Articles: back-pain.
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J Orthop Sports Phys Ther · Jan 1989
Investigation of the flexible ruler as a noninvasive measure of lumbar lordosis in black and white adult female sample populations.
The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or reflecting the views of the Army, the Department of Defense, or the U. S. Government. ⋯ The criterion validity of the flexible ruler as a measure of actual lumbosacral lordosis was poor (Pearsons' Correlation Coefficient = 0.30, N = 45). Because of the poor criterion validity of the flexible ruler compared to roentgenographically confirmed lumbar lordosis, the flexible ruler has questionable clinical value in the assessment of lumbar lordosis. J Orthop Sports Phys Ther 1989;11(1):3-7.
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Arch Orthop Trauma Surg · Jan 1989
Leg-length inequality has poor correlation with lumbar scoliosis. A radiological study of 100 patients with chronic low-back pain.
Leg-length inequality and its hypothetical consequences, pelvic tilt and lumbar scoliosis, were measured in 100 young or middle-aged adults suffering from chronic low-back pain. Leg-length inequality had a good correlation with the pelvic tilt assessed from the iliac crests, a moderate correlation with the sacral tilt, but a poor correlation with the lumbar scoliosis. ⋯ Thus, there is a gradually decreasing correlation between the posture parameters when moving from the hips up to the lumbar spine. We conclude that before a radiologically observed leg-length inequality be considered as the cause of low-back pain, an erect-posture radiograph of the whole pelvis and lumbar spine is essential, in order to assess an existing pelvic tilt and scoliosis.
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Scand J Rehabil Med · Jan 1989
Comparative Study Clinical Trial Controlled Clinical TrialA controlled study on the outcome of inpatient and outpatient treatment of low back pain. Part I. Pain, disability, compliance, and reported treatment benefits three months after treatment.
Outcome of inpatient and outpatient treatment of low back pain was studied in 459 patients (aged 35-54 years, 63% men); 156 inpatients, 150 outpatients and 153 controls. Changes in low back pain and in disability caused by it, and adherence and accomplishment of back exercises were used as short-term outcome criteria. ⋯ There was also a significant difference in treatment gains between the inpatients and outpatients; i.e. the decrease in pain was greater and the frequency of back exercises higher in the inpatients. The inpatients also estimated their treatment benefits more positively than the outpatients.
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Acta Obstet Gynecol Scand · Jan 1989
Relief of low back pain in labor by using intracutaneous nerve stimulation (INS) with sterile water papules.
Eighty-three women experiencing low back pain in the 1st stage of labor were given intracutaneous nociceptive stimulation (INS) by means of sterile water papules injected intracutaneously over sacrum. There was instant and complete relief of the low back pain in all but 6 women, this effect lasting in many cases as long as 3 h, after which INS could be repeated. ⋯ The method was well tolerated and 67 of the 83 women said they would like to have INS analgesia for their next delivery. Possible mechanisms behind the analgesic effect of INS are discussed.
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The aim of this 12-month follow-up study was to evaluate the effect of the Swedish-type back school in chronic low back pain. 188 subjects completed the study (95 in the treatment group and 93 in the control group). The following were assessed: 1) subjective scores of pain and disability; 2) clinical measurement and evaluation including spinal mobility and strength measurement; 3) number and length of sick-leaves. ⋯ It was concluded that patients with chronic or recurrent low back pain may get relief of subjective symptoms of low back pain from the back school. In addition to chronicity, there may be other factors affecting the outcome of treatment.