Paravertebral Muscle Mechanical Properties and Spinal Range of Motion in Patients with Acute Neck or Low Back Pain: A Case-Control Study

Our aims were to identify potential differences in muscle mechanical properties (MMPs) of cervical and lumbar tissues and in spinal range of motion (ROM) between patients with acute low back pain (LBP) or acute neck pain (NP) and healthy controls, and to identify if ROMs and MMPs are able to identify subjects among the three groups. Clinical variables (pain, disability, fear of movement, kinesiophobia, quality of life), MMPs and ROMs were obtained in 33 subjects with acute LBP, 33 with acute NP, and 33 healthy control subjects. Between-groups differences and explanatory models to discriminate groups depending on MMPs and ROMs were calculated. The results showed that cervical tone was higher in patients with acute NP than in controls, while cervical decrement was higher in both spinal pain groups. Patients with acute NP showed reduced cervical flexion when compared to acute LBP and control groups, and also cervical rotation, but just against controls. Furthermore, lumbar flexion was reduced in patients with acute LBP when compared to those with acute NP. Cervical decrement was able to discriminate spinal pain individuals from controls in a multinominal regression (R2: Cox–Snell estimation = 0.533; Nagelkerke estimation = 0.600). Lumbar flexion differentiated patients with acute LBP and controls, whereas cervical flexion differentiated patients with acute NP and controls. This study supports a tendency of the affectation of other spinal regions when only one is affected.

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Circulating Adipokines in Predicting the Transition from Acute to Persistent Low Back Pain

Pain Medicine ◽

10.1093/pm/pnaa052 ◽

2020 ◽

Vol 21 (11) ◽

pp. 2975-2985 ◽

Cited By ~ 1

Author(s):

David M Klyne ◽

Paul W Hodges

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Depressive Symptoms ◽

Repeated Measurements ◽

Low Back ◽

Reactive Protein ◽

Acute Low Back Pain ◽

Pain Disability ◽

Inflammation Cytokines ◽

Necrosis Factor

Abstract Objectives Cytokines such as tumor necrosis factor (TNF) contribute to the transition from acute to persistent pain. Despite increasing incidence of obesity and its linkage with chronic pain and inflammation, cytokines predominantly produced by adipose tissue (adipokines) have received little attention. Here we aimed to explore the longitudinal trajectory of adipokines from the onset of acute low back pain (LBP) and identify combinations of adipokines and/or other features that predict outcome. Methods Individuals with acute LBP (less than two weeks after onset) who had either recovered (no pain, N = 15) or remained unrecovered (no reduction/increase in pain, N = 13) at six months and 15 controls were retrospectively selected from a larger prospective cohort. Participants provided blood for the measurement of TNF, interleukin-6 (IL-6), resistin, visfatin, adiponectin, leptin, and C-reactive protein (CRP), and completed questionnaires related to pain/disability, depression, and sleep at baseline. LBP participants repeated measurements at six months. Results Compared with controls, acute LBP individuals had higher TNF and CRP but lower adiponectin. In LBP, unrecovered individuals had higher TNF at both time points, but lower CRP at baseline and leptin at six months. Although combined low CRP, high TNF, and depressive symptoms at baseline predicted poor recovery, the primary adipokines leptin, resistin, visfatin, and adiponectin did not. Conclusions Primary adipokines did not add to the prediction of poor LBP outcome that has been identified for the combination of low CRP, high TNF, and depressive symptoms in acute LBP. Whether adipokines play a role in LBP persistence in overweight/obese individuals requires investigation.

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Criterion validity study of lumbar goniometers BROM II and EDI-320 for range of motion of lumbar flexion of low back pain patients

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-2002-16407 ◽

2002 ◽

Vol 16 (4) ◽

pp. 159-167 ◽

Cited By ~ 4

Author(s):

M. Tousignant ◽

J. Morissette ◽

M. Murphy

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Range Of Motion ◽

Criterion Validity ◽

Validity Study ◽

Low Back ◽

Lumbar Flexion ◽

Pain Patients

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Effectiveness of Dry Needling and Low-Level Laser Therapy in Nonspecific Low Back Pain

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2020/44893.14250 ◽

2020 ◽

Author(s):

Alagiathiruvevenkadam Ilayaraja ◽

MK Franklin Shaju ◽

Singh Sumer Singh ◽

Edwin Raj Gerald ◽

D Sathyanarayana ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Range Of Motion ◽

T Test ◽

Low Back ◽

Dry Needling ◽

Low Level Laser ◽

Pain Disability ◽

Level Laser ◽

Significant Difference

Introduction: Musculoskeletal spinal disorders are an immense problem in industrialised societies resulting in tremendous personal and economic costs. Younger adults (30 to 60-year-old) are more likely to experience Low Back Pain (LBP) from the disc space or from back muscle strain or other soft tissue strain. Experiencing it earlier in life may lead to recurrent and chronic LBP in adulthood. Dry Needling (DN) which are utilised to treat low back torment in current patterns. Low Level Laser Treatment (LLLT) is utilised to treat LBP by concentrating on the trigger focuses. Aim: To identify the effectiveness of DN and LLLT in the management of selected outcome variables among patients with nonspecific LBP. Materials and Methods: The Quasi experimental study was conducted among a total of 30 subjects who met the inclusion criteria. The subjects were divided into 15 each as group A (DN) and group B (LLLT). The Numerical Pain Distress Scale (NPDS), Quebec Back Pain Disability Scale (QBPDS) and lumbar flexion range of motion were assessed, before and after two weeks of intervention program to identify the effectiveness. Data analysis was done through SPSS and graph pad, using paired t-test and independent t-test. Results: Both groups have shown improvement after two weeks of intervention treatment program. Both groups showed significant difference in relieving pain, reducing disability and improving lumbar range of motion on nonspecific LBP individually. However, there was no significant difference found between the groups, thus null hypothesis was accepted and rejecting the alternate hypothesis. Conclusion: Both the techniques are equally effective in reducing the pain, disability level and improving range of motion individually after two weeks of intervention.

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Cupping Care Effectiveness on Flection Range of Motion

STRADA JURNAL ILMIAH KESEHATAN ◽

10.30994/sjik.v9i2.500 ◽

2020 ◽

Vol 9 (2) ◽

pp. 1539-1544

Author(s):

Achmad Sya’id ◽

Anita Fatarona

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Range Of Motion ◽

The Body ◽

Wilcoxon Test ◽

P Value ◽

Low Back ◽

Endogenous Opiates ◽

Acute Low Back Pain ◽

Post Test

This study aims to nalyzing whether cupping is effective in increasing the flection range of motion of low back pain clients. Methods: This study is quassy experimental with one group pre-post test design, cupping care was carried out by a certified nurse giving therapy during the pandemic. This study using 30 acute low back pain clients. ROM was measured before and 15 minutes after cupping care was given. Before cupping 96.7% flection ROM was on 3th degree, 15 minutes after cupping care, the flection ROM of 96.7% respondents increased to 4th. Analysis: using the Wilcoxon test, P value is (0.000) smaller than alpha (0.05). Based on the study the changes of flection ROM are significant due to the increase in endogenous opiates such as endorphins, encephalins, and dinorphins in the body. The opiate is produced during cupping care, so that the concentration of tension decreases and the blood flows properly

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The Modified – Modified Schober Test for range of motion assessment of lumbar flexion in patients with low back pain: A study of criterion validity, intra- and inter-rater reliability and minimum metrically detectable change

Disability and Rehabilitation ◽

10.1080/09638280400018411 ◽

2005 ◽

Vol 27 (10) ◽

pp. 553-559 ◽

Cited By ~ 63

Author(s):

M Tousignant ◽

L Poulin ◽

S Marchand ◽

A Viau ◽

C Place

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Range Of Motion ◽

Criterion Validity ◽

Low Back ◽

Detectable Change ◽

Rater Reliability ◽

Lumbar Flexion ◽

Motion Assessment

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Effects of exercise therapy in patients with acute low back pain: a systematic review of systematic reviews

Systematic Reviews ◽

10.1186/s13643-020-01412-8 ◽

2020 ◽

Vol 9 (1) ◽

Author(s):

Marc Karlsson ◽

Anna Bergenheim ◽

Maria E. H. Larsson ◽

Lena Nordeman ◽

Maurits van Tulder ◽

...

Keyword(s):

Systematic Review ◽

Low Back Pain ◽

Back Pain ◽

Exercise Therapy ◽

Systematic Reviews ◽

Low Back ◽

Stabilization Exercise ◽

Acute Low Back Pain ◽

Randomized Controlled ◽

Pain Disability

Abstract Background Acute low back pain is associated with pain and disability, but symptoms are often self-healing. The effectiveness of exercise therapy for acute low back pain remains uncertain with conflicting evidence from systematic reviews. The aim of this systematic review of systematic reviews was to assess the overall certainty of evidence for the effects of exercise therapy, compared with other interventions, on pain, disability, recurrence, and adverse effects in adult patients with acute low back pain. Methods PubMed, the Cochrane library, CINAHL, PEDro, Open Grey, Web of Science, and PROSPERO were searched for systematic reviews of randomized controlled trials. Methodological quality was assessed independently by two authors using AMSTAR. Meta-analyses were performed if possible, using data from the original studies. Data for pain, disability, recurrence, and adverse effects were analyzed. Certainty of evidence was assessed using GRADE. Results The searches retrieved 2602 records, of which 134 publications were selected for full-text screening. Twenty-four reviews were included, in which 21 randomized controlled trials (n = 2685) presented data for an acute population, related to 69 comparisons. Overlap was high, 76%, with a corrected covered area of 0.14. Methodological quality varied from low to high. Exercise therapy was categorized into general exercise therapy, stabilization exercise, and McKenzie therapy. No important difference in pain or disability was evident when exercise therapy was compared with sham ultrasound, nor for the comparators usual care, spinal manipulative therapy, advice to stay active, and educational booklet. Neither McKenzie therapy nor stabilization exercise yielded any important difference in effects compared with other types of exercise therapy. Certainty of evidence varied from very low to moderate. Conclusions The findings suggest very low to moderate certainty of evidence that exercise therapy may result in little or no important difference in pain or disability, compared with other interventions, in adult patients with acute low back pain. A limitation of this systematic review is that some included reviews were of low quality. When implementing findings of this systematic review in clinical practice, patients’ preferences and the clinician’s expertise also should be considered, to determine if and when exercise therapy should be the intervention of choice. Systematic review registration PROSPERO: CRD46146, available at: https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=46146.

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Factors Related to the Inability of Individuals With Low Back Pain to Improve With a Spinal Manipulation

Physical Therapy ◽

10.1093/ptj/84.2.173 ◽

2004 ◽

Vol 84 (2) ◽

pp. 173-190 ◽

Cited By ~ 56

Author(s):

Julie M Fritz ◽

Julie M Whitman ◽

Timothy W Flynn ◽

Robert S Wainner ◽

John D Childs

Keyword(s):

Logistic Regression ◽

Low Back Pain ◽

Back Pain ◽

Range Of Motion ◽

Spinal Manipulation ◽

Symptom Duration ◽

Low Back ◽

Duration Of Symptoms ◽

Fear Avoidance Beliefs ◽

Pain Disability

Abstract Background and Purpose. Although spinal manipulation is one of the few interventions for low back pain supported by evidence, it appears to be underutilized by physical therapists, possibly due to therapists' concerns that a patient may not benefit from the intervention. The purpose of this study was to identify factors that are associated with an inability to benefit from manipulation. Subjects. Seventy-five people with nonradicular low back pain (mean age=37.6 years, SD=10.6, range=19–59; mean duration of symptoms=41.7 days, SD=54.7, range=1–252) participated. Methods. Subjects underwent a standardized examination that included history-taking; self-reports of pain, disability, and fear-avoidance beliefs; measurement of lumbar and hip range of motion; and use of various tests. All subjects received a spinal manipulation intervention for a maximum of 2 sessions. Subjects who did not show greater than 5 points of improvement on the modified Oswestry Low Back Pain Disability Questionnaire were considered to have shown no improvement with the manipulation. Baseline variables were tested for univariate relationship with the outcome of the manipulation. Variables showing a univariate relationship were entered into a logistic regression equation, and adjusted odds ratios were calculated. Results. Twenty subjects (28%) did not improve with manipulation. Six variables were identified as being related to inability to improve with manipulation: longer symptom duration, having symptoms in the buttock or leg, absence of lumbar hypomobility, less hip rotation range of motion, less discrepancy in left-to-right hip medial rotation range of motion, and a negative Gaenslen sign. The resulting logistic regression model explained 63% of the variance in manipulation outcome. Discussion and Conclusion. The majority of subjects improved with manipulation. Baseline variables could be identified that were predictive of which subjects would not improve.

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Efficacy of Maitland's Spinal Mobilizations Versus Mckenzie Press-Up Exercises on Pain, Range of Motion and Functional Disability in Subjects with non Radiating Acute Low Back Pain

Indian Journal of Physiotherapy and Occupational Therapy - An International Journal ◽

10.5958/0973-5674.2014.00045.8 ◽

2014 ◽

Vol 8 (4) ◽

pp. 242 ◽

Cited By ~ 1

Author(s):

Arpit Sheth ◽

Anu Arora ◽

Sujata Yardi

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Range Of Motion ◽

Functional Disability ◽

Low Back ◽

Acute Low Back Pain

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The Effect of Kinesio Taping on Pain, Functional Disability, and Trunk Range of Motion in People With Nonspecific Chronic Low Back Pain: A Single-group Pretest-Posttest Trial

Journal of Modern Rehabilitation ◽

10.32598/jmr.14.1.6 ◽

2020 ◽

Vol 14 (1) ◽

pp. 47-54

Author(s):

Soheila Abbasi ◽

Mohammad Reza Hadian Rasanani ◽

Nastaran Ghotbi ◽

Gholam Reza Olyaei ◽

Omid Rasouli

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Range Of Motion ◽

Chronic Low Back Pain ◽

Functional Disability ◽

Low Back ◽

Kinesio Taping ◽

Pain Disability ◽

Disability Questionnaire

Introduction: This study aimed to evaluate the effect of Kinesio Taping (KT) on low back/pelvis pain, disability, and trunk Range of Motion (ROM) in individuals with nonspecific chronic low back pain (CLBP) after 72 h.Materials and Methods: Eighteen patients with nonspecific CLBP participated in this study. Pain intensity, Oswestry low back pain disability questionnaire, and lumbar ROM were evaluated once before the intervention (KT with 50% tension) and then 72 h after. For statistical analysis, we used the paired sample t-test. Results: Pain intensity was significantly reduced (P<0.01). But KT did not improve disability and lumbar ROM (P>0.05).Conclusion: Based on the results, 72 h KT over the lumbopelvic area did not improve disability and lumbar ROM in people with nonspecific CLBP while there was a significant reduction in pain intensity. The proposed mechanism of the KT effects is inconsistent with these results.

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