PM & R : the journal of injury, function, and rehabilitation
-
Degenerative processes can cause chronic low back pain that occasionally creates impingement of the lumbar dorsal rami, resulting in a clinical syndrome previously described as lumbar dorsal ramus syndrome (LDRS). ⋯ LDRS is a diagnosis with identifiable NEE (lumbar multifidus denervation) findings and magnetic resonance imaging findings that may include lower lumbar paraspinal atrophy. NEE (paraspinal denervation) findings in persons with LDRS may change over time, and the clinical relevance of LDRS to pain, functional disability, and treatment response is unclear.
-
Observational Study
Measures of balance performance are affected by a rested versus fatigued testing condition in people with multiple sclerosis.
To investigate the effects of a rested and fatigued testing condition on measures of balance in people with multiple sclerosis (MS). ⋯ Measures of balance performance and acute fatigue may be affected by rested versus fatigued testing conditions in people with MS. However, no significant relationships between changes in balance and fatigue were identified. Therefore, clinicians should use caution when making assumptions about the influence of fatigue on balance performance and should test for individual responses. Clinicians and researchers should also consider controlling for factors such as time of day and prior physical activity when administering standardized measures of balance in people with MS.
-
Comparative Study
A systematic comparison between subjects with no pain and pain associated with active myofascial trigger points.
To determine whether standard evaluations of pain distinguish subjects with no pain from those with myofascial pain syndromes (MPS) and active myofascial trigger points (MTrPs) and to assess whether self-reports of mood, function, and health-related quality of life differ between these groups. ⋯ A systematic musculoskeletal evaluation of people with MPS reliably distinguishes them from subjects with no pain. The 2 groups are significantly different in their physical findings and self-reports of pain, sleep disturbance, disability, health status, and mood. These findings support the view that a "local" pain syndrome has significant associations with mood, health-related quality of life, and function.
-
To assess efficacy of an interdisciplinary pain program adapted for persons with spinal cord injury (SCI) and chronic pain. ⋯ Participation in an interdisciplinary pain program does not reduce pain severity, but it can help persons with SCI and chronic neuropathic pain cope with pain, lessen interference of pain, and improve their sense of control.