Assessment of major salivary gland size in primary Sjögren's syndrome: Comparison between clinical examination and ultrasonography
ConclusionClinical measurement of parotidomegaly was concordant between two observers on a binary mode (presence/absence). However, concordance on direct measurement was weak. US could be a complementary examination.
Conclusion. Our study identifies the various factors associated with a lower likelihood of RTW at 3 months after cervical spine surgery in the non-worker's compensation setting. This information provides expectations for the patient and employer when undergoing cervical spine surgery. Level of Evidence: 3
Conclusion. Considering the role of the deep trunk muscles in gait, and their common deconditioning in CLBP, a CSEP intervention may increase trunk–pelvis kinematic pattern variability. These results suggest CSEP may specifically increase transverse and frontal plane variability, indicating improved motor pattern replication through this movement planes. Level of Evidence: 2
Conclusion. We provide a comprehensive set of ex ante utility estimates for MESCC health states that can be used to help inform decision making. This is the first study reporting direct utility valuation for a spinal disorder. Our methodology offers a feasible solution for obtaining quality-of-life data without collecting generic health status questionnaire responses from patients. Level of Evidence: 4
Conclusion. The NSF-MPQ-2 showed excellent acceptability and comprehension, satisfactory content and construct validity, including responsiveness to change, and internal consistency reliability as measured by Cronbach's alpha. However, a confirmatory factor analysis raised concerns regarding the factor-structure in the present population. Until more evidence emerges for the four-factor solution we suggest the NSF-MPQ-2 should be used as a single measure. Level of Evidence: 3
Study Design. Retrospective multicenter study. Objective. Analysis of impact of conservative and surgical treatments on functional outcome of geriatric odontoid fractures. Summary of Background Data. Treatment of odontoid fractures in aged population is still debatable. Methods. One hundred fourty-seven consecutive odontoid fractures in elderly patients were classified according to Anderson-D’Alonzo and Roy-Camille classifications. Philadelphia type collar was always positioned and kept as a treatment whenever acceptable. Halo-vest, anterior screw fixation, C1–C2 posterior arthrodesis, and occipito-c...
Conclusion. We observed a higher prevalence of chronic opioid use among women following lumbar fusion surgery. Female sex was independently associated with prolonged opioid use after index surgery. Level of Evidence: 3
Conclusion: These findings support the use of OMT as a method for the management of chronic constipation and DIOS in the CF population. However, because of the small population size, more research with larger populations is needed. PMID: 31233114 [PubMed - in process]
Authors: Ghanchi H, Miulli D, Kashyap S, Toor H, Farr S, Ray K, Ashraf N, Rao S, Sweiss R, Beamer Y Abstract Context: Opioids may be prescribed for the short-term management of acute-onset back pain in the setting of trauma or for long-term management of chronic back pain. More than 50% of regular opioid users report taking them for back pain. Objective: To investigate whether surgical intervention reduces opioid requirements by patients taking opioids for back pain and whether there is a difference between county and managed care hospitals in this postoperative reduction of opioid requirement. Methods: A r...
Condition: Erector Spinae Block Intervention: Procedure: Erector spinae Block Sponsor: Aydin Adnan Menderes University Recruiting
Conditions: Chronic Low Back Pain; Foot Pronation Intervention: Device: Custom-made foot orthoses Versus a flat insole Sponsor: University of Seville Recruiting