Determination of spondylolisthesis in low back pain by clinical evaluation

BackgroundFunctional capacity evaluation (FCE) requires determination of effort by observation of effort indexes for performance interpretation. Waddell signs have been shown to be associated with decreased functional performance. Whether determination of effort by observational criteria and Waddell sign testing can be used interchangeably to interpret lifting performance is unknown.ObjectiveThe purposes of this study were to assess the concurrent validity of submaximal effort and Waddell signs and to determine whether these contribute independently to lifting performance.DesignThis investigation was an analytical cross-sectional study.MethodsA total of 130 people who had chronic nonspecific low back pain and were referred for fitness-for-work evaluation were included. Physical effort was determined on the basis of observational criteria for lifting from floor to waist, lifting from waist to shoulder, and horizontal lifting during FCE. A second assessor conducted Waddell sign testing. The concurrent validity of Waddell signs and submaximal effort was assessed by calculating sensitivity and specificity. Hierarchical regression analysis was used to determine the contributions of Waddell signs and submaximal effort to lifting performance. Age and sex were covariates.ResultsThe FCE assessor found a low sensitivity of Waddell signs for submaximal effort determination. Between 53% and 63% of the participants who were classified as showing submaximal effort had Waddell signs. Waddell signs and submaximal effort were independent contributors to lifting performance. The contribution of submaximal effort was larger than that of Waddell signs, as shown by 20% to 29% higher explained variance in lifting performance when submaximal effort was added to the model first versus 3% to 6% higher explained variance when Waddell signs were added first.LimitationsAssessor variability could have influenced the study results.ConclusionsIn people with chronic nonspecific low back pain, Waddell sign testing and determination of physical effort by observational criteria should not be used interchangeably to interpret lifting performance during FCE.

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Determination of backrest inclination based on biodynamic response study for prevention of low back pain

Medical Engineering & Physics ◽

10.1016/j.medengphy.2010.02.007 ◽

2010 ◽

Vol 32 (6) ◽

pp. 577-583 ◽

Cited By ~ 12

Author(s):

Nobuyuki Shibata ◽

Setsuo Maeda

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Low Back

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Electromyographic and Clinical Evaluation of the Efficacy of Neuromobilization in Patients with Low Back Pain

International Journal of Rehabilitation Research ◽

10.1097/00004356-200908001-00116 ◽

2009 ◽

Vol 32 ◽

pp. S89-S90

Author(s):

Micha Dwornik ◽

Jolanta Kujawa ◽

Dariusz Biaoszewski ◽

Anna Supik ◽

Wojciech Kiebzak

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Clinical Evaluation ◽

Low Back

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Clinical evaluation and red flags of acute low back pain in primary care

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20220006 ◽

2022 ◽

Author(s):

Marwah Y. Abdullah ◽

Reem A. Bana ◽

Seham O. Aldogil ◽

Mutlaq A. Alsolami ◽

Reem A. Alshihri ◽

...

Keyword(s):

Primary Care ◽

Low Back Pain ◽

Back Pain ◽

Physical Examination ◽

Clinical Evaluation ◽

Low Back ◽

Red Flags ◽

Acute Low Back Pain ◽

Primary Care Settings

Back pain has been reported as a common cause for various patients to present in an emergency or primary care settings. Besides, the management of back pain has been associated with a huge economic burden and remarkably impacts the quality of life of the affected patients. The diagnosis of acute low-back pain can be adequately achieved by conducting proper clinical evaluation and knowing the characteristics of each condition. The present review discusses the clinical evaluation and red flags for diagnosing patients presenting with acute low-back pain. An adequate examination of patients is conducted by obtaining a thorough history and successful physical examination. It should be noted that obtaining an adequate history might not be enough in some cases, and physical examination might not show any diagnostic clues. However, we also reported various red flags for detecting serious conditions, including malignancy, infections, inflammation, and others. These might help establish a further assessment of these patients, including imaging and laboratory studies. Therefore, these cases should be managed as early as possible to enhance the prognosis and intervene against any potential complications.

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Clinical Evaluation of Selected Naturopathic Therapeutic Procedures in Individuals with Low Back-pain

Journal of Naturopathy ◽

10.33562/jn.2021.10.2.1 ◽

2021 ◽

Vol 10 (2) ◽

pp. 71-76

Author(s):

Pushpika Attanayake AM ◽

◽

Somarathna KIWK ◽

Vyas GH ◽

Dash SC

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Clinical Evaluation ◽

Low Back ◽

Therapeutic Procedures

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DETERMINATION OF FACTORS ASSOCIATED WITH LOW BACK PAIN IN A POPULATION OF CLEANING WORKERS

Gevher Nesibe Journal, IESDR ◽

10.46648/gnj.202 ◽

2021 ◽

Vol 6 (12) ◽

pp. 73-80

Author(s):

Akgün YEŞİLTEPE ◽

Ayşe B EŞER

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Occupational Health ◽

Functional Disability ◽

Public Health Problem ◽

Weight Lifting ◽

Low Back ◽

Global Public Health ◽

Factors Associated

Objective: The aim of this research was conducted determination of factors associated with low back pain in a population of cleaning workers. Methods: The research was carried out in the cleaning workers of İzmir Konak Municipality, without reaching any sampling method, and was applied to 318 workers who agreed to work. The data were collected between February and March 2014. Introductory information form, Oswestry functional disability form and Visual analog scale (VAS) were applied to each worker. Results: In this study, according to the result of Spearman Correlation analysis, it is seen that there is a significant and positive relationship between the oswestry functional disability form and VAS. As a result of Mann Whitney U and Kruskal Wallis analysis; economic status, rolling weight lifting and carrying, leaning weight lifting and alcohol consumption were found to be risk factors for low back pain. Conclusion: Low back pain has become a global public health problem for cleaners. For workers, their health deterioration has become an economic loss. For this reason, the occupational health doctor and the occupational health nurse should make screenings to protect and improve the waist health of the employees; It should carry out studies consisting of health education, educational programs and information in a multidisciplinary approach.

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