A Physical Therapy Model for the Treatment of Low Back Pain

DeRosa, Carl; Porterfield, James A.

doi:10.1093/ptj/72.4.261

Cited by 70 publications

(21 citation statements)

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“…2,3,7,8,[20][21][22]29,[31][32][33]40 Unfortunately, none of the systems has been tested extensively. The system of movement-related categories we have been testing was developed by Sahrmann,30 primarily on the basis of clinical observation.…”

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confidence: 99%

Differences in Measurements of Lumbar Curvature Related to Gender and Low Back Pain

Norton

Sahrmann²,

Dillen³

2004

J Orthop Sports Phys Ther

106

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Study Design: Cross-sectional. Objectives: To test the assumption that postural alignment and gender have a bearing on the specific type of low back pain (LBP) a person manifests. Background: Measurements of static sagittal lumbar curvature are used by clinicians in the management of patients with LBP, but no investigator has reported differences in curvature related to specific categories of LBP. Methods and Measures:We used a computer-interfaced, 3-D, electromechanical digitizer to derive curvature angles for the region of the spine between T12-L1 and S2. Trained clinicians examined the subjects and determined their LBP diagnoses. We used t tests to examine differences in curvature between women and men, those with and those without LBP, and those in 4 different categories of LBP. We used 2 to examine the relationship between gender and LBP category. Results: Lumbar curvature angle (lordosis) was 13.2°larger for women than for men (t = 6.74; P Ͻ.01). There was no difference in lumbar curvature between people with undifferentiated LBP and people without LBP. There were differences in lumbar curvature between people in various categories of LBP, for example, subjects in the lumbar-rotation-with-extension category had 8.4°more lumbar curvature than subjects in the lumbar-rotation-with-flexion category (t = 2.16; P Ͻ.05). Based on the frequency distributions, there was a significant relationship between gender and LBP category ( 2 = 10.19; P Ͻ.01). Conclusions: Measurements of lumbar curvature should be expected to differ between men and women and may be related to different types of low back pain. J Orthop Sports Phys Ther 2004;34:524-534. Key Words: lordosis, lumbar curvature, posture, spine M easurements of static sagittal spinal curvature in erect standing are used by many types of clinicians to aid in establishing a diagnosis, formulating a treatment plan, and assessing outcomes in patients with low back pain (LBP). 35 The measurements can be most useful in The relationship between gender and spinal curvature has been studied to a limited extent. In our search of the literature, we found 43 articles in which sagittal plane measurements of lumbar spinal curvature were reported. Only 14 of the reports included any data or analyses related to differences between women and men.

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confidence: 99%

Differences in Measurements of Lumbar Curvature Related to Gender and Low Back Pain

Norton

Sahrmann²,

Dillen³

2004

J Orthop Sports Phys Ther

106

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“…While under the broad umbrella of manual therapy, Muscle Energy Technique (MET) does not fall into the subcategories of manipulation or mobilization. MET is an active technique 5,20 in that the patient, instead of the care provider, supplies the corrective force. 20 Greenman 20 defined MET as a ''manual medicine treatment procedure that involves the voluntary contraction of patient muscle in a precisely controlled direction, at varying levels of in- No other tensity, against a distinctly executed counterforce applied by the operator.''…”

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confidence: 99%

Muscle Energy Technique in Patients With Acute Low Back Pain: A Pilot Clinical Trial

Wilson¹,

Payton²,

Donegan-Shoaf³

et al. 2003

J Orthop Sports Phys Ther

101

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“…A report has indicated that more than 60% of men and women who work on the computer have complained of pain resulting from various MSIs (Idowu et al, 2005). Low back pain (LBP) is not only one of the most common MSIs in industrialized societies (Sanya and Ogwumike, 2005;Saidu et al, 2011), it is the most costly, and the primary cause of disability in persons under 45 years (DeRosa and Porterfield, 1992). In the United States, more than 25,000 ankle sprains occur each day and the concomitant symptoms (pains and swelling) leave the individuals with some functional disability (Man et al, 2007).…”

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confidence: 99%

Relative Therapeutic Efficacy of Phonophoresis and Cryotherapy as Combined Therapy in the Management of Musculoskeletal Injuries

Onuwe¹,

Amadi²

2014

Af Jrl. Phys Rehab Sci

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SUMMARYThis study was designed to investigate the efficacy of phonophoresis and cryotherapy as combined therapy (double-modality therapy -DMT) in the management of pain among subjects with musculoskeletal injuries (MSIs).Subjects were assigned randomly to one of three groups: DMT group (n=17) received cryotherapy and 15% methyl salicylate phonophoresis, PHONO group (n=14) received 15% methyl salicylate phonophoresis, and CRYO group (n=19) received cryotherapy and 'sham' phonophoresis. Ultrasound at an intensity of 1.5 W/cm² and frequency of 1MHz was used to apply methyl salicylate while intermittent cryotherapy was the mode of application. The pre-and post-treatment pain perception scores (PPS) of the patients were assessed using the visual analogue scale (VAS), and the sessions of treatment in all groups were recorded. Treatment was administered on alternate days and subjects in all groups were discharged when they were pain free.In total, 233 treatment sessions were recorded -61(26.2%) in DMT, 77(33.0%) in PHONO and 95(40.8%) in CRYO group respectively, which indicated no significant difference (P > 0.05). In the DMT, CRYO and PHONO groups, 16, 12 and 7 subjects respectively were pain free after 1 to 5 treatments. The difference in the severity of pain was significant (P < 0.05) in each group post-treatment, which suggests that DMT, phonophoresis and cryotherapy were equally effective.The study has demonstrated the therapeutic efficacy of DMT, but it was not superior to the single treatment protocol of phonophoresis or cryotherapy. It might however, take less treatment sessions to reduce pain among the subjects with the use of DMT compared with other two modalities.

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A Physical Therapy Model for the Treatment of Low Back Pain

Cited by 70 publications

References 0 publications

Differences in Measurements of Lumbar Curvature Related to Gender and Low Back Pain

Differences in Measurements of Lumbar Curvature Related to Gender and Low Back Pain

Muscle Energy Technique in Patients With Acute Low Back Pain: A Pilot Clinical Trial

Relative Therapeutic Efficacy of Phonophoresis and Cryotherapy as Combined Therapy in the Management of Musculoskeletal Injuries

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