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TY - JOUR. T1 - Exercise capacity in non-specific chronic low back pain patients. T2 - a lean body mass-based Astrand bicycle test; reliability, validity and feasibility. AU - Hodselmans, Audy Paul. AU - Dijkstra, Pieter U. AU - Geertzen, Jan H B. AU - van der Schans, Cees. PY - 2008/9. Y1 - 2008/9. N2 - OBJECTIVE: Measurement of exercise capacity is essential in patients with non-specific chronic low back pain (CLBP). However, the conventional Astrand bicycle test is not feasible in patients with a very poor aerobic capacity. Therefore the Astrand bicycles test for non-specific CLBP patients based on lean body mass (LBM) was developed as an alternative. The aim of this study was to evaluate reliability and validity of the LBM-based Astrand test.SUBJECTS: Twenty patients with non-specific CLBP and 20 healthy subjects were included for the reliability evaluation, and 19 healthy subjects for the validity evaluation.METHOD: Patients and healthy subjects were assessed twice. Intra class correlation ...
Objective: To determine whether kinematic algorithms can distinguish subjects with chronic non-specific low back pain from asymptomatic subjects and subjects simulating low back pain, during trunk motion tasks.Design: Comparative cohort study.Subjects: A total of 90 subjects composed 3 groups; 45 chronic non-specific low back pain patients in the CLBP group; 45 asymptomatic controls people in the asymptomatic controls group. 20/45 subjects from the asymptomatic controls group composed the CLBP simulators group as well. Method: During performance of 7 standardized trunk motion tasks 6 spinal segments from the kinematic spine model were recorded by 8 infrared cameras. Two logit scores, for range of motion and speed, were used to investigate differences between the groups. Group allocation based on logit scores was also calculated, allowing the assessment of sensitivity and specificity of the algorithms. Results: For the 90 subjects (pooled data), the logit scores for range of motion and speed ...
Low back pain is among the most common and costly chronic health care conditions. Recent research has highlighted the common occurrence of non-specific low back pain in adolescents, with prevalence estimates similar to adults. While multiple clinical trials have examined the effectiveness of commonly used therapies for the management of low back pain in adults, few trials have addressed the condition in adolescents. The purpose of this paper is to describe the methodology of a randomized clinical trial examining the effectiveness of exercise with and without spinal manipulative therapy for chronic or recurrent low back pain in adolescents. This study is a randomized controlled trial comparing twelve weeks of exercise therapy combined with spinal manipulation to exercise therapy alone. Beginning in March 2010, a total of 184 participants, ages 12 to 18, with chronic or recurrent low back pain are enrolled across two sites. The primary outcome is self-reported low back pain intensity. Other outcomes
The study evaluate paraspinal aerobic metabolism of chronic low back pain patients and healthy people during an original and standardized isokinetic protocol.. The aim of this study is to determine a potential alteration of muscular aerobic metabolism in low back pain patients, in order to establish the underlying cause of pain and muscular fatigability characterizing low back pain patients. Then, the aim is to determine if functional rehabilitation program can improve it.. the unit of care have access to metabolic adaptations in measuring the muscular oxygenation and the pulmonary oxygen consumption, using near infrared spectroscopy and gas analyser. ...
OBJECTIVE: To study the pathogenesis of the pain of discography and the discogenic low back pain.. METHODS: 19 specimens of lumbar intervertebral discs from 17 patients with discogenic low back pain during posterior lumbar interbody fusion, and 12 physiologically aging discs and 10 normal control discs were collected to investigate the morphologic features and innervation containing neuropeptides substance P (SP), neural filament (NF), and vasoactive-intestinal peptide (VIP).. RESULTS: The distinct morphologic characteristic of the disc from the patient with discogenic low back pain was the formation of the strip zone of vascularized granulation tissue from the nucleus pulposus to the outer part of the annulus fibrosus in which there was one or several fissures. The structure of annulus fibrosus beyond the strip zone of granulation tissue was basically normal. The structures of the aging discs and the control discs showed the age-related changes. The innervation of SP, NF and VIP immunoreactive ...
Many tissues can generate low back pain. Unfortunately, research shows that the exact tissues causing low back pain cannot be specifically identified in up to 80% of individuals. In other words, we cannot single out the tissue(s) responsible for the pain. These patients are said to suffer from "nonspecific low back pain"; the specific cause of the pain cannot be determined. Although the specific tissues causing low back pain are difficult to identify, chiropractic doctors have found a number of factors consistently present in low back pain patients. These factors include vertebral subluxations, faulty spinal biomechanics, deconditioned spinal musculature and the practice of poor postural habits and techniques. By addressing these factors - the actual causes of the tissue injury - chiropractic doctors are able to obtain extraordinary results in low back pain sufferers. ...
Many tissues can generate low back pain. Unfortunately, research shows that the exact tissues causing low back pain cannot be specifically identified in up to 80% of individuals. In other words, we cannot single out the tissue(s) responsible for the pain. These patients are said to suffer from "nonspecific low back pain"; the specific cause of the pain cannot be determined. Although the specific tissues causing low back pain are difficult to identify, chiropractic doctors have found a number of factors consistently present in low back pain patients. These factors include vertebral subluxations, faulty spinal biomechanics, deconditioned spinal musculature and the practice of poor postural habits and techniques. By addressing these factors - the actual causes of the tissue injury - chiropractic doctors are able to obtain extraordinary results in low back pain sufferers. ...
Many tissues can generate low back pain. Unfortunately, research shows that the exact tissues causing low back pain cannot be specifically identified in up to 80% of individuals. In other words, we cannot single out the tissue(s) responsible for the pain. These patients are said to suffer from "nonspecific low back pain"; the specific cause of the pain cannot be determined. Although the specific tissues causing low back pain are difficult to identify, chiropractic doctors have found a number of factors consistently present in low back pain patients. These factors include vertebral subluxations, faulty spinal biomechanics, deconditioned spinal musculature and the practice of poor postural habits and techniques. By addressing these factors - the actual causes of the tissue injury - chiropractic doctors are able to obtain extraordinary results in low back pain sufferers. ...
Many tissues can generate low back pain. Unfortunately, research shows that the exact tissues causing low back pain cannot be specifically identified in up to 80% of individuals. In other words, we cannot single out the tissue(s) responsible for the pain. These patients are said to suffer from "nonspecific low back pain"; the specific cause of the pain cannot be determined. Although the specific tissues causing low back pain are difficult to identify, chiropractic doctors have found a number of factors consistently present in low back pain patients. These factors include vertebral subluxations, faulty spinal biomechanics, deconditioned spinal musculature and the practice of poor postural habits and techniques. By addressing these factors - the actual causes of the tissue injury - chiropractic doctors are able to obtain extraordinary results in low back pain sufferers. ...
Many tissues can generate low back pain. Unfortunately, research shows that the exact tissues causing low back pain cannot be specifically identified in up to 80% of individuals. In other words, we cannot single out the tissue(s) responsible for the pain. These patients are said to suffer from "nonspecific low back pain"; the specific cause of the pain cannot be determined. Although the specific tissues causing low back pain are difficult to identify, chiropractic doctors have found a number of factors consistently present in low back pain patients. These factors include vertebral subluxations, faulty spinal biomechanics, deconditioned spinal musculature and the practice of poor postural habits and techniques. By addressing these factors - the actual causes of the tissue injury - chiropractic doctors are able to obtain extraordinary results in low back pain sufferers. ...
Many tissues can generate low back pain. Unfortunately, research shows that the exact tissues causing low back pain cannot be specifically identified in up to 80% of individuals. In other words, we cannot single out the tissue(s) responsible for the pain. These patients are said to suffer from "nonspecific low back pain"; the specific cause of the pain cannot be determined. Although the specific tissues causing low back pain are difficult to identify, chiropractic doctors have found a number of factors consistently present in low back pain patients. These factors include vertebral subluxations, faulty spinal biomechanics, deconditioned spinal musculature and the practice of poor postural habits and techniques. By addressing these factors - the actual causes of the tissue injury - chiropractic doctors are able to obtain extraordinary results in low back pain sufferers. ...
Many tissues can generate low back pain. Unfortunately, research shows that the exact tissues causing low back pain cannot be specifically identified in up to 80% of individuals. In other words, we cannot single out the tissue(s) responsible for the pain. These patients are said to suffer from "nonspecific low back pain"; the specific cause of the pain cannot be determined. Although the specific tissues causing low back pain are difficult to identify, chiropractic doctors have found a number of factors consistently present in low back pain patients. These factors include vertebral subluxations, faulty spinal biomechanics, deconditioned spinal musculature and the practice of poor postural habits and techniques. By addressing these factors - the actual causes of the tissue injury - chiropractic doctors are able to obtain extraordinary results in low back pain sufferers. ...
Previous studies have indicated that trunk muscle strength decreases with chronic low back pain, and is associated with poor balance, poor functional performance, and falls in older adults. Strengthening exercises for chronic low back pain are considered the most effective intervention to improve functional outcomes. We developed an innovative exercise device for abdominal trunk muscles that also measures muscle strength. The correlation between muscle weakness, as measured by our device, the presence of chronic low back pain, and decreased physical ability associated with a risk of falling were evaluated in older women. Thirty-eight elderly women, who could walk without support during daily activities and attended our outpatient clinic for treatment of chronic low back pain, knee or hip arthritis, or osteoporosis, were included in this study. Anthropometric measurements were performed. Grip power and one-leg standing time with eyes open were measured, and abdominal trunk muscle strength was measured
El Pasos Injury Doctors® 915-850-0900 ⋆ Acknowledging statistical data, low back pain can be the result of a variety of injuries and/or conditions affecting the lumbar spine and its surrounding structures. Most cases of low back pain, however, will resolve on their own in a matter of weeks. But when symptoms of low back pain become chronic, its essential for the affected individual to seek treatment from the most appropriate healthcare professional. The McKenzie method has been used by many healthcare specialists in the treatment of low back pain and its effects have been recorded widely throughout various research studies. The following two articles are being presented to evaluate the McKenzie method in the treatment of LBP in comparison to other types of treatment options. Efficacy of the McKenzie Method in Patients With Chronic Nonspecific Low Back Pain: A Protocol of Randomized Placebo-Controlled Trial Presented Abstract Background:
Background Low back pain is a widespread problem that has major social and economic consequences. In all, 85% to 90% of low back pain cases are classified as non-specific. Most patients with low back pain are treated successfully in primary care, but approximately 10% to 15% develop chronic symptoms (lasting longer than three months). Chronic low back pain can come from any part of the back that has a nerve supply capable of transmitting pain signals. These sources include discs, vertebrae, sacroiliac joints, facet joints, muscles, ligaments and other structures. Pain specialists try to identify the source of low back pain by using nerve blocks. They numb individual spinal nerves with anaesthetic injections to see if this leads to improvement in back symptoms. With substantial pain relief, they attempt to eliminate pain for a longer time by heating the spinal nerves with radiofrequency waves to ensure that the pain stimulus cannot be passed. This invasive procedure is called radiofrequency ...
Further research may uncover the links between the two and best treatment for those affected by both persistent headaches and persistent low back pain. People with persistent back pain or persistent headaches are twice as likely to suffer from both disorders, a new study from the University of Warwick has revealed.. The results, published in The Journal of Headache and Pain, suggest an association between the two types of pain that could point to a shared treatment for both.. The researchers from Warwick Medical School who are funded by the National Institute for Health Research (NIHR) led a systematic review of fourteen studies with a total of 460,195 participants that attempt to quantify the association between persistent headaches and persistent low back pain. They found an association between having persistent low back pain and having persistent (chronic) headaches, with patients experiencing one typically being twice as likely to experience the other compared to people without either ...
This week, APTA launched a public awareness campaign to educate consumers about how to prevent and treat low back pain with the help of a physical therapist. The goal of the campaign is to drive people to www.moveforwardpt.com to learn more about low back pain, the ways in which a physical therapist can help, and to find a PT. The initial phase of the campaign will target top-tier national print, broadcast and online media. The effort is supported by the results of APTAs "Move Forward" Low Back Pain Survey of more than 2,600 people aged 18 and older who disclosed their experiences and habits regarding low back pain. View APTAs press release for some of the key findings. Working with member volunteers, APTA also developed Low Back Pain: Prevention and Management, an e-book that broadly examines the types, causes, and symptoms of low back pain and when to seek medical advice. Social media also will play a large role throughout the promotion of the campaign. An infographic titled Low Back Pain by ...
Acute low back pain. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T114958/Acute-low-back-pain . Updated October 25, 2017. Accessed November 15, 2017. Bratton RL. Assessment and management of acute low back pain. Am Fam Physician. 1999;60:2299-2309.. Chronic low back pain. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T116935/Chronic-low-back-pain . Updated June 30, 2017. Accessed November 15, 2017. Dahm KT, Brurberg KG, et al. Advice to rest in bed versus advice to stay active for acute low-back pain and sciatica. Cochrane Database Syst Rev. 2010;(6):CD007612.. Hagen KB, Hilde G, et al. Bedrest for acute low back pain and sciatica. Cochrane Database Syst Rev. 2000;(2):CD001254.. Katz JN. Lumbar disc disorders and low-back pain: Socioeconomic factors and consequences. J Bone Joint Surg Am. 2006;88 Suppl 2:21.. Patel AT, Ogle AA. Diagnosis and management of acute low back pain. Am Fam Physician. 2000;62:2414-2415.. 9/16/2008 ...
Acute low back pain and found that not all treatments have been the treatment of acute low back pain. ures will not help you; they indicate that more research is needed. * What Is Acute Low Back Pain? Acute low back pain is pain felt in the lower back that lasts for a short time (i.e ... Doc Viewer ...
This page provides useful content and local businesses that give access to Chronic Low Back Pain Treatment in Gardnerville, NV. You will find helpful, informative articles about Chronic Low Back Pain Treatment, including Chronic Low Back Pain in Older Adults. You will also find local businesses that provide the products or services that you are looking for. Please scroll down to find the local resources in Gardnerville, NV that will answer all of your questions about Chronic Low Back Pain Treatment.
This page provides useful content and local businesses that give access to Chronic Low Back Pain Treatment in Hammond, IN. You will find helpful, informative articles about Chronic Low Back Pain Treatment, including Chronic Low Back Pain in Older Adults. You will also find local businesses that provide the products or services that you are looking for. Please scroll down to find the local resources in Hammond, IN that will answer all of your questions about Chronic Low Back Pain Treatment.
Rarely related to a serious underlying condition, low back pain is frequently mechanical in nature. Mechanical low back pain is often caused by pressure placed on adjacent nerves when disc material protrudes or inflammation affects joints and muscles. Most low back pain is related to some type of age-related degeneration from normal wear and tear, referred to as spondylosis. Most acute low back pain results from muscle strain or tears that can result from overstretching or overusing muscles supporting the spine, poor posture, sports injuries, or improper lifting techniques. Potential sources of low back pain may also include:. ...
Evidence on management of low back pain. Recently, van Tulder and collegues have published a series of reviews on evidence about effectiveness of conservative treatments in acute and chronic low back pain (1999). The systematic reviews were performed according to high methodological standards. Many different treatment modalities are studied. To summarise, in persisting back pain problems (duration longer than 6 weeks) an activating approach is useful, e.g. with exercise. Prevention of chronicity is the most important treatment goal in this phase. In longlasting, chronic back pain disability the use of multidisciplinary programmes can be helpful.. A new clinical model of low back pain and disability. In 1987 Waddell described a new clinical model for the treatment of low back pain. This model is also well presented in the book The Back Pain Revolution . Starting from the disease model other important elements is the development of chronic disablity are described and incorporated in a more ...
Massoud Arab, A., Salavati, M., Ebrahimi, I., Ebrahim Mousavi, M.. The objective of this study was to describe the sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of five clinical tests used to measure trunk muscle endurance in low back pain. A convenience sample of 200 subjects were categorized into four groups: men without low back pain, women without low back pain, men with low back pain and women with low back pain. Five clinical static endurance tests of trunk muscles such as: Sorensen test, prone isometric chest raise test, prone double straight-leg raise test, supine isometric chest raise test and supine double straight-leg raise test were measured in each group. The authors concluded that the prone double straight-leg raise test has more sensitivity, specificity and predictive value in low back pain than other tests and could be used as a useful clinical method for testing the spinal muscle endurance to predict the probability of the ...
Back pain is one of the most expensive health complaints. Comparing the economic aspects of back pain interventions may therefore contribute to a more efficient use of available resources. This study reports on a long-term cost-effectiveness analysis (CEA) and cost-utility analysis (CUA) of two treatments as viewed from a societal perspective: 1) exposure in vivo treatment (EXP), a recently developed cognitive behavioral treatment for patients with chronic low back pain who have elevated pain-related fear and 2) the more commonly used graded activity (GA) treatment. Sixty-two patients with non-specific chronic low back pain received either EXP or GA. Primary data were collected at four participating treatment centers in the Netherlands. Primary outcomes were self-reported disability (for the CEA) and quality-adjusted life years (for the CUA). Program costs, health care utilization, patient and family costs, and production losses were measured by analyzing therapy records and cost diaries. Data was
Management of mechanical low back pain can be outlined in the following 6 steps: Control of pain and the inflammatory process Restoration of joint ROM and soft tissue extensibility Improvement of m... more
As low back pain is often a recurrent and sometime persistent problem, research into prevention is important. Chiropractors have traditionally treated patients with maintenance care, which means that patients are seen on a regular basis to prevent recurrences or to stop a persistent problem getting worse. However, it is not known if this has the expected effect.. This study will test the effectiveness of the maintenance care approach. Patients with recurrent or persistent low back pain will be treated in accordance with two different models. The first model is the maintenance care model, meaning that chiropractors will see the patient on a regular basis, regardless symptoms. The other model means that patients should be treated patients only when they themselves experience symptoms bad enough to seek care. After one year, it will be possible to see if there has been any difference between the groups in terms of pain, disability, quality of life and total number of treatments over the study ...
Spine. 1998 Dec 1;23(23):2601-7.. STUDY DESIGN: Eighteen-month, randomized controlled trial with partial crossover.. OBJECTIVES: To test the hypothesis that the control of lumbar flexion in the early morning will significantly reduce chronic, nonspecific low back pain.. SUMMARY OF BACKGROUND DATA: Previous studies have indicated an increased risk of low back pain with bending forward in the early morning, primarily because of increased fluid content in the intervertebral discs at that time.. METHODS: After 6 months of recording baseline data, 85 subjects with persistent or recurring low back pain were randomly assigned to treatment and control groups. The treatment group received instruction in the control of early morning lumbar flexion. The control group received a sham treatment of six exercises shown to be ineffective in reducing low back pain. Six months later, the control group received the experimental treatment, Diaries were used to record daily levels of pain intensity, disability, ...
Most episodes of acute low back pain resolve spontaneously.1 However, among those in whom low back pain and disability have persisted for over a year, few return to normal activities. Thus the focus for preventing the onset of long term disability caused by non-specific low back pain is on the early management of persistent low back pain (pain present for more than six weeks and less than one year). No consensus exists on how to help health professionals and their patients choose the best treatments for this condition.. This article summarises the most recent recommendations from the National Institute for Health and Clinical Excellence (NICE) on the early management of non-specific low back pain.1 The diagnosis of specific causes of low back pain (malignancy, infection, fracture, ankylosing spondylitis, and other inflammatory disorders) is not part of this guideline. ...
Get information on causes of mild to severe lower back pain (arthritis, pregnancy, herniated disc, sciatica, ovarian cysts). Read about low back pain.. Low Back Pain Calf Pain If you cant extend all the way due to sciatic nerve pain, low back pain, or stiffness, thats okay. Just go as far as you can even if you can only. Lower Back Pain. Article by J. Miller, Z. Russell. Lower Back Pain. Eighty percent (80%) of people will experience lower back pain at some. Back pain is very common and normally improves within a few weeks or. How to relieve back pain. Getting help and advice. Treatments from a specialist. Causes. on a nearby nerve; sciatica - irritation of the nerve that runs from the pelvis to.. BeatingBackPain.com - information about Back Pain, Sciatica or Bulging Discs - Learn about causes and the most successful treatments.. Nerve pain in foot causes pain, weakness, pins and needles or numbness. This tends to cause back, buttock and leg nerve pain as well as foot pain and.. Nerve Damage ...
TY - JOUR. T1 - The Relationship between Structural and Functional Brain Changes and Altered Emotion and Cognition in Chronic Low Back Pain. T2 - A Systematic Review of MRI and fMRI Studies. AU - Ng, Sin Ki. AU - Urquhart, Donna M.. AU - Fitzgerald, Paul B.. AU - Cicuttini, Flavia M.. AU - Hussain, Sultana Monira. AU - Fitzgibbon, Bernadette M.. PY - 2018/3. Y1 - 2018/3. N2 - OBJECTIVES:: Chronic low back pain (CLBP) is a major health issue, yet its underlying mechanisms remain unknown. Studies have demonstrated the importance of emotion and cognition in chronic pain, however, the relevant brain physiology in magnetic resonance imaging (MRI) studies are unclear in CLBP populations. Therefore, this review aimed to identify MRI brain changes and examine their potential relationship with emotional and cognitive processes in CLBP. METHOD:: A systematic search was conducted in 5 databases. Studies that recruited adult, chronic low back pain populations, and used brain MRI protocols were included. ...
What are the symptoms of low back pain?. Low back pain may be a steady ache or a sharp, acute pain that is worse with movement.. Lifestyle changes that may be helpful for low back pain. Preliminary data indicate that smoking may contribute to low back pain.10 One survey of over 29,000 people reported a significant association between smoking and low back pain.11 Smaller people (children, women, those who weigh less) are most affected. A study involving people with herniated discs found that both current and ex-smokers are at much higher risk of developing disc disease than nonsmokers.12 Other research reveals 18% greater disc degeneration in the lower spines of smokers compared with nonsmokers.13 Smoking is thought to cause malnutrition of spinal discs, which in turn makes them more vulnerable to mechanical stress.14. One survey reported that people who drank wine healed more quickly after disc surgery in the lower back than those who abstained.15 However, alcohol consumption may cause cirrhosis ...
Patients who received physical therapy early after an episode of acute low back pain had a lower risk of subsequent medical service usage than patients who received physical therapy at later times, say authors of an article published April 20 in Spine. Medical specialty variations exist regarding early use of physical therapy, with potential underutilization among generalist specialties, they add. For this retrospective cohort study, the authors analyzed a national sample of the Centers for Medicare and Medicaid Services physician outpatient billing claims. Patients were selected who received treatment for low back pain between 2003 and 2004 (n = 439,195). To eliminate chronic low back conditions, patients were excluded if they had a prior visit for back pain, lumbosacral injection, or lumbar surgery within the previous year. Main outcome measures were rates of lumbar surgery, lumbosacral injections, and frequent physician office visits for low back pain during the following year. Based on ...
PURPOSE. To examine the effectiveness of a multidisciplinary rehabilitation programme for patients with chronic low back pain in Hong Kong, and to identify factors associated with work resumption. METHODS. 57 men and 8 women aged 20 to 56 (mean, 39) years who had a more than 3-month history of low back pain and were unresponsive to more than 6 months of conventional treatment participated in a 14-week multidisciplinary rehabilitation programme involving physical conditioning, work conditioning, and work readiness. Training protocols entailed flexibility and endurance training, hydrotherapy, weight lifting, and work stimulation. Patients were assessed at baseline (week 1), week 7, week 14, and month 6 with regard to the intensity of low back pain, self-perceived disability, range of lumbar motion, isoinertial performance of the trunk muscles, and depression level. Patient demographics that influenced work resumption were identified using a prediction model. Patients who did and did not return to ...
Background: Low back pain (LBP) is extremely prevalent musculoskeletal condition affecting about 60-80% of world population at some points in their lives. It is considered as a leading cause of activity limitation causing difficulty and interference in executing the tasks including basic activities of daily living to work related activities. Objective: The major aim of the present study was to assess the effect of chronic LBP on activities of daily living and to describe the associations between outcome measures with different variables. Methods: A descriptive cross-sectional study was carried out, 190 patients with chronic LBP (pain duration ,3 months) of age range 18-65 years were recruited. Data was collected through convenience sampling. Tools used were Visual Analog Scale, Low back Specific Version of SF-36 Physical Functioning Questionnaire and Fear Avoidance Belief on Physical activities Questionnaire. Data was analyzed in SPSS-25 version, and tests employed were Chi square (χ2), ...
Aota Y, Iizuka H, Ishige Y, et al. Effectiveness of a lumbar support continuous passive motion device in the prevention of low back pain during prolonged sitting. Spine. 2007;32(23):E674-7.. Blodt S, Pach D, Kaster T, et al. Qigong versus exercise therapy for chrnoic low back pain in adults-a randomized controlled non-inferiority trial. Eur J Pain. 2015;1991:123-31.. Bronfort G, Maiers MJ, Evans RL, Schulz CA, Bracha Y, Svendsen KH, Grimm RH Jr, Owens EF Jr, Garvey TA, Transfeldt EE. Supervised exercise, spinal manipulation, and home exercise for chronic low back pain: a randomized clinical trial. Spine J. 2011;11(7):585-98.. Cecchi F, Molino-Lova R, Chiti M, Pasquini G, Paperini A, Conti AA, Macchi C. Spinal manipulation compared with back school and with individually delivered physiotherapy for the treatment of chronic low back pain: a randomized trial with one-year follow-up. Clin Rehabil. 2010;24(1):26-36.. Chan CW, Mok NW, Yeung EW. Aerobic exercise training in addition to conventional ...
The primary aim of this project is to compare the effectiveness of two of the most commonly prescribed exercise interventions: motor control exercises and a graded activity program, for the treatment of chronic non-specific low back pain. The secondary aim is to identify treatment effect modifiers that predict which exercise approach is best for an individual patient. With the large prevalence of chronic low back pain even modest predictive ability could make a substantial contribution to health systems worldwide.
Poor coordination of the spinal, abdominal and pelvic muscles. While there are many items to mask low back pain, such as medication, it is important to address the true causes of low back pain. Most low back pain is caused by the 3 factors above. When your spinal joints and muscles dont move properly, tremendous strain occurs in your low back. This causes irritation and inflammation, which build up over time. Typically, low back pain suffers will have more pain after sitting or lying down for prolonged periods, such as getting up from a chair or first thing in the morning after sleeping. With severe pain, reaching or bending down for objects can be limited.. If pain is felt more with prolonged standing or walking, this can be a result of significant hip or spinal weakness, again causing strain to the low back. With weakness in the spinal, abdominal or hip muscles, the amount of force transferred to the back with everyday activities increases. With bending down, the knees are often not used ...
TY - JOUR. T1 - Comparative Ability of the Pain Disability Questionnaire in Predicting Health Outcomes. AU - Lippe, Ben. AU - Gatchel, Robert J.. AU - Noe, Carl. AU - Robinson, Richard. AU - Huber, Elizabeth. AU - Jones, Stephanie. PY - 2016/6/1. Y1 - 2016/6/1. N2 - As chronic pain contributes to tremendous personal and societal costs, efforts at identifying and understanding pain-related disability via the biopsychosocial model have become increasingly important in addressing pain-related health outcomes. This study attempted to compare the predictive ability of the Pain Disability Questionnaire against other established measures in terms of health and pain-related outcomes. The sample consisted of 254 adult chronic pain patients seeking treatment through an interdisciplinary chronic pain management clinic. Participants were administered a battery of assessments including the Pain Disability Questionnaire and other established measures of health and pain-related outcomes (e.g., NIH PROMIS ...
To identify potential subgroups amongst patients with non-specific low back pain based on a consensus list of potentially discriminatory examination items. Exploratory study. A convenience sample of 106 patients with non-specific low back
chiropractic is documented to relieve chronic low back pain and give more satisfaction to chronic low back pain patients than medical care.
chiropractic is documented to relieve chronic low back pain and give more satisfaction to chronic low back pain patients than medical care.
chiropractic is documented to relieve chronic low back pain and give more satisfaction to chronic low back pain patients than medical care.
Iranian Rehabilitation Journal - Iranian Rehabilitation Journal - People with special needs - special olympics - Dohsa-hou - Asghar Dadkhah - University of social welfare and rehabilitation sciences
This study compares quantitative sensory assessment in different groups of patients with low back pain compared to patients with fibromyalgia.
This study compares quantitative sensory assessment in different groups of patients with low back pain compared to patients with fibromyalgia.
View more ,Question Is Strain-Counterstrain treatment combined with exercise therapy more effective than exercise alone in reducing levels of pain and disability in people with acute low back pain? Design Randomised trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Participants 89 (55 female) participants between 18 and 55 years experiencing acute low back pain were randomised to experimental (n = 44) and control (n = 45) groups. Intervention Participants attended four treatments in two weeks. The experimental group received Strain-Counterstrain treatment and review of standardised exercises (abdominal bracing, knee to chest, and lumbar rotation). The control group performed the standardised exercises under supervision. Following the intervention period, all participants received exercise progression, manual therapy, and advice. Outcome measures The primary outcome was the modified Oswestry low back pain disability questionnaire, measured at 2 weeks (ie, end of ...
Clinical guidelines recommend research on sub-groups of patients with low back pain (LBP) but, to date, only few studies have been published. One sub-group of LBP is movement control impairment (MCI) and clinical tests to identify this sub-group have been developed. Also, exercises appear to be beneficial for the management of chronic LBP (CLBP), but very little is known about the management of sub-acute LBP. A randomized controlled trial (RCT) was conducted to compare the effects of general exercise versus specific movement control exercise (SMCE) on disability and function in patients with MCI within the recurrent sub-acute LBP group. Participants having a MCI attended five treatment sessions of either specific or general exercises. In both groups a short application of manual therapy was applied. The primary outcome was disability, assessed by the Roland-Morris Disability Questionnaire (RMDQ). The measurements were taken at baseline, immediately after the three months intervention and at twelve-month
The primary objective in this review is to synthesize available evidence on the association between individual recovery expectations (including general outcome expectations, treatment expectations, and self-efficacy expectations) and disability outcomes in adults with acute, subacute or chronic non-specific low back pain (LBP). We will explore sources of heterogeneity to identify the impact of differences in participants, measurement of expectations, outcome, follow-up length and study design.. We will use internationally-accepted standards for systematic reviews while taking advantage of the opportunity to test methods of two important steps of prognostic reviews, the literature search, and Risk of bias assessment, to inform future syntheses.. ...