A Screening Tool for Patients With Lumbar Instability: A Criteria-related Validity of Thai Version
Conclusion. A lumbar instability screening tool total score of at least 7 was ruled out lumbar instability in CLBP patients. This cutoff score may be used as a marker of conservative treatment response. The sample size of patients with lumbar instability in this study was small, which may hinder the reliability of the data. Further studies are needed. Level of Evidence: 4
Biomed Pharmacother. 2021 Sep 15;143:112170. doi: 10.1016/j.biopha.2021.112170. Online ahead of print.ABSTRACTIntervertebral disc degeneration (IDD) is a chronic skeletal muscle degenerative disease, which is considered the main cause of low back pain. It seriously affects the quality of life of patients and consequently brings a heavy economic burden to their families and the society. Although IDD is considered a natural process in degenerative lesions, it is mainly caused by aging, trauma, genetic susceptibility and other factors. It is closely related to changes in the tissue structure and function, including the progre...
The majority of our knowledge of chronic pain in the general population comes from self-report studies. During the last three decades most of these population-based surveys have found that 20% to 35% of the general population suffer from chronic pain [4,6,10,22,23,25,27]. Globally, it is estimated that low back pain, migraine, neck pain, other musculoskeletal disorders, osteoarthritis, and tension type headache are rank numbered 1, 2, 6, 7, 12, and 28 with respect to causes of years lived with disability and that respectively 650, 850, 350, 250, 240, and 1560 million people worldwide suffer from these pain-related disorders .
BMI (body mass index), CLBP (chronic low back pain), CPR (clinical prediction rule), F8WT (Figure-of-Eight Walk Test), LBP (low back pain), NMES (neuromuscular electrical stimulation), PT (physical therapist), QBPDS (Quebec Back Pain Disability Scale), RCR (Repeated Chair Rise Test), SSGS (self-selected gait speed), 6MWT (Six Minute Walk Test), SC (Stair Climbing Test), SEM (Structural Equation Modeling), TUG (Timed Up-and-Go Test)
Recurrence and persistence of low back pain (LBP) are major health [81,39] and economic [25,112,19] issues. Disappointingly, despite considerable efforts, outcomes are worsening . Understanding the etiological factors that underlie the transition from acute to recurrent/persistent LBP will likely aid reversal of this trend. Growing research points to involvement of a systemic inflammatory response. Studies have shown that inflammatory cytokines and mediators are systemically elevated in many chronic pain conditions, e.g., tumor necrosis factor (TNF) in chronic LBP [114,113], interleukin-6 (IL-6) in fibromyalgia , i...
Low back pain is a very common complaint and up to 84% of the adult population will suffer from it at some point in their lives. Degenerative disc disease has a strong relationship to chronic low back pain although it is mostly asymptomatic. Disc degeneration involves alterations to its microstructure, inability of the disc annulus and nucleous to share load, and loss of disc height. This could lead to conditions such as disc herniation, ligaments and facet joints hypertrophy and nerve compression.
by Chad D. Kollas MD, Terri A. Lewis PhD, Beverly Schechtman and Carrie Judy“I'm present. Uh … I do have a conflict. I receive funding to conduct reviews on opioids, and I'll be recusing myself after the um, director's, uh, um, um, uh … update.”- Dr. Roger Chou, Center for Disease Control and Prevention (CDC) National Center for Injury Prevention and Control (NCIPC) Board of Scientific Counselors (BSC) Meeting Friday, July 16, 2021.IntroductionFor those familiar with the controversial relationship between the anti-opioid advocacy group, Physicians for Responsible Opioid Prescribing (PROP, recently...
Condition: Orthopedic Disorder Intervention: Device: including sham Sponsor: October 6 University Recruiting
This article reviews the history and current trends in use for lumbar toral disc arthroplasty for degenerative disc disease treatment. Furthermore, indications, contraindications, and complications management are discussed.
Condition: Low Back Pain Interventions: Other: Retro walking; Other: conventional physical therapy Sponsor: Riphah International University Not yet recruiting
Conclusion. Chiropractors in this US sample tend to provide manipulation to very few patients with CLBP or CNP for which it is inappropriate. However, more research is needed to determine which patients with CNP benefit from manipulation. Level of Evidence: 4