scholarly journals TREATMENT OF BACK PAIN AFTER HIP ARTHROPLASTY, USING DEEP OSCILLATION

2021 ◽  
Vol 11 (01) ◽  
pp. 35-39
Author(s):  
Mikhael Gorshkov Mikhael Gorshkov ◽  
Nugzar Elizbarashvili Nugzar Elizbarashvili ◽  
Lukhum Chanturia Lukhum Chanturia ◽  
Otari Gaphrindashvili Otari Gaphrindashvili ◽  
Iamze Taboridze Iamze Taboridze
Keyword(s):  
Back Pain ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Oswestry Disability Index ◽  
Treatment Method ◽  
Spinal Pain ◽  
Mean Value ◽  
Joint Arthroplasty ◽  
Total Endoprosthesis ◽  
Spinal Condition

Objective: Deep Oscillation® is an electromechanical procedure with deep therapy that allow to create a pulsed electrostatic field between the hand applicator and the processing better tissue nutrition, enhanced cellular metabolism, faster healing. The purpose of this work is to assessment of the outcome of the treatment of spinal pain after hip arthroplasty using Deep osсillation Methods: The study included 85 patients between the ages of 40 and 75 who were referred to the Arena 2 Rehabilitation Center for post hip joint arthroplasty spine pain, including 57 women and 28 men. Patients physical modalities: complex rehabilitation programme including deep oscillation (DO - fibromyalgia programme) and kinesitherapy - active analytic exercises (including isometric exercises) and soft tissue techniques (post-isometric relaxation, stretching of the lumbar fascia, manual massage). Spinal condition was assessed before treatment after treatment using the Modified Oswestry Disability Index (ODI). Results: Mean value of points before treatment - 3.35+1.1, after treatment - 1.36+0.79. p<0.001 Oswestry Disability Index –67% and 27.2% respectively. Conclusion: After total endoprosthesis, there is a change in biomechanics and a shift in the center of gravity, which causes a change in the position of the spine and pain, so we definitely consider the spine examination and adequate rehabilitation and treatment in the post hip joint arthroplasty period. Involvement in the deep spine's treatment method reduces pain and improves the patient's quality of life, improve function and return-to-work status. Keywords: deep oscillation, hip arthroplasty, back pain.

scholarly journals Back Pain and Body Posture of Non-Professional Brazilian Jiu-Jitsu Athletes

2021 ◽  
Author(s):  
Katarzyna Sędek ◽  
Aleksandra Truszczyńska-Baszak ◽  
Katarzyna Cygańska Anna ◽  
Justyna Drzał-Grabiec
Keyword(s):  
Back Pain ◽  
Oswestry Disability Index ◽  
Spinal Pain ◽  
Thoracolumbar Junction ◽  
Control Group ◽  
Training Time ◽  
Pain Location ◽  
Postural Changes ◽  
Study Population ◽  
Parameter Values

Abstract Background The aim of the study was to assess the prevalence of back pain in non-professional Brazilian jiu-jitsu (BJJ) athletes, and to assess the relationship between their back pain and postural disorders. Methods The study involved 61 subjects: 31 subjects who trained Brazilian jiu-jitsu and 30 subjects who had never trained any martial arts. The mean BJJ training time in the study population was 3.89 ± 4.13 years. The athletes’ trained 4.06 ± 2.8 times a week and took 1.5 hours. Postural assessments were conducted with the use of the photogrammetric method. The assessment of back pain and injuries was conducted with the Oswestry Disability Index (ODI) and with our proprietary questionnaire. Results Among both populations, 37 subjects reported back pain − 22 athletes (71.0%) and 15 controls (50%) (p = 0,094). There were no differences in back pain location between the two groups (p > 0.05) or in functional state on the Oswestry Index (21.5% in the study population and 20% in the control group, p = 0.121). We observed significant differences between the groups in the values of four of the postural parameters. For each of these four parameters, parameter values were higher in the study population: DCK-spinal height from C1 to S1 (474.8 ± 25.4 vs 447.1 ± 25.9, p = 0.001); RKP-length of kyphosis between C7 and thoracolumbar junction (321.9 ± 15.2 vs 307.3 ± 22.2, p = 0.010); RLL-length of lordosis between S1 and thoracolumbar junction (152.9 ± 18.2 vs. 139.8 ± 17.6, p = 0.009) and KNM-pelvis inclination angle (2.24 ± 1.18 vs. 1.64 ± 1.34, p = 0.041). We found statistically significant differences in the study population between the athletes with and without back pain. These differences were found in the following parameters: RKP-length from C7 to peak of kyphosis (p = 0.01) and TT-difference between height of the waist triangles (p = 0.018). Conclusions There are no differences in back pain in regard to its frequency, intensity and location between non-professional BJJ athletes and subjects who do not train BJJ. Both in the study population and in the control group the spinal pain was minimal or moderate on the Oswestry Disability Index. BJJ athletes who reported back pain had characteristic postural changes in some of the analysed postural parameters in comparison to BJJ athletes who did not report back pain.

scholarly journals The Utility of Digital Linear Tomosynthesis Imaging of Total Hip Joint Arthroplasty with Suspicion of Loosening: A Prospective Study in 40 Patients

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Jan H. Göthlin ◽  
Mats Geijer
Keyword(s):  
Total Hip Arthroplasty ◽  
Prospective Study ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Clinical Utility ◽  
Hip Prosthesis ◽  
Joint Arthroplasty ◽  
Acetabular Cup ◽  
Total Hip ◽  
A Prospective Study

Aim. The clinical utility of digital linear tomosynthesis in musculoskeletal applications has been validated in only a few reports. Technical performance and utility in hip prosthesis imaging have been discussed in technical reports, but no clinical evaluation has been reported. The purpose of the current study was to assess the added clinical utility of digital linear tomosynthesis compared to radiography in loosening of total hip joint arthroplasty.Materials and Methods. In a prospective study, radiography and digital tomosynthesis were performed in 40 consecutive patients with total hip arthroplasty referred for suspect prosthesis loosening. Tomosynthesis images were compared to anterior-posterior (AP) and cross-table lateral radiographs regarding demarcation and extent of demineralization and osteolysis. Further noted were skeletal fractures, cement fractures, fragmentation, and artifacts interfering with the diagnosis.Results. Tomosynthesis was superior to radiography with sharper delineation of demineralization and osteolysis in the AP projection. A limitation was the inability to generate lateral tomosynthesis images, with inferior assessment of the area anterior and posterior to the acetabular cup compared to cross-table radiographs. Artifacts interfering with diagnosis were found in one hip.Conclusion. Tomosynthesis improved evaluation of total hip arthroplasty in the AP projection but was limited by the lack of lateral projections.

scholarly journals Overview of Modern Approaches to the Restoration of the Anatomical and Functional State of the Hip Joint in Various Pathologies

2019 ◽  
Vol 12 (2) ◽  
pp. 915-923
Author(s):  
S. V. Shmeleva ◽  
N. V. Logachev ◽  
Ya.V. Shimanovskaya ◽  
A.V. Romanova ◽  
A.N. Vakulenko ◽  
...  
Keyword(s):  
Hip Joint ◽  
Hip Arthroplasty ◽  
Musculoskeletal System ◽  
Complex Structure ◽  
Physical Exertion ◽  
Joint Arthroplasty ◽  
Motor Ability ◽  
Rehabilitation Process ◽  
Physical Exercises ◽  
Joint Form

An important element of the human musculoskeletal system is the hip joint, it has a complex structure. The hip joint is very vulnerable and can sometimes be severely affected. Injuries, degenerative processes in cartilage, and excessive physical exertion create conditions for destructive changes in the structures of the hip joint. Degenerative-dystrophic changes in the structure of the joint form the need for endoprosthetics. After endoprosthetics, a complex rehabilitation process is needed, which should be based on regular dosed physical exercises, which do not allow weakening the muscles, which provide movement in it, and rationally combine them with massage and hydro-procedures. In this way, it is possible to return the optimal motor ability of the limb after hip joint arthroplasty and to ensure a person’s return to his normal life. Improving the efficiency of recovery after hip arthroplasty can be continued with further research in this direction.

scholarly journals Effect of Spinal Alignment Changes on Low Back Pain in Patients Treated with Total Hip Arthroplasty for Hip Osteoarthritis

2020 ◽  
Author(s):  
Fumiko Saiki ◽  
Takeyuki Tanaka ◽  
Naohiro Tachibana ◽  
Hirofumi Oshima ◽  
Taizo Kaneko ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Total Hip Arthroplasty ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Low Back ◽  
Spinal Alignment ◽  
Total Hip ◽  
Patient Reported ◽  
Spinal Sagittal Alignment

Abstract BackgroundTotal hip arthroplasty (THA) is an established procedure for patients with osteoarthritis (OA) of the hip joint that effectively relieves pain and restores function. Because contracture of the hip joint as well as preoperative leg length discrepancy is expected to improve by the surgery, it would be reasonable to speculate that spinal sagittal alignment will also change. However, the influence of spinal alignment changes on clinical symptoms, such as low back pain (LBP), remains controversial. In this study, we aimed to evaluate the associations between spinal alignment changes and improvement in preoperative LBP after THA.MethodsFrom November 2015 to January 2017, 104 consecutive patients who underwent THA were prospectively enrolled. Whole spine X-rays were obtained preoperatively and 12 months postoperatively. The patient-reported outcomes (PROs) used were the Numerical Rating Scale (NRS) for back pain, EuroQol 5 Dimension, and Short Form-12. The presence of LBP was defined as an NRS of ≥4. Changes in spinal alignment and PROs before and after surgery were evaluated.ResultsSeventy-four (71%) patients were included in the study. The sagittal spinal parameters changed slightly but significantly; pelvic incidence (PI) decreased, pelvic tilt (PT) increased, and sacral slope decreased. Coronal spinal alignment significantly improved after surgery. Twenty-six (37%) patients had LBP preoperatively. The patients with preoperative LBP had smaller lumbar lordosis (LL), larger PT, and larger PI minus LL than those in the patients without. Fourteen (54%) of the 26 patients with preoperative LBP showed improvement, but there were no significant differences in the pre- and postoperative radiographic parameters.ConclusionAlthough preoperative LBP was likely to resolve after THR, there were no significant correlations between alignment changes and LBP improvement. The cause of LBP in patients with hip OA patients might be multifactorial.

scholarly journals Long-term clinical and radiological outcome in patients with severe Legg-Calvé-Perthes disease after Chiari pelvic osteotomy: a mean of 14 years follow-up

2021 ◽  
pp. 112070002098815
Author(s):  
Dammerer Dietmar ◽  
Braito Matthias ◽  
Peter Ferlic ◽  
Kaufmann Gerhard ◽  
Juana Kosiol ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Pelvic Osteotomy ◽  
Perthes Disease ◽  
Total Hip ◽  
Joint Incongruence ◽  
Chiari Pelvic Osteotomy

Introduction: The Chiari pelvic osteotomy (CPO) has been recommended as a salvage procedure to improve head coverage in case of hip joint incongruence in paediatric hip disease. In this study, we aimed to assess the long-term results of CPO for severe Legg-Calvé-Perthes disease (LCPD). Methods: A total of 39 patients who underwent a CPO at our department between 1995 and 2010 were prospectively followed both radiologically (Stulberg classification) and clinically (Harris Hip Score [HHS], conversion into total hip arthroplasty). In this study, we retrospectively reviewed the cases of 12 hips (12 patients, 3 girls, 8 left hips) treated by CPO for severe LCPD (Catterall grade 3 or 4) with hip joint incongruence. Mean follow-up was 14.0 (range 7.6–21.3) years. Results: Mean age at surgery was 10.2 (range 8.2–17.8) years. Additional femoral osteotomy was performed in 8 patients. A good radiological result (Stulberg I or II) was achieved in 2 patients, a fair result (Stulberg III) in 4 patients, and a poor outcome (Stulberg IV or V) in 6 patients. Mean postoperative HHS averaged 93 (range 65–100) points. An excellent functional outcome (HHS 90–100 points) was achieved in 9 patients. No patient underwent total hip arthroplasty during follow-up. Postoperative limb-length discrepancy was found in 3 patients. Conclusions: CPO for severe LCPD with hip joint incongruence resulted in good long-term clinical outcome in about ⅔ of our patients after a mean of 14 years. Our results suggest that CPO can still be considered as a salvage joint-conserving procedure in this selected group of younger patients.

scholarly journals Are the Roland Morris Disability Questionnaire and Oswestry Disability Index interchangeable in patients after lumbar spinal fusion?

2021 ◽  
pp. 1-7
Author(s):  
R.F.M.R. Kersten ◽  
J. Fikkers ◽  
N. Wolterbeek ◽  
F.C. Öner ◽  
S.M. van Gaalen
Keyword(s):  
Back Pain ◽  
Spinal Fusion ◽  
Outcome Measures ◽  
Oswestry Disability Index ◽  
Roland Morris Disability Questionnaire ◽  
Leg Pain ◽  
Lumbar Spinal Fusion ◽  
Patient Reported ◽  
Disability Questionnaire ◽  
Lumbar Spinal

BACKGROUND: Low back pain is a common health problem for which there are several treatment options. For optimizing clinical decision making, evaluation of treatments and research purposes it is important that health care professionals are able to evaluate the functional status of patients. Patient reported outcome measures (PROMs) are widely accepted and recommended. The Roland Morris Disability Questionnaire (RMDQ) and the Oswestry Disability Index (ODI) are the two mainly used condition-specific patient reported outcomes. Concerns regarding the content and structural validity and also the different scoring systems of these outcome measures makes comparison of treatment results difficult. OBJECTIVE: Aim of this study was to determine if the RMDQ and ODI could be used exchangeable by assessing the correlation and comparing different measurement properties between the questionnaires. METHODS: Clinical data from patients who participated in a multicenter RCT with 2 year follow-up after lumbar spinal fusion were used. Outcome measures were the RMDQ, ODI, Short Form 36 – Health Survey (SF-36), leg pain and back pain measured on a 0–100 mm visual analogue scale (VAS). Cronbach’s alpha coefficients, Spearman correlation coefficients, multiple regression analysis and Bland-Altman plots were calculated. RESULTS: three hundred and seventy-six completed questionnaires filled out by 87 patients were used. The ODI and RMDQ had both a good level of internal consistency. There was a very strong correlation between the RMDQ and the ODI (r= 0.87; p< 0.001), and between the VAS and both the ODI and RMDQ. However, the Bland-Altman plot indicated bad agreement between the ODI and RMDQ. CONCLUSIONS: The RMDQ and ODI cannot be used interchangeably, nor is there a possibility of converting the score from one questionnaire to the other. However, leg pain and back pain seemed to be predictors for both the ODI and the RMDQ.

scholarly journals Dynamic hip joint stiffness in individuals with total hip arthroplasty: Relationships between hip impairments and dynamics of the other joints

2011 ◽  
Vol 26 (6) ◽  
pp. 598-604 ◽  
Author(s):  
Hiroshige Tateuchi ◽  
Rui Tsukagoshi ◽  
Yoshihiro Fukumoto ◽  
Shingo Oda ◽  
Noriaki Ichihashi
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Joint Stiffness ◽  
The Other ◽  
Total Hip

scholarly journals Dynamics of hip joint effusion after posterior soft tissue repair in total hip arthroplasty

2006 ◽  
Vol 30 (4) ◽  
pp. 233-236 ◽  
Author(s):  
Sarunas Tarasevicius ◽  
Uldis Kesteris ◽  
Romas Jonas Kalesinskas ◽  
Hans Wingstrand
Keyword(s):  
Soft Tissue ◽  
Total Hip Arthroplasty ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Tissue Repair ◽  
Joint Effusion ◽  
Soft Tissue Repair ◽  
Total Hip ◽  
Posterior Soft Tissue

scholarly journals Physician-Related Variability in the Outcomes of an Invasive Treatment for Neck and Back Pain: A Multi-Level Analysis of Data Gathered in Routine Clinical Practice

2021 ◽  
Vol 18 (8) ◽  
pp. 3855
Author(s):  
Ana Royuela Vicente ◽  
Francisco M. Kovacs ◽  
Jesús Seco-Calvo ◽  
Borja M. Fernández-Félix ◽  
Víctor Abraira ◽  
...  
Keyword(s):  
Back Pain ◽  
Regression Models ◽  
Intraclass Correlation ◽  
Spinal Pain ◽  
Routine Clinical Practice ◽  
Invasive Treatment ◽  
Logistic Regression Models ◽  
Training Standards ◽  
Multi Level ◽  
Level Analysis

Neuro-reflexotherapy (NRT) is a proven effective, invasive treatment for neck and back pain. To assess physician-related variability in results, data from post-implementation surveillance of 9023 patients treated within the Spanish National Health Service by 12 physicians were analyzed. Separate multi-level logistic regression models were developed for spinal pain (SP), referred pain (RP), and disability. The models included all patient-related variables predicting response to NRT and physician-related variables. The Intraclass Correlation Coefficient (ICC) and the Median Odds Ratio (MOR) were calculated. Adjusted MOR (95% CI) was 1.70 (1.47; 2.09) for SP, 1.60 (1.38; 1.99) for RP, and 1.65 (1.42; 2.03) for disability. Adjusted ICC (95%CI) values were 0.08 (0.05; 0.15) for SP, 0.07 (0.03; 0.14) for RP, and 0.08 (0.04; 0.14) for disability. In the sensitivity analysis, in which the 6920 patients treated during the physicians’ training period were excluded, adjusted MOR was 1.38 (1.17; 1.98) for SP, 1.37 (1.12; 2.31) for RP, and 1.25 (1.09; 1.79) for disability, while ICCs were 0.03 (0.01; 0.14) for SP, 0.03 (0.00; 0.19) for RP, and 0.02 (0.00; 0.10) for disability. In conclusion, the variability in results obtained by different NRT-certified specialists is reasonable. This suggests that current training standards are appropriate.

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