The Effect of Autogenous Fascia Relaxation and Spinal Mobility Exercise on Pain and Range of Motion in Elderly Female Patients with Chronic Back Pain

Objective.To examine the frequency of impaired spinal mobility in patients with chronic back pain of short duration and to compare it with the frequency of impaired spinal mobility in patients with axial spondyloarthritis (axSpA), possible SpA, and no SpA.Methods.The SpondyloArthritis Caught Early (SPACE) cohort includes patients with chronic back pain (≥ 3 mos, ≤ 2 yrs, onset < 45 yrs). Spinal mobility was assessed with lateral spinal flexion, chest expansion, cervical rotation, occiput-to-wall distance, and lumbar flexion. Hip mobility was assessed with intermalleolar distance. Mobility measures were defined as impaired if below the 5th percentile reference curve from general population, adjusted for age and height when appropriate. Proportions of patients categorized with impaired mobility were examined with chi square.Results.In total, 393 patients with chronic back pain were included: 142 axSpA, 140 possible SpA, and 111 no SpA. Impairment in ≥ 1 mobility measure was present in 66% of all patients. The most frequently impaired mobility measure was lateral spinal flexion (40%), followed by chest expansion (22%), cervical rotation (18%), intermalleolar distance (17%), lumbar flexion (15%), and occiput-to-wall distance (11%). No statistically significant differences in proportion of patients with impaired spinal mobility were found between patients with axSpA and the other subgroups in any of the tests.Conclusion.Two out of 3 patients with chronic back pain of short duration had impaired spinal mobility compared to the general population. Impaired spinal mobility occurs as often in patients with early axSpA as in other forms of chronic back pain.

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OP0154-HPR Spinal Mobility Is Impaired in Patients with Chronic Back Pain of Short Duration, but Does Not Discriminate between Patients with Axial Spondyloarthritis and Other Forms of CBP: Table 1.

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2016-eular.1836 ◽

2016 ◽

Vol 75 (Suppl 2) ◽

pp. 114.2-114

Author(s):

C. Fongen ◽

H. Dagfinrud ◽

I.J. Berg ◽

S. Ramiro ◽

F. van Gaalen ◽

...

Keyword(s):

Back Pain ◽

Short Duration ◽

Chronic Back Pain ◽

Axial Spondyloarthritis ◽

Spinal Mobility

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Effects of a self-assessment device for pelvic position on chronic back pain and range of motion of the trunk

Journal of Physical Therapy Science ◽

10.1589/jpts.27.3939 ◽

2015 ◽

Vol 27 (12) ◽

pp. 3939-3940 ◽

Cited By ~ 2

Author(s):

Won-gyu Yoo

Keyword(s):

Back Pain ◽

Range Of Motion ◽

Chronic Back Pain ◽

Self Assessment ◽

Pelvic Position

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Pregabalin for Opioid-Refractory Pain in a Patient with Ankylosing Spondylitis

Case Reports in Psychiatry ◽

10.1155/2013/912409 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Konstantinos A. Kontoangelos ◽

Anastasios V. Kouzoupis ◽

Panagiotis P. Ferentinos ◽

Ioannis D. Xynos ◽

Nikolaos V. Sipsas ◽

...

Keyword(s):

Back Pain ◽

Ankylosing Spondylitis ◽

Chronic Back Pain ◽

Spinal Mobility ◽

Low Back ◽

Analgesic Agent ◽

Buttock Pain ◽

Refractory Pain ◽

Systemic Inflammatory Disease ◽

Pain Symptoms

Background. Ankylosing spondylitis (AS) is a systemic inflammatory disease with chronic back pain as the most common presenting symptom. We present a case of a male patient with AS reporting symptoms of severe low back pain, buttock pain, and limited spinal mobility. After chronic treatment with opioids, we administered pregabalin at a dose of 300 mg as an analgesic agent while opioids were discontinued.Findings. Pain symptoms improved progressively, and opioids were gradually discontinued without any withdrawal symptoms reported.Conclusions. Pregabalin is potentially useful in the management of pain in patients with AS while effectively managing the discontinuation of opioid treatment.

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Specific Exercise for Spine can Improve Lumbar Spondylosis: A Case Report

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i34b31855 ◽

2021 ◽

pp. 133-139

Author(s):

Ruchika Zade ◽

Priyanka Sahu ◽

Gunjan Shende ◽

Tejaswini Fating ◽

Pratik Phansopkar

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Case Report ◽

Range Of Motion ◽

Chronic Back Pain ◽

Posterior Part ◽

Active Movement ◽

Diagnostic Strategy ◽

Low Back ◽

Disc Protrusion

Background: At some stage in their lives, between 60-85% of adults suffer from low back pain (LBP). Fortunately, symptoms are mild and intermittent for the vast majority of people, with 90 percent subsidization within six weeks. An approximate 15-45 percent of the individuals affected by chronic back pain, defined as symptoms such as pain that last beyond 3 months. The effect on the livelihoods and economic results are significant for the minority with intractable symptoms. Considering the high incidence of low back pain, the diagnostic strategy and treatment options are complex and sometimes conflicting and within the general population. Rising the expense and inconsistency of management throughout the nation. In fact, this is because it is impossible for most patients to establish a particular etiology, with established axial spine-wide nociceptive pain generators identified. Clinical Finding: Patient having complaint of pain in lower back region and Radiated in the posterior part of the thigh, as well as lower limb numbness. Morning stiffness was present. On examination active movement (Range of Motion) of lumbar flexion, lumbar Extension and lumbar lateral flexions lightly restricted and painful at the end of range of motion. Diagnosis: MRI was done, it shows posterior annulus tear on the level of L4-L5, L4-L5 –Diffuse disc bulge with right-sided bulge subarticular is disc protrusion causing indentation on anterior thecal sac with moderate to severe narrowing of bilateral neural foramina with propensity toward right side with compression of traversing and exiting nerve roots. Conclusion: This case report provides patient with inclusive recovery which helped her to relieve pain.

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Effects of An-ma Manipulative Therapy at the Musculotendinous Junction on Pain, Functional Disability and Range of Motion of the Hip Joint in Patients with Chronic Back Pain

The Korean Journal of Visual Impairment ◽

10.35154/kjvi.2017.33.3.59 ◽

2017 ◽

Vol 33 (3) ◽

pp. 59-74

Author(s):

홍승표 ◽

김재희

Keyword(s):

Back Pain ◽

Range Of Motion ◽

Hip Joint ◽

Functional Disability ◽

Chronic Back Pain ◽

Musculotendinous Junction ◽

Manipulative Therapy

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Nonspecific Chronic Back Pain: Sixth Edition Approaches

Guides Newsletter ◽

10.1001/amaguidesnewsletters.2019.sepoct03 ◽

2019 ◽

Vol 24 (5) ◽

pp. 14-15

Author(s):

Jay Blaisdell ◽

James B. Talmage

Keyword(s):

Back Pain ◽

Chronic Back Pain ◽

Intervertebral Disk ◽

Key Factors ◽

Sixth Edition ◽

Whole Person ◽

Class 1 ◽

A Cell ◽

Intervertebral Disk Herniation ◽

The Individual

Abstract Ratings for “non-specific chronic, or chronic reoccurring, back pain” are based on the diagnosis-based impairment method whereby an impairment class, usually representing a range of impairment values within a cell of a grid, is selected by diagnosis and “specific criteria” (key factors). Within the impairment class, the default impairment value then can be modified using non-key factors or “grade modifiers” such as functional history, physical examination, and clinical studies using the net adjustment formula. The diagnosis of “nonspecific chronic, or chronic reoccurring, back pain” can be rated in class 0 and 1; the former has a default value of 0%, and the latter has a default value of 2% before any modifications. The key concept here is that the physician believes that the patient is experiencing pain, yet there are no related objective findings, most notably radiculopathy as distinguished from “nonverifiable radicular complaints.” If the individual is found not to have radiculopathy and the medical record shows that the patient has never had clinically verifiable radiculopathy, then the diagnosis of “intervertebral disk herniation and/or AOMSI [alteration of motion segment integrity] cannot be used.” If the patient is asymptomatic at maximum medical improvement, then impairment Class 0 should be chosen, not Class 1; a final whole person impairment rating of 1% indicates incorrect use of the methodology.

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