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Spine

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37 papers 25 to 100 followers
By Ainsley Rossi Clinician & Asst Professor Emory University Division of PT. Specialist in orthopedic PT.
https://www.readbyqxmd.com/read/28463918/outcomes-of-posterolateral-fusion-with-and-without-instrumentation-and-of-interbody-fusion-for-isthmic-spondylolisthesis-a-prospective-study
#1
Peter Endler, Per Ekman, Hans Möller, Paul Gerdhem
BACKGROUND: Various methods for the treatment of isthmic spondylolisthesis are available. The aim of this study was to compare outcomes after posterolateral fusion without instrumentation, posterolateral fusion with instrumentation, and interbody fusion. METHODS: The Swedish Spine Register was used to identify 765 patients who had been operated on for isthmic spondylolisthesis and had at least preoperative and 2-year outcome data; 586 of them had longer follow-up (a mean of 6...
May 3, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28459281/self-managed-exercises-strength-and-fitness-training-and-multifidus-muscle-size-in-elite-footballers
#2
Julie A Hides, Jazmin Walsh, Melinda M Franettovich Smith, M Dilani Mendis
CONTEXT:   Low back pain (LBP) and lower limb injuries are common among Australian Football League (AFL) players. Smaller size of 1 key trunk muscle, the lumbar multifidus (MF), has been associated with LBP and injuries in footballers. The size of the MF muscle has been shown to be modifiable with supervised motor-control training programs. Among AFL players, supervised motor-control training has also been shown to reduce the incidence of lower limb injuries and was associated with increased player availability for games...
May 1, 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/28331575/lumbar-lordosis-in-prone-position-and-prone-hip-extension-test-comparison-between-subjects-with-and-without-low-back-pain
#3
Amir Massoud Arab, Arash Haghighat, Zahra Amiri, Fariba Khosravi
BACKGROUND: Prone hip extension (PHE) is a common and widely accepted test used for assessment of the lumbo-pelvic movement pattern. Considerable increased in lumbar lordosis during this test has been considered as impairment of movement patterns in lumbo-pelvic region. The purpose of this study was to investigate the change of lumbar lordosis in PHE test in subjects with and without low back pain (LBP). METHOD: A two-way mixed design with repeated measurements was used to investigate the lumbar lordosis changes during PHE in two groups of subjects with and without LBP...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/28259517/short-term-effects-of-thoracic-spine-manipulation-on-shoulder-impingement-syndrome-a-randomized-controlled-trial
#4
Melina N Haik, Francisco Alburquerque-Sendín, Paula R Camargo
OBJECTIVE: To investigate the short-term effects of thoracic spine manipulation (TSM) on pain, function, scapular kinematics and scapular muscle activity in individuals with shoulder impingement syndrome (SIS). DESIGN: Blinded assessor and patient, randomized controlled trial. SETTING: Laboratory. PARTICIPANTS: Sixty-one patients with SIS. INTERVENTION: Participants were randomly allocated to TSM (n=30) or sham-TSM group (n=31) and attended 2 intervention sessions over a 1-week period...
March 1, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28132971/effects-of-a-wearable-type-lumbosacral-support-for-low-back-pain-among-hospital-workers-a-randomized-controlled-trial
#5
Yoshihiro Hagiwara, Yutaka Yabe, Hiroyuki Yamada, Takashi Watanabe, Kenji Kanazawa, Masashi Koide, Takuya Sekiguchi, Hirokazu Hatano, Eiji Itoi
OBJECTIVE: To examine the effects of a new wearable type of lumbosacral support on low back pain. METHODS: A total of 121 healthcare workers participated in this study. They were randomly allocated into the experimental and control groups and the former wore the support with signals of compression on the back by poor posture for the first 3 months. The control group remained on a waiting list for the first 3 months. Medical history, musculoskeletal symptoms, feeling in good posture, sleep habits, psychological distress, Roland-Morris Disability Questionnaire, and Somatosensory Amplification Scale (SSAS) were evaluated...
March 28, 2017: Journal of Occupational Health
https://www.readbyqxmd.com/read/27667760/the-assessment-of-abdominal-and-multifidus-muscles-and-their-role-in-physical-function-in-older-adults-a-systematic-review
#6
REVIEW
W A Cuellar, A Wilson, C L Blizzard, P Otahal, M L Callisaya, G Jones, J A Hides, T M Winzenberg
BACKGROUND: Age-related changes in the trunk (abdominal and lumbar multifidus) muscles and their impact on physical function of older adults are not clearly understood. OBJECTIVES: To systematically summarise studies of these trunk muscles in older adults. DATA SOURCES: Cochrane Library, Pubmed, EMBASE and CINAHL were searched using terms for abdominal and MF muscles and measurement methods. STUDY SELECTION: Two reviewers independently assessed studies and included those reporting measurements of abdominal muscles and/or MF by ultrasound, computed tomography, magnetic resonance imaging or electromyography of adults aged ≥50 years...
March 2017: Physiotherapy
https://www.readbyqxmd.com/read/28001268/the-evolving-role-of-physical-therapists-in-the-long-term-management-of-chronic-low-back-pain-longitudinal-care-using-assisted-self-management-strategies
#7
Paul F Beattie, Sheri P Silfies, Max Jordon
Background: Longitudinal studies have shown that the symptoms of chronic low back pain (CLBP) will follow an episodic trajectory characterized by periods of high and low pain intensity that can persist for many years. There is a growing belief that the contemporary approach of limiting physical therapy to short, but intense courses of treatment for (CLBP) may be sub-optimal because these limited "windows" of clinical care are not congruent with the natural history of this condition. Recent research has suggested that people with CLBP undergo substantial, and individualized long-term variations in the neural processing of nociception over time...
November 2016: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/28068962/correlation-between-lumbar-dysfunction-and-fat-infiltration-in-lumbar-multifidus-muscles-in-patients-with-low-back-pain
#8
Markus Hildebrandt, Gabriela Fankhauser, André Meichtry, Hannu Luomajoki
BACKGROUND: Lumbar multifidus muscles (LMM) are important for spinal motion and stability. Low back pain (LBP) is often associated with fat infiltration in LMM. An increasing fat infiltration of LMM may lead to lumbar dysfunction. The purpose of this study was to investigate whether there is a correlation between the severity of lumbar dysfunction and the severity of fat infiltration of LMM. METHODS: In a cross-sectional study, 42 patients with acute or chronic LBP were recruited...
January 10, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28045881/associations-between-low-back-pain-and-muscle-strengthening-activity-in-u-s-adults
#9
Albatool H Alnojeidi, Tammie M Johnson, Michael R Richardson, James R Churilla
STUDY DESIGN: This was a cross-sectional study. OBJECTIVE: The primary aim of the study was to examine the association between LBP and MSA among U.S. adults using gender-stratified analyses. SUMMARY OF BACKGROUND DATA: Low back pain (LBP) is a common medical condition that impacts quality of life and professional productivity and increasesthe financial burden on the healthcare system by augmenting medical treatment costs. Previous studies analyzing gender-dependent relationships between muscle-strengthening activity (MSA) and LBP have produced mixed results...
December 30, 2016: Spine
https://www.readbyqxmd.com/read/28045713/differentiating-hip-pathology-from-lumbar-spine-pathology-key-points-of-evaluation-and-management
#10
Aaron J Buckland, Ryan Miyamoto, Rakesh D Patel, James Slover, Afshin E Razi
The diagnosis and treatment of patients who have both hip and lumbar spine pathologies may be a challenge because overlapping symptoms may delay a correct diagnosis and appropriate treatment. Common complaints of patients who have both hip and lumbar spine pathologies include low back pain with associated buttock, groin, thigh, and, possibly, knee pain. A thorough patient history should be obtained and a complete physical examination should be performed in these patients to identify the primary source of pain...
February 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27821972/effect-of-the-schroth-method-of-emphasis-of-active-holding-on-cobb-s-angle-in-patients-with-scoliosis-a-case-report
#11
Hyung Joo Lee, Hwa Dong Seong, Young-Hyeon Bae, Ho-Young Jang, Seung Hun Chae, Kyoung Hoon Kim, Suk Min Lee
[Purpose] The purpose of this study was to examine the effect of the Schroth method (three-dimensional convergence exercise) of emphasis of active holding on pain and Cobb's angle in patients with scoliosis. [Subjects and Methods] It applied the Schroth method program of emphasis of active holding individually to three subjects three time per week for 15 weeks. All subject were measured Cobb's angle and pain. [Results] After 15 weeks, pain and Cobb's angle decreased compared to values before. [Conclusion] These results demonstrate the benefit of the Schroth exercise program of emphasis of active holding on decreasing pain and Cobb's angle in patients with idiopathic scoliosis...
October 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27707631/stabilization-exercise-compared-to-general-exercises-or-manual-therapy-for-the-management-of-low-back-pain-a-systematic-review-and-meta-analysis
#12
REVIEW
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...
January 2017: Physical Therapy in Sport
https://www.readbyqxmd.com/read/27849389/core-stability-exercise-versus-general-exercise-for-chronic-low-back-pain
#13
REVIEW
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. The key medical subject headings searched were chronic pain, exercise, LBP, lumbosacral region, and sciatica...
January 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/27599822/the-hip-spine-effect-a-biomechanical-study-of-ischiofemoral-impingement-effect-on-lumbar-facet-joints
#14
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...
January 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27247100/why-are-back-pain-guidelines-left-on-the-sidelines-three-myths-appear-to-be-guiding-management-of-back-pain-in-sport
#15
EDITORIAL
Ben Darlow, Peter B O'Sullivan
No abstract text is available yet for this article.
May 31, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27417592/relationships-between-paraspinal-muscle-activity-and-lumbar-inter-vertebral-range-of-motion
#16
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)...
January 5, 2016: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/27376890/red-flags-presented-in-current-low-back-pain-guidelines-a-review
#17
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
https://www.readbyqxmd.com/read/27525539/role-of-the-middle-lumbar-fascia-on-spinal-mechanics-a-human-biomechanical-assessment
#18
Tom A Ranger, Nicolas Newell, Caroline A Grant, Priscilla J Barker, Mark J Pearcy
STUDY DESIGN: Biomechanical experiment. OBJECTIVE: The aims of the present 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. The effect of tension on segmental axial rotation and lateral flexion has, however, not been investigated...
April 15, 2017: Spine
https://www.readbyqxmd.com/read/27417610/a-systematic-review-of-the-effects-of-exercise-and-physical-activity-on-non-specific-chronic-low-back-pain
#19
REVIEW
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)
https://www.readbyqxmd.com/read/27512272/differences-in-performance-on-the-functional-movement-screen-between-chronic-low-back-pain-patients-and-healthy-control-subjects
#20
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
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