Journal of back and musculoskeletal rehabilitation
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J Back Musculoskelet Rehabil · Jan 2012
Comparative StudyDifference in lateral abdominal muscle thickness during forceful exhalation in healthy smokers and non-smokers.
The present study aims to determine whether the internal oblique (IO) and transversus abdominis (TrA) muscles, which are major lumbar stabilisers and also expiratory muscles, are affected by smoking. ⋯ Smokers have a relatively higher degree of dependence on IO than TrA during forceful expiratory conditions compared with non-smokers. This relative overreaction of the IO is considered to likely cause problems in efficiently diffusing loads of the spine.
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J Back Musculoskelet Rehabil · Jan 2012
Case ReportsCoblation nucleoplasty for adjacent segment degeneration after posterolateral fusion surgery: a case report.
Symptomatic ASD after lumbar spinal fusion surgery occurs most commonly in the cranial segment. The surgery for ASD contains anterior lumbar interbody fusion, posterior lumbar interbody fusion, decompression alone (laminotomy) and so on. But coblation nucleoplasty for ASD has not been reported previously. In this study, a case of coblation nucleoplasty after posterolateral fusion surgery at L4-L5 for adjacent segment degeneration (ASD) was reported and the clinical results were examined. ⋯ Although coblation nucleoplasty is not a regular therapy for ASD, the excellent outcome of this case suggests that this technique might be an option before a complicated revision surgery.
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J Back Musculoskelet Rehabil · Jan 2012
Changes in recruitment of pelvic stabilizer muscles in people with and without sacroiliac joint pain during the active straight-leg-raise test.
Though the active straight leg raise (ASLR) test has been proposed as a reliable methodology for assessment of load transfer through the pelvis in patients with sacroiliac joint pain (SIJP), the tonicity and timing of muscle activation during the ASLR test have not been investigated. In clinical experiments, besides the ASLR test score, an increased duration of the test is also used for diagnosis of SIJP. ⋯ These findings suggest that an alteration in the motor control strategy for lumbopelvic stabilization in patients with SIJP may influence load transfer through the pelvic.
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J Back Musculoskelet Rehabil · Jan 2012
Case ReportsAtypical presentation of cauda equina syndrome secondary to lumbar disc herniation.
The article describes the case of 35 year old female who was admitted to the department with saddle type hypoesthesia, anal incontinence without muscle weakness of lower extremities and sciatica. Central lumbar disc herniation (LDH) was determined on level L5-S1 level and the patient was operated thereafter. ⋯ This article discusses atypical presentation of cauda equina syndrome (CES) secondary to LDH. Early diagnosis and surgery are important factors for a better prognosis in CES.
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Musculoskeletal (formerly manipulative) physiotherapy is widely used for the rehabilitation of patients with common musculoskeletal pain and related disability. As part of its progress from largely empirical beginnings to becoming basic sciences informed this sub-specialty of the physiotherapy profession has developed a profound interest in pain mechanisms, causal and therapeutic. ⋯ It also compromises clear communication between the physiotherapist and fellow orthodox health care professionals. This 'note' restates the acknowledged pain terminology and its applicability to recognised pain categories.