The Association of Mild-Moderate Isthmic Lumbar Spondylolisthesis and Low Back Pain in Middle-aged Patients Is Weak and It Only Occurs in Women

Spine ◽  
1993 ◽  
Vol 18 (11) ◽  
pp. 1496-1503 ◽  
Author(s):  
Lauri Virta ◽  
Tapani Rönnemaa
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Middle Aged ◽  
Aged Patients ◽  
Lumbar Spondylolisthesis

scholarly journals Lumbosacral Angle Variations in Middle Aged Patients with Chronic Low Back Pain - A Retrospective Study

2021 ◽  
Vol 8 (04) ◽  
pp. 208-212
Author(s):  
Ushnish Mukherjee ◽  
Sourav Kundu ◽  
Rachit Gulati ◽  
Prabir Mandal
Keyword(s):  
Body Mass Index ◽  
Low Back Pain ◽  
Back Pain ◽  
Retrospective Study ◽  
Chronic Low Back Pain ◽  
Significant Positive Correlation ◽  
P Value ◽  
Low Back ◽  
Middle Aged ◽  
Aged Patients

BACKGROUND Chronic low back pain (CLBP) is one of the common debilitating condition in middle-age population. Often the pain is "non-specific" or related to mechanical origin; so, often it is termed as chronic mechanical low back pain. Among the various predisposing factors, abnormal lumber lordosis is more often seen. Radiographic assessment of lumbar lordosis can be done by measuring lumbosacral angle (LSA). Therefore, study of variations in LSA among these patients can give important clues in both pathogenesis and management. The aim of the study is to determine different factors leading to the variations of lumbosacral angle amongst the middle-aged patients presenting with chronic mechanical low back pain. METHODS This retrospective study was conducted by analysing records of 105 CLBP patients of both sex (male = 32, female = 73) in the age group of 45 - 65 years. LSA was directly measured digitally by Ferguson technique from the selected patients’ lateral lumbosacral radiographs. Data was collected in Microsoft Excel 2016 and analysis was done with International Business Machines Statistical Package for the Social Sciences (IBM SPSS) Statistics version 23. RESULTS The difference in median of LSA of male [Median (IQR) = 37.00 (10.00)] and female [Median (IQR) = 45.00 (8.50)] patients was statistically significant (p-value 0.000). Significant positive correlation was also found between LSA and BMI for both sexes, but more in case of female (Spearman’s rho 0.806 p = 0.000) than male (Spearman’s rho 0.680 p-value 0.000). CONCLUSIONS Variation of LSA was found to have significant relations with sex and body mass index (BMI), but not with the age. Statistically significant positive correlation between LSA and BMI alongside higher BMI of the females in the study group suggested that they are more prone to develop CLBP. To formulate proper rehabilitation protocol for middle aged CLBP patients, LSA variations and related factors can be kept in mind. KEYWORDS Chronic Low Back Pain (CLBP), Lumbosacral Angle (LSA), Lordosis, Rehabilitation, Body Mass Index, Lordosis, Spine, Radiography, Rehabilitation

Relationship between Low Back Pain and Stress Urinary Incontinance in Middle - Aged Women

2021 ◽  
Vol 89 (9) ◽  
pp. 1945-1949
Author(s):  
HEBA A. KHEDER, M.Sc.; MOHAMED A. AWAD, Ph.D. ◽  
MARWA E. HASANIN, Ph.D.; AHMED M. SAEED, M.D.
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Middle Aged

scholarly journals Short-Term impacts of pulsed electromagnetic field therapy in middle-aged university’s employees with non-specific low back pain: A pilot study

2019 ◽  
Vol 35 (4) ◽  
Author(s):  
Nermeen Mohamed Abdelhalim ◽  
Ahmed Fathy Samhan ◽  
Walid Kamal Abdelbasset
Keyword(s):  
Electromagnetic Field ◽  
Low Back Pain ◽  
Back Pain ◽  
Outcome Measures ◽  
Low Back ◽  
Pulsed Electromagnetic Field ◽  
Middle Aged ◽  
Short Term ◽  
Pulsed Electromagnetic ◽  
Pulsed Electromagnetic Field Therapy

Objective: Non-specific low back pain (non-specific LBP) is common problem between office-work employees. This study aimed to evaluate the short-term impacts of Pulsed Electromagnetic Field (PEMF) therapy in the treatment of non-specific LBP symptoms as pain, back mobility, LBP disabilities, and Health–Related Quality of Life (HRQOL). Methods: Forty-two University’s employees with non-specific LBP and aged from 35 to 55 years who participated in this study from January to June 2018 were divided into two groups: group A; received PEMF therapy and group B; received sham treatment. The outcome measures were; numerical rating scale, Modified Oswestry LBP Disability Score, Modified Schober test, and the Short Form-36 questionnaire. Evaluations were performed for both groups before and after finishing treatment. Results: All outcome measures were significantly improved statistically in the experimental group at the end of the intervention (p<0.05). On the other hand, there were non-significant differences in all outcome measures in the sham group (p>0.05). Conclusions: PEMT therapy may decrease pain, LBP disability, increase lumbar spine mobility, and improve HRQOL in middle-aged university’s employees with nonspecific LBP. doi: https://doi.org/10.12669/pjms.35.4.49 How to cite this:Abdelhalim NM, Samhan AF, Abdelbasset WK. Short-Term impacts of pulsed electromagnetic field therapy in middle-aged university’s employees with non-specific low back pain: A pilot study. Pak J Med Sci. 2019;35(4):---------.  doi: https://doi.org/10.12669/pjms.35.4.49 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Clinical Results of Instrumentation Reduction and Posterolateral Fusion After Decompression of Symptomatic Lumbar Spondylolisthesis

1998 ◽  
Vol 02 (02) ◽  
pp. 109-122
Author(s):  
Kam Kong Chan
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Clinical Results ◽  
Fusion Rate ◽  
Radicular Pain ◽  
Posterolateral Fusion ◽  
Low Back ◽  
Loss Of Reduction ◽  
Grade Ii ◽  
Lumbar Spondylolisthesis

From July 1990 to June 1993, 35 patients suffering lumbar spondylolisthesis (21 degenerative; 14 isthmic) were operated on and reviewed. They all had single-level involvement either L4-5 or L5-S1 and only this level was confined for operation. The operative procedures included decompression, posterolateral fusion and pedicle screw instrumentation for fixation and reduction of the vertebral slip. The age ranged from 42 to 65 years old, with an average of 55 years. There were 21 patients with grade 1 slip; 13 with grade II; and 1 with grade III. The follow-up periods ranged from 30 to 55 months with an average of 42 months. The clinical results were evaluated according to the improvement of low back pain, radicular pain, claudication and the incidence of fusion. Twenty-four patients (74%) were rated good to excellent and the fusion rate was 88%. However, there were 16 patients who still suffered from significant low back pain and who had reportd that such pain adversely affected the rating of clinical result. Loss of reduction were found in 16 patients, but there was no difference in clinical outcome between patients with or without reduction loss after the operation. The purpose of this paper is to report the clinical outcomes of the treatment of symptomatic spondylolisthesis with decompression, posterolateral fusion and instrumental reduction of the slip. The incidence of reduction loss and the prevalence of remaining low back pain are two important factors to consider in doing such reduction procedure. We inferred that slip reduction may not be a worthwile procedure in the treatment of adult spondylolisthesis if ordinary posterolateral fusion with short segment instrumentation is contemplated.

Is there a relationship between occupational activities and low back pain in obese, middle-aged women?

Climacteric ◽  
2013 ◽  
Vol 17 (1) ◽  
pp. 87-91 ◽  
Author(s):  
D. M. Urquhart ◽  
P. P. Phyomaung ◽  
A. E. Wluka ◽  
M. R. Sim ◽  
A. Forbes ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Middle Aged ◽  
Occupational Activities

scholarly journals Effects of Lumbar Stability and Hip Joint Mobility Exercise with Pilates Devices on Pain Level and Muscle-Joint Function in Middle-Aged Women with Chronic Low Back Pain

2021 ◽  
Vol 30 (4) ◽  
pp. 547-555
Author(s):  
Da Eun Park ◽  
Seung Kil Lim
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
External Rotation ◽  
Low Back ◽  
Pain Level ◽  
Middle Aged ◽  
Joint Function ◽  
Oswestry Disability Index Score ◽  
Significant Difference

PURPOSE: This study aimed to compare the effects of 10 weeks of lumbar stability and hip mobility exercises using Pilates devices on pain level and muscle joint function in middle-aged women with chronic low back pain (CLBP). Further, we aimed to investigate the efficacy of Pilates hip mobility exercise (HME) as an exercise for improving CLBP in middle-aged women by comparing the effectiveness of lumbar stability exercise (LSE) and HME.METHODS: Thirty-two middle-aged women with CLBP were enrolled and randomly divided and placed into two groups: the LSE group (n=16) and HME group (n=16). Both groups performed Pilates exercises for 50 minutes twice a week for 10 weeks.RESULTS: The Korean Oswestry Disability Index score in both the LSE and HME groups decreased at 5 weeks (p<.05). Hip internal rotation range of motion (ROM) and external rotation ROM increased at 5 and 10 weeks in both the LSE and HME groups (p<.01). Lumbar mobility increased at 5 weeks in both the LSE (p<.01) and HME groups (p<.001). Lumbar stability in the prone plank test significantly increased at 5 weeks in the LSE group (p<.001) and at 5 and 10 weeks in the HME group (p<.001). Lumbar stability by the side plank test significantly increased at 5 and 10 weeks in both the LSE and HME groups (p<.001).CONCLUSIONS: We found that using Pilates to perform both LSE and HME helped relieve back pain and improve muscle joint function in middle-aged women with CLBP. There was no significant difference between LSE and HME in terms of efficacy. HME is a highly effective exercise for improving CLBP in middle-aged women.

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