Increase in Lower Limb Strength After Multimodal Pain Therapy in Patients With Low Back Pain

Abstract Study DesignProspective Study DesignObjectivesThe aim of the present study was to evaluate the efficacy of a multimodal pain therapy (MPM) regarding the objective parameter muscle strength of segment-dependent lower limb muscle groups before and after such a treatment. Methods52 patients with a history of low back pain and/or leg pain received standardized multimodal pain management. Strength of segment indicating lower limb muscles were assessed for each patient before and after ten days of treatment by handheld dynamometry. ResultsOverall strength increased significantly from 23.6kg ± 6.6 prior to treatment to 25.4 ± 7.3 after treatment, p≤0.001. All muscle groups significantly increased in strength with exception of great toe extensors. ConclusionDespite lower basic strength values at the beginning of treatment, all investigated muscle groups, with the exception of the great toe extensors, showed a significant increase of overall strength after completion of the multimodal pain management concept. Increased overall strength could help with avoiding further need of medical care by supporting patients’ autonomy in daily life activities, as well as maintaining working abilities. Thus, our study is the first to show a significant positive influence on lower limb strength in patients with low back pain after a conservative MPM program.

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Laboratory Gait Analysis in Patients with Low Back Pain before and after a Pilates Intervention

Journal of Sport Rehabilitation ◽

10.1123/jsr.18.2.269 ◽

2009 ◽

Vol 18 (2) ◽

pp. 269-282 ◽

Cited By ~ 48

Author(s):

Juliana Limba da Fonseca ◽

Marcio Magini ◽

Thais Helena de Freitas

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Outcome Measures ◽

Lower Limb ◽

Controlled Trial ◽

Reaction Force ◽

Control Group ◽

Low Back ◽

Before And After ◽

Pilates Method

Objective:To evaluate the influence of pain on vertical ground-reaction force (VGRF) in patients with low back problems and the effect of the Pilates method on the gait of these patients.Design:A single-blind randomized controlled trial.Participants:28 individuals assigned to a control group (n = 11) and a low-back group (n = 17), the latter of which was subdivided into a Pilates group (n = 8) and a no-Pilates group (n = 9).Intervention:The Pilates group undertook 15 sessions of Pilates.Main Outcome Measures:The VGRF parameters were recorded during preferred and faster walking speeds. The data were collected before and after the intervention.Results:The weight-acceptance rate and push-off rate were significantly less in the right lower limb of low-back group than of the control group at preferred speed. Improvements were seen in the Pilates group postintervention, with increased middle-support force for the left lower limb at faster walking speed and decreased pain; this did not occur in the no-Pilates group.Conclusions:These results suggest that patients with low back pain use strategies to attenuate the amount of force imposed on their body. The Pilates method can improve weight discharge in gait and reduce pain compared with no intervention.

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Mindfulness Meditation for the Treatment of Chronic Low Back Pain: A Preliminary Quasi-randomized Controlled Pilot Study

10.21203/rs.3.rs-1123107/v1 ◽

2021 ◽

Author(s):

Cesare Lino ◽

Stefan Neuwersch-Sommeregger ◽

Rudolf Likar ◽

Paola De Bartolo

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Pain Therapy ◽

Mindfulness Meditation ◽

Pain Catastrophizing ◽

Low Back ◽

Multimodal Pain Therapy

Abstract Objective: To investigate the effectiveness of Mindfulness-Based Pain Therapy (MBPT) a treatment combining mindfulness meditation and several interventions taken from cognitive therapy within the frame of the multimodal pain therapy program, in patients suffering from chronic low back pain (CLBP).Design: A quasi-randomized case-control study. Subjects: The study included 20 subjects with chronic low back pain were recruited and quasi-randomly allocated to a standard multimodal pain therapy (n=10) or to a multimodal pain therapy group with MBPT (n=10). The intervention was identical for both groups except for the mindfulness meditation program.Methods. Both groups participated in a 4-week training, 5 times/week. All subjects underwent the same measurement protocol before and after the intervention. The program was evaluated on the basis of measure of pain, quality of life, disability, pain catastrophizing and depression. Results: The trial group displayed significant reduction in pain intensity, improvement in the quality of life, reduction in pain disability, in depression and pain catastrophizing. Conclusion: The study indicated that mindfulness meditation can influence the treatments and lead to a significant improvement in the overall result of the multimodal pain therapy.

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Activity Characteristics and Movement Patterns in People With and People Without Low Back Pain Who Participate in Rotation-Related Sports

Journal of Sport Rehabilitation ◽

10.1123/jsr.22.3.161 ◽

2013 ◽

Vol 22 (3) ◽

pp. 161-169 ◽

Cited By ~ 8

Author(s):

Ruth L. Chimenti ◽

Sara A. Scholtes ◽

Linda R. Van Dillen

Keyword(s):

Risk Factor ◽

Low Back Pain ◽

Back Pain ◽

Lower Limb ◽

Movement Pattern ◽

Low Back ◽

Habitual Activity ◽

Design Case ◽

Lower Limb Movement ◽

Activity Questionnaire

Many risk factors have been identified as contributing to the development or persistence of low back pain (LBP). However, the juxtaposition of both high and low levels of physical activity being associated with LBP reflects the complexity of the relationship between a risk factor and LBP. Moreover, not everyone with an identified risk factor, such as a movement pattern of increased lumbopelvic rotation, has LBP.Objective:The purpose of this study was to examine differences in activity level and movement patterns between people with and people without chronic or recurrent LBP who participate in rotation-related sports.Design Case:Case-control study.Setting:University laboratory environment.Participants:52 people with chronic or recurrent LBP and 25 people without LBP who all play a rotation-related sport.Main Outcome Measures:Participants completed self-report measures including the Baecke Habitual Activity Questionnaire and a questionnaire on rotation-related sports. A 3-dimensional motion-capture system was used to collect movement-pattern variables during 2 lower-limb-movement tests.Results:Compared with people without LBP, people with LBP reported a greater difference between the sport subscore and an average work and leisure composite subscore on the Baecke Habitual Activity Questionnaire (F = 6.55, P = .01). There were no differences between groups in either rotation-related-sport participation or movement-pattern variables demonstrated during 2 lower-limb-movement tests (P > .05 for all comparisons).Conclusions:People with and people without LBP who regularly play a rotation-related sport differed in the amount and nature of activity participation but not in movement-pattern variables. An imbalance between level of activity during sport and daily functions may contribute to the development or persistence of LBP in people who play a rotation-related sport.

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Gait Analysis of Patients with Low Back Pain Before and After Surgery

Spine ◽

10.1097/00007632-199309010-00008 ◽

1993 ◽

Vol 18 (11) ◽

pp. 1451-1455

Author(s):

Soussan Khodadadeh ◽

Stephen M. Eisenstein

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Gait Analysis ◽

Low Back ◽

Before And After

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Association of Serum Serotonin and Pain in Patients with Chronic Low Back Pain before and after Spinal Surgery

Pain Research and Treatment ◽

10.1155/2018/4901242 ◽

2018 ◽

Vol 2018 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Afshin Farhanchi ◽

Behrouz Karkhanei ◽

Negar Amani ◽

Mashhood Aghajanloo ◽

Elham Khanlarzadeh ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Rating Scale ◽

Numerical Rating Scale ◽

Low Back ◽

Significant Difference ◽

Before And After ◽

Postoperative Serum ◽

Serum Serotonin

Introduction. In this study we are aiming to evaluate the changes of serum serotonin and its association with pain in patients suffering from chronic low back pain before and after lumbar discectomy surgery. Patients and Methods. A prospective study was performed on the patients referring to the outpatient clinic in Besat hospital, Hamadan University of Medical Sciences, Hamadan, Iran, during 2016. A 2 mL fasting blood sample was collected from each patient at preoperative day 1 and postoperative day 14 and they were measured for level of serum serotonin. Besides, all patients were asked for severity of their low back pain in preoperative day 1 and postoperative day 14 and scored their pain from zero to ten using a Numerical Rating Scale. Results. Forty patients with the mean age of 47 ± 13 yrs/old (range 25–77) including 15 (37.5%) males were enrolled into the study. The overall mean score of preoperative pain was significantly decreased from 7.4 ± 2.18 (range 4–10) to the postoperative pain score 3.87 ± 2.92 (range 0–10) (P < .001). The overall levels of pre- and postoperative serum serotonin were 3.37 ± 1.27 (range 1.1–6.4) and 3.58 ± 1.32 (range .94–7.1) ng/mL, respectively, with no significant difference (P = .09). The levels of pre- and postoperative serum serotonin were significantly higher in males and patients older than 50 yrs/old compared to the females and patients younger than 50 yrs/old, respectively (P = .03 and .005, respectively). A significant inverse correlation between the postoperative levels of pain and serum serotonin was observed (r = -.36 and P = .02). Conclusion. A negative medium strength linear relationship may exist between the postoperative serum serotonin and low back pain.

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EFFECTIVENESS OF LUMBAR MANIPULATION (HIGH VELOCITY LOW AMPLITUDE) FOR THE TREATMENT OF LOW BACK PAIN IN COMPARISON TO BACK STRETCHING EXERCISES

Pakistan Journal of Rehabilitation ◽

10.36283/pjr.zu.1.1/004 ◽

2012 ◽

Vol 1 (1) ◽

pp. 23-27

Author(s):

Syed Abid Mehdi Kazmi ◽

Nabiha Mujahid Faruq ◽

Sumaira Imran Farooqui ◽

Jharna Devi

Keyword(s):

Low Back Pain ◽

Back Pain ◽

High Velocity ◽

Low Back ◽

Before And After ◽

History Of ◽

Group A ◽

Group B ◽

Low Amplitude ◽

Stretching Exercises

OBJECTIVES To assess the effectiveness of lumbar manipulation (high velocity low amplitude) for the treatment of low back pain in comparison to back stretching exercises. Randomized Control Trial (Experimental Study) The study was conducted on 200 patients at the Physiotherapy Department of Ziauddin Hospital among patients with history of low back pain of acute, sub acute or chronic origin. In this study, patients were divided into two groups, group A and group B equally. Group A of 100 patients received Lumbar Manipulation (High Velocity Low Amplitude) and at the same time Group B of 100 patients were treated by back stretching exercises. A pre tested and structured questionnaire was used to collect data. Data was entered and analyzed by using SPSS. Pain was measured on Visual Analogue Scale before and after the given treatment. The study showed significant results for both the interventions in the treatment of low back pain but Lumbar Manipulation has been more effective in different types of low back pain while stretching exercises are less effective. On the basis of this study, we are very confident that lumbar manipulation is more effective for the treatment of low back pain compared to back stretching

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The effects of self-mobilization techniques for the sciatic nerves on physical functions and health of low back pain patients with lower limb radiating pain

Journal of Physical Therapy Science ◽

10.1589/jpts.28.46 ◽

2016 ◽

Vol 28 (1) ◽

pp. 46-50 ◽

Cited By ~ 2

Author(s):

Ui-Cheol Jeong ◽

Cheol-Yong Kim ◽

Young-Han Park ◽

Gak Hwang-Bo ◽

Chan-Woo Nam

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lower Limb ◽

Low Back ◽

Physical Functions ◽

Sciatic Nerves ◽

Pain Patients

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PENGARUH AKUPRESUR TITIK BLADDER 23 TERHADAP INTENSITAS NYERI PUNGGUNG BAWAH IBU HAMIL TRIMESTER III DI UPTD PUSKESMAS I DENPASAR UTARA

Jurnal Midwifery Update (MU) ◽

10.32807/jmu.v2i2.91 ◽

2020 ◽

Vol 2 (2) ◽

pp. 75

Author(s):

Ni Luh Putu Sentania Widhi Permana Putri ◽

Ni Wayan Suarniti ◽

Ni Nyoman Budiani

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pregnant Women ◽

Mean Value ◽

Lumbar Region ◽

Low Back ◽

Third Trimester ◽

Purposive Sampling ◽

Before And After ◽

Pharmacological Method

Nyeri punggung bawah pada kehamilan digambarkan sebagai nyeri pada daerah lumbar, diatas sakrum yang menyebabkan ketidaknyamanan selama kehamilan. Akupresur titik bladder 23 merupakan metode non-farmakologi yang dapat mengurangi nyeri punggung bawah. Tujuan penelitian ini untuk mengetahui pengaruh akupresur titik bladder 23 terhadapintensitas nyeri punggung bawah ibu hamil trimester III di UPTD Puskesmas I Dinas Kesehatan Kecamatan Denpasar Utara. Penelitian ini menggunakan pre eksperimental dengan rancangan one grup pretest-posttest design.Sampel yang digunakan yaitu 12 orang ibu hamil trimester III dengan usia kehamilan 37-39 minggu dan di pilih secara purposive sampling. Data diambil dengan melakukan observasi intensitas nyeri punggung bawah sebelum dan sesudah dilakukan akupresur titik bladder 23. Responden melakukan akupresur sebanyak dua kali seminggu dengan durasi dua detik sebanyak 30 kali tekanan. Hasil intensitas nyeri punggung bawah sebelum perlakuan diperoleh nilai mean 4,17 dan setelah perlakuan berubah menjadi 2,67 dengan nilai ρ = 0,000 < α (0,05) dan nilai t (9,950). Simpulannya adalah ada pengaruh akupresur titik bladder 23 terhadap intensitas nyeri punggung bawah ibu hamil trimester III di UPTD Puskesmas I Dinas Kesehatan Kecamatan Denpasar Utara.Lower back pain in pregnancy described as pain in the lumbar region, above the sacrum which causes discomfort during pregnancy.Acupressurepoint bladder 23 is a non-pharmacological method that canreduce low back pain.This study aims to determine the effect of acupressure point bladder 23 on the low back pain level in third semester pregnant women in UPTD Puskesmas I of the Health Departement of North Denpasar. This is pre-experimental research with one group pretest-posttest design. The samples were 12pregnant women on third trimester with 37-39 weeks gestational age and were selected by purposive sampling. Data were collected byobserving the intensity of low back pain before and after treatment. Respondents did acupressure twice a week with the duration two seconds for each 30 times pressure. The results of low back pain intensity before treatment obtained a mean value of 4.17 and after the treatment there was reduce to 2.67 with a value of ρ = 0,000 <α (0.05) and t value (9,950). The conclusion is that there is an influence of acupressurepoint bladder 23 on the low back painintensityin third trimester pregnant women in UPTD Puskesmas I of the Health Departement of North Denpasar.

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Physical and psychosocial work environmental risk factors of low-back pain: protocol for a 1 year prospective cohort study

BMC Musculoskeletal Disorders ◽

10.1186/s12891-019-2996-z ◽

2019 ◽

Vol 20 (1) ◽

Author(s):

Rúni Bláfoss ◽

Per Aagaard ◽

Lars Louis Andersen

Keyword(s):

Risk Factors ◽

Cohort Study ◽

Low Back Pain ◽

Back Pain ◽

Low Back ◽

Psychosocial Work ◽

Before And After ◽

Warehouse Workers ◽

Trunk Extensor

Abstract Background Musculoskeletal disorders, and in particular low-back pain (LBP), are common among blue collar workers. In the work environment, both physical- and psychosocial risk factors exist. Working in warehouses in Denmark involve large quantities of occupational lifting, high work pace and a low degree of influence at work. This study investigates both acute and long-term associations between physical- and psychosocial work environmental factors and risk of LBP in warehouse workers. The specific study aims are to investigate 1) exposure-response associations between quantity of occupational lifting and short-term (day-to-day) changes in LBP, 2) the influence of accumulated workdays and rest days during a working week on LBP, 3) long-term association between occupational lifting exposure and LBP when assessed over 1 year, and 4) the role of psychological and social factors on the above associations. Methods The present study is designed as a 1-year prospective cohort study that will examine full-time warehouse workers from up to five retail chains in Denmark. Study aims 1 and 2 will be addressed using objective data based on company records with information on weight of all the goods handled by each warehouse worker during every single workday for 3 weeks. During this period, each worker will reply to text messages received before and after every workday (also on days off work) in which study participants will score their pain in the low back, bodily fatigue and perceived mental stress (scale 0–10). Long-term pain development is assessed using questionnaire surveys before and after 1 year. Further, pressure pain threshold (PPT) will be measured for selected trunk extensor muscles in approximately 50 workers using algometry along with measurements of maximal trunk extensor strength. Associations are modelled using linear mixed models with repeated measures between variables and LBP controlled for relevant confounders. Discussion This study provides knowledge about the acute and long-term associations between physical- and psychosocial work environmental factors and LBP. The obtained data will have the potential to provide recommendations on improved design of the working week to minimize the risk of LBP among warehouse workers, and may potentially enable to identify a reasonable maximum lifting threshold per day (ton lifted/day).

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