A novel approach to spinal 3-D kinematic assessment using inertial sensors: Towards effective quantitative evaluation of low back pain in clinical settings

2017 ◽  
Vol 89 ◽  
pp. 144-149 ◽  
Author(s):  
Sajad Ashouri ◽  
Mohsen Abedi ◽  
Masoud Abdollahi ◽  
Farideh Dehghan Manshadi ◽  
Mohamad Parnianpour ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Quantitative Evaluation ◽  
Inertial Sensors ◽  
Clinical Settings ◽  
Low Back ◽  
Novel Approach ◽  
Kinematic Assessment

scholarly journals Optimizing management of low back pain through the pain and disability drivers management model: A feasibility trial

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245689
Author(s):  
Christian Longtin ◽  
Simon Décary ◽  
Chad E. Cook ◽  
Marc O. Martel ◽  
Sylvie Lafrenaye ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Clinical Practice ◽  
Data Collection ◽  
Outcome Measures ◽  
Pragmatic Trial ◽  
Attrition Rate ◽  
Feasibility Trial ◽  
Clinical Settings ◽  
Low Back

Introduction Self-reported levels of disability in individuals with low back pain (LBP) have not improved in the last decade. A broader perspective and a more comprehensive management framework may improve disability outcomes. We recently developed and validated the Low Back Pain and Disability Drivers Management (PDDM) model, which aims to identify the domains driving pain and disability to guide clinical decisions. The objectives of this study were to determine the applicability of the PDDM model to a LBP population and the feasibility of conducting a pragmatic trial, as well as to explore clinicians’ perceived acceptability of the PDDM model’s use in clinical settings. Methods This study was an one-arm prospective feasibility trial. Participants included physiotherapists working with a population suffering from LBP and their patients aged 18 years or older presenting with a primary complaint of LBP that sought a new referral and deemed fit for rehabilitation from private and public clinical settings. Clinicians participated in a one-day workshop on the integration of the PDDM model into their clinical practice, and were asked to report various LBP-related outcomes via self-reported questionnaires (i.e., impact of pain on physical function, nervous system dysfunctions, cognitive-emotional factors, work disabilities) at baseline and at six-week follow-up. Physiotherapists’ acceptability of the use of the PDDM model and appreciation of the training were assessed via semi-structured phone interviews. Analyses focused on a description of the model’s applicability to a LBP population, feasibility outcomes and acceptability measures. Results Applicablity of the PDDM model was confirmed since it successfully established the profile of patients according to the elements of each categories, and each of the 5 domains of the model was represented among the study sample. Trial was deemed feasible contingent upon few modifications as our predefined success criteria for the feasibility outcomes were met but feasibility issues pertaining to data collection were highlighted. Twenty-four (24) clinicians and 61 patients were recruited within the study’s timeframe. Patient’s attrition rate (29%) and clinicians’ compliance to the study protocol were adequate. Clinicians’ perceived acceptability of the use of the model in clinical settings and their appreciation of the training and online resources were both positive. Recommendations to improve the model’s integration in clinical practice, content of the workshop and feasibility of data collection methods were identified for future studies. A positive effect for all patients’ reported outcome measures were also observed. All outcome measures except for the PainDetect questionnaire showed a statistically significant reduction post-intervention (p<0.05). Conclusion These findings provide preliminary evidence of the potential of the PDDM model to optimize LBP management as well as conducting a future larger-scale pragmatic trial to determine its effectiveness. Trial registration Clinicaltrial.gov: NCT03949179.

Novel Approach for Objective Quantification of Locomotor Disturbaces in Low Back Pain

2019 ◽  
Author(s):  
Emil Milushev ◽  
Svetlozar Haralanov ◽  
Evelina Haralanova ◽  
Sava Ognianov ◽  
Ivan Milanov
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Novel Approach ◽  
Objective Quantification

scholarly journals Contribution of ICF on the functionality of individuals with chronic low back pain.

2015 ◽  
Vol 13 ◽  
pp. 325
Author(s):  
Bárbara Cordeiro Santos ◽  
Karoleen Oswald Scharan ◽  
Mariane Benicio Fontana ◽  
Auristela Duarte de Lima Moser
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Clinical Settings ◽  
Low Back ◽  
Functional Profile ◽  
Biopsychosocial Perspective

Introduction: The use of the International Classification of Functioning, Disability and Health (ICF) in clinical settings has been emphasized with the objective of establishing a standardized language among professionals, as well as to collect and interpret related results to health and states related to it in different cultures from a biopsychosocial perspective. Objective: To define the functional profile of from patients with chronic low back pain based on the International Classification of functioning, disabilities and health (ICF). Method: During February-March of 2014 a functional questionnaire based on the ICF was applied for 42 adults. Results: The mean age was 47.8 (± 16.9) years, with predominance of women (69%). Two categories and one subcategory represented higher percentage of difficulty: Using transport (54.8%), Household tasks (62.5%) and Bending (69.1%). In Environmental Factors, 50% of the sample reported having difficulty accessing public environments. The categories of self-care domain did not show high percentage of difficulty. Conclusion: The use of the functional questionnaire was able to determine the functional profile of the subjects, contributing to subsidize interventions in a program of Back School. Approaches may be more targeted based on codes where there were greater difficulties and may be more specific to participants daily life.

scholarly journals Lumbo-Pelvic and Lower Limb Joint Kinematics in Subjects with and Without Low Back Pain: A Protocol for Systematic Review

2021 ◽  
Author(s):  
Fatemeh Ghasemi Dehcheshme ◽  
Massoud Arab ◽  
Mohammad Reza Nourbakhsh
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Lower Limb ◽  
Lower Limbs ◽  
Reference List ◽  
Low Back ◽  
Healthy Individuals ◽  
Newcastle Ottawa Scale ◽  
Kinematic Assessment

Abstract Background Low back pain (LBP) is one of the leading causes of disability worldwide. While its main cause is mostly unknown, more than 80% of people experience this disorder during their lifetime .Some clinical evidence suggests that people with chronic LBP have various lower extremity movement disorders. This study aims to systematically review the literature on comparing the kinematics of the lumbopelvic region and lower limb joints in people with non-specific low back pain (NS-LBP) compared to healthy individuals. Methods/design: We will search main electronic databases (Medline/PubMed, Scopus, Embase, Web of Science, Pedro, ProQuest and Google Scholar) and two key journals (Journal of Electromyography and Kinesiology, Clinical Biomechanics). Also, the reference list of the previous systematic reviews would be hand-searched. Studies that have examined the kinematic differences in lumbopelvic or lower limbs between NS-LBP and healthy individuals will be included. We will examine the methodological quality and statistical reporting of each eligible trial using the Newcastle – Ottawa Scale (NOS). Discussion To our knowledge, this study will be the first systematic review to examine the kinematic differences of the lower limb joints and pelvic complex between healthy people and NS-LBP. Since the kinematic assessment of the lower extremities and pelvic joints during daily activities may help understand underlying factors causing LBP, it is important to evaluate the kinematic changes in these regions, during repetitive daily functions in these patients. Systematic review registration: PROSPERO (CRD42021230826)

scholarly journals Home-based fundamental approach to alleviate low back pain using myofascial release, stretching, and spinal musculature strengthening during the COVID-19 pandemic

Work ◽  
2020 ◽  
Vol 67 (1) ◽  
pp. 11-19
Author(s):  
Ardalan Shariat ◽  
Albert T. Anastasio ◽  
Sahar Soheili ◽  
Mitch Rostad
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Sedentary Behavior ◽  
Ease Of Use ◽  
Low Back ◽  
Myofascial Release ◽  
Work Related ◽  
Viral Spread ◽  
Lower Back ◽  
Novel Approach

BACKGROUND: The COVID-19 pandemic has caused global adoption of stay-at-home mandates in an effort to curb viral spread. This lockdown has had the unintended consequence of decreasing physical activity, and incidence of low back pain (LBP) is likely to rise as sedentary behavior increases. OBJECTIVE: In this article, we aim to provide a fundamental, novel approach to alleviate LBP including desk worker associated LBP exacerbated during the COVID-19 pandemic. METHODS: Individuals can alleviate their LBP through a simplistic, self-therapeutic approach: myofascial release and stretching of key musculature involved in LBP following a simple technique and associated time domain, as well as a 360-degree strengthening of the muscles surrounding the lower back. Additional muscular strength will support the lower back and lend resilience to aid in the mitigation of pain caused by poor work-related postural positions. RESULTS: We demonstrate several exercises and movements aimed at alleviating LBP. Additionally, we provide a summary graphic which facilitates ease of use of the exercise plan and represents a novel methodology for simple distribution of evidence-based pain reduction strategies. CONCLUSIOS: Through mitigation of sedentary behavior and adoption of the techniques described herein, LBP can be decreased and, in some cases, cured.

Dual regression: a novel approach to resting-state fMRI analysis in low back pain

2013 ◽  
Vol 14 (4) ◽  
pp. S48
Author(s):  
P. Ng ◽  
H. Jiang ◽  
W. Shirer ◽  
M. Greicius ◽  
S. Mackey
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Resting State ◽  
Resting State Fmri ◽  
Low Back ◽  
Novel Approach ◽  
Dual Regression ◽  
Fmri Analysis
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