Journal of back and musculoskeletal rehabilitation
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J Back Musculoskelet Rehabil · Jan 2014
Comparative Study Observational StudyLow back related leg pain: an investigation of construct validity of a new classification system.
Leg pain is associated with back pain in 25-65% of all cases and classified as somatic referred pain or radicular pain. However, distinction between the two may be difficult as different pathomechanisms may cause similar patterns of pain. Therefore a pathomechanism based classification system was proposed, with four distinct hierarchical and mutually exclusive categories: Neuropathic Sensitization (NS) comprising major features of neuropathic pain with sensory sensitization; Denervation (D) arising from significant axonal compromise; Peripheral Nerve Sensitization (PNS) with marked nerve trunk mechanosensitivity; and Musculoskeletal (M) with pain referred from musculoskeletal structures. ⋯ These findings support construct validity for two of the categories of the new classification system, however further research is warranted to achieve construct validation of the classification system as a whole.
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J Back Musculoskelet Rehabil · Jan 2014
Randomized Controlled TrialComparison between massage and routine physical therapy in women with sub acute and chronic nonspecific low back pain.
The aim of this study was to investigate the comparison of massage therapy and routine physical therapy on patients with sub acute and chronic nonspecific low back pain. ⋯ It can be concluded that both massage therapy and routine physical therapy are useful for sub acute and chronic nonspecific low back pain treatment especially if accompanied with exercise. However, massage is more effective than other electrotherapy modalities, and it can be used alone or with electrotherapy for the treatment of patients with low back pain.
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J Back Musculoskelet Rehabil · Jan 2014
Comparative StudySingle level anterior interbody fusion and fixation in the treatment of thoracolumbar fractures.
Many surgical methods are available for repairing thoracolumbar fractures including short-segment internal fixation with posterior pedicle screws and anterior decompression and reduction. However, most methods are associated with significant surgical trauma and long postoperative recovery. The purpose of this study was to describe anterior single level interbody fusion and fixation for the repair of thoracolumbar fractures which may reduce surgical trauma and help speed recovery. ⋯ Single level intervertebral fusion and internal fixation for thoracolumbar fractures provides as satisfactory an outcome as the traditional approach, double level anterior interbody fusion and fixation, and reduces the degree of surgical trauma.
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J Back Musculoskelet Rehabil · Jan 2014
Randomized Controlled TrialRandomized controlled trial on the effectiveness of cognitive behavior group therapy in chronic back pain patients.
It is empirically well documented that psychotherapy is vital in the treatment of chronic back pain. ⋯ The experience of pain can be altered directly and not only through improvement of depression or general somatoform complaints. The study replicates other research and increases the evidence base for this mode of treatment. The treatment effect can be called specific as it is found additional to a multimodal inpatient care programme.
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J Back Musculoskelet Rehabil · Jan 2014
Comparative Study Observational StudyRelationship between neck disability and mandibular range of motion.
There is a close interaction between the mandibular and cervical systems due to the existing neurological and biomechanical communications. This study aimed to evaluate the relationship between neck disability and mandibular range of motion (ROM). ⋯ Based on the methodology employed, there is no association between mandibular ROM and neck disability in university women. In this sense, clinical interventions focusing on the flexibility of the temporomandibular joint does not have repercussions on the neck disability and vice versa.