Medicine and Health Sciences Commons^™

Effects Of Thoracic Spine Mobilization On The Lumbar Spine Rotation Angle During Trunk Rotation, Toru Yasuda, Ryota Yoshida, Hironobu Kuruma

Asian Journal of Physical Therapy

Objectives: Limitations in the thoracic spine movement can cause excessive lumbar rotation and back pain; however, it is unclear whether increasing thoracic rotation reduces excessive lumbar rotation. This study aimed to examine the effect of thoracic spine mobilization on the rotation angle of the lumbar spine during trunk rotation. Methods: Twenty healthy volunteers participated in this study. We identified and then mobilized three restricted vertebrae in the thoracic spine through a physical examination using a facet joint traction mobilization technique. Rotational movements of both the thoracic and lumbar spine were assessed pre- and post-intervention. Measurement items included: (1) lumbar rotational …

Effects Of A Trunk Harness On Lumbopelvic Stability And Muscle Activity During Prone Hip Extension Exercise, Taro Toraiwa, Sirinda Jaotawiparta, Misaki Suzuki, Hironobu Kuruma

Asian Journal of Physical Therapy

Background: Therapeutic exercise is essential in patients with low back pain and lumbopelvic instability. Intra-abdominal pressure is necessary for ideal dynamic stabilization patterns. However, accurate performance of such exercises is a challenge. A trunk harness can help stabilize and alter muscular patterns. This study aimed to examine the effects of using a trunk harness on lumbopelvic stability and muscle activity during prone hip extension in healthy individuals and patients with low back pain. Methods: Sixteen patients with low back pain and 15 healthy individuals performed prone hip extension under control, Dynamic Neuromuscular Stabilization(DNS)-maneuver, and DNS-maneuver + harness conditions. Lumbopelvic kinematic …

Occurrence Of Temporomandibular Disorder In Subjects With Low Back Pain And Spinal Postural Deformities: An Observational Study, Vijay Kage, Aarti Welling, Richa Desai

Internet Journal of Allied Health Sciences and Practice

Purpose: Back pain and temporomandibular disorder (TMD) are two predominant illnesses that affect the human motor system. Literature has stated significant associations between chronic low back pain (CLBP) and TMD. Global postural deviations cause body adaptation and realignment, which may interfere with the function of TMJ. However, the possibility of TMD in subjects with CLBP associated with spinal postural deformities has yet to be completely explored. Method: This was an observational study carried out among 65 people having CLBP with co-presence of any spinal deformities. Forward head posture (FHP) was assessed using the On-Protractor application and thoracic kyphosis and lumbar …

Conservative Management Of Low Back Pain, Se Won Lee, Dan Nguyen, Denny Mack, Eric Aguila, Mary Thomas, Karyn Doddy

HCA Healthcare Journal of Medicine

Low back pain (LBP) is frequently encountered in outpatient clinics and affects individual patients and society in general with decreased physical function, quality of life, disability, and/or economic burden. Although most acute LBP resolves on its own, recurrent and chronic LBP is a common reason for outpatient clinic visits. This review explores pragmatic approaches to LBP in the clinical setting, focusing on recognizing prognostic factors, initial approaches to evaluation, including selective imaging, and conservative management including patient education, therapeutic exercises and bracing.

Reviewing The Diagnostic Classifications Used For Low Back Pain In Physiotherapy-Related Research., Steve Milanese, David Worth

Internet Journal of Allied Health Sciences and Practice

Background: The evidence-to-practice gap, where clinical practice does not reflect the findings from research evidence, has been identified as a concern in allied health disciplines such as physiotherapy. Failure to provide care according to current (research) evidence raises the potential that patients are receiving care that is either not needed, is ineffective, less effective than current research indicates, or potentially harmful. For research evidence to be translatable to clinical practice, the research should be seen to be applicable, i.e. the clinician should be able to recognise that the research study sample reflects their patient population. Method: This study presents …

Determining The Effectiveness Of Core Strengthening Exercise Therapies In Treating Nonspecific Low Back Pain: A Critically Appraised Topic, Amanda King, Andrea Cripps

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

In Volume 3, Issue 1 of the JSMAHS you will find Professionals abstracts, as well Under Graduate student research abstracts, case reports, and critically appraised topics.

Thank you for viewing this 3^rd Annual OATA Special Edition.

Comparison Of The Effects Of Prolotherapy And Traditional Physical Therapy In Low Back Pain Patients With Lumbosacral Transitional Vertebra, Weihan Chang, Shihwei Chou, Chienhung Chen, Chihkuan Wu, Katie P. Wu, Yinchou Lin

Rehabilitation Practice and Science

A lumbosacral transitional vertebra (LSTV) is a congenital musculoskeletal abnormality with a higher incidence in patients with low back pain as to the normal population. Such finding implicates that an altered mechanics caused by a transitional vertebra may contribute to pain generation. In cadavers with an LSTV, the iliolumbar ligament at the level immediately above the transitional vertebra was thinner and weaker than it was for cadavers without an LSTV. This ligament of LSTV is vulnerable to sprains in terms of structural and biomechanical alterations and may be the target of treatment. Twenty-two patients with chronic low back pain in …

The Effect Of Ice Pack On Lumbar Range Of Motion In Patients With Low Back Pain And Lumbar Sacralization, Shih-Chieh Lin, Yi-Chun Hung, Yin-Chou Lin, Wei-Han Chang, Yu-Tsai Tu, Shih-Wei Chou

Rehabilitation Practice and Science

Purpose: This research was designed to investigate the short-term effect of an ice pack on lumbar range of motion in patients. Patients with low back pain caused by sacralized fifth lumbar spine were selected after clinical diagnosis.Method: Twenty-four subjects were recruited for this study. Twelve subjects with low back pain who were diagnosed with sacralized fifth lumbar spine were selected as the experimental group, and twelve healthy subjects were selected as the control group. The age, body height, and weight of the patients in the two groups were compared. Measurements of lumbar range of motion were used as the pretest …

The Effect Of Unstable Sling Exercise Training For A Long Jump Athlete With Lumbar Spondylolysis: A Casereport, Shih-Chung Cheng, Chia-Lin Chen, Won-Jean Lin, Hsiao-Yun Chang

Rehabilitation Practice and Science

Spondylolysis is a common problem that may contribute to lower back pain in athletes participating in a variety of activities. We currently present a casereport describing an athlete aged 21 years who was participating in the long jump on the national stage with ranked 1 in Taiwan. A diagnosis of spondylolysis at the 5th lumbar vertebrae was made following complaints of pain in the lower back-diagnosis was confirmed using a radiology examination. The athlete was prescribed a conservative rehabilitation program that included regular physical therapy, an eight-week core stability training program, and a six-month unstable resistance training program. Treatment effectiveness …

Myofascial Low Back Pain, Mu-Jung Kao, Ta-Shen Kuan,, Yueh-Ling Hsieh, Jeng-Feng Yang, Chang-Zern Hong

Rehabilitation Practice and Science

Objective: This reviewarticle article describes the etiology, pathogenesis, clinical characters and management of low back pain (LBP) caused by myofascial trigger points (MTrPs), i.e. myofascial low back pain.Findings: Based on the currently available knowledge and our clinical experience, we analyzed the basic and clinical aspects of myofascial LBP. Most cases of myofascial LBP are related to injuries, either current or previous. Active MTrPs that cause LBP are usually activated as a consequence of other etiological lesions. Therefore, it is important to determine and treat the underlying pathological lesions in order to avoid recurrence of myofascial LBP. If the underlying pathological …

Low Back Pain Due To Infective Discitis: A Casereport, Hung Chi Lin, Chin-Liang Liu, The-Chen Wang, Mu-Jung Kao

Rehabilitation Practice and Science

Infective discitis accompanying low back pain is uncommon. In general, risk factors for infective discitis include an age greater than 50 years, a history of cancer, unexplained weight loss, pain that lasts more than 1 month, a history of intravenous drug abuse, presence of a urinary tract infection or other infections, diabetes mellitus, and recent invasive procedures. The presence of an elevated erythrocyte sedimentation rate (ESR) and a C-reactive protein (CRP) level have proven to be reliable laboratory criteria consistent with infective discitis. Moreover, magnetic resonance (MR) imaging findings have been shown to have a good sensitivity for infective discitis. …

The Impact Of Low Back Pain On Patient's Sexual Life, Tien-Sung Yeh, Ta-Shen Kuan, I-Ning Tang, Chia-Hui Chen, Chang-Zern Hong

Rehabilitation Practice and Science

Low back pain (LBP) has various adverse effects on the functional status of a patient's life, including a patient's sex life. This study evaluated the impact of LBP on the sexual life of patients. Forty-eight patients, including 27 men and 21 women, were recruited for this study. Their mean age was 44 years old. The average duration of LBP was 47.7 months. The mean visual analog scale (VAS) before the treatment of LBP was 5.9, while mean VAS at the time of the study was 3.6.Frequency of intercourse affected by LBP was noted in 60.9% of our patients. Forty percent …