Effectiveness of orthoses for treatment in patients with spinal pain

Choo, Yoo Jin; Lee, Hee Jin

doi:10.12701/yujm.2020.00150

Cited by 13 publications

(13 citation statements)

References 27 publications

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“…2 For management of LBP and sciatica, various conservative treatments, including oral pain medication, physical therapy, exercise, and interventions, are being applied. [3][4][5] Of these treatment modalities, epidural steroid injection (ESI) has been applied widely in patients with LBP or sciatica. 6 The anti-inflammatory property of steroids reduces inflammation around the sinuvertebral nerve and spinal nerve roots.…”

Section: Introductionmentioning

confidence: 99%

YouTube as a Source of Information on Epidural Steroid Injection

Lee

Park

2021

JPR

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Objective: With the advance of the internet, social media platforms have become a major source of medical information. We assessed the reliability, quality, and usefulness of the most-viewed YouTube videos of epidural steroid injection (ESI). Methods: A search was conducted on YouTube on February 13, 2020, using the keywords "epidural injection," "epidural steroid injection," "epidural transforaminal injection," and "epidural transforaminal steroid injection." The top 50 most-viewed videos were assessed with a modified DISCERN scale (mDISCERN) and a Global Quality Scale (GQS). Further, the usefulness of information in each video was evaluated. Results: Only 22% of videos contained information with high reliability, and these were produced by hospitals or physicians. None of the videos provided by media organizations and patients were reliable. As for information quality, only 34% were moderate to excellent quality. Even of the videos produced by hospitals or physicians, approximately half were of generally poor or poor quality. Regarding the usefulness of information, although 76% were assessed to contain useful information, 8% had misleading information. Particularly, four of these videos contained misleading information, and three were provided by patients who experienced ESI. Conclusion:YouTube is a platform where medical information is actively shared and widespread. Here, we found that the reliability and quality of videos were low even when these were produced by hospitals or physicians. Further, the quality tended to be much lower when it was provided by media organizations or patients. Future efforts by physicians and professional societies to improve the reliability and quality of medical content are necessary.

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Section: Introductionmentioning

confidence: 99%

YouTube as a Source of Information on Epidural Steroid Injection

Lee

Park

2021

JPR

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“…Although long-term use of spinal orthoses is debated due to the potential complications that may arise, such as muscle weakness and joint contractures, the shortterm use is known to decrease pain and improve function during the treatment period (Muzin, Isaac, Walker et al, 2008;Azadinia, Takamjani, Kamyab et al, 2017). The effective role of spinal orthoses in reducing pain arises from their ability to stabilize the spine and decrease motion, thus causing a of function (Choo, and Chang, 2020). Cervical and lumbosacral spine orthoses are used especially for immobilization.…”

Section: Resultsmentioning

confidence: 99%

Ağrısı ve Kinezyofobisi Olmayan Ortez Kullanan Bireylerin Fiziksel Aktivite Düzeylerinin Sağlıklı Kontrollerle ve Kendi Içinde Karşılaştırılması

Volkan-Yazici

VAROL

2021

Ergoterapi Ve Rehabilitasyon Dergisi

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Purpose: Using orthosis due to orthopedic problems are common in adults. Positive effects of orthoses are correcting existing deformities, preventing progression and immobilizing a weak/injured segment. However, the effect of orthosis on level of physical activity in pain-free individuals has not been investigated. This controlled trial investigated the level of physical activity of individuals without pain and kinesiophobia who use orthoses and compared the results with healthy individuals. Material and Methods: 244 participants (94 using orthoses, 150 healthy individuals) who were 18-65 years old participated in this study. Individuals who were painless according to the Nordic Musculoskeletal Questionnaire and without kinesiophobia according to the Tampa Kinesiophobia Scale were included in the study. Physical activity was measured with The International Physical Activity Questionnaire (IPAQ). Results: The IPAQ scores showed that healthy individuals had a statistically higher level of physical activity compared to those who used orthotic devices for any part of their body (p<0.001). When the orthosis subgroups were analyzed, there was no statistically significant difference in physical activity amongst the subgroups (p=0. 906, p=0.819, p=0.537). Discussion: This study shows that in addition to the clinical benefits provided by orthoses, they can lead to complications such as significant decrease in physical activity in individuals. Raising awareness that physical activity may decrease in patients using orthoses, and therefore increasing physical activity levels, should become an important part of rehabilitation.

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“…Chronic back pain is one of most common musculoskeletal disorders causing chronic pain and disability [ 97 ]. Clinicians employ several treatment methods such as anti-inflammatory oral medications, epidural steroid injection, pulsed radiofrequency, and physical therapy; in many cases, back pain is refractory to these treatments [ 98 , 99 , 100 ].…”

Section: Administration Of Dopaminergic Drugsmentioning

confidence: 99%

Association between Chronic Pain and Alterations in the Mesolimbic Dopaminergic System

et al. 2020

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Chronic pain (pain lasting for >3 months) decreases patient quality of life and even occupational abilities. It can be controlled by treatment, but often persists even after management. To properly control pain, its underlying mechanisms must be determined. This review outlines the role of the mesolimbic dopaminergic system in chronic pain. The mesolimbic system, a neural circuit, delivers dopamine from the ventral tegmental area to neural structures such as the nucleus accumbens, prefrontal cortex, anterior cingulate cortex, and amygdala. It controls executive, affective, and motivational functions. Chronic pain patients suffer from low dopamine production and delivery in this system. The volumes of structures constituting the mesolimbic system are known to be decreased in such patients. Studies on administration of dopaminergic drugs to control chronic pain, with a focus on increasing low dopamine levels in the mesolimbic system, show that it is effective in patients with Parkinson’s disease, restless legs syndrome, fibromyalgia, dry mouth syndrome, lumbar radicular pain, and chronic back pain. However, very few studies have confirmed these effects, and dopaminergic drugs are not commonly used to treat the various diseases causing chronic pain. Thus, further studies are required to determine the effectiveness of such treatment for chronic pain.

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Effectiveness of orthoses for treatment in patients with spinal pain

Cited by 13 publications

References 27 publications

YouTube as a Source of Information on Epidural Steroid Injection

YouTube as a Source of Information on Epidural Steroid Injection

Ağrısı ve Kinezyofobisi Olmayan Ortez Kullanan Bireylerin Fiziksel Aktivite Düzeylerinin Sağlıklı Kontrollerle ve Kendi Içinde Karşılaştırılması

Association between Chronic Pain and Alterations in the Mesolimbic Dopaminergic System

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