ASSOCIATION OF NON-SPECIFIC LOW BACK PAIN AND DISABILITY INDEX WITH LOWER EXTREMITY ALIGNMENT FACTORS

Context: Decreased hamstring flexibility can lead to a plethora of musculoskeletal injuries, including low back pain, hamstring strains, and patellofemoral pain. Lack of flexibility may be the result of myofascial adhesions. The fascia connected to the hamstrings is part of the superficial back line that runs from the cranium to the plantar aspect of the foot. Any disruption along this chain may limit the flexibility of the hamstring. Objective: To investigate if self-myofascial release (SMR) of the plantar surface of the foot in addition to the hamstring group was more effective at improving the flexibility of the hamstrings when compared with either intervention alone. Design: Cross-over study. Setting: Athletic training facility. Participants: Fifteen college students (5 males and 10 females; age: 20.9 [1.4] y, height: 173.1 [10.3] cm, mass: 80.0 [24.9] kg) who were not older than 30, with no history of low back pain or injury within the past 6 months, no history of leg pain or injury within the past 6 months, no current signs or symptoms of cervical or lumbar radicular pain, no current complaint of numbness or tingling in the lower-extremity, and no history of surgery in the lower-extremity or legs. Interventions: Each participant received each intervention separated by at least 96 hours in a randomized order: hamstring foam rolling, lacrosse ball on the plantar surface of the foot, and a combination of both. Main Outcome Measures: The sit-and-reach test evaluated hamstring flexibility of each participant before and immediately after each intervention. Results: There were no significant differences found among the SMR techniques on sit-and-reach distance (F2,41 = 2.7, P = .08, ). However, at least 20% of participants in each intervention improved sit-and-reach distance by 2.5 cm. Conclusions: SMR may improve sit-and-reach distance, but one technique of SMR does not seem to be superior to another.

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96. A Study on Low Back Pain and Sciatica with Special Reference to Hemodynamic Study of Low Back and Lower Extremity Muscles

Neurologia medico-chirurgica ◽

10.2176/nmc.9.139 ◽

1967 ◽

Vol 9 ◽

pp. 139-139

Author(s):

Tadaatsu ITO ◽

Takashi NAKAGAWA ◽

Hideyuki ICHISEKI ◽

Shoichi OBINATA ◽

Makoto WATANABE ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lower Extremity ◽

Special Reference ◽

Low Back ◽

Hemodynamic Study

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Low back pain in persons with lower extremity amputation: a systematic review of the literature

The Spine Journal ◽

10.1016/j.spinee.2018.08.011 ◽

2019 ◽

Vol 19 (3) ◽

pp. 552-563 ◽

Cited By ~ 12

Author(s):

M. Jason Highsmith ◽

Lisa M. Goff ◽

Amanda L. Lewandowski ◽

Shawn Farrokhi ◽

Brad D. Hendershot ◽

...

Keyword(s):

Systematic Review ◽

Low Back Pain ◽

Back Pain ◽

Lower Extremity ◽

Lower Extremity Amputation ◽

Low Back ◽

Review Of The Literature ◽

Extremity Amputation

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High prevalence of low back pain among young basketball players with lower extremity pain: a cross-sectional study

BMC Sports Science Medicine and Rehabilitation ◽

10.1186/s13102-020-00189-6 ◽

2020 ◽

Vol 12 (1) ◽

Author(s):

Yutaka Yabe ◽

Yoshihiro Hagiwara ◽

Takuya Sekiguchi ◽

Haruki Momma ◽

Masahiro Tsuchiya ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lower Extremity ◽

Cross Sectional Study ◽

Low Back ◽

Sectional Study ◽

Basketball Players ◽

Cross Sectional ◽

Lower Extremity Pain ◽

High Prevalence

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Diagnostic accuracy of self-report and subjective history in the diagnosis of low back pain with non-specific lower extremity symptoms: A systematic review

Manual Therapy ◽

10.1016/j.math.2014.08.002 ◽

2015 ◽

Vol 20 (1) ◽

pp. 18-27 ◽

Cited By ~ 10

Author(s):

Susan Shultz ◽

Kristina Averell ◽

Angela Eickelman ◽

Holly Sanker ◽

Megan Burrowbridge Donaldson

Keyword(s):

Systematic Review ◽

Low Back Pain ◽

Back Pain ◽

Lower Extremity ◽

Diagnostic Accuracy ◽

Self Report ◽

Low Back

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Systematic Review of Effectiveness and Complications of Adhesiolysis in the Management of Chronic Spinal Pain: An Update

January 2018 - Pain Physician ◽

10.36076/ppj.2007/10/129 ◽

2007 ◽

Vol 1;10 (1;1) ◽

pp. 129-146

Author(s):

Andrea M Trescot

Keyword(s):

Systematic Review ◽

Low Back Pain ◽

Back Pain ◽

Lower Extremity ◽

Randomized Trials ◽

Spinal Pain ◽

Low Back ◽

Short Term ◽

Lower Extremity Pain

Background: Percutaneous epidural adhesiolysis and spinal endoscopic adhesiolysis are interventional pain management techniques used to treat patients with refractory low back pain due to epidural scarring. Standard epidural steroid injections are often ineffective, especially in patients with prior back surgery. Adhesions in the epidural space can prevent the flow of medicine to the target area; lysis of these adhesions can improve the delivery of medication to the affected areas, potentially improving the therapeutic efficacy of the injected medications. Study Design: A systematic review utilizing the methodologic quality criteria of the Cochrane Musculoskeletal Review Group for randomized trials and the criteria established by the Agency for Healthcare Research and Quality (AHRQ) for evaluation of randomized and non-randomized trials. Objective: To evaluate and update the effectiveness of percutaneous adhesiolysis and spinal endoscopic adhesiolysis in managing chronic low back and lower extremity pain due to radiculopathy, with or without prior lumbar surgery, since the 2005 systematic review. Methods: Basic search identified the relevant literature, in the MEDLINE, EMBASE, and BioMed databases (November 2004 to September 2006). Manual searches of bibliographies of known primary and review articles, and abstracts from scientific meetings within the last 2 years were reviewed. Randomized and non-randomized studies are included in the review based on criteria established. Percutaneous adhesiolysis and endoscopic adhesiolysis are analyzed separately. Outcome Measures: The primary outcome measure was significant pain relief (50% or greater). Other outcome measures were functional improvement, improvement of psychological status, and return to work. Short-term relief was defined as less than 3 months, and long-term relief was defined as 3 months or longer. Results: Studies regarding the treatment of epidural adhesions for the treatment of low back and lower extremity pain were sought and reviewed. The evidence from the previous systematic review was combined with new studies since November 2004. There is strong evidence for short term and moderate evidence for long term effectiveness of percutaneous adhesiolysis and spinal endoscopy. Conclusion: Percutaneous adhesiolysis and spinal endoscopy may be effective interventions to treat low back and lower extremity pain caused by epidural adhesions. Key Words: Spinal pain, chronic low back pain, percutaneous adhesiolysis, spinal endoscopic adhesiolysis, spinal stenosis, post lumbar laminectomy syndrome, epidural fibrosis, epidural adhesions, caudal neuroplasty.

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Characteristics of Relief and Residual Low Back Pain After Discectomy in Patients With Lumbar Disc Herniation: Analysis Using a Detailed Visual Analogue Scale

10.21203/rs.3.rs-50029/v1 ◽

2020 ◽

Author(s):

Hiroshi Takahashi ◽

Yasuchika Aoki ◽

Masahiro Inoue ◽

Junya Saito ◽

Arata Nakajima ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lower Extremity ◽

Lumbar Disc Herniation ◽

Lumbar Disc ◽

Low Back ◽

Affected Side ◽

Before And After ◽

Changes Over Time ◽

Over Time

Abstract Background: Recently, several authors have reported favorable results in low back pain (LBP) for patients with lumbar disc herniation (LDH) treated with discectomy. However, detailed changes over time in the characteristics and location of LBP before and after discectomy for LDH remain unclear. To clarify these points, we conducted an observational study to evaluate the detailed characteristics and location of LBP before and after discectomy for LDH, using detailed and bilateral visual analog scales (VAS).Methods: Sixty-five patients with LDH treated with discectomy were included in this study. A detailed VAS for LBP was administered under 3 different postural conditions: in-motion, standing, and sitting. Bilateral VAS was also administered (affected versus opposite side) for LBP, lower extremity pain (LEP), and lower extremity numbness (LEN). The Oswestry Disability Index (ODI) was used to quantify clinical status. Changes over time in these VAS and ODI were investigated. Pfirrmann classification and Modic change as seen by magnetic resonance imaging (MRI) were reviewed before and 1 year after discectomy to evaluate disc and endplate condition.Results: Before surgery, LBP on the affected side in motion were significantly higher than LBP while sitting. This heightened LBP on the affected side in motion was significantly improved after discectomy. On the other hand, the residual LBP while sitting at 1 year after surgery was significantly higher than the LBP in motion or while standing. At 1 year following discectomy, residual LBP while sitting was significantly greater in cases showing larger changes in Pfirrmann grade or Modic type.Conclusions: Improvement of LBP on the affected side while in motion following discectomy suggests that radicular LBP is improved by nerve root decompression. Furthermore, the finding that residual LBP while sitting is reflective of the load and pressure put on the disc and endplate.

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