Autotraction Treatment for Low-Back Pain Syndromes

Author(s):  
Luigi Tesio ◽  
Franco P. Franchignoni
Pain ◽  
1997 ◽  
Vol 69 (3) ◽  
pp. 269-278 ◽  
Author(s):  
Luigi Tesio ◽  
Carl V. Granger ◽  
Roger C. Fiedler

Cephalalgia ◽  
2005 ◽  
Vol 25 (8) ◽  
pp. 598-604 ◽  
Author(s):  
G Gesztelyi ◽  
D Bereczki

Pain syndromes are often associated with depression. In a prospective study we analysed if determinants of depression differ among patients with different primary headaches and between headaches and non-headache pain. During a 2-year period between 1 February 2002 and 31 January 2004, 635 subjects (migraine n = 231; tension-type headache n = 176; cluster headache n = 11; patients with low back pain n = 103; and healthy subjects n = 114) seen by two neurologists filled in a questionnaire on pain characteristics, the MIDAS questionnaire and the Beck Depression Inventory. A multivariate general regression model was used to identify independent predictors of the severity of depressive symptoms. Pain was most frequent in chronic tension-type headache and most intense in the cluster subgroup (P < 0.001, Kruskal-Wallis ANOVA). In univariate tests gender, age, pain frequency, pain intensity and disability were all significantly associated with the severity of depressive symptoms. In the multivariate model disability was the most important independent determinant of the severity of depressive symptoms in the pooled headache group as well as in the migraine and tension-type headache subgroups. In contrast to patients with headache, pain frequency and pain intensity were the significant independent predictors of the severity of depressive symptoms in patients with low back pain. In a multivariate model, after controlling for other factors, determinants of the severity of depressive symptoms were different in headache and non-headache pain subjects, suggesting a different mechanism for developing depression in primary headaches and in other pain syndromes.


1974 ◽  
Vol 02 (02) ◽  
pp. 199-201 ◽  
Author(s):  
Martin L. Rossman ◽  
Jesse Wexler ◽  
Irving Oyle

The application of an ultrasound stimulus to the acupuncture meridian system has been found safe and effective in many common clinical entities for which no such treatment exists. Comparison of 150 treatments with sonopuncture compare favorably with 900 cases treated with needle acupuncture. The method offers several advantages to the Western physician — familiarity with the equipment, greater patient acceptability, and a wider treatment surface than needles. Treatment regimens for cervical and low back pain syndromes and dysmennorrhea are presented.


2008 ◽  
Vol 88 (9) ◽  
pp. 989-1004 ◽  
Author(s):  
Linda Resnik ◽  
Dawei Liu ◽  
Vince Mor ◽  
Dennis L Hart

Background and Purpose Little is known about organizational and service delivery factors related to quality of care in physical therapy. This study sought to identify characteristics related to differences in practice outcomes and service utilization. Subjects The sample comprised 114 outpatient clinics and 1,058 therapists who treated 16,281 patients with low back pain syndromes during the period 2000–2001. Clinics participated with the Focus on Therapeutic Outcomes, Inc (FOTO) database. Methods Hierarchical linear models were used to risk adjust treatment outcomes and number of visits per treatment episode. Aggregated residual scores from these models were used to classify each clinic into 1 of 3 categories in each of 3 types of performance groups: (1) effectiveness, (2) utilization, and (3) overall performance (ie, composite measure of effectiveness and utilization). Relationships between clinic classification and the following independent variables were examined by multinomial logistic regression: years of therapist experience, number of physical therapists, ratio of physical therapists to physical therapist assistants, proportion of patients with low back pain syndromes, number of new patients per physical therapist per month, utilization of physical therapist assistants, and setting. Results Clinics that were lower utilizers of physical therapist assistants were 6.6 times more likely to be classified into the high effectiveness group compared with the low effectiveness group, 6.7 times more likely to be classified in the low utilization group compared with the high utilization group, and 12.4 times more likely to be classified in the best performance group compared with the worst performance group. Serving a higher proportion of patients with low back pain syndromes was associated with an increased likelihood of being classified in the lowest or middle group. Years of physical therapist experience was inversely associated with being classified in the middle utilization group compared with the highest utilization group. Discussion and Conclusion These findings suggest that, in the treatment of patients with low back pain syndromes, clinics that are low utilizers of physical therapist assistants are more likely to provide superior care (ie, better patient outcomes and lower service use).


2016 ◽  
Vol 1 (1) ◽  
pp. 1-2
Author(s):  
J Saunders ◽  
J Cusi ◽  
H Van der Wall

2022 ◽  
Author(s):  
Nissim Ohana ◽  
Itzhak Engel ◽  
Yuval Baruch ◽  
Benharroch Daniel ◽  
Sheinis Dimitri

Abstract Purpose To assess the rate of visits to the emergency department of our medical center concerning low back or neck pain as a factor of COVID-19 confinement. Methods The study period was a 30-week interval during the COVID-19 pandemic contrasted by a similar stretch in the year preceding the epidemic. Visits to the emergency department prompted by low back or neck pain were recorded prior to and during lockdowns of the pandemic. The significance of the confinements for the development of pain syndromes was evaluated. Results A total of 1530 patients with newly diagnosed back or neck pain were enrolled. Most patients visited our emergency department for low back pain, commonly those older than 60 years. No significant gender variance was disclosed, although most visits of females were for low back pain. Low back pain presentations were curbed following confinement, but the rate of stays for neck pain swelled by more than 10%. Despite back pain predominance, visits for neck pain persisted. Before COVID-19, the average weekly number of emergency department visits was 38.5. This was followed by sharp drops during the COVID-19 lockdown (mean difference=-22.2, 95% CI=-28.7, -15.7, p<0.001) (not significant). Conclusions COVID-19 lockdowns have a significant impact on emergency department presentations due to back and neck pain. A higher rate of presentation for back pain compared to neck pain is probably related to COVID-19, without being affected directly by SARS-CoV-2: confinement-induced immobility might instigate musculoskeletal sequelae, which may be attributed to stress or other psychosocial afflictions.


Spine ◽  
1979 ◽  
Vol 4 (1) ◽  
pp. 85-88 ◽  
Author(s):  
JOHN P. OʼBRIEN

Author(s):  
Marc A. Huntoon

Low back pain is one of the most common pain syndromes in the world and a leading cause of disability and physician visits. Although degenerative disc disease and zygapophyseal joint spondylotic changes are common and lead to more permanent problems such as spinal stenosis, the interplay of biological and psychosocial factors is largely key to the chronification of many back pain disorders.


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