scholarly journals WPŁYW APLIKACJI KINESIOLOGY TAPINGU TECHNIKĄ MIĘŚNIOWĄ NA ZAKRES RUCHOMOŚCI LĘDŹWIOWEGO ODCINKA KRĘGOSŁUPA ORAZ SUBIEKTYWNE ODCZUWANIE NATĘŻENIA BÓLU U CHORYCH Z DOLEGLIWOŚCIAMI BÓLOWYMI KRĘGOSŁUPA

2016 ◽  
Vol 60 (2) ◽  
Author(s):  
Wojciech Garczyński ◽  
Anna Lubkowska ◽  
Aleksandra Dobek ◽  
Marek Andryszczyk
Keyword(s):  
Lumbar Spine ◽  
Muscle Tension ◽  
Spinal Pain ◽  
Subjective Perception ◽  
Lumbosacral Region ◽  
Patch Application ◽  
Experienced Pain ◽  
The Many ◽  
Pain Symptoms ◽  
Taping Technique

Introduction: In an era of ubiquitous computing, a considerable part of the population, regardless of age group, spend more time in a sitting position. Long­‍‑term, static loading of the spine increases muscle tension, leading to the occurrence of pain. Physiotherapy is recommended as primary and secondary prevention of spinal pain symptoms. The Kinesiology Taping Method is one of the many special methods of physiotherapy which is used during the episodes of back pain in the lumbosacral region. This method consists in sticking on a special tape, which is made of stretch cotton similar to human skin, using a variety of techniques for patch application. The present study evaluated the effect of the application of the Kinesiology Taping technique for muscle mobility in the lumbar spine and the subjective perception of pain intensity.Material and methods: The study group consisted of 100 patients (89 women and 11 men) who experienced pain in the lumbar spine. To assess the mobility of the lumbar spine the Schober test was used. The subjective sensation of pain was assessed using the VAS (visual analogue scale). Measurements were taken four times: before gluing applications, immediately after taping, 7 days after application of the patch, and immediately after its removal.Results: In response to the use of therapy, an increase of mobility of the lumbar spine in flexion front and back, and reduced pain was shown.Conclusions: Application of the muscle kinesiology taping technique is an effective method in reducing pain and increasing mobility of the lumbar spine.

Biomechanical normality model of the Human lumbar spine (Lumbosacral region)

2019 ◽  
Author(s):  
Fernando Blaya Haro ◽  
Pilar San Pedro Orozco ◽  
Alonso Blaya San Pedro ◽  
Roberto D'Amato ◽  
Juan A. Juanes ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Lumbosacral Region ◽  
Human Lumbar Spine

Shadows of the Truth in Patients with Spinal Pain: A Review

1997 ◽  
Vol 42 (1) ◽  
pp. 44-48 ◽  
Author(s):  
Lynton GF Giles ◽  
Colin M Crawford
Keyword(s):  
Diagnostic Imaging ◽  
Health Problem ◽  
Spinal Pain ◽  
Referred Pain ◽  
Histopathological Changes ◽  
Imaging Device ◽  
Anatomical Structures ◽  
Histopathological Findings ◽  
Pain Symptoms ◽  
Chronic Spinal Pain

Objective: Spinal pain with or without referred pain is a major and costly health problem that can arise from many anatomical structures. Sophisticated diagnostic imaging devices cannot show some of these structures, and frequently imaging provides only a shadow of the truth. This review illustrates how symptoms may well have an organic cause that is not detectable by current methods of examination, including imaging. Method: This study reviews some histopathological findings that can be associated with spinal pain with or without referred pain but cannot be seen on imaging. Result: Some histopathological changes illustrate imaging device limitations. Conclusion: Awareness of the considerable limitations of even sophisticated imaging devices is necessary when managing patients with acute or chronic spinal pain with or without referred pain. Symptoms may well be genuine and not of psychogenic origin: a diagnosis of malingering, therefore, should not be made lightly.

Effect of intraoperative positioning on postoperative neurological status in cats after perineal urethrostomy

2018 ◽  
Vol 21 (10) ◽  
pp. 931-937
Author(s):  
Pavel Slunsky ◽  
Mathias Brunnberg ◽  
Shenja Loderstedt ◽  
Alexander Haake ◽  
Leo Brunnberg
Keyword(s):  
Motor Function ◽  
Patellar Tendon ◽  
Gastrocnemius Muscle ◽  
Neurological Status ◽  
Spinal Pain ◽  
The Other ◽  
Low Grade ◽  
Lumbosacral Region ◽  
Faecal Continence ◽  
Pelvic Limb

Objectives The aim of this study was to evaluate and quantify the changes in neurological status in cats after perineal urethrostomy performed in dorsal and ventral recumbency. Methods This was a prospective, randomised study. Twenty male castrated cats with feline lower urinary tract disease presented for perineal urethrostomy were enrolled in this study. Surgery was performed in either dorsal recumbency (group A) or ventral recumbency (group B). Motor response of patellar tendon, gastrocnemius muscle, pelvic limb withdrawal and perineal reflexes, as well as the presence of spinal pain in the lumbosacral region, motor function of the tail and faecal continence, were examined before surgery, and 24 h and 14 days after surgery. Results The animals had a mean weight of 5.07 ± 1.08 kg, with a mean age of 6.12 ± 1.85 years. Weight and age were not significantly different between groups A and B (both P = 0.897). All tested parameters of the neurological examination performed prior to surgery were considered normal in both groups ( P = 1). The comparison between neurological examinations (perineal reflex and spinal pain) before and 24 h after surgery revealed a significantly decreased briskness of the perineal reflex and an increased occurrence of spinal pain 24 h after surgery ( P = 0.043 and P = 0.031, respectively). However, the changes of aforementioned parameters were statistically insignificant ( P = 0.249 and P = 0.141) between groups A and B. The other parameters (patellar tendon, pelvic limb withdrawal and gastrocnemius muscle reflexes, motor function of the tail and faecal continence) were statistically insignificant ( P = 1) before surgery and 24 h after surgery, as well as between groups A and B 24 h after surgery. Results of all tested parameters were statistically insignificant ( P = 1) before surgery and 14 days after surgery, as well as between groups A and B 14 days after surgery. Conclusions and relevance The briskness of the perineal reflex was significantly decreased and the occurrence of spinal pain significantly increased 24 h after surgery. A parallel with a low-grade positioning-dependent nerve injury as described in human medicine may be drawn. However, no positioning method was proven to be superior to the other.

Intradural spinal arachnoid cyst resection: implications of duraplasty in a large case series

2018 ◽  
Vol 28 (5) ◽  
pp. 548-554
Author(s):  
Ziev B. Moses ◽  
Gabriel N. Friedman ◽  
David L. Penn ◽  
Isaac H. Solomon ◽  
John H. Chi
Keyword(s):  
Case Series ◽  
Signs And Symptoms ◽  
Symptom Improvement ◽  
Preoperative Pain ◽  
Lumbosacral Region ◽  
Duration Of Symptoms ◽  
Large Patient ◽  
Large Case Series ◽  
Pain Symptoms ◽  
Large Case

OBJECTIVEOptimal diagnosis and management strategies for intradural spinal arachnoid cysts (SACs) are still unresolved given the rare nature of this entity, with few large case series and virtually no statistical analyses of patient characteristics in the literature. Here, the authors studied a large patient cohort with these lesions to determine whether pre- or postoperative attributes could be used to aid in either diagnosis or prognosis.METHODSA chart review was completed at a single institution for the period from 2002 to 2016 to determine the preoperative characteristics and postoperative outcomes of 21 patients with exclusively intradural SACs. Patients were assessed for symptoms such as weakness, pain, sensory changes, bowel and/or bladder dysfunction, and gait changes. Postoperatively, patients were analyzed for symptom improvement, complication occurrence, and duration of follow-up.RESULTSApproximately two-thirds of the patients in this series had developed SACs idiopathically, and the mean duration of symptoms prior to diagnosis was 15 months among all patients. A slight majority (57%) underwent CT myelography in the course of diagnosis, and a quarter of the patients had a syrinx. There was a statistically significant association between location of the SAC and number of presenting signs and symptoms; that is, patients with cysts in the lumbosacral region had more symptoms than those with cysts at the cervical or thoracic levels (p = 0.031). Overall, outcomes were largely positive, with approximately 60%–70% of patients experiencing postoperative improvement in symptoms, with motor weakness showing the highest response rate (71%) and pain symptoms the least likely to subside (50%). In the cohort with preoperative pain, those who had undergone expansile duraplasty were significantly more likely to experience relief of their pain symptoms (p = 0.028), which may have been a result of the superior restoration of cerebrospinal fluid pathways allowing for more adequate reduction in compression.CONCLUSIONSIn this large case series on intradural SACs, new light has been shed on aspects of both pre- and postoperative care for patients with these rare lesions. Specifically, the authors revealed that lumbosacral intradural SACs may be associated with a higher disease burden and that patients who undergo expansile duraplasty may have an increased likelihood of experiencing postoperative pain relief.

scholarly journals Bone Mineral Density in Patients With Coxarthrosis With Concomitant Spinal Pathology

2020 ◽  
Vol 106 (3) ◽  
pp. 17-23
Author(s):  
O.A. Haluzynskyi ◽  
O.G. Haiko ◽  
G.V. Gayko
Keyword(s):  
Bone Mineral Density ◽  
Lumbar Spine ◽  
Bone Mineral ◽  
Mineral Density ◽  
Statistical Research ◽  
Hip Joints ◽  
Spine Pain ◽  
Severity Of The Disease ◽  
The Many ◽  
Grade Iii

Summary. Relevance. Combined pathology of the lumbar spine and hip joint is rightly considered one of the serious problems of modern orthopedics. Among the many factors that can cause lumbar spine pain, a decrease in bone mineral density (BMD) of the vertebral bodies in the form of osteoporosis may play a role. Objective: to study BMD in patients with osteoarthritis of the hip joints with concomitant pathology of the spine. Materials and Methods. The analysis of data of densitometric and statistical research of 62 patients who had grade III-IV coxarthrosis (CA) with concomitant pathology of the spine was carried out. Results. Decreased BMD in patients with grade III CA was found in 22 (35.4%) in the form of osteopenia and in 8 (12.9%) as osteoporosis; in patients with grade IV CA – in 4 (6.4%) and in 17 (27.4%) – respectively. It was found that BMD in patients with grade IV CA is significantly lower than in patients with grade III and there is a probable medium-strength relationship between a stage of CA and BMD of the femoral neck. It has been proven that patients with hypoplastic coxarthrosis and the true form of lumbar vertebral syndrome (LVS) have probably lower mean BMD values and exactly these groups of patients have the highest incidence of osteopenia and osteoporosis. Conclusions. 51 (82%) patients with grade III-IV CA revealed a decrease in BMD in the form of osteopenia and osteoporosis, the degree of which depends on the severity of the disease and functional insufficiency of the limb. Changes in BMD have their own characteristics in patients with different types of CA and forms of LVS.

scholarly journals Trajectory of phantom limb pain relief using mirror therapy: Retrospective analysis of two studies

2017 ◽  
Vol 15 (1) ◽  
pp. 98-103 ◽  
Author(s):  
Sarah C. Griffin ◽  
Sean Curran ◽  
Annie W.Y. Chan ◽  
Sacha B. Finn ◽  
Chris I. Baker ◽  
...  
Keyword(s):  
Pain Relief ◽  
Short Form ◽  
Phantom Limb Pain ◽  
Phantom Limb ◽  
Limb Amputation ◽  
Mcgill Pain Questionnaire ◽  
Mirror Therapy ◽  
Limb Pain ◽  
Experienced Pain ◽  
Pain Symptoms

AbstractBackground and purposeResearch indicates that mirror therapy reduces phantom limb pain (PLP). Objectives were to determine when mirror therapy works in those who respond to treatment, the relevance of baseline PLP to when pain relief occurs, and what pain symptoms respond to mirror therapy.MethodsData from two independent cohorts with unilateral lower limb amputation were analyzed for this study (n = 33). Mirror therapy consisted of 15-min sessions in which amputees performed synchronous movements of the phantom and intact legs/feet. PLP was measured using a visual analogue scale and the Short-Form McGill Pain Questionnaire.ResultsThe severity of PLP at the beginning of treatment predicted when pain relief occurred. Those with low baseline PLP experienced a reduction (p < 0.05) in PLP by session 7 of treatment, those with medium baseline PLP experienced pain relief by session 14 of treatment, and those with high baseline PLP experienced pain relief by session 21 of treatment. Mirror therapy reduced throbbing, shooting, stabbing, sharp, cramping, aching, tender, splitting, tiring/exhausting, and punishing-cruel pain symptoms.ConclusionThe degree of PLP at baseline predicts when mirror therapy relieves pain.ImplicationsThis article indicates that the degree of baseline PLP affects when mirror therapy relieves pain: relief occurs by session 7 in patients with low PLP but by session 21 in patients with high PLP. Clinicians should anticipate slower pain relief in patients who begin treatment with high levels of pain.

scholarly journals LUMBAR SPINE SURGERY. IMPORTANCE OF SAGITTAL BALANCE IN THE QUALITY OF LIFE OF PATIENTS

2016 ◽  
Vol 15 (1) ◽  
pp. 48-51 ◽  
Author(s):  
Luiz Claudio Lacerda Rodrigues ◽  
Adalberto Bortoletto ◽  
Rodrigo Nakao ◽  
Virgilio Serquiz de Azevedo ◽  
Rafael Maurcio Beletato ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Lumbar Spine ◽  
Lumbar Spine Surgery ◽  
P Value ◽  
Sacral Slope ◽  
Lumbosacral Region ◽  
Degenerative Lumbar Diseases ◽  
Spinopelvic Balance

ABSTRACT Objective: To evaluate whether performing surgery in degenerative diseases of the lumbar spine modify the spinopelvic balance and influences the clinical outcome and the quality of life of patients. Methods: The spinopelvic balance was evaluated in 25 patients using plain radiographs of the lumbosacral region including the proximal femur, as well as evaluating the quality of life on two separated occasions. Results: The measure of spinopelvic balance was obtained by averaging the angles of sacral slope, pelvic version and pelvic incidence. Mean preoperative angles were 59.88º, 22.84º, and 37.44º, respectively, and the mean postoperative values were 61.56º, 24.64º, and 37.32º, respectively. Regarding the questionnaires on quality of life, the Oswestry index showed mean preoperative values of 46.24, characterized as severe disability and mean postoperative values of 13.29 denoting satisfactory response after surgical treatment. The SF-36 questionnaire showed important and significant improvement in quality of life in different domains, with the exception of physical limitation and social aspects, with a p-value of 0.02 and 0.025, respectively. Conclusion: Patients undergoing surgical treatment of degenerative lumbar diseases showed no significant changes in the spinopelvic balance, but showed significant improvement in quality of life after surgery.

Instantaneous Axis of Rotation for Lumbar Spine Torsion Measured In Vivo

2013 ◽  
Author(s):  
Xue Xiao Ma ◽  
Alejandro A. Espinoza Orías ◽  
Howard S. An ◽  
Gunnar B. J. Andersson ◽  
Nozomu Inoue
Keyword(s):  
Lumbar Spine ◽  
Degrees Of Freedom ◽  
Normal Subjects ◽  
Instantaneous Axis Of Rotation ◽  
Group 4 ◽  
Axis Of Rotation ◽  
Lumbar Segment ◽  
The Many ◽  
Instantaneous Axis

Segmental spine instability — especially that of torsional nature — is difficult to diagnose in a degenerative lumbar spine in vivo. The motion of the lumbar segment is of a coupled nature and is described by a total of six degrees of freedom. Relative motion between two bodies in space is described by translations and rotations, and this includes the concept of the instantaneous axis of rotation (IAR). References 1–3 are representative reports of the many available in the literature about calculations of the IAR in cadaveric tissue, usually single motion segments [1–3]. In contrast, results of the IAR for lumbar motion measured in vivo (and by extension, for the whole lumbar spine) are actually scarce. Based on the preliminary report presented by group [4], in the present study we describe the characteristics of the IAR for lumbar spine torsion measured in vivo in a much larger cohort of normal subjects through the application of the method originally described by Kinzel et al. [5].

scholarly journals Uterine fibroids and incidence of depression, anxiety and self-directed violence: a cohort study

2021 ◽  
pp. jech-2020-214565
Author(s):  
Stephanie E Chiuve ◽  
Carrie Huisingh ◽  
Natalia Petruski-Ivleva ◽  
Charlotte Owens ◽  
Wendy Kuohung ◽  
...  
Keyword(s):  
Mental Health ◽  
Proportional Hazards ◽  
Uterine Fibroids ◽  
Cox Proportional Hazards ◽  
Depression And Anxiety ◽  
Calendar Time ◽  
Cox Proportional Hazards Models ◽  
Experienced Pain ◽  
Eden Prairie ◽  
Pain Symptoms

BackgroundDepression and anxiety are prevalent among women with uterine fibroids (UF). The rate of mental health diagnoses in women with UF has not been studied.MethodsWomen aged 18–50 years with diagnosed UF were identified in the Optum Clinformatics commercial insurance claims database (OptumInsight, Eden Prairie, Minnesota) from 1 May 2000 to 31 March 2020 (n=313 754) and were matched 1:2 on age and calendar time to women without (n=627 539). Cox proportional hazards models estimated HRs and 95% CIs between UF and diagnosed depression, anxiety and self-directed violence, adjusting for demographics and comorbidities. Among women with diagnosed UF, the association between hysterectomy and mental health outcomes was estimated.ResultsAfter adjusting for confounders, women with diagnosed UF had a higher rate of depression (HR: 1.12; 95% CI 1.10 to 1.13), anxiety (HR: 1.12; 95% CI 1.10 to 1.13) and self-directed violence (HR: 1.46; 95% CI 1.29 to 1.64) than women without. Among women with pain symptoms and heavy menstrual bleeding, the HR comparing women with diagnosed UF to women without was 1.21 (95% CI 1.18 to 1.25) for depression, 1.18 (95% CI 1.15 to 1.21) for anxiety and 1.68 (95% CI 1.35 to 2.09) for self-directed violence. Among women with diagnosed UF, the HR comparing women who underwent a hysterectomy to women who did not was 1.22 (95% CI 1.17 to 1.27) for depression, 1.13 (95% CI 1.09 to 1.17) for anxiety and 1.86 (95% CI 1.39 to 2.49) for self-directed violence.ConclusionsRates of depression, anxiety and self-directed violence were higher among women with diagnosed UF, particularly among those who experienced pain symptoms or who underwent hysterectomy.

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