Rehabilitation and Therapy Commons^™

The Natural History Of Modic Changes - A 5- And 15-Year Follow-Up Study, Parnian Saremi

Electronic Thesis and Dissertation Repository

Modic changes (MCs), defined as bone marrow lesions adjacent to the vertebral endplate seen on MRI, have been associated with back pain. There are different types of MCs, with different histopathological correlates. This community-based study sample comprised 110 men from the Twin Spine Study, with baseline, 5-year, and 15-year follow-up MRIs. Following training and reliability testing, 1320 endplates (T12-S1) were evaluated for MC presence, type, and dimensions at each time point. Results demonstrated that Type 2 Modic Changes (MC2) were the most common type, with approximately half located at the two lowest disc levels. However, Type 1 Modic Changes (MC1) …

Patient And Facility Perceptions On The Feasibility Of A Student-Run Pro-Bono Back-School For Uninsured Patients With Low Back Pain, Javier Ascanio-Pellon, Sofia Cruz, Lauren Liebert, Trevor Pacuk

UNLV Theses, Dissertations, Professional Papers, and Capstones

A. Background of Knowledge: Nevada ranks 8th highest in uninsured population in the United States. People who are uninsured may be more affected by low back pain (LBP) than their insured counterparts. Volunteers in Medicine of Southern Nevada (VMSN), a non-profit organization, serves uninsured people in Nevada. VMSN partnered with UNLV Physical Therapy (UNLVPT) to provide a back-school for patients. UNLVPT proposed a service-learning model to provide both education and treatment for VMSN patients with LBP. B. Purpose: The purpose of this community-based research project is to create and implement a student-run pro-bono back-school for uninsured individuals with LBP in …

Lumbopelvic Muscle Performance And Morphology Differences: Implications For Low Back Pain In Individuals With Unilateral Above-The-Knee Amputation, Melissa Damele, Rachel Gross, Ronauldo Robina

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: The number of people living with an amputation in the United States is rising at a rate of almost 200,000 cases a year [1]. The incidence of low back pain (LBP) in individuals with lower limb amputation (LLA) has been shown to be much greater than in the general population at 52%- 72% [2-4]. High amputation level, disuse, and abnormal movement patterns associated with prosthetic gait have been theorized to lead to decreased lower back muscle performance, contributing to the high prevalence of LBP in individuals with LLA [5-7]. However, lumbar muscle morphology and performance have not …

Connecting The Pieces: How Low Back Pain Alters Lower Extremity Biomechanics And Shock Attenuation In Active Individuals, Alexa Johnson

Theses and Dissertations--Rehabilitation Sciences

Low back pain in collegiate athletes has been reported at a rate of 37% from a wide array of sports including soccer, volleyball, football, swimming, and baseball. Whereas, in a military population the prevalence of low back pain is 70% higher than the general population. Compensatory movement strategies are often used as an attempt to reduce pain. Though compensatory movement strategies may effectively reduce pain, they are often associated with altered lower extremity loading patterns. Those who suffer from chronic low back pain tend to walk and run slower and with less trunk and pelvis coordination and variability. Individuals with …

Tissues And Trauma: Pain Neuroscience Education For Veterans With Post-Traumatic Stress And Low Back Pain, Timothy Mark Benedict

Theses and Dissertations--Rehabilitation Sciences

Low back pain (LBP) is the top reason for Soldiers to seek medical care and one of the top reasons to be medically discharged. Mental health problems and psychosocial stressors have been increasing in Soldiers and are also top causes for medical discharge. Dysregulated stress has contributed to many Soldiers and Veterans to develop chronic LBP as well as mental health disorders like post-traumatic stress disorder (PTSD). Research suggests that psychosocial characteristics, as opposed to physical factors or tissue health, contribute to chronic pain the most. Focusing entirely on tissues for individuals seeking care for LBP can increase disability and …

Age-Related Differences In The Lumbopelvic Kinematics During The Trunk Motions In The Anatomical Planes, Milad Vazirian

Theses and Dissertations--Biomedical Engineering

Management and control of the low back pain as an important health problem in the industrial societies necessitates to investigate how the risk of this disease is affected by aging. Since the abnormalities of the lumbopelvic kinematics are related to the existence or risk of low back injuries, the objective of this dissertation was set to find the age-related differences in lumbopelvic kinematics when performing basic trunk motions reaching to range of motion in different anatomical planes.

A cross-sectional study was designed where sixty asymptomatic individuals between 20–70 years old with no confounding health condition, no current or previous highly …

The Effect Of Dry Needling To The Multifidus Muscle On Resting And Contracted Thickness Of Transversus Abdominis In Subjects With Low Back Pain, Shane Collins, Abbay Dow, Daniel Rincon

UNLV Theses, Dissertations, Professional Papers, and Capstones

Study Design: Randomized, double-blinded, controlled clinical trial. Objective: To measure the effects of dry needling to the lumbar multifidus (MF) muscle for any change in resting and contracted thickness of the transversus abdominis (TrA) muscle as well as symptoms and disability in individuals with low back pain (LBP). Background: Recent studies have demonstrated that individuals with LBP have diminished co-activation of the lumbar MF and TrA muscles, which when working appropriately in healthy individuals, contributes to spinal stability and function. A significant change in the resting and contracted thickness of TrA has been found with dry needling to the lumbar …

Mobility Device For Injured Us Army Corp Engineer, Jessica Jones, Robert Whittaker

Physical Therapy Scholarly Projects

Background and Purpose: Low back pain affects 70-85% of American adults at some point in their life. Back pain can have a negative impact on a person's quality of life. A group of three engineering students and two physical therapy students collaborated on designing a mobility device for a US Army veteran to aid him in transfers and pain management. The purpose of this research proposal would be to assess how our client would respond to an individualized mobility device.

Case Description: Our client suffered lumbar disc injuries as a result of lifting and twisting a heavy object resulting in …

Functional Rehabilitation Of Low Back Pain With Core Stabilization Exercises: Suggestions For Exercises And Progressions In Athletes, Joshua Johnson

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

Introduction: Low back pain is very common in the adult population and accounts for more time lost from work than other diagnoses. It also affects athlete's at all different levels of competition and results in missed practice and game time. Diagnosing and treating a specific pathology is often difficult because clinical evaluation and radiologic studies are often unable to find a root cause. A popular treatment approach with a high volume of anecdotal evidence is the use of core stabilization exercise in the treatment of low back pain.

Purpose: To evaluate exercise as a treatment for a low back pain …

Electromyographic Analysis Of Abdominal And Low Back Musculature During Use Of An Experimental Stationary Bicycle, Bryce A. Kelly, Christopher L. Podoll, Kirk R. Van Slyke

Physical Therapy Scholarly Projects

Background and Purpose. Currently, stationary bicycles do not incorporate exercise for the abdominal and low back musculature. An experimental stationary bicycle, the Magnus Cycle, has been developed to increase trunk muscle activation and, at the same time, provide aerobic conditioning. The purpose of this study is to assess the activity of the rectus abdominus, external oblique, erector spinae, rectus femoris and biceps femoris muscles during a stationary cycling setting and during a tilt-in-space setting of the Magnus Cycle.

Subjects. Sixteen subjects, both men and women, between the ages of 18 and 30 participated in this study.

Methods. Surface electromyography (EMG) …

Low Back Pain: An Orthopedic Review Of Sacroiliac Joint Etiologic Theories, Key Diagnostic Criteria, And Effective Manual Therapy Treatment, Michael J. Ressler

Physical Therapy Scholarly Projects

Physical therapists commonly evaluate and treat patients with referral of low back pain. There still remains great controversy whether sacroiliac joint dysfunction produces significant pathological problems. It is imperative that the therapist providing the care posses skillful knowledge in the areas of anatomy, biomechanics, evaluation, and treatment of sacroiliac joint dysfunction. These characteristics are required in order to effectively treat patients with low back pain possibly resulting from sacroiliac joint dysfunction.

The purpose of this independent study is to review existing literature with primary focus on the anatomy, biomechanics, evaluation, and efficacious manual therapy treatment of sacroiliac joint dysfunction. Primary …

A Review Of The Causes And Treatment Of Low Back Pain During Pregnancy, Dana Krenzel

Physical Therapy Scholarly Projects

Pregnancy is a time of great musculoskeletal change for a woman. Complaints of low back pain are a very common occurrence at this time. Many women regard this type of pain as a normal adjunct to pregnancy. However, most types of low back pain related to pregnancy are either treatable or avoidable. Mechanical, hormonal, and vascular factors may all contribute to low back pain. Differentiation of these different causes of low back pain is crucial to providing the patient with effective intervention plans. Physical therapists can provide evaluation, treatment, and low back pain management techniques to the expectant mother. Exercise, …

Physical Therapy Evaluation And Treatment Of Low Back Pain During Pregnancy, Jean Chouanard

Physical Therapy Scholarly Projects

Low back pain (LBP) during pregnancy is a frequent complaint and is often considered a normal, nontreatable occurrence. However, much of the LBP of pregnancy can be eliminated with early intervention. Factors such as poor posture, mechanical changes, and relaxation. of ligamentous structures in the spine and pelvis are the most common explanations of low back pain. A careful history and evaluation are essential to identify the etiology and to guide an appropriate treatment. This independent study will be a literature review. Its purpose is to identify some of the causes for LBP during pregnancy and develop guidelines for evaluation …

Low Back Pain, Jeff Large

Physical Therapy Scholarly Projects

Low back pain (LBP) is one of the most common disorders seen in the health care setting today. The cost of rehabilitation of LBP makes up a significant proportion of today's health care economy. Both physical and social factors have been associated with the etiology of LBP. Today's advanced diagnostic equipment has allowed the underlying pathologies of LBP to be better understood. In the past, different theories and techniques for rehabilitation have been utilized. Current rehabilitation of LBP has emphasized effective, cost-efficient prevention and education.

The purpose of this independent study is to research current theories of risk factors, pathologies …

Cigarette Smoking And Low Back Pain, Cindy G. Broden

Physical Therapy Scholarly Projects

The purpose of this independent study is to define presently existing theories linking cigarette smoking and low back pain. It also provides a detailed description of nicotine and its physiological and psychological effects.

There are four theories outlined in this study which could serve as explanations for the correlation of cigarette smoking and low back pain. The first is the chronic cough associated with smoking. This cough increases mechanical stress including higher disc pressures and poor union and healing following spinal fusion surgery. The second theory deals with the vascular changes caused by nicotine which decreases vertebral blood flow and …

The Intervertebral Disc And Low Back Pain, Bruce H. Wessman

Physical Therapy Scholarly Projects

Low back pain has an enormous socioeconomic impact in this country. Even with advancement in diagnostic technology, the incidence and severity of low back pain continues to increase. The intervertebral disc plays an important causative role in the production of low back pain. The intervertebral disc may cause direct discogenic pain by mechanical and/or chemical irritation of the nociceptor receptors found within the outer one-third of the annulus fibrosis, or cause back pain by an indirect method. The incidence of low back pain is first reported around the age of 25 and is most prevalent from ages 35-60. It is …

Vertebral Subluxation Complex, Debbie L. Horn

Physical Therapy Scholarly Projects

At one time or another most adults have back pain. Despite the fact that back pain is as prevalent as the common cold, it has been as puzzling as the Bermuda Triangle. The primary problem is that in many patients it is not possible to identify the cause of symptoms, particularly if the symptoms are relatively minor. A review of literature reveals a wide variety of single causative lesions which would adequately encompass the various symptoms encountered. However, they are complex conditions which are highly oversimplified. This problem was recognized by Renaissance International who presented the concept of the Vertebral …