Articles: back-pain.
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The influence of low-back trouble on lumbar sagittal mobility was explored in 958 individuals aged 10 to 84 years. Experience of low-back trouble was determined by questionnaire, and categorized as none, a previous history, or a current spell. Maximal mobility was estimated from flexicurve records of back surface curvature. ⋯ Similarly hypomobility was found in nonsufferers as well as in those with back trouble. The data indicated that young adults (notably males) with previous low-back trouble may not recover their previous mobility on symptomatic resolution. The finding of hypermobility in current sufferers indicates that mobilization therapy may not be appropriate for such patients.
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Arch Phys Med Rehabil · Jun 1989
Case ReportsHeparin-associated thrombocytopenia and thrombosis syndrome in a rehabilitation patient.
Heparin-associated thrombocytopenia and thrombosis (HATT) syndrome is a severe complication of heparin therapy. Since patients admitted for rehabilitation are at high risk for deep-vein thrombosis and pulmonary embolism, prophylactic doses of subcutaneous heparin are frequently used. We report the case of a 73-year-old woman with a history of heparin exposure, admitted to a comprehensive rehabilitation program for management of severe back pain. ⋯ On intravenous heparin therapy, the platelet count continued to decline. The thrombocytopenia resolved with discontinuation of heparin. This case illustrates a devastating complication of heparin therapy and emphasizes that physiatrists should be aware of this acute and preventable drug reaction.
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Review Case Reports
[Use of psychological diagnostic methods in cases of chronic pain].
Problems of patient-physician communication relating to the understanding of verbalized pain sensations are discussed. The author reviews psychological techniques which may be applied for the assessment of pain by the attending physician and facilitate its management. ⋯ Melzack's MPQ and pain-drawing. Pain-drawing technique is illustrated with two comparative cases of patients with chronic backache.
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Orthopaedic nursing · May 1989
Perceived body space and self-esteem in adult males with and without chronic low back pain.
This comparative descriptive study investigated differences in perceived body space and self-esteem in adult males with and without chronic low back pain. Results indicated that no significant differences existed between the two groups. Ancillary findings indicated that adult males with chronic low back pain were more depressed than adult males with hypertension. Those with continuous chronic pain demonstrated higher depression scores and lower self-esteem scores than did those experiencing intermittent chronic pain.
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The aim of this study was to conduct a component analysis of a group programme for chronic low back pain patients. Forty-five patients participated in the pain control course, consisting of education about pain and a training in self-hypnosis. A pain diary was used as a measure of pain intensity, up-time and use of pain medication. ⋯ On completion of the total treatment package, patients manifested statistically significant changes on all measures except reported pain intensity. It is suggested that the pain control course is a non-invasive, inexpensive means of treatment which could be of some value in teaching even more severely disabled low back pain patients to cope more adequately with their pain problem. For this group of patients, a better adjustment to continuing pain may prove to be a more realistic therapy goal than pain reduction.