Considerations On Kinetotherapy Of Low Lumbar Pain

2019 ◽  
pp. 34-38
Author(s):  
Bogdan Hagiu

Low lumbar pain is a very common condition that can benefit from kinetotherapy, which can be combined with specific medication and cognitive therapy. Depending on the pathophysiological mechanism of production, some physiotherapy exercises or techniques can be highlighted, because they have an increased efficiency in combating this type of pain. Thus, in the case of lower lumbar pain inherent to fibromyalgia, aerobic exercises appear to be more useful, and in the case of pain that accompany a herniated disc are recommended strenght exercises and lumbar stabilization. Lower lumbar pains due to work accidents are particularly beneficial for aerobic exercise if muscular contractions are present, and those with a sacroiliac joint dysfunction as an etiology can be alleviated by Mulligan mobilizations, Mulligan tapping and ultrasound; for those caused by spinal osteoarthritis are especially useful yoga and stretching exercises. Lower lumbar pain can also be caused by ankylosing spondylitis, in which case they can be improved by gymnastics, hydrotherapy, massage, leisure activities.

2017 ◽  
Vol 36 (02) ◽  
pp. 133-135
Author(s):  
Cherkaoui Mandour ◽  
Miloudi Gazzaz ◽  
Brahim Mostarchid

Introduction Intraspinal gas is a common clinical finding, but an epidural gas pseudocyst in association with lateral disc herniation compressing a nerve root is an exceptional observation. Case Report A 49-year-old man was admitted to our department presenting with sciatica. The neurological examination demonstrated moderate lumbar pain without neurological deficit. A lumbosacral computed tomography showed the presence of degenerated disc herniation and epidural gas collection. Discussion The pathological association between the cyst and the hernia is probably due to the migration of gas pumped from the intervertebral space through a breaking point or lower in the annulus fibrosis, involving its contiguity with the herniated disc. Conclusion An association between a disc herniation and a gas pseudocyst can be a cause of sciatica.


2021 ◽  
pp. 1-8
Author(s):  
Sonia L. Teijido ◽  
Tamara Rial Rebullido ◽  
Cinta Gómez-Tomás ◽  
Diego A. Alonso-Aubin ◽  
Iván Chulvi-Medrano

Context: Hypopressive exercise (HE) has been used as an alternative lumbo-pelvic injury prevention program and claimed to be a means of respiratory and flexibility improvement. However, the possible effects of HE on athletic populations and physical performance remain unclear. Objective: Examine the effects of a HE program on posterior back chain kinematics, thoracic mobility, pulmonary function, and lower lumbar pain in female basketball players over an 8-week training period. Design: Prospective (1) baseline, (2) midpoint (4 wk), and (3) after 8 weeks. Setting: Sports field. Participants: A total of 17 professional female basketball players (mean age 20.7 y, SD: 3.50; body mass index, 21.71, SD: 1.69). Intervention: Participants performed 8 HE weekly sessions of 30 minutes. Main Outcome Measures: Back chain kinematics was assessed with the sit and reach and finger to floor test, and back pain was assessed through numerical rating scale. Respiratory parameters were assessed by spirometry and through thoracic mobility. Results: The analysis of variance revealed significant differences between the 3 measurement periods for thoracic mobility (P > .01); forced expiratory volume in the first second (P < .05) while no statistical differences were found for the rest of spirometry outcomes. Significant differences were also revealed between baseline and after the intervention for the sit and reach test (P > .01), peak expiratory flow (P = .01), and forced expiratory volume in the first 25 seconds (P = .04). Also, significant differences between weeks were found in levels of lumbar pain (P = .003) and the finger to floor test (P = .002). Conclusions: These preliminary findings suggest that a HE program can improve posterior back chain and chest wall kinematics as well as lower lumbar pain levels. However, no gains seem to be observed for the majority of pulmonary variables except for peak expiratory flow and forced expiratory volume in the first seconds.


2005 ◽  
Vol 63 (3a) ◽  
pp. 681-684 ◽  
Author(s):  
Guilherme Borges ◽  
Leonardo Bonilha ◽  
Marcílio Proa Jr. ◽  
Yvens Barbosa Fernandes ◽  
Ricardo Ramina ◽  
...  

Spinal schwannomas are frequently observed among patients treated in a reference neurosurgery center. Cystic spinal schwannomas, however, are very scantly found. Due to its indolent behavior and benign course, the diagnosis of schwannomas may pose a challenge to the care giver, and the imaging findings can be misleading. In this article, we illustrate an example of a pauci-symptomatic 55 year-old male patient whose complaint was solely a non specific lumbar pain. Investigation revealed a large cystic lesion comprising the lower lumbar intradural space. He was then treated with microneurosurgical technique involving complete removal of the tumor and reconstruction of the duramater. Histological and immunohystochemical diagnosis were consistent with cystic schwannoma. The patient presented with complete recovery of his symptom. In this article we aim to emphasize the clinical presentation and treatment of lumbar spine schwannomas, and to illustrate the imaging findings within this uncommon case.


2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Bárbara Rosa ◽  
Pedro Campos ◽  
André Barros ◽  
Samir Karmali ◽  
Esperança Ussene ◽  
...  

We present a case of a 5th Lumbar Vertebra (L5) spinous process osteochondroma as a rare cause of lumbar pain in an old patient. A 70-year-old male presented with progressive and disabling lower lumbar pain. Tenderness over the central and left paraspinal area of the lower lumbar region and a palpable mass were evident. CT scan showed a mass arising from the spinous process of L5. Marginal resection of the tumor was performed through a posterior approach. The histological study revealed an osteochondroma. After surgery, pain was completely relieved. After one year there was no evidence of local recurrence or symptoms. Osteochondromas rarely involve the spine, but when they do symptoms like pain, radiculopathy/myelopathy, or cosmetic deformity may occur. The imagiologic exam of election for diagnosis is CT scan. When symptomatic the treatment of choice is surgical resection. The most concerning complication of osteochondromas is malignant transformation, a rare event.


2021 ◽  
Vol 35 (2) ◽  
pp. 31-35
Author(s):  
A.K. Felix ◽  
M. Makungu

An eight-month-old, 2.7 kg, male, neutered mixed breed cat was presented at the Sokoine University of Agriculture Teaching Animal Hospital with a history of lameness involving hind limbs, lethargy, anorexia and failure to urinate or defecate. Abdominal palpation revealed a distended urinary bladder and firm faeces within the colon. Manipulation of the hips elicited pain and lower lumbar pain was also elicited on palpation. Radiographic examination revealed, an old fracture of the sacrum, lordosis of the lumbar spine with indented vertebral end plates, left sacroiliac joint subluxation and abnormally ventral angling of the ilial wings. Narrowing of the pelvic canal was also observed. A diagnosis of old fractures of the sacrum, left sacral iliac subluxation and narrowing of the pelvic canal was made based on the history, clinical and radiographic examination. Limitation of activity for three weeks was recommended to facilitate healing process. The owner reported the patient had a gradual recovery from lameness. Computed tomography would have provided further insight on the nature and severity of the fractures that the animal sustained. However, it was not done due to unavailability


Author(s):  
Connie K. Porcaro ◽  
Clare Singer ◽  
Boris Djokic ◽  
Ali A. Danesh ◽  
Ruth Tappen ◽  
...  

Purpose Many aging individuals, even those who are healthy, report voice changes that can impact their ability to communicate as they once did. While this is commonly reported, most do not seek evaluation or management for this issue. The purpose of this study was to investigate the prevalence and differences in voice disorders in older adults, along with the effect of fatigue on their social interactions. Method This is a cross-sectional investigation of a community-dwelling sample of individuals aged 60 years or older. Participants completed the Questionnaire on Vocal Performance, the Social Engagement Index subset “Engagement in Social or Leisure Activities,” and the Fatigue Severity Scale. Results Results indicated 32.5% of the 332 participants reported symptoms of voice problems with no difference found between male and female respondents. A slight increase in report of voice problems was noted with each year of age. Participants who self-reported voice problems indicated less interaction in social activities involving communication than those who did not. Finally, as severity of self-reported voice problems increased, an increase was reported by the same individuals for signs of fatigue. Conclusions Voice problems and resulting decreased social interaction are commonly experienced by older individuals. Voice symptoms in older adults have been found to benefit from evidence-based treatment strategies. It is critical to provide education to encourage older individuals to seek appropriate evaluation and management for voice issues through a speech-language pathologist or medical professional.


GeroPsych ◽  
2018 ◽  
Vol 31 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Ljiljana Kaliterna Lipovčan ◽  
Tihana Brkljačić ◽  
Zvjezdana Prizmić Larsen ◽  
Andreja Brajša-Žganec ◽  
Renata Franc

Abstract. Research shows that engagement in leisure activities promotes well-being among older adults. The objective of the current study was to examine the relationship between subjective well-being (flourishing) and leisure activities (total number of different activities in the previous year) in a sample of older adults in Croatia, thereby considering the variables of sex, marital status, financial status, and self-perceived health. The differences in the examined variables between the groups of older adults who reported to be engaged in new activities with those who did not were also examined. The sample of N = 169 older adults aged 60 years and above was drawn from a convenience sample of adult internet users in Croatia. Participants reported their self-perceived health and the number of leisure activities they engaged in over the previous year as well as completing the Flourishing Scale. Hierarchical regression analyses indicated that older adults who were engaged in more various leisure activities, who perceived better financial status, and who were married reported higher levels of flourishing. A comparison of the two groups of older adults with and without engagement in leisure activities showed that those engaged in at least one leisure activity were more likely to be women, reported higher levels of flourishing, and perceived their own financial status as better. This study indicated that engaging in leisure activities in later life might provide beneficial effects for the well-being of older adults.


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