Tag: low back pain

Nerve root tests results for diagnosis and prognosis of the pain syndromes in the lumbar spine area treated under spa conditions

Przemysław Minta, Wiesław Tomaszewski, Monika Sobolak

Przemysław Minta, Wiesław Tomaszewski, Monika Sobolak – Nerve root tests results for diagnosis and prognosis of the pain syndromes in the lumbar spine area treated under spa conditions. Fizjoterapia Polska 2012; 12(1); 21-27

Abstract
Disorders associated with low back pain (lbp) are the result of not only affliction of nerve roots, but also nocireceptive innervated structures of the ligaments and joint capsules. The objective of this study was to determine the prevalence of selected nerve root tests in people selected by the Social Insurance Board (SIB) and the National Health Fund (NHF) for spa treatment due to lbp, and their usefulness for diagnosis and prognosis.The study involved a group of 400 people (200 people recommended by SIB and 200 by the NHF). In questionnaires, beside the basic personal characteristics, the following were taken into consideration: disease duration, pain location and radiation, results of imaging tests, employment status and type of work performed. The questionnaires also carried results of some nerve roots tests carried out. Positive nerve root tests occurred more frequently in people recommended by the SIB for prevention of disability pension award, and their frequency increased with duration of illness and PIT taxable allowance period. SIB patients were recommended for treatment as a result of a disease that was at a more advanced stage than patients from NHF. Analysis of obtained data showed that nerve root tests, in both groups were present in only a quarter of the tested patients, hence this points to their limited diagnostic and prognostic value.
Key words:
Low Back Pain, nerve root tests, spa treatment, prevention of disability pension award
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Strength and kinesthetic differentiation of deep muscles stabilizing lumbar spine in low back subclinical pain complaints

Mirosław Kokosz, Edward Saulicz, Tomasz Wolny, Mariola Saulicz, Andrzej Myśliwiec, Łukasz Gębala, Oliwia Mokrus, Paweł Linek

Mirosław Kokosz, Edward Saulicz, Tomasz Wolny, Mariola Saulicz, Andrzej Myśliwiec, Łukasz Gębala, Oliwia Mokrus, Paweł Linek – Strength and kinesthetic differentiation of deep muscles stabilizing lumbar spine in low back subclinical pain complaints. Part 1. Fizjoterapia Polska 2012; 12(2); 101-112

Abstract
Background. Lumbar spine pain is one of the most frequent malfunctioning of the locomotor system. The aim of this article was to examine whether there is a co-relationship between the preliminary, subclinical symptoms of pain and the strength and kinesthetic differentiation of deep muscles stabilizing the lumbar spine in the lower section of spine. Material and methods. Appearance of pain in lumbar spine was taken as an independent variable. The average intensity of the ailment was 8.81 points (±3.68) in the Oswestry scale in 52 subjects. The second group composed of 48 persons who, at the time of the examination, felt no pain in the low back. Both groups were matched regarding the basic parameters: age, body weigh, height, level of physical activities and sex. Results of tests carried out with the use of pressure stabilizer in the supine and prone positions constituted the dependent variables. Results. Statistical analysis showed that there are significant dependencies between the presence of pain and strength and kinesthetic differentiation in the prone position. No such dependencies were registered in the supine position. Conclusions. Weakness of the deep stabilizing muscles is characteristic for persons with perceived minor lumbar spine pain. The ability to differentiate pressure force is also disturbed. It seems that an examination performed in a prone position is useful in detecting the above changes.
Key words:
Low Back Pain, muscular stabilization, Proprioception
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Effect of 12-weeks adapted physical activity on back disability and pain in Brazilian elderly

Eleonora Esposito, Paola Sinibaldi Salimei, Chiara Salimei, Mohammad Al-Wardat

Eleonora Esposito, Paola Sinibaldi Salimei, Chiara Salimei, Mohammad Al-Wardat – Effect of 12-weeks adapted physical activity on back disability and pain in Brazilian elderly. Fizjoterapia Polska 2021; 21(1); 42-46

Abstract
Aim. Back pain (BP) is a common disabling health problem that affects negatively activity of daily living (ADLs) and quality of life (QoL). Physical activity (PA) showed exerts beneficial effects on BP symptoms and health status. This study aimed to investigate the effect of adapted physical activity (APA) on back disability and pain in Brazilian elderly.
Material and Methods. Forty-eighth elderly people with chronic non-specific BP participated in APA program twice a week for 12-weeks each session for 50 minutes. The function, disability and pain were assessed by Oswestry disability index (ODI) and Visual Analogue Scale (VAS). Additionally, bilateral hip extension range of motion (ROM) and lengthening capacity of bilateral hamstring muscles, and hip flexors were evaluated.
Results. The ODI and VAS scores showed significant improvement post APA interventions. Moreover, hip extension ROM, bilateral hip flexor and extensors muscles flexibility significantly improved as well.
Conclusions. Our findings demonstrate that the 12-weeks APA interventional program was associated with significant improvements in back disability and pain in elderly with chronic non-specific BP. APA interventions should be employed to provide improvement in pain and functional status in the treatment of BP. Further studies are needed to determine whether long-term of APA may improve QoL and ADLs for elderly with BP.
Key words:
low back pain, adaptive physical activity, back function, physiotherapy, rehabilitation
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Effect of interferential current augmented by strengthening exercises for core muscles on low back pain after delivery. A Randomized Controlled Trial

Mona Salah Nagieb Ali, Magda Sayed Moursy, Samira El-Malah

Mona Salah Nagieb Ali, Magda Sayed Moursy, Samira El-Malah – Effect of interferential current augmented by strengthening exercises for core muscles on low back pain after delivery. A Randomized Controlled Trial . Fizjoterapia Polska 2020; 20(5);  84-88

Abstract

Purpose. To determine the effect of interferential current augmented by strengthening exercises for core muscles on low back pain after delivery. Design. single blind randomized controlled trial. Methods. Thirty multiparous women suffering from postpartum low back pain (for at least 3 months after delivery) participated in the study, they were selected randomly from the outpatient clinic of obstetrics and gynecology in Police Authority Hospital at Naser City, Cairo, Egypt; their ages ranged from 25-40 years old, through a period of 33 months (from May 2017 to February 2020). Confidentiality was assured. They were assigned randomly into two groups equally in number; 15 patients each: Group (A) patients received interferential current on the lower back for 20 minutes, 3 times /week for 4 weeks, additionally to this, they were asked to perform strengthening exercises for back & abdominal muscles, posterior pelvic tilting and postural correction exercises for 60 minutes, 3 times / week for 4 weeks. Group (B) patients were asked to perform strengthening exercises for back& abdominal muscles, posterior pelvic tilting and postural correction exercises for 60 minutes, 3 times / week for 4 weeks. Results. Comparing both groups post-program revealed that there was a highly statistically significant reduction in present pain intensity scale and serum cortisol level (p < 0.05) in favor of the group (A). Conclusion. interferential current augmented by strengthening exercises for core muscles had a significant effect on low back pain after delivery, so this study supports the value of interferential current on low back pain after delivery patients.

Key words:
interferential current, strengthening exercises, core muscles, low back pain, present pain intensity scale, plasma cortisol level
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Effects of selected work-related factors on the prevalence of musculoskeletal disorders

Małgorzata Chochowska, Joanna Jutrzenka-Jesion, Dorota Hojan-Jezierska

M. Chochowska, J. Jutrzenka-Jesion, D. Hojan-Jezierska – Effects of selected work-related factors on the prevalence of musculoskeletal disorders. Fizjoterapia Polska 2020; 20(2); 42-51

Streszczenie

Objective. The evaluation of low level laser therapy (LLLT) and ultrasound (US) efficacy in treatment of chronic nonspecyfic low back pain (NLBP) and their impact on the reduction of the level of soft tissue tenderness to palpation and the improvement in spinal mobility.
Material and methods. 120 patients suffering from NLBP were included in the study (groups: I, II, III, 30 people in each one). All patients received 10 treatment sessions, including: 1) personalized kinesiotherapy (10 sessions x 30min); 2) self-therapy (twice a day x 30min); 3) patient education (10 sessions x 30min). Group I was a control group. Group II additionally received 10 applications of LLLT, and group III received 10 applications of US. Patients were examined twice: on the first day of therapy and after three weeks of treatment. Evaluation was done by means of examining lumbar spine mobility in all planes and evaluating soft tissue tenderness to palpation in 24 control points (CP), which were exposed to LLLT (group II)/US (group III) according to the Andrzejewski-Kassolik Scale (AKS).
Results. All groups participating in the study gained a statistically significant improvement (p < 0,05; Wilcoxon Test) with regards to decrease in the level of soft tissue tenderness to palpation according to the AKS, in 23 out of 24 control points (CP). In groups II and III a statistically significant improvement (p < 0,05; Wilcoxon Test) in lumbar spine mobility was gained (except L/R rotation). Moreover, following the end of therapy there was a significantly improvement in spinal mobility (p < 0,05; U-Mann-Whitney test) compared to the control group: in group II in 5 out of 8 tested ranges of movement and in group III in 3 out of 8 tested ranges of motion; and also between groups III and II in 2 out of 8 tested ranges of motion.
Conclusions. 1) The application of personalized kinesiotherapy and education in the area of pain prevention contributes to the improvement in the condition of those with chronic NLBP. 2) The additional application of LLLT and US decreases the level of soft tissue tenderness to palpation, as well as increases spinal mobility in people with chronic NLBP. 3) Slightly better results were obtained following the application of US, however it cannot be explicitly concluded either of these applications is the more effective approach.

Słowa kluczowe: low back pain, myofascial pain syndrome, lasertherapy, ultrasound, range of motion improvement

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Evaluation of the effectiveness of selected physical therapy programs in patients with 1st and 2nd degree spondylolisthesis on the basis of stabilographic tests and muscle torque in statistics

Justyna Rdzanek

J. Rdzanek – Evaluation of the effectiveness of selected physical therapy programs in patients with 1st and 2nd degree spondylolisthesis on the basis of stabilographic tests and muscle torque in statistics. Fizjoterapia Polska 2020; 20(2); 6-19

Abstract

Objective. The objective of the study was to assess the effectiveness of the proposed treatment programs for patients with 1st and 2nd degree spondylolisthesis.
Material and method. The study involved 40 patients aged 50-80 with radiologically diagnosed 1st and 2nd degree spondylolisthesis. The subjects were randomly divided into two groups: a group treated according to the standard program used in NFZ (National Health Fund) institutions and a group treated according to the proprietary rehabilitation program. In each of the patients, the intensity of pain was measured, and stabilographic measurements, torque measurements during flexion and extension of the torso under static conditions were carried out.
Results. Mann-Whitney U analysis showed significant differences for most variables measured between treatment groups (p < 0.05). According to the results of descriptive statistics, patients treated using the method of a routine rehabilitation program applied at an NFZ institution achieved significantly higher results in the measurement of the intensity of pain PO and during stabilographic tests, standing on both legs with both eyes closed PO [mm] than patients treated using myofascial trigger point therapy (p < 0.05). On the other hand, significantly higher results in stabilographic measurements with open eyes PO [mm] and when straightening the torso under static conditions (Nm) were achieved by a group of patients treated using myofascial trigger point therapy (p < 0.05).
Conclusions. The results of the study allowed for the evaluation of the effectiveness of the proposed treatment programs for patients with 1st and 2nd degree spondylolisthesis, and then to decide on the modification of routinely used treatment programs for this disease in NFZ institutions.

Key words: spondylolisthesis, spine work, low back pain, treatment

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下脊柱疼痛 – 2017年度专家会议摘要

Mateusz Wojciech Romanowski, Anna Kostiukow, Łukasz Kubaszewski, Wojciech Romanowski, Marian Majchrzycki, Ernest Wiśniewski, Włodzimierz Samborski

M. W. Romanowski, A. Kostiukow, Ł. Kubaszewski, W. Romanowski, M. Majchrzycki, E. Wiśniewski, W. Samborski – Low back pain – summary of the 2017 Expert Meeting. Fizjoterapia Polska 2019; 19(1); 108-122

摘要
下脊柱疼痛为发达国家中健康问题的主要原因之一，下脊柱疼痛可能会导致高度残疾，甚至产生高昂的治疗费用。下脊柱疼痛的原因可分为基本三组，包括：非特异性疼痛、可能与神经根病或椎管狭窄相关的疼痛、可能与其他特定原因相关的疼痛等。下脊柱疼痛治疗的重点应着重病因，包含非侵入性理疗、药物治疗和教育等。侵入性治疗下脊柱疼痛的方式包括药物阻滞、手术等。

关键词：
下脊柱疼痛、腰痛、非特异性的下脊柱疼痛

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Ocena zmian przeciążeniowych kręgosłupa lędźwiowego pracowników o siedzącym charakterze pracy

Magdalena Zygmańska, Anna Błaszczyk, Katarzyna Wegner, Włodzimierz Samborski, Małgorzata Ogurkowska

M. Zygmańska, A. Błaszczyk, K. Wegner, W. Samborski, M. Ogurkowska – Assessment of overload changes in the lumbar spine of employees with sedentary nature of work; Fizjoterapia Polska 2018; 18(1); 62-73

Abstract

Objective. The objective of the study was to specify the lumbar spine overload changes in women and men working in a sitting position and to establish when the feeling of discomfort intensifies.
Static position for a long periods of time leads to lumbar spine overload changes. Apart from professional risk factors, sedentary lifestyle also has a tremendous impact on degenerative changes in intervertebral discs.
Material and Methodology. A survey was conducted among 62 office employees, 29 women and 33 men aged 23-61, from a selected corporation, who experienced lumbar pain episodes. The survey was based on the subjective part of the McKenzie method test supplemented with an anthropometric part.
Results. Lumbar pain was reported by 84% percent of the subjects, with the somatic symptoms gender-differentiated and co-occurrence of neck and lumbar pain/discomfort. The pain intensified proportionately to the subjects’ age and when performing professional duties.
Conclusion. Although there are reports on the development of overload changes, sedentary work continues to cause back pain. Cervical and lumbar discomfort is indicative of compensation. An inappropriate sitting position is the reason for accelerated development of overload changes and the related pain.

Key words:

spine, low back pain, musculoskeletal system, work ergonomics, occupational risk

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Quality of life in patients with lumbar spinal pain

Zbigniew Śliwiński, Malwina Śliwa, Małgorzata Starczyńska, Wojciech Kiebzak

Z. Śliwiński, M. Śliwa, M. Starczyńska, W. Kiebzak – Quality of life in patients with lumbar spinal pain. FP 2014; 14(2); 26-39

Abstract

In recent years, increasing attention has been drawn to the need of a holistic approach to patients. Studies involving the measurement of the quality of life and taking into consideration not only the physical, but also emotional and spiritual aspects of well-being, have been conducted with increasing intensity over the last few decades. In case of disorders as common as spinal pain syndromes, the measurement of the intensity of pain is particularly important, as these diseases are a scourge for the developing societies. The goal of this study was to present and popularize data on the quality of life. The study included 38 subjects (23 females and 15 males) complaining of lumbar spinal pains. The study group was diverse in many aspects, including age distribution. The studies revealed different levels of quality of live impairment depending on the degree of impairment as the result of the disease. Conclusions based on the survey demonstrate the need to include the quality of life in the rehabilitation process. Measurements of the quality of life provide much information on the patient, their attitude to the disease as well as the rehabilitation process.

Key words:
quality of life, Roland-Morris low back pain questionnaire, low back pain, Oswestry Disability Index, Ferrans and Powers Quality of Life Index

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