Low back pain assessment application for construction workers

2015 ◽  
Vol 13 (3) ◽  
pp. 419-434
Author(s):  
H.O. Adeyemi ◽  
S.B. Adejuyigbe ◽  
S.O. Ismaila ◽  
A.F. Adekoya
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Expert System ◽  
Correlation Coefficient ◽  
Fuzzy Inference ◽  
First Aid ◽  
Low Back ◽  
Inference System ◽  
Content Type ◽  
Predicted Risk

Purpose – The purpose of this paper is to develop an expert system capable of assessing risk associated with manual lifting in construction tasks and proffer some first aid advices which are comparable with those obtainable from human experts. Design/methodology/approach – The expert system, musculoskeletal disorders – risk evaluation expert system (MSDs-REES), used Microsoft.Net C# programming language to write the algorithm of the fuzzy inference system with variables load, posture and frequency of lift as inputs and risk of low back pain as the output. The algorithm of the inference engine applied sets of rules to generate the output variable in crisp value. Findings – The result of validation, between the human experts’ calculated risk values and MSDs-REES-predicted risk values, indicated a correlation coefficient of 0.87. Between the predicted risk values generated using MSDs-REES and the existing package (MATLAB version 7.8), there was a strong positive relationship statistically with correlation coefficient of 0.97. Originality/value – The study provided a very simple expert system which has the ability to provide some medical-related injury prevention advice and first aid information for injury management, giving it a unique attribute over the existing applications.

scholarly journals Reliability, Stability and Validity of the Brazilian Adaptation of the Oliveira Questionnaire on Low Back Pain in Young People

2017 ◽  
Vol 30 (10) ◽  
pp. 691 ◽  
Author(s):  
Debora Soccal Schwertner ◽  
Raul Oliveira ◽  
Ana Paula Ramos Marinho ◽  
Magnus Benetti ◽  
Thais Silva Beltrame ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Young People ◽  
Correlation Coefficient ◽  
Internal Consistency ◽  
Low Back ◽  
Intra Class Correlation ◽  
Brazilian Version ◽  
Spearman’S Correlation ◽  
Intra Class Correlation Coefficient

Introduction: The objective of this study was to adapt the Brazilian version, and verify the validity, reliability and internal consistency of the Oliveira questionnaire on low back pain in young people.Material and Methods: The questionnaire was translated from European Portuguese into Brazilian Portuguese by means of translation and re-translation. The validity of the contents was determined by experts who analyzed the clarity and pertinence of the questions. Fifteen young people aged 15 to 18 took part in the pre-test step (qualitative analysis), 40 in the test-retest (reliability) and 679 in the evaluation of internal consistency. The intra-class correlation coefficient and Spearman’s correlation coefficient were used in the reliability analysis (test-retest), and Cronbach’s alpha to determine the internal consistency (stability).Results: In the translation phase the questionnaire was modified and considered suitable, observing similarity and equivalence of the two versions. After being corrected by the experts in the validation of the contents, the instrument was considered suitable and valid, and in the pre-test, the young people suggested some modifications to make the questionnaire more succinct. With respect to reliability, the values for the intra-class correlation coefficient were between 0.512 – acceptable and 1 – excellent and Spearman’s correlation coefficient varied between 0.525 and 1, classifying the instrument as reproducible. The internal consistency was considered acceptable with a 0.757 Cronbach’s alpha.Discussion: The Oliveira questionnaire was choosen since it has been used in several Portuguese studies; moreover, it addresses the need to raise data regarding low back pain and associated risk factors.Conclusions: The Brazilian version of the Oliveira questionnaire on low back pain in young people showed valid and reliable cultural adaptation, with good reliability and stability.

scholarly journals Translation, Cross-Cultural Adaptation, and Validation of the Portuguese Version of the Rotterdam Elderly Pain Observation Scale

2021 ◽  
pp. 314-323
Author(s):  
Julieta Seixas-Moizes ◽  
Anneke Boerlage ◽  
Érica Negrini Lia ◽  
Lucas Emmanuel Lopes e Santos ◽  
Miriane Lucindo Zucoloto ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Correlation Coefficient ◽  
Health Professionals ◽  
Cultural Adaptation ◽  
Healthcare Professionals ◽  
Rating Scale ◽  
Low Back ◽  
Portuguese Version ◽  
Observation Scale

<b><i>Introduction:</i></b> This study reports on the translation, cultural adaptation, and validation of a Portuguese version of the Rotterdam Elderly Pain Observation Scale (REPOS), a Dutch scale to assess pain in patients who cannot communicate, with or without dementia. <b><i>Methods:</i></b> This is a multicenter study in pain and neurological units involving Brazil (clinical phase) and the Netherlands (training phase). We performed a retrospective cross-sectional, 2-staged analysis, translating and culturally adapting the REPOS to a Portuguese version (REPOS-P) and evaluating its psychometric properties. Eight health professionals were trained to observe patients with low back pain. REPOS consists of 10 behavioral items scored as present or absent after a 2-min observation. The REPOS score of ≥3 in combination with the Numerical Rating Scale (NRS) of ≥4 indicated pain. The Content Validity Index (CVI) in all items and instructions showed CVI values at their maximum. According to the higher correlation coefficient found between NRS and REPOS-P, it may be suggested that there was an adequate convergent validity. <b><i>Results:</i></b> The REPOS-P was administered to 80 patients with a mean age of 60 years (SD 11.5). Cronbach’s alpha coefficient showed a moderate internal consistency of REPOS-P (α = 0.62), which is compatible with the original study of REPOS. All health professionals reached high levels of interrater agreement within a median of 10 weeks of training, assuring reproducibility. Cohen’s kappa was 0.96 (SD 0.03), and the intraclass correlation coefficient was 0.98 (SD 0.02), showing high reliability of REPOS-P scores between the trainer (researcher) and the trainees (healthcare professionals). The Pearson correlation coefficient was 0.95 (95% confidence interval 0.94–0.97), showing a significant correlation between the total scores of REPOS-P and NRS. <b><i>Conclusion:</i></b> The REPOS-P was a valuable scale for assessing elderly patients with low back pain by different healthcare professionals. Short application time, ease of use, clear instructions, and the brief training required for application were essential characteristics of REPOS-P.

Dermoid tumors of the spinal cord

1970 ◽  
Vol 33 (6) ◽  
pp. 676-681 ◽  
Author(s):  
Ian C. Bailey
Keyword(s):  
Spinal Cord ◽  
Low Back Pain ◽  
Back Pain ◽  
Cauda Equina ◽  
Complete Removal ◽  
Cord Compression ◽  
Conus Medullaris ◽  
Low Back ◽  
Content Type ◽  
Fine Print

✓ This is an analysis of 10 cases of dermoid tumor occurring in the spinal canal (8 lumbar and 2 thoracic). Low-back pain was the commonest presenting symptom, especially if the tumor was adherent to the conus medullaris. Other complaints included urinary dysfunction and motor and sensory disturbances of the legs. Clinical and radiological evidence of spina bifida was found in about half of the cases and suggested the diagnosis of a developmental type of tumor when patients presented with progressive spinal cord compression. At operation, the tumors were often found embedded in the conus medullaris or firmly adherent to the cauda equina, thus precluding complete removal. Evacuation of the cystic contents, however, gave lasting relief of the low-back pain and did not cause any deterioration in neurological function. In a follow-up study, ranging from 1 to 15 years, virtually no improvement in the neurological signs was observed. On the other hand, only one case has deteriorated due to recurrence of tumor growth.

scholarly journals Psychometric evaluation of a brazilian portuguese version of the spitzer quality of life index in patients with low back pain

2008 ◽  
Vol 16 (6) ◽  
pp. 943-950 ◽  
Author(s):  
Rafaela Cunha Matheus Rodrigues Toledo ◽  
Neusa Maria Costa Alexandre ◽  
Roberta Cunha Matheus Rodrigues
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Correlation Coefficient ◽  
Low Back ◽  
Life Index ◽  
Sf 36 ◽  
Quality Of Life Index ◽  
Test Retest Reliability

The purpose of this study was to adapt the Spitzer Quality of Life Index and evaluate its reliability in patients with low back pain. The following steps were followed: translation, back-translation, evaluation by a committee, and pretest. The reliability was estimated through stability and homogeneity assessment. The validity was tested comparing scores of the Spitzer (QLI) with the SF-36 and the Roland-Morris. The psychometric properties were evaluated by the self-application on 120 patients. Results showed that the Cronbach's Alpha was 0.77. Intraclass correlation coefficient for test-retest reliability was 0.960 (p<0.001; IC95%: 0.943; 0.972). Spearman´s correlation coefficient for test-retest reliability was 0.937 (p<0.001). There was significant correlation between the Spitzer (QLI) scores and the dimensions of the SF-36. A significant negative correlation was found between the Spitzer (QLI) and the Roland-Morris scores (r = - 0.730). The adaptation process was conducted successfully and the questionnaire presented reliable psychometric measures.

Nonsurgically managed patients with degenerative spondylolisthesis: a 10- to 18-year follow-up study

2000 ◽  
Vol 93 (2) ◽  
pp. 194-198 ◽  
Author(s):  
Shunji Matsunaga ◽  
Kosei Ijiri ◽  
Kyoji Hayashi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Clinical Symptoms ◽  
Degenerative Spondylolisthesis ◽  
Low Back ◽  
Indications For Surgery ◽  
Initial Examination ◽  
Content Type ◽  
Fine Print

Object. Controversy exists concerning the indications for surgery and choice of surgical procedure for patients with degenerative spondylolisthesis. The goals of this study were to determine the clinical course of nonsurgically managed patients with degenerative spondylolisthesis as well as the indications for surgery. Methods. A total of 145 nonsurgically managed patients with degenerative spondylolisthesis were examined annually for a minimum of 10 years follow-up evaluation. Radiographic changes, changes in clinical symptoms, and functional prognosis were surveyed. Progressive spondylolisthesis was observed in 49 patients (34%). There was no correlation between changes in clinical symptoms and progression of spondylolisthesis. The intervertebral spaces of the slipped segments were decreased significantly in size during follow-up examination in patients in whom no progression was found. Low-back pain improved following a decrease in the total intervertebral space size. A total of 84 (76%) of 110 patients who had no neurological deficits at initial examination remained without neurological deficit after 10 years of follow up. Twenty-nine (83%) of the 35 patients who had neurological symptoms, such as intermittent claudication or vesicorectal disorder, at initial examination and refused surgery experienced neurological deterioration. The final prognosis for these patients was very poor. Conclusions. Low-back pain was improved by restabilization. Conservative treatment is useful for patients who have low-back pain with or without pain in the lower extremities. Surgical intervention is indicated for patients with neurological symptoms including intermittent claudication or vesicorectal disorder, provided that a good functional outcome can be achieved.

scholarly journals HUBUNGAN FREKUENSI HIDROTERAPI (POLL THERAPY) DENGAN TINGKAT KEKUATAN OTOT PADA PENDERITA LOW BACK PAIN (LBP) DI UMBUL TLATAR BOYOLALI

2021 ◽  
Vol 13 (01) ◽  
pp. 104
Author(s):  
Sutanta Sutanta ◽  
Habid HUBUNGAN FREKUENSI HIDROTERAPI (PO Al Hasbi ◽  
Dwi Riyani
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Correlation Coefficient ◽  
Negative Relationship ◽  
P Value ◽  
Low Back ◽  
Sample Number ◽  
Study Approach ◽  
Relationship Of ◽  
The Relationship

ABSTRAKLatar Belakang: Low back pain (LBP) dapat menyebabkan pembatasan activity faily living beraktifitas. Terapi pada penderita LBP salah satunya adalah  latihan fisik di air yaitu berenang. Berenang akan memperkuat otot-otot sekitar tulang belakang, mengurangi tekanan dari tulang dan struktur statis lainnya di punggung. Penelitian ini bertujuan untuk mengetahui hubungan frekuensi berenang dengan tingkat nyeri pada penderita LBP. Metode: Metode penelitian survai analitik, pendekatan studi retrospektif.  Populasi penelitian adalah seluruh penderita LBP yang berenang di kolam renang Umbul Tlatar Boyolali sejumlah 41 responden. Teknik sampling penelitian menggunakan accidental sampling. Jumlah sampel 34 responden. Analisis data univariate dan bivariat menggunakan sperman rho. Hasil: Frekuensi berenang pada penderita LBP rutin dan tidak rutin masing-masing sebanyak 17 responden (50%). Mayoritas tingkat nyeri dalam kategori nyeri berat yaitu 12 responden (35,3%). Ada hubungan frekuensi berenang dengan tingkat nyeri pada penderita LBP diperoleh nilai p-value 0,0001<0,05. Correlation Coefficient -0,610 yaitu kekuatan hubungan sedang dengan arah hubungan negatif. Simpulan:  Ada hubungan frekuensi berenang dengan tingkat nyeri pada penderita LBP kekuatan hubungan sedang dengan arah hubungan negatif. Hasil penelitian diharapkan menjadikan masukan untuk melakukan terapi berenang dalam mengurangi nyeri penderita LBP.Kata Kunci : Frekuensi berenang, tingkat nyeri, low back pain (LBP).THE RELATIONSHIP OF SWIMMING FREQUENCY WITH PAIN LEVELS IN LOW BACK PAIN PATIENTS IN UMBUL TLATAR BOYOLALIABSTRACTBackground: Low back pain (LBP) may cause activity faily living restrictions. Therapy in low back pain (LBP) is one of them is physical exercise in the water, namely swimming. Swimming will strengthen the muscles around the spine, reducing pressure from the bones and other static structures in the back. This study aims to find out the relationship of swimming frequency with pain levels in low back pain (LBP) sufferers. Method : Analytical survey research method, retrospective study approach.  The study population was all sufferers of low back pain (LBP) who swam in the pool Umbul Tlatar Boyolali a total of 41 respondents. Research sampling techniques use accidental sampling. Sample number of 34 respondents. Analysis of univariate and bivariate data using sperman rho. Result: Swimming frequency in patients with regular and unre routine Low back pain (LBP) of 17 respondents (50%). The majority of low back pain (LBP) patients in the category of severe pain were 12 respondents (35.3%). There is a relationship of swimming frequency with pain levels in low back pain (LBP) patients obtained a p-value value of 0.0001<0.05. Correlation Coefficient -0.610 i.e. the strength of moderate relationship with negative relationship direction. Conclusion : There is a relationship of swimming frequency with pain levels in low back pain (LBP) sufferers of moderate strength relationship with negative relationship direction. The results of the study are expected to make input to do swimming therapy in reducing low back pain (LBP).Keywords : Swimming frequency, pain level, low back pain (LBP).

Appropriate strategy selection for reliability-centered maintenance of one-shot systems using fuzzy model

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Meysam Azimian ◽  
Mahdi Karbasian ◽  
Karim Atashgar ◽  
Golam Kabir
Keyword(s):  
Expert System ◽  
Fuzzy Inference ◽  
Real Life ◽  
Fuzzy Model ◽  
Fuzzy Expert System ◽  
Inference System ◽  
Content Type ◽  
Reliability Centered Maintenance ◽  
Expert Team ◽  
Effective Decision Making

PurposeThis paper addresses special reliability-centered maintenance (RCM) strategies for one-shot devices by providing fuzzy inferences system with the assumption that, to data, there is no data available on their maintenance. As far as one-shot devices are concerned, the relevant data is inadequate.Design/methodology/approachIn this paper, a fuzzy expert system is proposed to effectively select RCM strategies for one-shot devices. In this research: (1) a human expert team is provided, (2) spatial RCM strategies for one-shot devices and parameters bearing upon those strategies are determined, (3) the verbal variables of the expert team are transformed into fuzzy sets, (4) the relationship between parameters and strategies are designed whereupon a model is developed by MATLAB software, (5) Finally, the model is applied to a real-life one-shot system.FindingsThe finding of this study indicates that the proposed fuzzy expert system can determine the parameters affecting the choice of the appropriate one-shot RCM strategies, and a fuzzy inference system can help for effective decision making.Originality/valueThe developed model can be used as a fast and reliable method for determining an appropriate one-shot RCM strategy, whose results can be relied upon with a suitable approximation in respect of the behavior test. To the best authors’ knowledge, this problem is not addressed yet.

Syndromes associated with protrusion of upper lumbar intervertebral discs

1973 ◽  
Vol 38 (4) ◽  
pp. 499-503 ◽  
Author(s):  
Paul Gutterman ◽  
Henry A. Shenkin
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Intervertebral Discs ◽  
Thigh Pain ◽  
Low Back ◽  
Good Recovery ◽  
Content Type ◽  
Anterior Thigh ◽  
Acute Paraplegia ◽  
Fine Print

✓ This report reviews a series of 69 patients operated on for herniations of upper lumbar intervertebral discs and identifies four syndromes related to the principal complaint. These are, in order of frequency, anterior thigh pain, low-back pain only, sciatica, and acute paraplegia. Overall, 78% had satisfactory relief of pain and 93% were improved following laminectomy. Satisfactory results were more common with protrusions at L3–4 than at L2–3. Patients in whom the onset was sciatica had a higher percentage of satisfactory results (94%) than those with anterior thigh pain (70%) or low-back pain alone (80%). Neither of the patients with a paraplegic onset had a good recovery even after removal of the extruded disc.

scholarly journals HUBUNGAN FREKUENSI HIDROTERAPI (POLL THERAPY) DENGAN TINGKAT KEKUATAN OTOT PADA PENDERITA STROKE DI UMBUL TLATAR BOYOLALI

2021 ◽  
Vol 13 (01) ◽  
pp. 104
Author(s):  
Sutanta . ◽  
Habid Al Hasbi ◽  
Dwi Riyani
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Correlation Coefficient ◽  
Negative Relationship ◽  
P Value ◽  
Low Back ◽  
Sample Number ◽  
Study Approach ◽  
Relationship Of ◽  
The Relationship

ABSTRAKLatar Belakang: Low back pain (LBP) dapat menyebabkan pembatasan activity faily living beraktifitas. Terapi pada penderita LBP salah satunya adalah  latihan fisik di air yaitu berenang. Berenang akan memperkuat otot-otot sekitar tulang belakang, mengurangi tekanan dari tulang dan struktur statis lainnya di punggung. Penelitian ini bertujuan untuk mengetahui hubungan frekuensi berenang dengan tingkat nyeri pada penderita LBP. Metode: Metode penelitian survai analitik, pendekatan studi retrospektif.  Populasi penelitian adalah seluruh penderita LBP yang berenang di kolam renang Umbul Tlatar Boyolali sejumlah 41 responden. Teknik sampling penelitian menggunakan accidental sampling. Jumlah sampel 34 responden. Analisis data univariate dan bivariat menggunakan sperman rho. Hasil: Frekuensi berenang pada penderita LBP rutin dan tidak rutin masing-masing sebanyak 17 responden (50%). Mayoritas tingkat nyeri dalam kategori nyeri berat yaitu 12 responden (35,3%). Ada hubungan frekuensi berenang dengan tingkat nyeri pada penderita LBP diperoleh nilai p-value 0,0001<0,05. Correlation Coefficient -0,610 yaitu kekuatan hubungan sedang dengan arah hubungan negatif. Simpulan:  Ada hubungan frekuensi berenang dengan tingkat nyeri pada penderita LBP kekuatan hubungan sedang dengan arah hubungan negatif. Hasil penelitian diharapkan menjadikan masukan untuk melakukan terapi berenang dalam mengurangi nyeri penderita LBP.Kata Kunci : Frekuensi berenang, tingkat nyeri, low back pain (LBP).THE RELATIONSHIP OF SWIMMING FREQUENCY WITH PAIN LEVELS IN LOW BACK PAIN PATIENTS IN UMBUL TLATAR BOYOLALIABSTRACTBackground: Low back pain (LBP) may cause activity faily living restrictions. Therapy in low back pain (LBP) is one of them is physical exercise in the water, namely swimming. Swimming will strengthen the muscles around the spine, reducing pressure from the bones and other static structures in the back. This study aims to find out the relationship of swimming frequency with pain levels in low back pain (LBP) sufferers. Method : Analytical survey research method, retrospective study approach.  The study population was all sufferers of low back pain (LBP) who swam in the pool Umbul Tlatar Boyolali a total of 41 respondents. Research sampling techniques use accidental sampling. Sample number of 34 respondents. Analysis of univariate and bivariate data using sperman rho. Result: Swimming frequency in patients with regular and unre routine Low back pain (LBP) of 17 respondents (50%). The majority of low back pain (LBP) patients in the category of severe pain were 12 respondents (35.3%). There is a relationship of swimming frequency with pain levels in low back pain (LBP) patients obtained a p-value value of 0.0001<0.05. Correlation Coefficient -0.610 i.e. the strength of moderate relationship with negative relationship direction. Conclusion : There is a relationship of swimming frequency with pain levels in low back pain (LBP) sufferers of moderate strength relationship with negative relationship direction. The results of the study are expected to make input to do swimming therapy in reducing low back pain (LBP).Keywords : Swimming frequency, pain level, low back pain (LBP).

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