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Mansueto Gomes-Neto, Jordana Moura Lopes, Cristiano Sena Conceição, Anderson Araujo, Alécio Brasileiro, Camila Sousa, Vitor Oliveira Carvalho, Fabio Luciano Arcanjo
AIM: We performed a systematic review with a meta-analysis to examine the efficacy of stabilization exercises versus general exercises or manual therapy in patients with low back pain. DESIGN: We searched MEDLINE, Cochrane Controlled Trials, Scielo, and CINAHL (from the earliest date available to November 2014) for randomized controlled trials that examined the efficacy of stabilization exercises compared to general exercises or manual therapy on pain, disability, and function in patients with low back pain...
August 18, 2016: Physical Therapy in Sport
Brian J Coulombe, Kenneth E Games, Elizabeth R Neil, Lindsey E Eberman
: Reference: Wang XQ, Zheng JJ, Yu ZW, et al. A meta-analysis of core stability exercise versus general exercise for chronic low back pain. PLoS One. 2012;7(12):e52082. Clinical Questions: Is core stability exercise more effective than general exercise in the treatment of patients with nonspecific low back pain (LBP)? DATA SOURCES: The authors searched the following databases: China Biological Medicine disc, Cochrane Library, Embase, and PubMed from 1970 through 2011...
November 16, 2016: Journal of Athletic Training
Juan Gómez-Hoyos, Anthony Khoury, Ricardo Schröder, Eric Johnson, Ian J Palmer, Hal D Martin
PURPOSE: To assess the relation between ischiofemoral impingement (IFI) and lumbar facet joint load during hip extension in cadavers. METHODS: Twelve hips in 6 fresh T1-to-toes cadaveric specimens were tested. A complete pretesting imaging evaluation was performed using computed tomography scan. Cadavers were positioned in lateral decubitus and fixed to a dissection table. Both legs were placed on a frame in a simulated walking position. Through a posterior lumbar spine approach L3-4 and L4-5 facet joints were dissected bilaterally...
September 3, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
Ben Darlow, Peter B O'Sullivan
No abstract text is available yet for this article.
May 31, 2016: British Journal of Sports Medicine
Alister du Rose, Alan Breen
Control of the lumbar spine requires contributions from both the active and passive sub-systems. Identifying interactions between these systems may provide insight into the mechanisms of low back pain. However, as a first step it is important to investigate what is normal. The purpose of this study was to explore the relationships between the lumbar inter-vertebral range of motion and paraspinal muscle activity during weight-bearing flexion in healthy controls using quantitative fluoroscopy (QF) and surface electromyography (sEMG)...
2016: Healthcare (Basel, Switzerland)
Arianne P Verhagen, Aron Downie, Nahid Popal, Chris Maher, Bart W Koes
OBJECTIVE: The purpose of this study was to identify and descriptively compare the red flags endorsed in guidelines for the detection of serious pathology in patients presenting with low back pain to primary care. METHOD: We searched databases, the World Wide Web and contacted experts aiming to find the multidisciplinary clinical guideline in low back pain in primary care, and selected the most recent one per country. We extracted data on the number and type of red flags for identifying patients with higher likelihood of serious pathology...
September 2016: European Spine Journal
Tom A Ranger, Nicolas Newell, Caroline A Grant, Priscilla J Barker, Mark J Pearcy
STUDY DESIGN: Biomechanical experiment. OBJECTIVE: The aims of this study were to test the effect of fascial tension on lumbar segmental axial rotation and lateral flexion and the effect of the angle of fascial attachment. SUMMARY OF BACKGROUND DATA: Tension in the middle layer of lumbar fascia has been demonstrated to affect mechanical properties of lumbar segmental flexion and extension in the neutral zone. However, the effect of tension on segmental axial rotation and lateral flexion has not been investigated...
August 12, 2016: Spine
Rebecca Gordon, Saul Bloxham
Back pain is a major health issue in Western countries and 60%-80% of adults are likely to experience low back pain. This paper explores the impact of back pain on society and the role of physical activity for treatment of non-specific low back pain. A review of the literature was carried out using the databases SPORTDiscuss, Medline and Google Scholar. A general exercise programme that combines muscular strength, flexibility and aerobic fitness is beneficial for rehabilitation of non-specific chronic low back pain...
April 25, 2016: Healthcare (Basel, Switzerland)
Min-Joo Ko, Kyung-Hee Noh, Min-Hyeok Kang, Jae-Seop Oh
[Purpose] Differences in scores on the Functional Movement Screen between patients with chronic lower back pain and healthy control subjects were investigated. [Subjects and Methods] In all, 20 chronic lower back pain patients and 20 healthy control subjects were recruited. Chronic lower back pain patients and healthy controls performed the Functional Movement Screen (deep squat, hurdle step, inline lunge, shoulder mobility, active straight leg raise, trunk stability pushup, and rotary stability). The Mann-Whitney test was used to analyze differences in Functional Movement Screen scores between the two groups...
July 2016: Journal of Physical Therapy Science
Courtney M Butowicz, D David Ebaugh, Brian Noehren, Sheri P Silfies
BACKGROUND: Emerging evidence suggests poor core stability is a risk factor for low back and lower extremity injuries in athletes. Recently the trunk stability test (TST) and unilateral hip bridge endurance test (UHBE) were developed to clinically assess core stability. Although these and other clinical tests of core stability exist, how well they assess core stability when compared to biomechanical measures of isolated core stability has not been thoroughly evaluated. PURPOSE/HYPOTHESIS: The purposes of this study were to 1) determine concurrent validity of two novel clinical core stability assessments (TST and UHBE), and 2) assess relationships between these assessments and the trunk endurance and Y-Balance tests...
February 2016: International Journal of Sports Physical Therapy
Kevin J Lawrence, Tim Elser, Ryan Stromberg
INTRODUCTION: Spondylolysis is a common occurrence for adolescent athletes who have low back pain. The injury involves a defect in the pars interarticularis, occurring as a result of repeated hyperextension and rotation. CLINICAL PRESENTATION: Clinical findings might include tightness of the hip flexors and hamstrings, weakness of the abdominals and gluteals, and an excessive lordotic posture. The validity of several clinical tests were compared alongside magnetic resonance imaging, but were not able to distinguish spondylolysis from other causes of low back pain...
July 2016: Physical Therapy in Sport
Theodore J Choma, Darrel S Brodke
No abstract text is available yet for this article.
June 15, 2016: Journal of Bone and Joint Surgery. American Volume
Jo Armour Smith, Kornelia Kulig
Study Design Controlled laboratory study, with a case-control, cross-sectional design. Background Individuals with low back pain have impaired activation of the multifidus during postural adjustments and increased activity of the erector spinae musculature during walking. However, it is unclear whether these alterations in muscle activity are evident during locomotion in individuals with a history of low back pain when they are between symptomatic episodes. Objectives To compare paraspinal muscle activity in young, healthy individuals and young individuals with a history of low back pain during walking turns...
May 2016: Journal of Orthopaedic and Sports Physical Therapy
Amal T Al-Shareef, Mohammed T A Omar, Amal H M Ibrahim
STUDY DESIGN: A randomized controlled trial with 2-week Kinesio taping intervention. OBJECTIVE: The aim of the study was to investigate the effectiveness of Kinesio taping application on pain, functional disability, and trunk flexion range of motion (ROM) in patients with chronic nonspecific low back pain (chronic NSLBP). SUMMARY OF BACKGROUND DATA: Kinesio taping is a therapeutic tool used for treatment of chronic NSLBP. However, there is little scientific evidence that describes its clinical efficacy...
July 15, 2016: Spine
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
Andrew J Hahne, Jon J Ford, Luke D Surkitt, Matthew C Richards, Alexander Y P Chan, Sarah L Slater, Nicholas F Taylor
STUDY DESIGN: A cost-utility analysis within a randomized controlled trial was conducted from the healthcare perspective. OBJECTIVE: To determine whether individualized physical therapy incorporating advice is cost-effective relative to guideline-based advice alone for people with low back pain and/or referred leg pain (≥6 weeks, ≤6 months duration of symptoms). SUMMARY OF BACKGROUND DATA: Low back disorders are a burdensome and costly condition across the world...
June 14, 2016: Spine
Przemysław Lisiński, Juliusz Huber
STUDY DESIGN: Comparative clinical and neurophysiological studies in three groups of patients with general diagnosis of neck pain. OBJECTIVE: To determine symptoms of muscles dysfunction in patients with myofascial pain syndrome, disc-root conflict and degenerative changes at cervical spine. SUMMARY AND BACKGROUND DATA: The explanation for cervical pain origin should be based on results from chosen clinical and neurophysiological studies in correlation with neuroimaging findings...
May 18, 2016: Spine
Mark H Halliday, Evangelos Pappas, Mark J Hancock, Helen A Clare, Rafael Z Pinto, Gavin Robertson, Paulo H Ferreira
Study Design Randomized clinical trial. Background Motor control exercises are believed to improve coordination of the trunk muscles. It is unclear whether increases in trunk muscle thickness can be facilitated by approaches such as the McKenzie method. Furthermore, it is unclear which approach may have superior clinical outcomes. Objectives The primary aim was to compare the effects of the McKenzie method and motor control exercises on trunk muscle recruitment in people with chronic low back pain classified with a directional preference...
July 2016: Journal of Orthopaedic and Sports Physical Therapy
Ram Haddas, James Yang, Isador Lieberman
PURPOSE: To examine the influence of volitional preemptive abdominal contraction (VPAC) and recurrent low back pain (rLBP) on trunk mechanics and neuromuscular control during a symmetric lifting task. METHODS: A 2 × 2 crossover mixed design was used to examine the effects of VPAC and group. Thirty-seven healthy individuals and 32 rLBP individuals performed symmetric box lifting trials with and without VPAC to a 1-m height table 3D trunk, pelvis, and hip joint angle and electromyographic magnitude variables were obtained...
September 2016: European Spine Journal
M Dilani Mendis, Julie A Hides
OBJECTIVES: Previous research has shown that motor control training improved size and function of trunk muscles in elite football players with and without low back pain (LBP). Imbalances in hip muscles have been found in athletes with LBP and it is not known if motor control training can change these muscles. This study investigated if a motor control intervention program affected hip muscle size in elite football players with and without LBP. DESIGN: Panel-randomised intervention design...
March 3, 2016: Journal of Science and Medicine in Sport
2016-07-13 02:45:14
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