Journal of back and musculoskeletal rehabilitation
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J Back Musculoskelet Rehabil · Jan 2013
Chronic low back pain patients with accompanying leg pain: the relationship between pain extent and pain intensity, disability and health status.
Accompanying leg pain is commonly observed in patients with chronic low back pain (CLBP) and is assumed to be an indicator for the disorder severity. However, it is still unknown whether it is possible to estimate a patient's functional status by the extent of leg pain present. In a post rehabilitation cohort of 132 patients with CLBP (mean age 44.3 years) the relationship between pain extent and functional status was determined using pain drawings scored for pain extent by a simplified scoring system (Lower Extremity Region: LER) and several function related questionnaires. ⋯ Statistically significant differences between patients with low (1-2) and high (≥ 3) LER scores were found in VAS, ODI and SF-12 physical health scores, however, the LER score has a poor diagnostic accuracy in predicting desirable versus undesirable VAS, ODI and SF-12 scores. Pain intensity (VAS), back disability (ODI) and physical health are worse in CLBP patients with high LER scores. However LER scores cannot be used to predict elevated VAS, ODI and SF-12 scores in an individual patient.
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J Back Musculoskelet Rehabil · Jan 2013
Correlation between skin surface temperature over masticatory muscles and pain intensity in women with myogenous temporomandibular disorder.
Pain is a common clinical manifestation in individuals with temporomandibular disorder (TMD). The literature report changes in microcirculation in this condition. The aim of the present study was to correlate skin surface temperature at the central point of the masticatory muscles with pain intensity in women with myogenous TMD. ⋯ Pain intensity in women with myogenous TMD was not associated with skin surface temperature at the central point of the masseter and anterior temporalis muscles.
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J Back Musculoskelet Rehabil · Jan 2013
Predictors of objectively measured walking capacity in people with degenerative lumbar spinal stenosis.
Identifying factors associated with walking capacity in people with lumbar spinal stenosis (LSS) may provide a better understanding of neurogenic claudication and inform future rehabilitation research. ⋯ Factors found to be most highly associated with walking capacity in LSS were self-reported, pain-related function (ODI), balance problems, and presence of leg pain immediately following walking.
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J Back Musculoskelet Rehabil · Jan 2013
Reliability, validity, sensitivity and specificity of Guajarati version of the Roland-Morris Disability Questionnaire.
The most common instruments developed to assess the functional status of patients with Non specific low back pain is the Roland-Morris Disability Questionnaire (RMDQ). Clinical and epidemiological research related to low back pain in the Gujarati population would be facilitated by the availability of well-established outcome measures. ⋯ The RMDQ is a one-dimensional, ordinal measure, which works well in the Gujarati population.
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J Back Musculoskelet Rehabil · Jan 2013
Randomized Controlled TrialTreatment of the lumbar disc herniation with intradiscal and intraforaminal injection of oxygen-ozone.
Oxygen-ozone therapy is a minimally invasive treatment for lumbar disk herniation that exploits the biochemical properties of a gas mixture of oxygen and ozone. The purpose of our study was to prospectively evaluate the clinical effectiveness of oxygen-ozone therapy and compared the therapeutic outcome of injection of oxygen-ozone combined steroid with injection of ozone alone at different follow-up period. ⋯ Level 1-1 (prospective study).