Spine
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Randomized Controlled Trial Multicenter Study
Neck/shoulder exercise for neck pain in air force helicopter pilots: a randomized controlled trial.
The study was a randomized, controlled trial with blinded outcome assessment. A 6-week intervention was followed up directly afterwards and after 12 months. ⋯ A supervised neck/shoulder exercise regimen was effective in reducing neck pain cases in air force helicopter pilots. This was supported by improvement in neck-flexor function postintervention in regimen members. However, no effect emerged for pain-related fear. General strength training before the intervention predicted reduction in prevalence of pain at follow-up.
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The cultural adaptation of Neck Disability Index (NDI), the validity and reliability of Turkish version. ⋯ The results suggest that the Turkish version of the NDI validated in this study is an easy to understand, reliable, and valid instrument for the measurement of the limitation of activities of daily living and pain caused by neck disorders in the Turkish-speaking population.
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We conducted a methodologic study. ⋯ We conclude that the 11-item Internal Validity Checklist is associated with effect size in randomized trials of interventions for back pain, and that our data support the use of a sum score of the number of fulfilled items in this list.
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Systematic Review. ⋯ Massage might be beneficial for patients with subacute and chronic nonspecific low back pain, especially when combined with exercises and education. The evidence suggests that acupuncture massage is more effective than classic massage, but this need confirmation. More studies are needed to confirm these conclusions, to assess the impact of massage on return-to-work, and to determine cost-effectiveness of massage as an intervention for low back pain.
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This is an animal experiment using transcranial motor evoked potentials (TcMEP), mechanically elicited electromyography (EMG), and evoked EMG during spinal nerve root retraction in a pig model. ⋯ Three electrophysiologic methods were used intraoperatively to assess neural function during retraction of a single nerve root. Retraction produced consistent changes in TcMEPs and evoked EMG. These 2 methods show promise for assessing the limits on the force and duration of nerve root retraction during spine surgery. Mechanically elicited EMG was not sensitive to the amount and duration of nerve root retraction.