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 …

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 …

Lumbopelvic Biomechanics And Muscle Performance In Individuals With Unilateral Transfemoral Amputation: Implications For Lower Back Pain, Jason Ciccotelli

UNLV Theses, Dissertations, Professional Papers, and Capstones

Many people with lower extremity amputation (LEA) experience lower back pain (LBP). The amount of pain they experienced can be debilitating and severely interferes with activities of daily living. Previous studies have explored LBP in populations without LEA, and the evidence is also growing within the limb loss population. However, the mechanism for the high prevalence of LBP after LEA remains unclear. The lower back muscles, specifically the multifidi muscles, play an important role in stabilization of the spine during motion, and LBP has been associated with decreased mobility in patient populations, but the degree of dysfunction in the spinal …

"My Back Is Fit For Movement": A Qualitative Study Alongside A Randomized Controlled Trial For Chronic Low Back Pain, Rodrigo Rn Rizzo, Benedict Wand, Hayley B. Leake, Edel O'Hagan, Matthew K. Bagg, Samantha Bunzli, Adrian C. Traeger, Sylvia M. Gustin, G. Lorimer Moseley, Saurab Sharma, Aidan Cashin, James Mcauley

Physiotherapy Papers and Journal Articles

A new wave of treatments has emerged to target nervous system alterations and maladaptive conceptualizations about pain for chronic low back pain. The acceptability of these treatments is still uncertain. We conducted a qualitative study alongside a randomized controlled trial to identify perceptions of facilitators or barriers to participation in a non-pharmacological intervention that resulted in clinically meaningful reductions across 12 months for disability compared to a sham intervention. We conducted semi-structured interviews with participants from the trial's active arm after they completed the 12-week program. We included a purposeful sample (baseline and clinical characteristics) (n = 20). We used …

Therapeutic Exercise Programming For Nonspecific Low Back Pain, Kendal F. Huepper

Senior Honors Theses

Nonspecific low back pain is a prevalent cause of injury and disability in the world today. However, most people with this condition continue to live in discomfort because they do not know how reduce their pain. Exercise is one of the many ways that those with lumbar pain can find relief. By combining a wide variety of exercises that have been shown to reduce pain while increasing strength, range of motion, activity, and functionality, this thesis attempts to create an evidence-based generalized therapeutic exercise program that those with nonspecific low back pain can utilize to live an active and healthy …

Multi-Disciplinary Biopsychosocial Approach In Low Back Pain Benchmark Study, Liza Beth Cocanougher Short Rn, Ms

MSN Capstone Projects

Low back pain (LBP) is the third most common reason people seek care in America and is the primary reason for missed work days. Working in a pain clinic for eight years and managing research studies directed toward improving low back pain in patients was the motivation for choosing the evidence based intervention in this population. The health care professionals (HCP) in the pain clinic usually have a conversation with the patients who have acute or subacute onset of LBP about their disease and give them a written handout with exercises and ask them to perform these exercises at home. …

The General Population's Perception Of Factors Associated With Positive Or Negative Perceptions Of Physical Therapy Care In Those With Low Back Pain, Jada M. Strowbridge

Honors Undergraduate Theses

Low back pain (LBP) has a global impact on health and is a substantial contributor to long term disability. The economic burden of LBP is immense and it is advancing annually. Costs attributing to LBP in the United States is about $84.1 to $624.8 billion. Physical therapy is commonly recommended for those with LBP since it is linked to improved clinical outcomes. However, patient perceptions can influence how this treatment approach is perceived. It is unclear if these perceptions can influence outcomes for patients suffering from LBP. Therefore, the purpose of this study is to identify the factors associated with …

Recruitment And Advocacy For Clinician Involvement In Pro Bono Physical Therapy Service-Learning Program, Gilberto Carrillo, Gavin Brady, Felicia Doblado, Alyssa Woo Hatch

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: Service-learning allows Doctor of Physical Therapy (DPT) students to develop important professional skills and addresses community-based needs. When integrated into physical therapy education, it can be a powerful tool for increasing students' altruism and social responsibility. Many clinicians desire to participate in pro bono physical therapy (PT) services. Therefore, the responsibility of promoting and advertising these programs falls upon the student. This paper describes various methods for recruiting clinician involvement to improve the sustainability of a student led pro bono clinic, as well as how the students advocated for pro bono services in the state of Nevada …

What Do People Post On Social Media Relative To Low Back Pain? A Content Analysis Of Australian Data, Edel T. O'Hagan, Adrian C. Traeger, Samantha Bunzli, Hayley B. Leake, Siobhan M. Schabrun, Benedict Wand, Sean O'Neill, Ian A. Harris, James H. Mcauley

Physiotherapy Papers and Journal Articles

Objective: Low back pain is the leading contributor to the global disability burden. The Global Spine Care Initiative (GSCI) recommend patient-centred care to stem the cost of low back pain. One way to enhance patientcentred care is by better understanding what is relevant for people with low back pain. Exploring social media posts about low back pain could offer this insight and provide valuable information for health care professionals to facilitate active participation in patient-centred care.

Methods: We used an inductive content analysis method. In the form of social media posts, data on Twitter and Instagram were collected from June …

Risk Factors For The Elevation Of Psychosocial Barriers In The Recovery Of Lumbar Pathology, Christopher Keating, Cameron Hui, Gerard Smith, Tingting Zhan

Department of Physical Therapy Faculty Papers

Background/Purpose: The prevalence of low back pain (LBP) continues to rise and an appreciation for a biopsychosocial approach, which takes in multiple facets of a patient presentation, may significantly impact this increase. To the best our knowledge, there are no studies evaluating the relationship between the STarTBack Screening Tool (SBT) and the access point the patient enters the health system. Our hypothesis is that patients that access care through the medical model will exhibit greater psychosocial risk.

Methods: A retrospective analysis of 1404 cases of LBP utilizing past medical history, demographic information, and SBT data. A linear regression model to …

Perceived Body Distortion Rather Than Actual Body Distortion Is Associated With Chronic Low Back Pain In Adults With Cerebral Palsy: A Preliminary Investigation, Hirofumi Yamashita, Tomohiko Nishigami, Akira Mibu, Katsuyoshi Tanaka, Masahiro Manfuku, Hikaru Fukuhara, Koichi Yoshino, Yoichi Seto, Benedict Wand

Physiotherapy Papers and Journal Articles

Objectives: The aim of the present study was to investigate whether distorted body perception is a feature of the low back pain experience in people with Cerebral Palsy (CP) and whether any distortions noted are confounded by the presence of motor and postural impairments commonly seen in CP.

Methods: Forty‐five individuals participated in this study: fifteen adults with CP with LBP (CP_Pain group), fifteen adults with CP without LBP (CP_noPain group), and fifteen age‐matched adults with LBP but no CP (Pain group). Body perception was evaluated using the Fremantle Back Awareness Questionnaire (FreBAQ) and by assessing two‐point discrimination (TPD) thresholds …

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 …

Fms Squat Assessment And 2d Video Motion Analysis As Screening Indicators Of Low Back Pain: A Cross Sectional Case- Study, Tracy Donlon, Britanny Franklin, Courtney Machamer, Christina Mogelnicki, Jeffrey Verneus, Christopher Taber

Exercise Science Faculty Publications

Aim: Low back pain (LBP) is a disabling condition to individuals in the United States and physical therapy (PT) has been proven to be a beneficial treatment by analyzing their movement patterns. The main objective of this study was to analyze the deep squat component of the Functional Movement Screen (FMS) as an indicator of LBP while simultaneously using 2-D analysis. Method: This cross-sectional case study included 36 participants that completed a total of six deep squats. Three raters scored the FMS score of each participant. Results: The association between FMS score and the presence of LBP showed to be …

Clinical Guidelines For Low Back Pain: A Critical Review Of Consensus And Inconsistencies Across Three Major Guidelines, N O'Connell, C Cook, B Wand, S Ward

Physiotherapy Papers and Journal Articles

Given the scale and cost of the low back pain problem, it is imperative that healthcare professionals involved in the care of people with low back pain have access to up-to-date, evidence-based information to assist them in treatment decision-making. Clinical guidelines exist to promote the consistent best practice, to reduce unwarranted variation and to reduce the use of low-value interventions in patient care. Recent decades have witnessed the publication of a number of such guidelines. In this narrative review, we consider three selected international interdisciplinary guidelines for the management of low back pain. Guideline development methods, consistent recommendations and inconsistencies …

Validation Of The Japanese Version Of The Fremantle Back Awareness Questionnaire In Patients With Low Back Pain, T Nishigami, A Mibu, K Tanaka, Y Yamashita, M Shimizu, B Wand, M Catley, T Stanton, G Moseley

Physiotherapy Papers and Journal Articles

Background: There is a growing interest in the role of disturbed body perception in people with persistent pain problems such as chronic low back pain (CLBP). A questionnaire, the Fremantle Back Awareness Questionnaire (FreBAQ), was recently developed as a simple and quick way of assessing disturbed perceptual awareness of the back in people with CLBP and appears to have acceptable psychometric properties. The aim of the present study was to develop a Japanese version of the FreBAQ (FreBAQ-J) and evaluate its psychometric properties in a sample of Japanese people with low back pain (LBP).

Methods: Translation of the FreBAQ into …

Return To Full Duty Work: Determining The Ideal Time To Refer Occupationally Isolated Acute Low Back Pain Patients To Physical Therapy, Aletha Mae Stephenson

Walden Dissertations and Doctoral Studies

Employees who develop and report nontraumatic acute low back pain that occurs while performing work duties, or shortly thereafter, are classified as having occupational isolated acute low back pain (OIALBP). The purpose of this project was to identify and implement an evidence- based time frame to refer occupational isolated acute low back pain patients (OIALBPPs) to physical therapy (PT) that returns them to full duty work (FDW) more quickly. The diffusion of innovation theory aided the project leader and health care providers to develop strategies to overcome barriers in implementing the project's results into the practice. A total of 932 …

Inter-Rater Reliability Of Lumbar Segmental Instability Tests And The Subclassification, Faisal Mohammad Alyazedi

Loma Linda University Electronic Theses, Dissertations & Projects

Objectives: This study investigated the inter-rater reliability of three structural end-range lumbar segmental instability tests with the highest positive Likelihood Ratio against flexion-extension radiographs, and three functional mid-range clinical tests that predict the success of lumbar stabilization exercises in patients with recurrent or chronic low back pain (R/CLBP). It also investigated the reliability of lumbar segmental instability subclassification as: Functional, Structural and Combined Instability. Method: 40 adult with R/CLBP patients (30 men and 10 women), 18 to 80 years of age, underwent repeated measurements of specific clinical tests for structural or functional lumbar segmental instability. Results: Other than the Lack …

Core Stabilization Exercise Prescription, Part 2: A Systematic Review Of Motor Control And General (Global) Exercise Rehabilitation Approaches For Patients With Low Back Pain, Jason Brumitt, J. W. Matheson, Erik P. Meira

Faculty Publications - College of Physical Therapy

Context: Therapeutic exercises are frequently prescribed to patients with low back pain. Numerous exercise programs for patients with low back pain have been described. Many of these treatment programs are based on 1 of 2 popular rehabilitation strategies: a motor control exercise approach or a general exercise approach.

Data Sources: PubMed clinical queries from 1966 to March 2013 for keyword combinations including motor control exercise, core stability exercise, therapeutic exercise, general exercise, global exercise, local exercise, transversus abdominis, segmental stabilization, and low back pain.

Study Selection: Randomized controlled trials that assessed the effects of a motor control exercise approach, a …