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The therapeutic response to multidisciplinary intervention for chronic back problems: predictors and algorithms
Multidisciplinary programs for chronic back pain patients, while returning about 60% of patients at work, represent major financial investments. The capacity to predict therapeutic outcomes may constitute an important asset to optimize treatment response and achieve cost reductions. This thesis has...
Countermeasure Development for Lumbopelvic Deconditioning in Space
Physical inactivity and lumbopelvic deconditioning have been linked to increased incidence of non-specific low back pain (LBP) and spinal injury in those who are exposed to microgravity (e.g. astronauts and individuals on long-duration bed rest) and in the general population. Astronauts have an incr...
Non-infiltrating medullary astrocytoma. Case presentation
Foi apresentado o caso de uma paciente de 20 anos que foi ao departamento de Neurocirurgia por apresentar dor na região lombar. No interrogatório, o paciente relatou constipação, retenção urinária e lombalgia. Nos testes complementares, o mais significativo foi a ressonância magnética nuclear, que m...
Use of maximum and cumulative loads on the vertebral column to evaluate jobs, job rotation and technical inspections
Peak and cumulative forces on spinal structures have been identified as significant and statistically independent risk factors for reporting low back pain (LBP). This paper describes a software based approach which utilizes these risk factors to quantitatively predict the reporting of LBP by utilizi...
Relationship of ischiotibial flexibility, sunny strength with jump and speed in ultivmate frisbee players
Problema: a redução da flexibilidade dos isquiotibiais é um quadro clínico comum emadolescentes, esta redução foi reportada como um fator associado à prevalência de dor lombar, hérnia de disco e alto risco de lesões musculares. O ultimatefrisbee combina padrões de movimento similares ao futebol e ao...
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RETROSPECTIVE OBSERVATIONAL STUDY TO EVALUETE THE EFFICACY OF RADIOFREQUENCY IN THE TREATMENT OF CHRONIC PHARMACORESISTAN LOW BACK PAIN
RETROSPECTIVE OBSERVATIONAL STUDY TO EVALUATE THEEFFICACY OF RADIOFREQUENCY IN THE TREATMENT OFCHRONIC PHARMACORESISTANT LOW BACK PAIN Corrente A.1, Luxardo N.2, Di Natale A.S.2, Fiore M.1, Pace M.C.1, Passavanti M.B.1, Pirolli R.1, Pota V.1, Sansone P.1, Schettini V.1, Aurilio C.1 1 Department of W...
Strengh balance and low back pain
5 % lidocaine patch for treatment of upper end CRS by transcutaneous Braquial plexo block: clinical case
The complex regional pain syndrome (SDRC) it is characterized by pain, functional impotence, and tróphics alterations. The cause is a primary injury or a dysfunction of the Nervous System. SDRC-I that replaces term SRD and the SDRC-II instead of the term causalgia. Clinical case: A man of 37 years o...
IMPACT OF SOCIAL AND PSYCHOLOGICALFACTORS ON PERSONS WITH ACUTE AND CHRONIC LOW BACK PAIN
Background and aim: Low back pain is a common cause of disability in general population. It was observed that the psychosocial factors have a substantial impact on evolution of pain and are often associated with an unfavorable prognosis. The aim of the study is to evaluate the clinical context of ps...
Effects of a training program on stable vs stable surfaces on postural stability. [Effects of a training programme on stable surfaces versus unstable surfaces on postural stability].
AbstractThe training surface can modulate the body’s response to training stimuli. The purpose of the article was to determine the influence of two types of training programs on stable/unstable surfaces on postural stability. 20 physically active participants with no history of lower limb injuries w...
Neuropathic component of low back bread
Despite the advances in the understanding of the underlying mechanisms of chronic low back pain, treatment remains challenging in clinical practice. In this article we are focusing on the neuropathic component of chronic low back pain. Indeed, depending on which diagnostic tools are used, 16-55% of...
Biomechanical assessment of lumbar orthoses : application to the Lordactiv® orthosis
Although lumbar orthoses (LO) are commonly used for many years in the conservative treatment of low back pain, postural and mechanical effects are, to our knowledge, partly unexplored. Methodological difficulties are the main cause with, in the first place, the difficulty to assess the LO effects in...
How much does the Dallas Pain Questionnaire score have to improve to indicate that patients with chronic low back pain feel better or well?
PURPOSE: The Dallas Pain Questionnaire (DPQ) assesses the impact of low back pain (LBP) on four components (0-100) of daily life. We estimated the minimal clinically important improvement (MCII) and the patient acceptable symptom state (PASS) values of DPQ in LBP patients. METHODS: 142 patients with...
Imagerie des atteintes inflammatoires rachidiennes [Imaging in inflammatory spine diseases]
There is a mean delay of 5 to 8 years between the onset of symptoms and the diagnosis of ankylosing spondylitis. This is due to the fact that radiographic sacroiliitis is delayed. The purpose of an earlier diagnosis is emphasized by the need for better management, the new diagnostic method including...
Investigation of Selective Targeting of Lumbar Spinal Structures with Spinal Manipulative Therapy
Degree: Doctor of Philosophy Abstract: Background: Low back pain is a prevalent condition commonly treated with conservative care, including spinal manipulative therapy (SMT). It is well known that forces applied by SMT are transfered to spinal tissues and that these forces inititate SMT’s benefitia...
Chronic pelvic pain and related disorders.
Background and Aims: Chronic pelvic pain is described as continuous or intermittent pain in lower abdomen with duration of 3 to 6 months. Pain leads to patientsu2019 functional disability and long-lasting treatment. Even careful examination doesnu2019t help to find the cause of pain.Methods: The ret...
Precarious work: source of health damage in the construction industry
New forms of work organization cause uncertainty and increased precariousness, and infringe on workers’ rights. Construction workers are vulnerable because they have to accept inhumane working conditions in order to survive. This study analyzes the relationship between these conditions and musculosk...
Relationship between sedimentation sign and morphological grade in symptomatic lumbar spinal stenosis.
PURPOSE: We aimed to study the relationship between two morphological parameters recently described on MRI images in relation to lumbar spinal stenosis (LSS): the first is the sedimentation sign (SedS) and the second is the morphological grading of lumbar stenosis. MATERIALS AND METHODS: MRIs from a...
Objective Measurements OF lumbar spine FUNCTION IN BACK PAIN Patients undergoing HIGH-FREQUENCY Spinal CORD STIMULATION AT 10 kHz
IntroductionPatients with low back pain have limitations in functional capacity due impaired back function and kinesiophobia, resulting in worsened functional status, reduced ability to work and quality of life.The Oswestry Disability Index (ODI) is the most commonly used questionnaire to assess the...
A PECULIAR PSYCHOTIC EPISODE
INTRODUCTION Multiple chemical sensitivity is a rare medical condition characterized by symptoms of variable intensity that appear even when the exposure to low levels of chemical substances.OBJECTIVETo present the difficulty of diagnosis between this disease and a possible psychotic episode.ufffcMA...
Techniques de "non-fusion" en chirurgie rachidienne [Non fusion techniques in spinal surgery]
In order to prevent adjacent segment degeneration following spinal fusion new techniques are being used. Lumbar disc arthroplasty yields mid term results equivalent to those of spinal fusion. Cervical disc arthroplasty is indicated in the treatment of cervicobrachialgia with encouraging initial resu...
Influence of previous injuries on fundamental patterns of movement on professional football players. [Influence of predicted unfair on fundamental mobility patterns in professional female Soccer players].
En el alto nivel la detección del riesgo de lesión resulta crucial para alcanzar el éxito deportivo. Para ello, los equipos técnicos suelen buscar herramientas sencillas, económicas y que doten de mucha información, tales como los tests funcionales y registros de lesiones. Por lo tanto, los objetivo...
Pain and Vertebral Dysfunction in Dry Immersion: A Model of Microgravity Simulation Different from Bed Rest Studies
International audience Background. Astronauts frequently experience back pain during and after spaceflight. The aim of this study was to utilize clinical methods to identify potential vertebral somatic dysfunction (VD) in subjects exposed to dry immersion (DI), a model of microgravity simulation. Me...
Pain Management and Costs of a Combination of Oxycodone + Naloxone in Low Back Pain Patients
Pain Management and Costs of a Combination of Oxycodone + Naloxone in Low Back Pain Patients
Comparing THE DYNAMICS OF anxiety AND Depression IN FEMALE AND MALE Patients WITH LOW BACK PAIN DURING THE PROCESS OF REHABILITATION
Study was conducted to evaluate the dynamics of psycho-emotional state of out-patients with chronic low back pain during the process of rehabilitation. Anxiety and depression were evaluated by Hospital Anxiety and Depression Scale (HADS). Psycho-emotional state of 325 patients (21% male and 79% fema...