Journal of back and musculoskeletal rehabilitation
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J Back Musculoskelet Rehabil · Jan 2013
Randomized Controlled TrialThe effect of non-weight bearing group-exercising on females with non-specific chronic low back pain: a randomized single blind controlled pilot study.
The aim of this study was to investigate the effect of active non-weight-bearing (NWB) group exercising on women with non specific chronic low back pain (NSCLBP). ⋯ A functional program of NWB group exercising improves functional, painful status, lumbar flexion and extension ranges of motion in women suffering from NSCLBP.
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J Back Musculoskelet Rehabil · Jan 2013
Randomized Controlled TrialExploration of the validity and reliability of the "backache disability index" (BADIX) in patients with non-specific low back pain.
In clinical examinations of a patient with non-specific low back pain (LBP), there is a need to dispose over a valid and quick to perform rating system. The "Backache Disability Index" for LBP or BADIX includes rating of 5 trunk movements in erect position and a "Morning Back Stiffness" score, whereof the sum gives the BADIX (max. 20 points). The objective of this study was to explore the reliability, responsiveness and concurrent validity of the BADIX. Patients with LBP (n=100) were randomly assigned into a "control" group (n=40) in function of validity studies, and a "treatment" group (n=60) in function of responsiveness studies. The treatment group underwent two weekly sessions of in total 30 minutes of deep cross-friction on the thoraco-lumbar Erector spinae and gluteals. All patients completed the Oswestry Disability Questionnaire validated Dutch version (ODQ), the McGill Pain Questionnaire (MPQ). The impairment examination consists, besides current orthopaedic and neurologic examinations, of the new BADIX scoring system. ⋯ The "Backache Disability Index" appears to be a reliable and a valid assessment tool of morning stiffness and restricted spinal movements, and discriminates between successful and unsuccessful treatment outcome. The BADIX will allow patients to take snapshots of their daily treatment evolution, save them on their computer or tablets (apps) and share the results with their doctors and/or therapists.
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J Back Musculoskelet Rehabil · Jan 2013
Comparative StudyComparison of clinical and electrophysiological findings in patients with suspected radiculopathies.
Cervical and lumbar roots may be irritated or compressed due to the pathological conditions such as disc herniations, degenerative foraminal stenosis, trauma and tumors. Electrophysiologic tests are frequently used in conjunction with imaging modalities for evaluation of low back and neck pain radiating to extremities, primarily for the purpose of establishing the presence or absence of a radiculopathy. In this study, we aimed to evalulate the relationship between clinic and electroneuromyographic (ENMG) findings in patients with suspected radiculopathies. ⋯ This means, efficacy of anamnesis and neurological examination for the prediction of electrodiagnostic tests was found to be limited. Normal neurological examination results in a patient with suspected radiculopathy can not eliminate abnormal electrodiagnostic test results; likewise, abnormal findings in the neurological examination would not mean finding pathologies in the electrodiagnostic tests. For more accurate approach to a patient, neurological examination and electrodiagnostic tests must be used and interpreted together.
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J Back Musculoskelet Rehabil · Jan 2013
Clinical TrialManipulation and selective exercises decrease pelvic anteversion and low-back pain: a pilot study.
To study the effect of a protocol involving joint manipulation and specific exercises for pelvic stability to influence proprioceptive input to the spinal tissues and to observe the effects on sensorimotor function. ⋯ The eight-week manipulation/exercise protocol was effective for these subjects' needs. Further research should include a greater sample size to confirm the results and to determine the lead factors of pelvic stability.
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J Back Musculoskelet Rehabil · Jan 2013
Case ReportsHypertrophic ancenous epitrochlearis muscle as a cause of ulnar neuropathy at elbow.
We report herein a 35-year-old man who suffered from pain at his left elbow and numbness in his left hand. Electromyographic studies demonstrated a localized nerve conduction block in the left elbow region. Ultrasonographic evaluation revealed enlargement of the ulnar nerve at the level of the medial epicondyle as well as bilateral anconeus epitrochlearis muscles, one of which was hypertrophic, causing the ulnar neuropathy at the symptomatic site. We emphasize with this case report the complementary role of ultrasound in peripheral nerve pathologies, as it confirmed the entrapment and determined the underlying cause.