scholarly journals Task-Specific Sensitivity in Physical Function Testing Predicts Outcome in Patients With Low Back Pain

2020 ◽  
Vol 50 (4) ◽  
pp. 206-213
Author(s):  
Nûno Trolle ◽  
Thomas Maribo ◽  
Lone Donbæk Jensen ◽  
David Høyrup Christiansen
1997 ◽  
Vol 13 (1) ◽  
pp. 53-65 ◽  
Author(s):  
Maureen J. Simmonds ◽  
Yvette Claveau

Pain Medicine ◽  
2020 ◽  
Vol 21 (11) ◽  
pp. 3161-3171
Author(s):  
Terence M Penn ◽  
Demario S Overstreet ◽  
Edwin N Aroke ◽  
Deanna D Rumble ◽  
Andrew M Sims ◽  
...  

Abstract Objective For most patients with chronic low back pain (cLBP), the cause is “nonspecific,” meaning there is no clear association between pain and identifiable pathology of the spine or associated tissues. Laypersons and providers alike are less inclined to help, feel less sympathy, dislike patients more, suspect deception, and attribute lower pain severity to patients whose pain does not have an objective basis in tissue pathology. Because of these stigmatizing responses from others, patients with cLBP may feel that their pain is particularly unjust and unfair. These pain-related injustice perceptions may subsequently contribute to greater cLBP severity. The purpose of this study was to examine whether perceived injustice helps explain the relationship between chronic pain stigma and movement-evoked pain severity among individuals with cLBP. Methods Participants included 105 patients with cLBP who completed questionnaires assessing chronic pain stigma and pain-related injustice perception, as well as a short physical performance battery for the assessment of movement-evoked pain and physical function. Results Findings revealed that perceived injustice significantly mediated the association between chronic pain stigma and cLBP severity (indirect effect = 6.64, 95% confidence interval [CI] = 2.041 to 14.913) and physical function (indirect effect = −0.401, 95% CI = −1.029 to −0.052). Greater chronic pain stigma was associated with greater perceived injustice (P = 0.001), which in turn was associated with greater movement-evoked pain severity (P = 0.003). Conclusions These results suggest that perceived injustice may be a means through which chronic pain stigma impacts nonspecific cLBP severity and physical function.


2017 ◽  
Vol 98 (1) ◽  
pp. 51-57 ◽  
Author(s):  
J. Megan Sions ◽  
Peter C. Coyle ◽  
Teonette O. Velasco ◽  
James M. Elliott ◽  
Gregory E. Hicks

Medicine ◽  
2020 ◽  
Vol 99 (46) ◽  
pp. e23178
Author(s):  
Yasuaki Mizoguchi ◽  
Kiyokazu Akasaka ◽  
Takahiro Otsudo ◽  
Toby Hall

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e032416 ◽  
Author(s):  
Hugo Jário de Almeida Silva ◽  
Bruno T Saragiotto ◽  
Rodrigo Scattone Silva ◽  
Caio Alano de Almeida Lins ◽  
Marcelo Cardoso de Souza

BackgroundLow back pain is a very prevalent condition in the population and cupping therapy has been presented as a frequently used non-pharmacological treatment in this population. However, there is a lack of well-designed studies that evaluate the effects of this technique. This protocol describes a placebo-controlled, randomised, double-blind study that aims to evaluate the effect of dry cupping therapy on pain, physical function, trunk range of motion, quality of life and psychological symptoms in individuals with non-specific chronic low back pain.Methods and analysisNinety individuals with chronic non-specific low back pain, aged from 18 to 59 years, will be randomised into two groups: intervention group, which will be submitted to dry cupping therapy application with two suctions; and placebo group which will undergo placebo dry cupping therapy. Both applications will occur bilaterally in parallel to the vertebrae from L1 to L5. The application will be performed once a week for 8 weeks. The volunteers will be evaluated before the treatment (T0), immediately after the first intervention (T1), after 4 weeks of intervention (T4) and after 8 weeks of intervention (T8). The primary outcome will be pain intensity, and secondary outcomes will be physical function, lumbar range of motion, patient expectation, overall perception of effect, quality of life and psychological factors.Ethics and disseminationThis protocol has been approved by the Ethics Committee of FACISA/UFRN (number: 3639814). The results of the study will be disseminated to participants through social networks and will be submitted to a peer-reviewed journal and scientific meetings.Trial registration numberNCT03909672.


PM&R ◽  
2012 ◽  
Vol 4 ◽  
pp. S238-S238
Author(s):  
Heather K. Vincent ◽  
Bryan Conrad ◽  
Clarissa Lomonaco ◽  
Matthew Martenson ◽  
Cindy Montero ◽  
...  

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