good...
October 2017: FP Essentials
https://www.readbyqxmd.com/read/29016867/the-response-of-the-primary-motor-cortex-to-neuromodulation-is-altered-in-chronic-low-back-pain-a-preliminary-study
#15
Siobhan M Schabrun, Emma Burns, Tribikram Thapa, Paul Hodges
Objective: Neuromodulation is increasingly investigated for the treatment of low back pain (LBP). However, the neurophysiological effects of common neuromodulatory techniques (anodal transcranial direct current stimulation [tDCS] and peripheral electrical stimulation [PES]) have not been investigated in people with chronic LBP. Here we aimed to compare the effect of three neuromodulatory protocols (anodal tDCS, high intensity PES, and a priming protocol of combined tDCS/PES) on primary motor cortex (M1) excitability in people with and without chronic LBP...
July 17, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29016389/do-changes-in-sensory-processing-precede-low-back-pain-development-in-healthy-individuals
#16
Ching-Ting Hwang, Linda R Van Dillen, Simon Haroutounian
OBJECTIVES: Low back pain (LBP) is the most commonly reported chronic pain condition. In this study, a clinically relevant, induced-LBP paradigm was used to study sensory processing as a risk factor and predictor for LBP development in healthy people. Our aim was to examine sensory processing in those who do develop LBP and those who do not develop LBP with the paradigm, and to examine the relationships between scores on psychosocial questionnaires and sensory processing measures in these healthy people...
October 9, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28994143/correlates-of-physical-activity-among-depressed-older-people-in-six-low-income-and-middle-income-countries-a-community-based-cross-sectional-study
#17
Davy Vancampfort, Brendon Stubbs, Nicola Veronese, James Mugisha, Nathalie Swinnen, Ai Koyanagi
OBJECTIVE: Despite the benefits of physical activity (PA) in older people with depression, many do not comply with the International PA guidelines. Thus, we investigated what factors influence PA participation among 915 community-dwelling older adults (aged ≥65 years) with depression in 6 low-income and middle-income countries (LMICs). METHODS: Cross-sectional data were analyzed from the World Health Organization's Study on Global Ageing and Adult Health. The sample was restricted to those with DSM-IV depression or receiving depression treatment in the last 12 months...
October 10, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28993681/equiaxial-strain-modulates-adipose-derived-stem-cell-differentiation-within-3d-biphasic-scaffolds-towards-annulus-fibrosus
#18
Mostafa Elsaadany, Kayla Winters, Sarah Adams, Alexander Stasuk, Halim Ayan, Eda Yildirim-Ayan
Recurrence of intervertebral disc (IVD) herniation is the most important factor leading to chronic low back pain and subsequent disability after discectomy. Efficacious annulus fibrosus (AF) repair strategy that delivers cells and biologics to IVD injury site is needed to limit the progression of disc degeneration and promote disc self-regeneration capacities after discectomy procedures. In this study, a biphasic mechanically-conditioned scaffold encapsulated with human adipose-derived stem cells (ASCs) is studied as a potential treatment strategy for AF defects...
October 9, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28993113/the-cognitive-impact-of-chronic-low-back-pain-positive-effect-of-multidisciplinary-pain-therapy
#19
Marcus Schiltenwolf, Michael Akbar, Eva Neubauer, Simone Gantz, Herta Flor, Andreas Hug, Haili Wang
OBJECTIVES: Little is known about the affected cognitive problems in chronic low back pain patients. For this patient cohort research mostly focused on memory of pain, rather than cognitive difficulties related to pain. Chronic pain may be associated with specific (yet undefined) cognitive deficits that affect everyday behaviour. We set out to compare the cognitive function of patients with chronic low back pain (cLBP) in the course of multidisciplinary pain treatments before and after therapy...
October 6, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/28988358/reliability-and-validity-of-the-cross-culturally-adapted-turkish-version-of-the-core-outcome-measures-index-for-low-back-pain
#20
Engin Çetin, Evrim Coşkun Çelik, Emre Acaroğlu, Haluk Berk
PURPOSE: To produce a cross-culturally adapted and validated Turkish version of The Core Outcome Measure Index (COMI) Back questionnaire. METHODS: Ninety-six Turkish-speaking patients with non-specific low back pain (LBP) were recruited from orthopedic and physical therapy outpatient clinics in a public hospital. They completed a booklet of questionnaires containing Turkish version of COMI, adjectival pain scale, Roland Morris disability questionnaire, European 5 Dimension Questionnaire and brief version of World Health Organization Quality of Life Questionnaire...
October 7, 2017: European Spine Journal
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