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Back pain physical therapy

Piotr Kamieniak, Joanna Bielewicz, Cezary Grochowski, Jakub Litak, Agnieszka Bojarska-Junak, Beata Daniluk, Tomasz Trojanowski
Objectives: We investigated the influence of spinal cord stimulation (SCS) on IFN- γ , IL-1 β , IL-6, TNF- α , IL-10, and TGF- β serum levels in failed back surgery syndrome (FBSS) patients. The study will try to give new insights into the mechanism of SCS action and the role of IFN- γ and other cytokines in neuropathic pain (NP) development. Materials and Methods: Clinical and biochemical assessment was conducted in four groups of patients: group 0 consisted of 24 FBSS patients qualified to SCS therapy, group 1 included 17 patients who were one month after implantation, group 2 featured 12 patients who were 3 months after the implantation, and group C (the control group) with no NP...
2019: Disease Markers
Heidi Ojha, Michael Masaracchio, Matthew Johnston, Ralph J Howard, William E Egan, Kaitlin Kirker, Todd E Davenport
AIM: Currently there is a large and perhaps unwarranted variation regarding physical therapy utilization for individuals with low back pain (LBP).  The purpose of this systematic review was to compare the effects of minimal physical therapy utilization/education (two visits or less) versus typical physical therapy utilization (three visits or more) on patient-important outcomes for patients with LBP. METHODS: Two independent reviewers searched Cochrane, Medline, CINAHL, Web of Science, and PEDro from database inception until March 2017...
February 9, 2019: Physiotherapy Theory and Practice
Annu Navani, Laxmaiah Manchikanti, Sheri L Albers, Richard E Latchaw, Jaya Sanapati, Alan D Kaye, Sairam Atluri, Sheldon Jordan, Ashim Gupta, David Cedeno, Alejandro Vallejo, Bert Fellows, Nebojsa Nick Knezevic, Miguel Pappolla, Sudhir Diwan, Andrea M Trescot, Amol Soin, Adam M Kaye, Steve M Aydin, Aaron K Calodney, Kenneth D Candido, Sanjay Bakshi, Ramsin M Benyamin, Ricardo Vallejo, Art Watanabe, Douglas Beall, Todd P Stitik, Patrick M Foye, Erik M Helander, Joshua A Hirsch
BACKGROUND: Regenerative medicine is a medical subspecialty that seeks to recruit and enhance the body's own inherent healing armamentarium in the treatment of patient pathology. This therapy's intention is to assist in the repair, and to potentially replace or restore damaged tissue through the use of autologous or allogenic biologics. This field is rising like a Phoenix from the ashes of underperforming conventional therapy midst the hopes and high expectations of patients and medical personnel alike...
January 2019: Pain Physician
Matheus Oliveira de Almeida, Bruno Tirotti Saragiotto, Chris Maher, Leonardo Oliveira Pena Costa
OBJECTIVE: To evaluate if allocation concealment and intention-to-treat (ITT) analysis influence the treatment effects of physical therapy interventions in low back pain trials. DATA SOURCES: We searched on PubMed, Embase, Cochrane Database of Systematic Reviews, PEDro and CINAHL up to February 2017. STUDY SELECTION: We included low back pain trials that compared physical therapy interventions to placebo or no intervention or minimal intervention with pain or disability outcomes...
January 30, 2019: Archives of Physical Medicine and Rehabilitation
Amy Hammerich, Julie Whitman, Paul Mintkin, Thomas Denninger, Venu Akuthota, Eric E Sawyer, Melissa Hofmann, John D Childs, Joshua Cleland
OBJECTIVE: To examine the effectiveness of epidural steroid injection (ESI) and back education with and without physical therapy (PT) in patients with lumbar spinal stenosis (LSS). DESIGN: Randomized clinical trial. SETTING: Orthopaedic spine clinics. PARTICIPANTS: 390 patients were screened with 60 eligible and randomly selected to receive ESI and education with or without PT. INTERVENTIONS: 54 patients received 1-3 injections and education in a 10 week intervention period with 31 receiving injections and education only (ESI) and 23 additionally receiving 8-10 sessions of multi-modal PT (ESI+PT)...
January 28, 2019: Archives of Physical Medicine and Rehabilitation
Denise Harari, Raquel Aparecida Casarotto
PURPOSE: To investigate the effectiveness of a workplace-based multifaceted intervention to manage musculoskeletal disorders (MSDs) and their consequences in the workers of a medium-sized company. MATERIALS AND METHODS: A program consisting of Participatory Ergonomics (PE), Workplace Exercise (WE) and Acupuncture as the main resource of Physical Therapy (PT) performed at the workstations was conducted for 22 months with 126 workers of a hearing aid company. The outcomes were complaints of MSDs and absenteeism measured by the Nordic Musculoskeletal Questionnaire...
January 30, 2019: International Journal of Occupational Safety and Ergonomics: JOSE
Brent Harper, Larry Steinbeck, Adrian Aron
BACKGROUND: Connective tissue mobility alters motor unit recruitment, but the restoration of fascial mobility allows for optimal motor function. The Fascial Manipulation® (FM® ) method is a multiplanar approach that assesses and treats the mobility of deep fascia in specific anatomical locations where motor units converge. OBJECTIVES: To assess the effects of FM® vs. standard physical therapy treatment (SPT) in patients with low back pain (LBP). DESIGN: Six-months controlled clinical trial...
January 2019: Journal of Bodywork and Movement Therapies
Elizabeth Arnold, Janna La Barrie, Lisley DaSilva, Meagan Patti, Adam Goode, Derek Clewley
OBJECTIVE: To synthesize literature about the impact of early physical therapy (PT) for acute low back pain (LBP) on subsequent health services utilization (HSU), compared to delayed PT or usual care. DATA SOURCES: Electronic databases (MEDLINE, CINAHL, and EMBASE) were searched from their inception to May 2018. STUDY SELECTION: Study selection included randomized control trials and prospective and retrospective cohort studies that investigated the association between early PT and HSU compared to delayed PT or usual care...
January 23, 2019: Archives of Physical Medicine and Rehabilitation
Michel Kanas, René Souza Faria, Lucas Gabriel Salles, Isabel Cristina Esposito Sorpreso, Délio Eulálio Martins, Ronaldo Alves da Cunha, Marcelo Wajchenberg
OBJECTIVE: To evaluate pain, functional capacity, and quality of life of patients with non-specific chronic low back pain, after home-based exercise therapy with different kinds of supervision. METHOD: Thirty individuals of both gender, between 18 and 65 years old, performed the proposed exercises three times a week, for eight weeks. Group A (N = 17) performed the exercises after a single supervised session. Group B (N = 13) was supervised once a week at the rehabilitation center...
September 2018: Revista da Associação Médica Brasileira
Victoria Choi, Deirdre Cobbin, Sean Walsh
Objective: Huang Fu Mi's Zhen Jiu Jia Yi Jing ( ZJJYJ ) is regarded as the earliest text (282 ce) on differential diagnosis and clinical acumoxa therapy in Chinese Medicine. Are contemporary manual acupuncture practices consistent with those reported in the ZJJYJ? The aim of this research was to investigate if modern manual acupuncture uses reported in research are consistent with classical practices reported in the ZJJYJ. Materials and Methods: A database search of human research studies from 1995 to 2016 was performed for all 270 acupoints for all 8 leg/body channels...
December 1, 2018: Medical Acupuncture
Sarah Fogarty, Catherine McInerney, Cath Stuart, Phillipa Hay
INTRODUCTION: Women commonly use massage therapy during pregnancy for pregnancy-related health conditions such as lower back and neck pain; however, there is little to no research related evidence on the side effects or mother or child physical harm of massage during pregnancy and the postnatal period. OBJECTIVES: This study aims to report on the side effects and mother or child physical harm of massage during pregnancy and the postnatal period. DESIGN: An observational study methodology...
February 2019: Complementary Therapies in Medicine
B C Bock, H Thind, J L Fava, S Dunsiger, K M Guthrie, L Stroud, G Gopalakrishnan, M Sillice, W Wu
OBJECTIVES: This study:Healthy Active and in Control (HA1C), examined the feasibility and acceptability of yoga as a complementary therapy for adults with Type-2 Diabetes (T2DM). DESIGN: A 2-arm randomized clinical trial comparing Iyengar yoga with a supervised walking program. SETTING: Hospital based gym-type facility and conference rooms. INTERVENTIONS: Participants were randomized to a 12-week program of either; (1) a twice weekly Iyengar yoga, or (2) a twice-weekly program of standard exercise (SE)...
February 2019: Complementary Therapies in Medicine
Filippo Maselli, Marco Testa
INTRODUCTION: Running is one of the most common sports practices in the world due to the beneficial impact on the health, despite the relatively high risk of getting injuries. In fact, running is one of the most common sports capable to induce overuse injuries of the lower back and leg. In previous studies, the symptoms in the lower limb have been attributed to lumbosacral degenerative pathology. When the symptoms are unclear, they must be studied with great attention by carrying out an accurate process of screening and differential diagnosis...
January 11, 2019: Journal of Back and Musculoskeletal Rehabilitation
Fatemeh Azadinia, Ismail Ebrahimi Takamjani, Mojtaba Kamyab, Gitta Kalbassi, Javad Sarrafzadeh, Mohamad Parnianpour
OBJECTIVE: This study was conducted to evaluate the changes occurring in the thickness of deep trunk muscles, measured using ultrasound imaging, after four weeks of lumbosacral orthosis (LSO) use in conjunction with routine physical therapy. DESIGN: This parallel-group, randomized, controlled trial was conducted on 44 patients with nonspecific chronic low back pain (CLBP), randomly allocated to the experimental and control groups. Both groups received eight sessions of physical therapy twice per week for four weeks...
January 15, 2019: American Journal of Physical Medicine & Rehabilitation
Selaiman A Noori, Abdullah Rasheed, Rohit Aiyer, Boyoun Jung, Nitin Bansal, Ke-Vin Chang, Einar Ottestad, Amitabh Gulati
Background: Low back pain (LBP) and neck pain are major causes of pain and disability that are experienced across all ages. The primary goals of treatment are to improve patient function and facilitate a return to the patient's desired level of daily activity. Therapeutic ultrasound is a noninvasive modality widely utilized in the management of musculoskeletal disorders, but there continues to be controversy regarding its use due to insufficient evidence of effectiveness. The objective of this systematic review was to evaluate the effectiveness of therapeutic ultrasound in the management of patients with chronic LBP and neck pain...
January 12, 2019: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Peter J Moley, Caitlin K Gribbin, Elizabeth Vargas, Bryan T Kelly
Locating the source of lumbopelvic-hip pain requires the consideration of multiple clinical pathways. Although low back pain has an incidence of 50% in the adolescent population, the pathophysiology in this population typically differs from that of other age groups. Dynamic mechanical impairments of the hip, such as femoroacetabular impingement, may contribute to the pathogenesis of adolescent low back pain. Eight adolescent male athletes who presented to a single provider with a primary complaint of low back pain with hip pain or motion loss on exam and were ultimately diagnosed with lumbar spondylolysis and dynamic mechanical hip issues between 2009 and 2011 were included...
December 2018: Journal of Hip Preservation Surgery
Eric Sun, Jasmin Moshfegh, Chris A Rishel, Chad E Cook, Adam P Goode, Steven Z George
Importance: Nonpharmacologic methods of reducing the risk of new chronic opioid use among patients with musculoskeletal pain are important given the burden of the opioid epidemic in the United States. Objective: To determine the association between early physical therapy and subsequent opioid use in patients with new musculoskeletal pain diagnosis. Design, Setting, and Participants: This cross-sectional analysis of health care insurance claims data between January 1, 2007, and December 31, 2015, included privately insured patients who presented with musculoskeletal pain to an outpatient physician office or an emergency department at various US facilities from January 1, 2008, to December 31, 2014...
December 7, 2018: JAMA network open
James Heyward, Christopher M Jones, Wilson M Compton, Dora H Lin, Jan L Losby, Irene B Murimi, Grant T Baldwin, Jeromie M Ballreich, David A Thomas, Mark C Bicket, Linda Porter, Jonothan C Tierce, G Caleb Alexander
Importance: Despite epidemic rates of addiction and death from prescription opioids in the United States, suggesting the importance of providing alternatives to opioids in the treatment of pain, little is known regarding how payers' coverage policies may facilitate or impede access to such treatments. Objective: To examine coverage policies for 5 nonpharmacologic approaches commonly used to treat acute or chronic low back pain among commercial and Medicare Advantage insurance plans, plus an additional 6 treatments among Medicaid plans...
October 5, 2018: JAMA network open
Christine M Goertz, Cynthia R Long, Robert D Vining, Katherine A Pohlman, Joan Walter, Ian Coulter
Importance: It is critically important to evaluate the effect of nonpharmacological treatments on low back pain and associated disability. Objective: To determine whether the addition of chiropractic care to usual medical care results in better pain relief and pain-related function when compared with usual medical care alone. Design, Setting, and Participants: A 3-site pragmatic comparative effectiveness clinical trial using adaptive allocation was conducted from September 28, 2012, to February 13, 2016, at 2 large military medical centers in major metropolitan areas and 1 smaller hospital at a military training site...
May 18, 2018: JAMA network open
Renata Schvartzman, Luiza Schvartzman, Charles Francisco Ferreira, Janete Vettorazzi, Adriane Bertotto, Maria Celeste Osório Wender
The dyspareunia negatively affects women´s quality of life, and is a frequent complaint during the peri and postmenopausal period. A randomized trial evaluated sexual function, quality of life, pain, and pelvic floor muscle function of climacteric women aged between 40-60 years-old, with complaints of dyspareunia for at least 6 months and being sexually active. They were assessed before and after their randomization in one of the following interventions: the first group (n = 21) received five one-hour sessions of thermotherapy for relaxation of pelvic floor muscles, myofascial release, and pelvic training (Pelvic Floor Muscle Training - PFMT group)...
January 14, 2019: Journal of Sex & Marital Therapy
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