Journal of back and musculoskeletal rehabilitation
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J Back Musculoskelet Rehabil · Aug 2016
Facet orientation and tropism: Associations with asymmetric lumbar paraspinal and psoas muscle parameters in patients with chronic low back pain.
Many studies have explored the relationship between facet tropism and facet joint osteoarthritis, disc degeneration and degenerative spondylolisthesis. However, the associations between facet orientation and tropism, and paraspinal muscles have not been studied. ⋯ Muscular asymmetries may develop in the lumbar region of the spine, which are associated with facet asymmetry in patients with chronic low back pain. Longitudinal studies are needed to understand the causal relationship between facet orientation and tropism and muscular asymmetry in future.
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J Back Musculoskelet Rehabil · Jun 2016
Relationship between fear avoidance beliefs and burnout syndrome in patients with lumbar disc herniation.
Lumbar disc herniation leads to disability by restricting of patients' lives and reducing their quality of life. This situation causes a decrease in motivation of patients by triggering depressive mood. Therefore, the aim of the study was investigation of correlation between fear avoidance beliefs and burnout syndrome in patients with lumbar disc herniation. ⋯ Fear avoidance beliefs of patients with chronic back pain can affect level of burnout syndrome. Therefore, symptoms of burnout syndrome and fear avoidance beliefs of patients should be considered in evaluation and treatment process.
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J Back Musculoskelet Rehabil · Jun 2016
Chronic pain in Parkinson's disease: Frequency, characteristics, independent factors, and relationship with health-related quality of life.
Although there are studies evaluating pain in Parkinson's disease (PD), to our knowledge, there is no study evaluating the following topics in a cohort of PD patients; (1) frequency of chronic pain, (2) characteristics of chronic pain, (3) severity of chronic pain, (4) types of chronic pain, (5) independent predictors of chronic pain, (6) impact of chronic pain on health-related quality of life (HRQoL), and (7) the role of chronic pain among the independent predictors of HRQoL. ⋯ This study demonstrated that chronic pain is a common problem in patients with PD, that different pain types may co-exist, and that they may negatively affect the HRQoL of patients. Chronic pain was correlated with both disease-related factors such as rigidity and daily living activities and also general factors such as gender and depression. We found that chronic pain is the most significant predictor of quality of life in PD patients. We believe, that in addition to treating motor symptoms and complications associated with them, treatment of comorbid conditions such as pain and depression bear significance for improving the quality of life in PD patients. The study indicates that PD patients who are optimally treated, may require additional rehabilitation treatment for non-motor associated pain and thus improve their HRQoL.
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J Back Musculoskelet Rehabil · May 2016
Intra-examiner reliability of lumbar spine and neuro-dynamic flexibility measurements in an older and overweight healthy asymptomatic population.
Measurement of lumbar spine movement and neuro-dynamic flexibility is fundamental to clinical examination and forms part of most systems or protocols used to classify patients with low back pain. However, the increased age and body mass index reported in the chronic low back pain subgroup, may compromise the reliability of these measurements. Specifically, this relates to greater soft tissue excursion relative to the underlying bony landmarks used for these clinical tests. ⋯ This study was conducted on an asymptomatic older, overweight population and the ICC results support the suitability of these methods and tools for measurement in a clinical setting for this population demographic. Measurement reliability in the study population was comparable with previous research in populations of contrasting demographics. Accordingly, further investigation specifically in a chronic low back pain population is indicated as the paucity of previous literature for some of the movement tests disallowed comparisons, and the reliability reported in this study may not be directly transferable to a chronic low back pain population.
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J Back Musculoskelet Rehabil · Apr 2016
Postneedling soreness after deep dry needling of a latent myofascial trigger point in the upper trapezius muscle: Characteristics, sex differences and associated factors.
Postneedling soreness is considered the most frequent secondary effect associated to dry needling. A detailed description of postneedling soreness characteristics has not been previously reported. ⋯ Soreness and hyperalgesia are present in all subjects after dry needling of a latent MTrP in the upper trapezius muscle. Women exhibited higher intensity of postneedling soreness than men.