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26 papers 500 to 1000 followers MH Residency - Spine
Irene Toh, Hwei-Chi Chong, Jennifer Suet-Ching Liaw, Yong-Hao Pua
Study Design Prospective cohort study. Background Optimal management of patients with low back pain (LBP) relies on accurate prognosis of future clinical outcomes. The STarT Back Screening Tool (SBT), a prognostic index developed and validated in the primary care setting, has three scoring measures: SBT overall, psychosocial, and categorical scores. Objective Our study aimed to compare the predictive validity of three SBT measures with future pain intensity in patients receiving physical therapy for LBP. Methods Two-hundred-seven patients with LBP receiving physical therapy completed the SBT at initial (baseline) evaluation and were evaluated 12 weeks later for their pain intensity...
March 3, 2017: Journal of Orthopaedic and Sports Physical Therapy
Klaus Wirth, Hagen Hartmann, Christoph Mickel, Elena Szilvas, Michael Keiner, Andre Sander
Over the last two decades, exercise of the core muscles has gained major interest in professional sports. Research has focused on injury prevention and increasing athletic performance. We analyzed the guidelines for so-called functional strength training for back pain prevention and found that programs were similar to those for back pain rehabilitation; even the arguments were identical. Surprisingly, most exercise specifications have neither been tested for their effectiveness nor compared with the load specifications normally used for strength training...
March 2017: Sports Medicine
Ben Darlow, Peter B O'Sullivan
No abstract text is available yet for this article.
May 31, 2016: British Journal of Sports Medicine
Ram Haddas, C Roger James, Troy L Hooper
CONTEXT: Low back pain and lower extremity injuries affect athletes of all ages. Previous authors have linked a history of low back pain with lower extremity injuries. Fatigue is a risk factor for lower extremity injuries, some of which are known to affect female athletes more often than their male counterparts. OBJECTIVE: To determine the effects of lower extremity fatigue and sex on knee mechanics, neuromuscular control, and ground reaction force during landing in people with recurrent low back pain (LBP)...
April 2015: Journal of Athletic Training
Andrew T Trout, Susan E Sharp, Christopher G Anton, Michael J Gelfand, Charles T Mehlman
Single photon emission computed tomography (SPECT)/computed tomography (CT) is ideally suited for assessment of low back pain in children and young adults. Spondylolysis is one of the most common structural causes of low back pain and is readily identified and characterized in terms of its chronicity and likelihood to heal. The value of SPECT/CT extends to identification and characterization of other causes of low back pain, including abnormalities of the posterior elements, developing vertebral endplate, transverse processes, and sacrum and sacroiliac joint...
May 2015: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Brian S Foley, Ralph M Buschbacher
The sacroiliac joint is an underappreciated cause of low back and buttock pain. It is thought to cause at least 15% of low back pain. It is more common in the presence of trauma, pregnancy, or in certain athletes. The pelvic anatomy is complex, with the joint space being variable and irregular. The joint transmits vertical forces from the spine to the lower extremities and has a role in lumbopelvic dynamic motion. History and physical examination findings can be helpful in screening for sacroiliac joint pain, but individual provocative maneuvers have unproven validity...
December 2006: American Journal of Physical Medicine & Rehabilitation
Timothy L Miller, Nathan Cass, Courtney Siegel
Ankylosing spondylitis is a disease in which inflammation of joints, most often in the axial skeleton, can lead to reactive fibrosis and eventual joint fusion with associated immobility and kyphosis. The disease often involves extra-articular features, such as uveitis and aortic regurgitation, as well as associated inflammatory conditions of the intestines. Its etiology is unknown. Ankylosing spondylitis most commonly presents in young males (15-30 years old) as persistent low back pain and stiffness that is worse in the morning and at night and improves with activity...
February 2014: Orthopedics
Jonathan Sylvain, Michael P Reiman
STUDY DESIGN: Case Report. BACKGROUND AND PURPOSE: The purpose of this case report is to describe the clinical reasoning process involved with the differential diagnosis and management of a 69 year-old male runner reporting a six month history of insidious onset of left sided low back and buttock pain of low to medium degree of irritability. The case presented describes the utilization of clinical reasoning by a clinician in fellowship training when a patient with atypical adverse neurodynamic dysfunction related to running was encountered...
April 2015: International Journal of Sports Physical Therapy
Daniel W Vaughn
STUDY DESIGN: Case report. BACKGROUND: A number of pain referral patterns for sacroiliac dysfunction have been reported in the literature. However, very little has been written about pain localized to the knee joint for cases involving sacroiliac dysfunction. CASE DESCRIPTION: A 25-year-old female runner was self-referred to physical therapy for medial knee pain of 4(1/2) weeks' duration without a significant onset event. The pain completely curtailed her training for the Boston Marathon...
October 2008: Journal of Orthopaedic and Sports Physical Therapy
Ralph F Rashbaum, Donna D Ohnmeiss, Emily M Lindley, Scott H Kitchel, Vikas V Patel
The sacroiliac joint (SIJ) as a source of symptoms has been controversial; however, as knowledge about the joint increased, its role as a pain generator in patients complaining of symptoms that are often attributed to spinal pathology has become better appreciated. The literature reports that the SIJ is the pain origin in as many as 30% of patients presenting with low back pain. Clinically, the SIJ can be challenging to evaluate; however, assessing pain location, patient posture/movement, and provocative manual testing are useful in making the presumptive diagnosis of SIJ disruption...
March 2016: Clinical Spine Surgery
Won-Gyu Yoo
[Purpose] We investigated the effects of individual strengthening exercises for subdivisions of the gluteus medius in a patient with sacroiliac joint pain. [Subject] A 32 year-old female who complained of pain in the posterior area of the left iliac crest and sacroiliac joints over a period of 6 months was the subject of this study. [Methods] She performed individual strengthening exercises for subdivisions of the gluteus medius over 3 weeks. Pain-provocation tests and VAS scores were evaluated before and after the intervention...
September 2014: Journal of Physical Therapy Science
Steven P Cohen, Yian Chen, Nathan J Neufeld
Sacroiliac joint (SIJ) pain is an underappreciated source of mechanical low back pain, affecting between 15 and 30% of individuals with chronic, nonradicular pain. Predisposing factors for SIJ pain include true and apparent leg length discrepancy, older age, inflammatory arthritis, previous spine surgery, pregnancy and trauma. Compared with facet-mediated and discogenic low back pain, individuals with SIJ pain are more likely to report a specific inciting event, and experience unilateral pain below L5. Owing in part to its size and heterogeneity, the pain referral patterns of the SIJ are extremely variable...
January 2013: Expert Review of Neurotherapeutics
Divya Bharatkumar Adhia, Stephan Milosavljevic, Steve Tumilty, Melanie D Bussey
BACKGROUND: Innominate kinematic anomalies resulting in low back pain (LBP) of sacroiliac joint (SIJ) origin (SIJ-positive), has always been a topic of contention, owing to difficultly in its evaluation. Recent technique of electromagnetic palpation-digitization has been able to accurately quantify innominate kinematics in healthy individuals. OBJECTIVES: The purpose of this study is to determine if participants with LBP of SIJ origin (SIJ-positive) demonstrate significantly different innominate kinematics than participants with LBP of non-SIJ origin (SIJ-negative)...
February 2016: Manual Therapy
Divya Bharatkumar Adhia, Steve Tumilty, Ramakrishnan Mani, Stephan Milosavljevic, Melanie D Bussey
AIM: The primary aim of the study is to determine if Hip Abduction and External Rotation (HABER) test is capable of reproducing familiar pain in individuals with low back pain (LBP) of sacroiliac joint (SIJ) origin (SIJ-positive) when compared with LBP of Non-SIJ origin (SIJ-negative). If so, the secondary aim is to determine the diagnostic accuracy of HABER test against the reference standard of pain provocation tests, and to determine which increments of the HABER test has highest sensitivity and specificity for identifying SIJ-positive individuals...
February 2016: Manual Therapy
Thomas T Simopoulos, Laxmaiah Manchikanti, Vijay Singh, Sanjeeva Gupta, Haroon Hameed, Sudhir Diwan, Steven P Cohen
BACKGROUND: The contributions of the sacroiliac joint to low back and lower extremity pain have been a subject of considerable debate and research. It is generally accepted that 10% to 25% of patients with persistent mechanical low back pain below L5 have pain secondary to sacroiliac joint pathology. However, no single historical, physical exam, or radiological feature can definitively establish a diagnosis of sacroiliac joint pain. Based on present knowledge, a proper diagnosis can only be made using controlled diagnostic blocks...
May 2012: Pain Physician
Freddy Sichting, Jerome Rossol, Odette Soisson, Stefan Klima, Thomas Milani, Niels Hammer
BACKGROUND: The sacroiliac joint is a widely described source of low back pain. Therapeutic approaches to relieve pain include the application of pelvic belts. However, the effects of pelvic belts on sacroiliac joint ligaments as potential pain generators are mostly unknown. OBJECTIVES: The aim of our study was to analyze the influence of pelvic belts on ligament load by means of a computer model. STUDY DESIGN: Experimental computer study using a finite element method...
January 2014: Pain Physician
Jonathan-James T Eno, Christopher R Boone, Michael J Bellino, Julius A Bishop
BACKGROUND: Degenerative changes of the sacroiliac joint have been implicated as a cause of lower back pain in adults. The purpose of this study was to determine the prevalence of sacroiliac joint degeneration in asymptomatic patients. METHODS: Five hundred consecutive pelvic computed tomography (CT) scans, made at a tertiary-care medical center, of patients with no history of pain in the lower back or pelvic girdle were retrospectively reviewed and analyzed for degenerative changes of the sacroiliac joint...
June 3, 2015: Journal of Bone and Joint Surgery. American Volume
Barbara J Hoogenboom, Michael L Voight
UNLABELLED: Rolling is a movement pattern seldom used by physical therapists for assessment and intervention with adult clientele with normal neurologic function. Rolling, as an adult motor skill, combines the use of the upper extremities, core, and lower extremities in a coordinated manner to move from one posture to another. Rolling is accomplished from prone to supine and supine to prone, although the method by which it is performed varies among adults. Assessment of rolling for both the ability to complete the task and bilateral symmetry may be beneficial for use with athletes who perform rotationally-biased sports such as golf, throwing, tennis, and twisting sports such as dance, gymnastics, and figure skating...
November 2015: International Journal of Sports Physical Therapy
Vadim Goz, Ajinkya Rane, Amir M Abtahi, Brandon D Lawrence, Darrel S Brodke, William Ryan Spiker
STUDY DESIGN: Retrospective review. OBJECTIVE: To define the geographic variation in costs of anterior cervical discectomy and fusion (ACDF) and posterolateral fusion (PLF). SUMMARY OF BACKGROUND DATA: ACDF and lumbar PLF are common procedures that are used in the treatment of spinal pathologies. To optimize value, both the benefits and costs of an intervention must be quantified. Data on costs are scarce in comparison with data on total charges...
September 1, 2015: Spine
Gert Bronfort, Maria A Hondras, Craig A Schulz, Roni L Evans, Cynthia R Long, Richard Grimm
BACKGROUND: Back-related leg pain (BRLP) is often disabling and costly, and there is a paucity of research to guide its management. OBJECTIVE: To determine whether spinal manipulative therapy (SMT) plus home exercise and advice (HEA) compared with HEA alone reduces leg pain in the short and long term in adults with BRLP. DESIGN: Controlled pragmatic trial with allocation by minimization conducted from 2007 to 2011. ( NCT00494065)...
September 16, 2014: Annals of Internal Medicine
2015-02-15 16:45:52
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