scholarly journals The use of the thermographic examination in non-specific low back pain in elderly: controlled study

Author(s):  
Gabriela Santos Xavier ◽  
Danillo Barbosa ◽  
Mariane Pereira Batista ◽  
Mônica Beatriz Ferreira ◽  
Ivo IIvan Kerppers ◽  
...  

Background: Chronic low back pain (CLBP) affects an important part of the population worldwide and contributes to increased spending on medicines and imaging tests. An alternative in the diagnosis of nonspecific CLBP is the thermography examination, since it has low cost, good sensitivity and specificity in inflammatory processes. Objectives: The present article aimed to evaluate non - specific CLBP in elderly patients using thermography (TermoScanTD200) and the instrument of inability of Oswestry. Methods: The study included 120 subjects with a mean age of ±78.8 years. Results: the results of the column disability assessment reported that 60% of the sample reported moderate disability and 3% of the sample reported disability. In the thermography examination, 40% of the sample presented alterations in the lumbar 5 (L5), 20% showed changes in lumbar 3 (L3) and lumbar 4 (L4) and 10% of the sample presented changes in lumbar 1 (L1) and lumbar 2 (L2). When comparing lumbar spine follow-up with type of inflammatory process, it was observed that 40% of the sample presented a prevalence of acute inflammatory process in the lumbar 5 (L5), and 30% of the sample presented a prevalence of sub-acute inflammatory process in lumbar 3 (L3) and 40% of the sample presented a prevalence of chronic inflammatory process in lumbar 5 (L5). Conclusion: In view of the above, it is suggested that the thermography examination is an important tool in the diagnosis of nonspecific low back pain in the elderly.

2019 ◽  
Author(s):  
Chao Hsing Yeh ◽  
Cuicui Li ◽  
Ronald Glick ◽  
Elizabeth A. Schlenk ◽  
Kathryn Albers ◽  
...  

Abstract Background: Chronic low back pain (cLBP) is a major health problem and the most common pain condition among those 60 years of age or older in the US. Despite the development of pharmacological and nonpharmacological interventions, cLBP outcomes have not improved and disability rates continue to rise. This study aims to test auricular point acupressure (APA) as a non-invasive, nonpharmacological self-management strategy to manage cLBP and to address current shortcomings of cLBP treatment. Methods: For this prospective randomized controlled study, participants will be randomly assigned into three groups: (1) APA (active points related to cLBP), (2) Comparison Group -1 (non-active points, unrelated to cLBP), (3) Comparison Group-2 (enhanced educational control, an educational booklet on cLBP will be given and the treatment used by participants for their cLBP will be recorded). The ecological momentary assessment smartphone app will be used to collect real-time cLBP outcomes and adherence to APA practice. Treatment and nonspecific psychological placebo effects will be measured via questionnaires for all participants. This proposed trial will evaluate the APA sustained effects for cLBP at 12-month follow-up. Monthly phone follow-up will be used to collect study outcomes. Blood will be collected during study visits at baseline, post-APA treatment, and follow-up study visits at 1-, 3-, 6-, 9- and 12-months post-completion of treatment for a total of 7 assessments. Appointments will start between 9 and 11 am to control for circadian variation in cytokine levels. Discussion: This study is expected to provide vital information on the efficacy, sustainability, and underlying mechanism of APA on cLBP necessary for APA to gain acceptance from both healthcare providers and patients, which would provide a strong impetus for including APA as part of cLBP management in clinical and home settings. Trial registration: NCT03589703, Registered on May 22, 2018 Keywords: Chronic low back pain, auricular point acupressure, older adults, cytokines


2019 ◽  
Author(s):  
Chao Hsing Yeh ◽  
Cuicui Li ◽  
Ronald Glick ◽  
Elizabeth A. Schlenk ◽  
Kathryn Albers ◽  
...  

Abstract Background: Chronic low back pain (cLBP) is a major health problem and the most common pain condition among those 60 years of age or older in the US. Despite the development of pharmacological and nonpharmacological interventions, cLBP outcomes have not improved and disability rates continue to rise. This study aims to test auricular point acupressure (APA) as a non-invasive, nonpharmacological self-management strategy to manage cLBP and to address current shortcomings of cLBP treatment. Methods: For this prospective randomized controlled study, participants will be randomly assigned into three groups: (1) APA (active points related to cLBP), (2) Comparison Group -1 (non-active points, unrelated to cLBP), (3) Comparison Group-2 (enhanced educational control, an educational booklet on cLBP will be given and the treatment used by participants for their cLBP will be recorded). The ecological momentary assessment smartphone app will be used to collect real-time cLBP outcomes and adherence to APA practice. Treatment and nonspecific psychological placebo effects will be measured via questionnaires for all participants. This proposed trial will evaluate the APA sustained effects for cLBP at 12-month follow-up. Monthly phone follow-up will be used to collect study outcomes. Blood will be collected during study visits at baseline, post-APA treatment, and follow-up study visits at 1-, 3-, 6-, 9- and 12-months post-completion of treatment for a total of 7 assessments. Appointments will start between 9 and 11 am to control for circadian variation in cytokine levels. Discussion: This study is expected to provide vital information on the efficacy, sustainability, and underlying mechanism of APA on cLBP necessary for APA to gain acceptance from both healthcare providers and patients, which would provide a strong impetus for including APA as part of cLBP management in clinical and home settings. Trial registration: NCT03589703, Registered on May 22, 2018


2018 ◽  
Vol 19 (1) ◽  
pp. 41-47
Author(s):  
Tereza Andrašinová ◽  
Eva Kalíková ◽  
Blanka Adamová

Pain ◽  
1989 ◽  
Vol 36 (2) ◽  
pp. 197-207 ◽  
Author(s):  
Steven J. Linton ◽  
Laurence A. Bradley ◽  
Irene Jensen ◽  
Erik Spangfort ◽  
Lennart Sundell

2005 ◽  
Vol 28 (4) ◽  
pp. 228-237 ◽  
Author(s):  
Mitchell Haas ◽  
Elyse Groupp ◽  
John Muench ◽  
Dale Kraemer ◽  
Ken Brummel-Smith ◽  
...  

2021 ◽  
Author(s):  
Nicole B. Fritz ◽  
Javier Gene-Morales ◽  
Ángel Saez-Berlanga ◽  
Alvaro Juesas ◽  
Jorge Flandez ◽  
...  

1985 ◽  
Vol 33 (1) ◽  
pp. 23-28 ◽  
Author(s):  
Mollie Lavsky-Shulan ◽  
Robert B. Wallace ◽  
Frank J. Kohout ◽  
John H. Lemke ◽  
Martha Clare Morris ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document