Effects of low-intensity pulsed ultrasound on pain and functional disability in patients with early-stage lumbar spondylolysis: A randomized controlled trial

Tanveer, Fahad; Arslan, Syed Asadullah; Darain, Haider; Ahmad, Ashfaq; Gilani, Syed Amir; Hanif, Asif

doi:10.1016/j.jbmt.2022.02.025

Cited by 3 publications

(1 citation statement)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Pain LIPUS has been found to reduce pain in orthodontic treatment, 59 knee osteoarthritis, 60 and early-stage lumbar spondylolysis, 61 as a means of pain relief, the reason for its therapeutic role may be that ultrasound can enhance blood flow and fluid circulation in the body, increase cellular permeability and pain thresholds, stop the pain cycle, and reduce pain. 62,63 Pain is one of the important signs of tendinopathy, and LIPUS appears controversial in tendon disease pain improvement.…”

Section: Effects Of Lipus On Tendon Healing Based On Clinical Studiesmentioning

confidence: 99%

Effects of Low‐Intensity Pulsed Ultrasound in Tendon Injuries

Liu

et al. 2023

J of Ultrasound Medicine

View full text Add to dashboard Cite

Tendon injuries are the most common soft tissue injuries, caused by tissue overuse and age‐related degeneration. However, the tendon repair process is slow and inefficient due to the lack of cellular structure and blood vessels in the tendon. Low‐intensity pulsed ultrasound (LIPUS) has received increasing attention as a non‐invasive, simple, and safe way to promote tendon healing. This review summarizes the effects and underlying mechanisms of LIPUS on tendon injury by comprehensively examining the published literature, including in vitro, in vivo, and clinical studies. This review reviewed 24 studies, with 87.5% showing improvement. The application of LIPUS in tendon diseases is a promising field worthy of further study.

show abstract

Section: Effects Of Lipus On Tendon Healing Based On Clinical Studiesmentioning

confidence: 99%

Effects of Low‐Intensity Pulsed Ultrasound in Tendon Injuries

Liu

et al. 2023

J of Ultrasound Medicine

View full text Add to dashboard Cite

show abstract

Characteristics of lumbar spondylolysis: L5 versus non-L5

Gamada,

Tatsumura,

Okuwaki

et al. 2024

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Fifth lumbar vertebra (L5) spondylolysis has a lower bone union rate than non-L5 spondylolysis, but the reason for this is unknown. This study aimed to evaluate the differences in patient and lesion characteristics between L5 and non-L5 spondylolysis. Methods A total of 410 patients with lumbar spondylolysis aged 18 years or younger who were treated conservatively were enrolled. Patients and lesions were divided into L5 and non-L5 (L2–L4) spondylolysis. Factors, including sex, age, presence of spina bifida occulta, stage of the main side lesion, whether the lesion was unilateral or bilateral, presence and stage of the contralateral side lesion and treatment duration, were evaluated at the first visit and compared between the two groups. Results A total of 250 patients with 349 lesions were included. The bone union rate of L5 lesions was lower than that of non-L5 lesions (75% vs. 86%, p = 0.015). Patients with L5 spondylolysis were more likely to be male (86% vs. 66%) and younger (14.0 vs. 14.6 years) than patients with non-L5 spondylolysis. Lesions of L5 spondylolysis were more likely to be in a progressive stage (28% vs. 15%), less likely to be in a pre-lysis stage (28% vs. 43%) and more likely to be in a contralateral terminal stage (14% vs. 5.3%, p = 0.013) compared with lesions of non-L5 spondylolysis. Conclusions L5 spondylolysis was characterised by a lower bone union rate, more males, younger age, more progressive stage and more contralateral pseudarthrosis than non-L5 spondylolysis.

show abstract

Main and contralateral side stages of lesion affected bone union in the conservative treatment of adolescent lumbar spondylolysis: a multivariable analysis of 217 patients and 298 lesions in a retrospective cohort study

et al. 2023

View full text Add to dashboard Cite

Background Factors affecting bone union in the conservative treatment of adolescent lumbar spondylolysis remain controversial. We aimed to examine these factors along with advances in diagnostic imaging using multivariable analysis of a sufficient number of patients and lesions. Methods In this retrospective study, high-school-aged patients or younger (n = 514) who were diagnosed with lumbar spondylolysis from 2014 to 2021 were investigated. We included patients with acute fractures who showed signal changes around the pedicle on magnetic resonance imaging and who completed conservative treatment. The following factors were investigated at the initial visit: age, sex, level of lesion, main side stage, presence and stage of contralateral side lesion, and presence of spina bifida occulta. The association of each factor with bone union was evaluated through a multivariable analysis. Results Altogether, 298 lesions in 217 patients (174 boys and 43 girls; mean age: 14.3 years) were included in this study. Multivariable logistic regression analysis of all factors showed that the main side progressive stage was more likely associated with nonunion as compared to the pre-lysis (OR: 5.86; 95% confidence interval [CI]: 2.00–18.8; p = 0.0011) and early stages (OR: 3.77; 95% CI: 1.72–8.46; p = 0.0009). Regarding the contralateral side stage, the terminal stage was more likely to be associated with nonunion. Conclusion In the conservative treatment of lumbar spondylolysis, the factors affecting bone union were the main and contralateral side stages. Sex, age, level of lesion, or spina bifida occulta had no significant effects on bone union. The main, progressive, and contralateral side terminal stages were negative predictors of bone union. Trial registration This study was retrospectively registered.

show abstract

Effects of low-intensity pulsed ultrasound on pain and functional disability in patients with early-stage lumbar spondylolysis: A randomized controlled trial

Cited by 3 publications

References 21 publications

Effects of Low‐Intensity Pulsed Ultrasound in Tendon Injuries

Effects of Low‐Intensity Pulsed Ultrasound in Tendon Injuries

Characteristics of lumbar spondylolysis: L5 versus non-L5

Main and contralateral side stages of lesion affected bone union in the conservative treatment of adolescent lumbar spondylolysis: a multivariable analysis of 217 patients and 298 lesions in a retrospective cohort study

Contact Info

Product

Resources

About