Journal of Back and Musculoskeletal Rehabilitation最新文献

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The effect of home exercises with kinesiotaping on pain, functionality, and work performance in bus drivers with non-specific neck pain. 在家中进行运动康复训练对患有非特异性颈部疼痛的公交车司机的疼痛、功能和工作表现的影响。
IF 1.4 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-06-17 DOI: 10.3233/BMR-240001
Hakan Zengi, Elif Esma Safran, Ömer Şevgin
{"title":"The effect of home exercises with kinesiotaping on pain, functionality, and work performance in bus drivers with non-specific neck pain.","authors":"Hakan Zengi, Elif Esma Safran, Ömer Şevgin","doi":"10.3233/BMR-240001","DOIUrl":"https://doi.org/10.3233/BMR-240001","url":null,"abstract":"<p><strong>Background: </strong>Clinical research on the management and rehabilitation of work-related upper spinal pain in bus drivers is sparse, indicating a gap in knowledge and treatment strategies. This highlights the growing need for innovative approaches to rehabilitation programs in this area.</p><p><strong>Objective: </strong>To examine the effects of kinesio taping (KT) on pain, functionality, and work performance in bus drivers experiencing neck pain.</p><p><strong>Methods: </strong>The study involved 44 participants who were randomised into two different groups: the exercise group (n= 22) and the kinesio tape group (n= 22), with participants in both groups undertaking exercise interventions. Evaluations were made before and after 6 weeks of treatment. At the end of the 6-week, the participants' ROM, pain evaluations and functional scales were evaluated with disability, and work functionality.</p><p><strong>Results: </strong>Neck pain severity decreased in both groups (p< 0.001 for each value), but there was no difference between the groups (p: 0.071). When disability scores were evaluated, improvement was noted in both groups (p: 0.001 for each value), but no statistically significant difference was found (p: 0.754). When the improvements in ROM values before and after the treatment were examined, the difference between the groups was recorded only in the neck extension ROM value (p: 0.011). Significant improvement was noted in all sub-steps of job performance in both groups (p< 0.05).</p><p><strong>Conclusion: </strong>KT added to ergonomic training and home exercise programmes is effective in controlling work-related musculoskeletal pain in drivers with neck pain. However, the addition of KT to exercise therapy was found to be no more effective than exercise therapy alone in improving pain control, functionality and work performance.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141468196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Danish short form Örebro Musculoskeletal Pain Screening Questionnaire: Translation, cross-cultural adaptation, and evaluation of measurement properties. 丹麦语厄勒布鲁肌肉骨骼疼痛筛查问卷简表:翻译、跨文化调整和测量特性评估。
IF 1.4 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-06-16 DOI: 10.3233/BMR-230363
Martin Oxfeldt, Heidi Tegner, Martin Björklund, Jan Christensen
{"title":"Danish short form Örebro Musculoskeletal Pain Screening Questionnaire: Translation, cross-cultural adaptation, and evaluation of measurement properties.","authors":"Martin Oxfeldt, Heidi Tegner, Martin Björklund, Jan Christensen","doi":"10.3233/BMR-230363","DOIUrl":"https://doi.org/10.3233/BMR-230363","url":null,"abstract":"<p><strong>Background: </strong>Low back pain (LBP) is the leading cause of disability and an increasing sick leave in Denmark. Psychosocial risk factors have been linked to the development of LBP-related disability and work-absenteeism. The short form Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ-sf) was developed to screen for psychosocial risk factors and assess the risk of long-term disability and work-absenteeism.</p><p><strong>Objective: </strong>To translate and cross-culturally adapt ÖMPSQ-sf into Danish and evaluate test-retest reliability with relative and absolute reliability and internal consistency in LBP-patients in a secondary setting.</p><p><strong>Methods: </strong>A six-step translation and cross-culturally adaptation process was used. Forty-four patients with subacute and chronic LBP were recruited at an outpatient clinic.</p><p><strong>Results: </strong>Test-retest reliability (n= 37) was found to be excellent (ICC2.1= 0.92), Internal Consistency (n= 44) was adequate (Cronbach's alpha = 0.72). Absolute reliability included Standard Error of Measurement (SEM = 3.97 points), 95% Limits of Agreement (95% LOA = 0.08, -15.90-15.74), and Smallest Detectable Change (SDC = 10.87 points).</p><p><strong>Conclusion: </strong>The Danish ÖMPSQ-sf showed acceptable measurements properties in subacute and chronic LBP-patients. Further research is needed to assess other measurement properties of the ÖMPSQ-sf, in relation to validity, responsiveness, and the predictive ability before application in research or clinical practice.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141537916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationship between disability and physical activity frequency after cervical spine surgery: A linear mixed model analysis. 颈椎手术后残疾与体育活动频率之间的关系:线性混合模型分析
IF 1.4 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-06-08 DOI: 10.3233/BMR-230428
Yu Kondo, Daisuke Higuchi, Takahiro Miki, Yuta Watanabe, Tsuneo Takebayashi
{"title":"Relationship between disability and physical activity frequency after cervical spine surgery: A linear mixed model analysis.","authors":"Yu Kondo, Daisuke Higuchi, Takahiro Miki, Yuta Watanabe, Tsuneo Takebayashi","doi":"10.3233/BMR-230428","DOIUrl":"https://doi.org/10.3233/BMR-230428","url":null,"abstract":"<p><strong>Background: </strong>There is a paucity of data on physical activity and its effects in patients after cervical spine surgery.</p><p><strong>Objective: </strong>This study aimed to examine the association between physical activity and disability in patients after cervical spine surgery while also considering age, sex, pain, and central sensitization (CS)-related symptoms.</p><p><strong>Methods: </strong>Participants included individuals with a cervical degenerative condition who had undergone surgery. Neck disability index, physical activity frequency, numerical rating scale for pain intensity, and short form of the CS inventory were recorded more than 1 year postoperatively. The linear mixed model was performed to examine the association between physical activity and disability.</p><p><strong>Results: </strong>The responses of 145 participants were analyzed. The linear mixed model results showed that the stretching and light-intensity exercise frequency (β=-0.14, p= 0.039) was independently associated with disability, adjusted for age, sex, pain, and CS-related symptoms. Conversely, other physical activities, such as walking and muscle strength exercises, were not associated with a disability.</p><p><strong>Conclusion: </strong>The findings emphasize the importance of performing regular physical activity, regardless of pain and CS-related symptoms.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141436961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physiotherapists' perceptions, readiness, enablers, and barriers to use telerehabilitation: A scoping review. 物理治疗师对使用远程康复的看法、准备情况、促进因素和障碍:范围审查。
IF 1.4 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-06-08 DOI: 10.3233/BMR-240009
Lee Lee Sia, Shobha Sharma, Janet Bong May Ing, Saravana Kumar, Devinder Kaur Ajit Singh
{"title":"Physiotherapists' perceptions, readiness, enablers, and barriers to use telerehabilitation: A scoping review.","authors":"Lee Lee Sia, Shobha Sharma, Janet Bong May Ing, Saravana Kumar, Devinder Kaur Ajit Singh","doi":"10.3233/BMR-240009","DOIUrl":"https://doi.org/10.3233/BMR-240009","url":null,"abstract":"<p><strong>Background: </strong>The growing use of telerehabilitation within the healthcare community has garnered substantial attention. In congruence with other healthcare fields, examining perceptions, barriers, and facilitators assumed paramount significance in the continuation and fortification of telerehabilitation practices among physiotherapists.</p><p><strong>Objective: </strong>In this scoping review, we aimed to systematically map the literature on the perceptions of physiotherapists as well as the barriers and enablers of telerehabilitation in their daily practice.</p><p><strong>Methods: </strong>The five-stage methodological framework recommended by Arksey and O'Malley (2005) was used for this scoping review. In the framework, eight databases were searched using key search terms such as \"telerehabilitation\", \"physiotherapists\", \"readiness\", \"enablers\" and \"barriers\" All findings were organised into perceptions and readiness, enablers, and barriers.</p><p><strong>Results: </strong>Fourteen articles met the inclusion criteria and were categorized as: (1) perception and readiness, (2) enablers, and (3) barriers. In the perception and readiness category, new trends in healthcare, advancement in physiotherapy practices and the benefits to clients were identified. The enablers identified included prior training, personal experience, familiarity with technology, functional equipment and space, and client selection. The barriers to the adoption of telerehabilitation in physiotherapy practice are pinpointed to poor technology, communication hurdles, limited availability, lack of familiarity, and client-related concerns.</p><p><strong>Conclusion: </strong>While initial evidence suggests a generally positive perceptions it is important to consider both facilitators and barriers when understanding adoption. This review's findings revealed a wide research gap, with unequal weightage towards barriers compared to enablers, and highlights the need for further research. Developing telerehabilitation guidelines that cater to both physiotherapists and clients is necessary.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141436959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Low back pain and kinesiophobia in pregnant women. 孕妇的腰痛和运动恐惧症
IF 1.6 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-04-09 DOI: 10.3233/BMR-240006
T. Koca, Alev Özer
{"title":"Low back pain and kinesiophobia in pregnant women.","authors":"T. Koca, Alev Özer","doi":"10.3233/BMR-240006","DOIUrl":"https://doi.org/10.3233/BMR-240006","url":null,"abstract":"BACKGROUND\u0000During pregnancy, many pregnant women experience lumbopelvic pain due to mechanical, systemic, and hormonal reasons and this pain and fear of movement (kinesiophobia) causes daily life limitations.\u0000\u0000\u0000OBJECTIVE\u0000To examine low back pain (LBP), kinesiophobia, disability, and related conditions that develop together during pregnancy.\u0000\u0000\u0000METHODS\u0000The was a cross-sectional and analytical study. The presence, severity, and duration of pain in the lumbopelvic region were questioned. Postpartum LBP was evaluated using a self-administered questionnaire, disability using the Oswestry Disability Index (ODI), pain intensity using a visual analog scale (VAS), physical activity levels using the physical activity level during pregnancy questionnaire and the international physical activity questionnaire short form, and kinesiophobia was evaluated using the Tampa Scale for Kinesiophobia.\u0000\u0000\u0000RESULTS\u0000The study comprised 120 pregnant women with a mean age of 27.4 ± 6.1 years. It was observed that 42.3% of the pregnant had LBP (n= 69). The mean body mass index (BMI) was 73.6 ± 16.2 kg/m2, and the mean VAS score was 5.5 ± 2 cm. When we divided the group according to the presence of LBP, age (p= 0.49), gestational week (p= 0.75), and gravida (p= 0.81) were similar. BMI (p= 0.038) and ODI scores (p< 0.001) were higher in the group with LBP.\u0000\u0000\u0000CONCLUSION\u0000LBP in pregnant women has a higher frequency than in the normal population, regardless of age, gestational week, and gravida. Obesity appears to be a risk factor for LBP and increases disability. Kinesiophobia in pregnant women is significantly associated with obesity and disability. Unless there are contraindications, a physically active pregnancy process and regular exercise should be recommend.","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140721409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Electromyography of paraspinal muscles during self-corrective positions in adolescent idiopathic scoliosis. 青少年特发性脊柱侧弯自我矫正体位期间脊柱旁肌的肌电图。
IF 1.6 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-01-01 DOI: 10.3233/BMR-230055
Mantana Vongsirinavarat, Pattipon Kao-Ngampanich, Komsak Sinsurin
{"title":"Electromyography of paraspinal muscles during self-corrective positions in adolescent idiopathic scoliosis.","authors":"Mantana Vongsirinavarat, Pattipon Kao-Ngampanich, Komsak Sinsurin","doi":"10.3233/BMR-230055","DOIUrl":"10.3233/BMR-230055","url":null,"abstract":"<p><strong>Background: </strong>Self-corrective exercise is commonly used in the training protocol of patients with adolescent idiopathic scoliosis (AIS). The muscle activation pattern during symmetrical and overcorrection exercises is then explored to guide the treatment.</p><p><strong>Objective: </strong>To compare the paraspinal muscle activity during three self-corrective positions and the habitual standing in AIS.</p><p><strong>Methods: </strong>Thirty-three adolescents with double curved scoliosis were examined. The curve type and Cobb's angle were determined from their whole spine X-ray. They adopted habitual standing, symmetrical correction and two overcorrected positions (O1 and O2). The surface electromyography (EMG) was monitored on both sides of paraspinal muscles at the apex areas of scoliotic curves. The EMG ratio between sides was inferred as the corrective effect.</p><p><strong>Results: </strong>All three self-correction positions produced greater EMG ratios compared with the habitual standing. The greatest EMG ratios were observed during the O1 position at the thoracic curve and the habitual standing at the lumbar curve. Participants with different subtypes of curves exhibited similar patterns of EMG ratios.</p><p><strong>Conclusion: </strong>From the biomechanical viewpoint, all three self-corrective positions possibly provided therapeutic effects for the scoliotic body regardless of the subtype of scoliosis curves. The O1 position seemed to be most effective for the adjusting activation of thoracic paraspinal muscles. The symmetrical corrective position is otherwise recommended for adjusting the lumbar muscle activation.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10570824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison between percutaneous short-segment fixation and percutaneous vertebroplasty in treating Kummell's disease: A minimum 2-year follow-up retrospective study. 经皮短节段内固定术和经皮椎体成形术治疗Kummell病的比较:一项至少2年的随访回顾性研究。
IF 1.6 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-01-01 DOI: 10.3233/BMR-230083
Hongtao Shen, Weilong Tang, Xiaoyu Yin, Tuo Shao, Xing Liu, Jiaao Gu, Yuhang Hu, Lei Yu, Zhange Yu, Zhenyu Zhang
{"title":"Comparison between percutaneous short-segment fixation and percutaneous vertebroplasty in treating Kummell's disease: A minimum 2-year follow-up retrospective study.","authors":"Hongtao Shen, Weilong Tang, Xiaoyu Yin, Tuo Shao, Xing Liu, Jiaao Gu, Yuhang Hu, Lei Yu, Zhange Yu, Zhenyu Zhang","doi":"10.3233/BMR-230083","DOIUrl":"10.3233/BMR-230083","url":null,"abstract":"<p><strong>Background: </strong>Percutaneous kyphoplasty (PKP) or percutaneous short-segment fixation (PSSF) is often used to treat Kummell's disease. However, it is not clear which treatment is better for patients.</p><p><strong>Objective: </strong>To retrospectively compare the clinical efficacy of PVP and PSSF for the treatment of Kummell's disease.</p><p><strong>Method: </strong>60 patients were involved in this research and the period of follow-up was at least 2 years. 27 of them were treated with PVP (Group I) and the rest who received PSSF (Group II). The visual analog scale (VAS) and radiographic indexes of each participant had been measured preoperatively as well as 1 week, 3 months, and 2 years postoperatively. Additionally, the Oswestry Disability Index (ODI) scores were assessed at the last time point.</p><p><strong>Results: </strong>Comparing the two groups, no statistical significance was found among all parameters preoperatively. The time of operations and blood loss is less in Group I. At each time point after operation, the imaging indices in Group II are lower (P< 0.05). One week after treatments, the VAS scores are lower in Group I, and similarly, 3 months are the same (P< 0.05), while VAS are similar at the last time point. In the aspect of ODI scores, they are lower in Group II during long-term follow-up.</p><p><strong>Conclusion: </strong>For the treatment of Kummell's disease, both PVP and PSSF have been found to be effective. PVP can provide rapid pain relief with a shorter operation time. However, in cases with severe kyphosis deformity, PSSF should be given priority.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10789354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10554355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of PNF stretching performed in the AKE position on hip, knee, and ankle flexibility. AKE位PNF拉伸对髋关节、膝关节和踝关节柔韧性的影响。
IF 1.6 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-01-01 DOI: 10.3233/BMR-230110
Wootaek Lim
{"title":"Effect of PNF stretching performed in the AKE position on hip, knee, and ankle flexibility.","authors":"Wootaek Lim","doi":"10.3233/BMR-230110","DOIUrl":"10.3233/BMR-230110","url":null,"abstract":"<p><strong>Background: </strong>To measure hamstring flexibility, the active knee extension (AKE) test is preferred over the straight leg raise (SLR) test as it can be used to measure hamstring flexibility more selectively. However, hamstring stretching is primarily conducted in the SLR position (maximal hip flexion in the supine position) as it allows for maximal hip flexion in the supine position.</p><p><strong>Objective: </strong>This study evaluates the effects of proprioceptive neuromuscular facilitation (PNF) stretching in the AKE position (maximal knee extension with 90∘ flexion of the hip in the supine position) on hip, knee, and ankle flexibility.</p><p><strong>Methods: </strong>SLR, AKE, and active dorsiflexion (ADF) tests were used to determine the range of motion (ROM) before (pre-ROM) and after (post-ROM) stretching. PNF stretching consisted of maximal isometric knee flexion at the end range with external resistance to prevent knee flexion. One set of PNF stretches (five trials of six seconds each) was conducted.</p><p><strong>Results: </strong>The post-ROMs of hip, knee, and ankle measured via the SLR, AKE, and ADF tests, respectively, were significantly higher than the pre-ROMs.</p><p><strong>Conclusions: </strong>The improvement in knee flexibility was greater than the improvement in hip and ankle flexibility. The AKE position is recommended in clinical settings during PNF stretching for individuals with hamstring tightness. Furthermore, PNF stretching in the AKE position increases the ADF ROM.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41235566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictors of successful treatment after transforaminal epidural steroid injections in patients with lumbar disc herniation. 腰椎间盘突出症患者经孔硬膜外类固醇注射后成功治疗的预测因素。
IF 1.6 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-01-01 DOI: 10.3233/BMR-230051
Mustafa Akif Sariyildiz, Ibrahim Batmaz, Salih Hattapoğlu
{"title":"Predictors of successful treatment after transforaminal epidural steroid injections in patients with lumbar disc herniation.","authors":"Mustafa Akif Sariyildiz, Ibrahim Batmaz, Salih Hattapoğlu","doi":"10.3233/BMR-230051","DOIUrl":"10.3233/BMR-230051","url":null,"abstract":"<p><strong>Background: </strong>Epidural steroid injections are common procedures used to treat lumbosacral radicular pain due to lumbar disc herniation (LDH). It is crucial for the clinician to anticipate which patients can benefit from interventional treatment options.</p><p><strong>Objective: </strong>This study aimed to examine the effect of radiological and clinical parameters on lumbar transforaminal epidural steroid injections (TFESI)/local anesthetic injection outcomes in patients with LDH.</p><p><strong>Methods: </strong>This study included 286 patients with LDH (146 males and 140 females). All patients received a fluoroscopically guided TFESI (triamcinolone acetonide 40 mg, lidocaine 2%, and 2.5 ml of physiological saline). Patients were evaluated according to radicular pain, the Oswestry Disability Index (ODI) and the Hospital Anxiety and Depression Scale at baseline and 3 months after the injections. Demographic, clinical and magnetic resonance imaging (MRI) findings were recorded to assess the predictive factors for TFESI outcomes. Pfirrmann Grades 1 and 2 were classified as low-grade nerve root compression and Grade 3 was classified as highgrade nerve root compression.</p><p><strong>Results: </strong>Compared to baseline measurements there were significant improvements in radicular pain, ODI score, Laseque angle, and Schober test scores 3 months after injection. Improvements of at least 50% in radicular pain relief and the ODI functionality index were (n= 214) 82%, (n= 182) 70% respectively at 3 months. Correlation analyses revealed that a shorter duration of symptoms, lowgrade nerve root compression and foraminal/extraforaminal location on MRI findings were associated with a favorable response.</p><p><strong>Conclusions: </strong>Lowgrade nerve root compression was a predictor of a favorable response to TFESI.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41235567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Influence of radiological factors, psychosocial factors, and central sensitization-related symptoms on clinical symptoms in patients with lumbar spinal canal stenosis. 放射学因素、社会心理因素和中枢致敏相关症状对腰椎管狭窄患者临床症状的影响
IF 1.6 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-01-01 DOI: 10.3233/BMR-230093
Yuzo Ashida, Takahiro Miki, Yu Kondo, Tsuneo Takebayashi
{"title":"Influence of radiological factors, psychosocial factors, and central sensitization-related symptoms on clinical symptoms in patients with lumbar spinal canal stenosis.","authors":"Yuzo Ashida, Takahiro Miki, Yu Kondo, Tsuneo Takebayashi","doi":"10.3233/BMR-230093","DOIUrl":"10.3233/BMR-230093","url":null,"abstract":"<p><strong>Background: </strong>No study to date has concurrently evaluated the impact of radiological factors, psychosocial factors, and central sensitization (CS) related symptoms in a single lumbar spinal canal stenosis (LSS) patient cohort.</p><p><strong>Objective: </strong>To investigate the associations between these factors and clinical symptoms in LSS patients.</p><p><strong>Methods: </strong>We recruited 154 patients with LSS scheduled for surgery. Patient-reported outcome measures and imaging evaluation including clinical symptoms, psychosocial factors, CS-related symptoms, and radiological classifications. Spearman's rank correlation coefficient and multiple regression analyses were employed.</p><p><strong>Results: </strong>Spearman's correlation revealed CS-related symptoms positively correlated with low back pain (r= 0.25, p< 0.01), leg pain (r= 0.26, p< 0.01), and disability (r= 0.32, p< 0.01). Pain catastrophizing positively correlated with leg pain (r= 0.23, p< 0.01) and disability (r= 0.36, p< 0.01). Regression analysis showed that pain catastrophizing was associated with disability (β= 0.24, 95%CI = 0.03-0.18), and CS-related symptoms with low back pain (β= 0.28, 95%CI = 0.01-0.09). Radiological classifications were not associated with clinical symptoms.</p><p><strong>Conclusion: </strong>Our findings suggest that psychosocial factors and CS-related symptoms, rather than radiological factors, seem to contribute to clinical symptoms in patients with LSS.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89718359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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