Spine
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Longitudinal, repeated-measures study. ⋯ The individually designed Pilates-based exercise program was feasible for healthy older adults, and the high attendance rate supports the suitability of the exercise program over a long period. Considering the variability of the baseline measure, small improvement was only observed in the thoracic kyphosis during standing. The long-term effect of Pilates exercise requires further investigation.
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This study is to investigate the changes of vasomotion of intraradicular microvessels in vivo. ⋯ Perivascular nerve plexuses around intraradicular microvessels suggest that the autonomic nerves play an important role in intraradicular circulation.
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Systematic review. ⋯ Surgery for radiculopathy with herniated lumbar disc and symptomatic spinal stenosis is associated with short-term benefits compared to nonsurgical therapy, though benefits diminish with long-term follow-up in some trials. For nonradicular back pain with common degenerative changes, fusion is no more effective than intensive rehabilitation, but associated with small to moderate benefits compared to standard nonsurgical therapy.
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Randomized Controlled Trial Comparative Study
Effectiveness of physical therapy and epidural steroid injections in lumbar spinal stenosis.
Randomized single-blind controlled trial. ⋯ Epidural steroid injections and physical therapy both seem to be effective in LSS patients up to 6 months of follow-up.
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Retrospective radiographic review. ⋯ The mandibular angle was shown to be the most consistently palpable landmark. Further, the distance from the mandible, measured on preoperative plain lateral cervical spine radiographs, is an accurate template to determine cervical spine levels during anterior cervical spine surgery.