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 …

Rasch Analysis, Reliability, And Validity Of The Turkish Version Of The Lumbar Spine Instability Questionnaire, Erkan Erol, Umut Apaydin, Ramazan Yildiz, Ayşe Yildiz, Si̇nem Erturan, Derya Gökmen, Özlem Akkoyun Sert, Bayram Sönmez Ünüvar, Hasan Gerçek, Bülent Elbasan

Turkish Journal of Medical Sciences

Background/aim: Lumbar instability is an important condition that can be seen frequently in people with low back pain, affecting both the progression and the choice of appropriate exercise. The Lumbar Spine Instability Questionnaire (LSIQ) is a simple and low-cost tool for evaluating disturbed back stability in people with low back pain. The aim of this study is to develop the Turkish version of the LSIQ (LSIQ-T) and to evaluate its psychometric properties using the Rasch model. Materials and methods: One hundred participants with chronic low back pain completed the LSIQ-T. The LSIQ-T was repeated for 30 participants after 1 week …

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. …

Prevalence Of Low Back Pain Amongst Occupational Therapy And Physiotherapy Students In India, Its Influence On Educational Engagement, Pham Ngoc Dat Mr.

Manipal College of Health Professions, Manipal Theses and Dissertations

No abstract provided.

The Influence Of Whole Body Cryotherapy On The Functional Efficiency In Patients With Spondyloarthrosis Of The Lumbar Spine, Marta Barlowska-Trybulec, Jolanta Jaworek

Baltic Journal of Health and Physical Activity

Background: Osteoarthrosis (OA) is considered as the most common disease affecting mankind. The aim of the study was to present the impact of whole body cryotherapy (WBCT) together with kinesiotherapy (KT) and with KT alone on functional efficiency in patients with OA. Material and methods: The study group consisted of 120 patients. They were randomly divided into two groups. Patients from the study group underwent a series of WBCT combined with KT, while patients from the control group underwent KT alone. Each patient was examined before and after the therapy by VAS, ODI and functional tests. Results: After the therapy …

The Relationship Between The Population's Perception Of Herniated Intervertebral Disks And Their Known Physical Presentation, Jonah D. Gant

Honors Undergraduate Theses

The second most common lumbosacral diagnosis in the United States is a herniation or prolapse of the intervertebral disc. Individuals with herniated discs can have a wide variety of clinical presentations, ranging from asymptomatic to severe spinal cord compression and pain. Studies suggest that an individual’s pre-existing perception of a condition is likely to influence their course of recovery. Currently, perceptions the general public holds regarding the consequences of disc herniation is unknown. Therefore, the purpose of this study was to assess current views regarding disc herniations in the general population with their reported prevalence and clinical outcome. This was …

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 …

Use Of Platelet-Rich Plasma In Treating Low Back Pain: A Review Of The Current Literature, Mirza Zain Baig, Umme E Hani Abdullah, Aun Muhammad, Abeer Aziz, Maryam Jamil Syed, Aneela Darbar

Medical College Documents

Low back pain (LBP) is a common problem encountered by physicians. It is a considerable cause of morbidity and socioeconomic loss and is one of the most expensive musculoskeletal disorders. Conventional treatments include bed rest, analgesics, therapeutic exercises, lumbar or caudal epidural corticosteroids, and surgery. Several new biological therapies are being investigated for use in LBP and one of these is platelet-rich plasma (PRP). In this article, we summarize the current literature published on PRP concerning its composition, classification, and application in LBP. We believe our review will prove useful to clinicians and academics alike, interested in new developing therapies …

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 …

Biopsychosocial Variables Associated With The Development Of Chronic Low Back Pain In Healthcare Workers, Jena Pauli

Theses and Dissertations

ABSTRACT

Purpose: Worldwide the incidence and prevalence of acute low back injury with pain (ALBIP) is increasing in healthcare workers (HCW). Approximately 27% of ALBIP result in chronic low back pain (CLBP). The primary aim of this study was to identify biopsychosocial factors that contribute to the development of CLBP. A secondary aim was to examine the predictive value of reliable and valid screening instruments to identify individuals at highest risk for CLBP.

Significance: Low back pain is the second most commonly reported pain condition in the United States, one of the leading causes of sick leave and …

Body Awareness And Chronic Low Back Pain: Validity And Reliability Study Of Turkish Version Of Body Awareness Rating Scale, Aynur Demi̇rel, Di̇lara Onan, Yasemi̇n Özel Asliyüce, Müzeyyen Öz, Utku Berberoğlu, Özlem Ülger

Turkish Journal of Medical Sciences

Background/aim: Previous studies reported that patients with chronic low back pain (CLBP) had trouble describing senses or body functions. A questionnaire, the body awareness rating questionnaire (BARQ), was recently developed for assessing body awareness. The aim of the study was to develop a Turkish version of the BARQ and investigate the validity and reliability in patients with CLBP. Materials and methods: BARQ translated to Turkish with forward-backward method. Ninety-nine patients with CLBP and 101 healthy controls (HC) completed the BARQ-T. Fifty-one of patients with CLBP and HC repeated BARQ-T 3 days later. In addition to BARQ-T, Oswestry disability index (ODI), …

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 …

Development Of A Return To Work Tool For Primary Care Providers For Patients With Low Back Pain: A Pilot Study, Lisanne Cruz, Hasanat A. Alamgir, Parag Sheth, Ismail Nabeel

NYMC Faculty Publications

Context: Low back pain (LBP) is a common cause of disability in adults and primary care physicians (PCPs) are commonly the first medical practitioners to assess these patients. Despite this, PCPs often feel unprepared to make return to work (RTW) recommendations. Aims: The purpose of our project was to develop RTW guidelines for patients with LBP in the form of an accessible and adaptable electronic medical records (EMR) integrated tool. Settings and Design: All licensed physicians and physician extenders who see patients over the age of 18 years, presenting with acute LBP who are currently employed were eligible for participation. …

The Effect Of Fusion Added To Lumbar Discectomy In Patients With Modic Changes: A Retrospective Comparative Outcome Analysis Regarding Back Pain Control, Ahmad Elayouty, Walid Abdel Ghany

Advanced Spine Journal

Background Data: In 1988, Modic et al first described magnetic resonance (MR) degenerative changes in the lumbar vertebral bodies. changes in the intervertebral endplates, Modic Changes (MC) can also be incriminated in the production of such pain due to the mechanical failure and structural changes that can be detected the most in the region of the highly pain sensitive intervertebral endplates. There is still a controversy regarding the surgical treatment of the predominantly axial pain secondary to degenerative lumbar disc disease.Study Design: This is a retrospective cohort study.Purpose: To evaluate the effect of adding fusion to simple discectomy in treatment …

Prevalence And Risk Factors Of Low Back Pain And Disability Index Among Operating Room Nurses, Anita Kiruba Jeyakumar, Florence Segaran

Journal of Perioperative Nursing

Introduction

Work related low back pain (LBP) has a clear impact on productivity at work. The aim of the study was to assess the prevalence and risk factors of LBP among operating room (OR) nurses. It also aimed to identify the disability index among those OR nurses diagnosed with LBP.

Method

This cross-sectional survey was conducted among the OR nurses working at a 2500-bed tertiary care centre with 37 operating rooms. OR nurses with a minimum of one year experience were included. A validated self- structured questionnaire was administered to them. Statistical analysis was done using Chi square test, and …

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 …

Does Resistance Training Reduce Low Back Pain?, Lauren N. Carosi

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not resistance training reduces low back pain.

STUDY DESIGN: Review of three English language primary studies published in 2011, 2014, and 2015.

DATA SOURCES: Randomized controlled and clinical trials comparing resistance training (kettlebell training, graded activity, TOTRX, LEXT) to physiotherapy exercise and no exercise intervention, found using PubMed.

OUTCOME MEASURED: Severity of pain in the low-back area, measured using Pain Numerical Rating Scale (NRSpain) and pain visual-analog scale.

RESULTS: Two out of three studies found that resistance training reduced low back pain in comparison to a control …

Determining The Impact Of A New Physiotherapist-Led Primary Care Model For Back Pain: Protocol For A Pilot Cluster Randomized Controlled Trial, Jordan Miller, David Barber, Catherine Donnelly, Simon French, Michael Green, Jonathan Hill, Joy Macdermid, Jacquelyn Marsh, Kathleen Norman, Julie Richardson, Monica Taljaard, Timothy Wideman, Lynn Cooper, Colleen Mcphee

Bone and Joint Institute

© 2017 The Author(s). Background: Back pain is a leading contributor to disability, healthcare costs, and lost work. Family physicians are the most common first point of contact in the healthcare system for people with back pain, but physiotherapists (PTs) may be able to support the primary care team through evidence-based primary care. A cluster randomized trial is needed to determine the clinical, health system, and societal impact of a primary care model that integrates physiotherapists at the first visit for people with back pain. Prior to conducting a future fully powered cluster randomized trial, we need to demonstrate feasibility …

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 …

Relationship Of Spinal Curvature, Mobility, And Low Back Pain In Womenwith And Without Urinary Incontinence, Şeyda Toprak Çelenay, Derya Özer Kaya

Turkish Journal of Medical Sciences

Background/aim: This study aimed to investigate the relationship of sagittal spinal curvature, mobility, and low back pain (LBP) in women with and without urinary incontinence (UI). Materials and methods: Thirty-two women with UI (incontinence group) and 41 women without UI (control group) were included in this study. The sagittal spinal curvature and mobility were assessed with a Spinal Mouse device (IDIAG, Fehraltorf, Switzerland). Urogenital symptom distress, LBP, and disability caused by LBP were assessed using the Urogenital Distress Inventory-6 (UDI-6), a visual analog scale (VAS), and the Oswestry Disability Index (ODI), respectively. Results: It was seen that the sagittal thoracic …

Three-Dimensional Evaluation Of Pelvic Posture In Adolescents With And Without A History Of Low Back Pain, Seher Özyürek, Arzu Genç, Hayri̇ye Kul Karaali̇, Zeli̇ha Candan Algun

Turkish Journal of Medical Sciences

Background/aim: This study aimed to evaluate the three-dimensional (3D) profile of pelvic posture and postural displacements of the pelvis in adolescents with and without a history of low back pain (LBP). Materials and methods: Thirty-two adolescents participated in this study. Participants were asked if they had ever suffered LBP at some point in their lives. Participants were divided into two groups: with a history of LBP (LBP group) and without a history of LBP (control group). For 3D evaluation of pelvic posture, the PosturePrint system was used. Three digital photographs were obtained in an upright stance (anteroposterior, left-right lateral) and …

Structural Equation Model Of Disability In Low Back Pain, Brittany L. Melton, Murad Moqbel, Saddam Kanaan, Neena K. Sharma

Information Systems Faculty Publications and Presentations

Study Design—The effects of participant characteristics along with descriptions of pain, and psychological involvement, such as fear avoidance, were assessed using structural equation modeling to identify relationships between these factors and disability as a result of low back pain.

Objective—The aim of this study was to evaluate the relationship between factors related to pain description, participants’ characteristics, psychological involvement and disability through structural equation modeling.

Summary of Background Data—Low back pain is a complex multifactorial condition that can lead to disability. Understanding which factors contribute to disability and how those factors interact is important for predicting and …