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The Effect of Abdominal Stabilization Contractions on Posteroanterior Spinal Stiffness. Fall 2008
OBJECTIVE: To quantify the immediate change in posteroanterior (PA) spinal stiffness produced by different combinations of trunk muscle contraction. SUMMARY OF BACKGROUND DATA: The abdominal hollow and the abdominal brace are 2 different combinations of trunk muscle contractions that are commonly prescribed to increase spinal stability. Unfortunately, the immediate effect of these different contractions on spinal stiffness (one indicator of spinal stability) has not yet been quantified directly.
CONCLUSION: In asymptomatic subjects, the abdominal brace contraction provided an OBJECTIVE: To quantify the immediate change in posteroanterior (PA) spinal stiffness produced by different combinations of trunk muscle contraction. immediate PA stiffening effect that was significantly greater in magnitude when compared with conditions of rest and abdominal hollowing. These findings may allow clinicians to better match commonly prescribed contraction-based interventions with specific patient needs. Future work is required to assess the long-term effect of repeated abdominal brace and hollow contractions on PA spinal stiffness and low back pain.
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Effects of a Single Session of Posterior-to-Anterior Spinal Mobilization and Press-up Exercise on Pain Response and Lumbar Spine Extension in People With Nonspecific Low Back Pain Fall 2008
BACKGROUND AND PURPOSE: Posterior-to-anterior (PA) mobilization and press-up exercises are common physical therapy interventions used to treat low back pain. The purpose of this study was to examine the immediate effects of PA mobilization and a press-up exercise on pain with standing extension and lumbar extension in people with nonspecific low back pain.
DISCUSSION AND CONCLUSION: The findings of this study support the use of PA mobilization and a press-up exercise for improving lumbar extension in people with nonspecific low back pain. Although statistically significant within-group changes in pain were detected, the clinical meaningfulness of these changes is questionable.
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Effects of a Single Session of Posterior-to-Anterior Spinal Mobilization and Press-up Exercise on Pain Response and Lumbar Spine Extension in People With Nonspecific Low Back Pain Summer 2008
PURPOSE: This study examined the immediate effects of Posterior-to-anterior (PA) mobilization and a press-up exercise on pain with standing extension and lumbar extension in people with nonspecific low back pain.
CONCLUSION: The findings of this study support the use of PA mobilization and a press-up exercise for improving lumbar extension in people with nonspecific low back pain. Although statistically significant within-group changes in pain were detected, the clinical meaningfulness of these changes is questionable.
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Impact of Continuous Low Level Heatwrap Therapy in Acute Low Back Pain Patients: Subjective and Objective Measurements. Spring 2008
Objective: Muscular pain is usually associated with increased muscle tension resulting in a vicious tension-pain-cycle, leading to increased alertness and stress. However, this has not been broadly evaluated using objective methods, for example, looking at neurophysiologic changes. The focus of this study was, therefore, to combine objective [spontaneous electroencephalogram (EEG) as a surrogate of alertness and stress] with subjective parameters (self-assessed pain affected variables) to investigate the effect of continuous low-level heat therapy in low back pain (LBP)-patients.
Discussion: In addition to classic psychophysical assessment of pain-related parameters and sleep quality, performance in daily life, we were able to obtain objective measures (EEG) that suggest an acute therapeutic relaxation on the basis of the central nervous system effects accompanying the reported significant pain relief. We believe that this was due to a reduced nociceptive information load in LBP-patients after the use of the heatwrap therapy.
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Lumbar Spine Reposition Sense: The Effect of a 'Slouched' Posture. Fall 2006
Proprioceptive control is considered important for spinal stability and prevention of injury. However there is evidence that proprioceptive structures, that are reflexive and viscoelastic, are challenged by commonly adopted 'slouched' postures. The aim of this study was to investigate the effect of such postures on proprioceptive control.
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Conservative Correction of Leg-Length Discrepancies of 10mm or Less for the Relief of Chronic Low Back Pain. Spring 2006
Objective: To study whether conservative correction in a leg-length discrepancy (LLD) of 10mm or less in patients with chronic low back pain (CLBP) can relieve pain.
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Interventions that Increase or Decrease the Likelihood of a Meaningful Improvement in Physical Health in Patients with Sciatica. Spring 2006
Objective: To determine whether physical therapy interventions predicted meaningful short-term improvement in physical health for patients diagnosed with sciatica.
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Lumbar Spine Segmental Mobility Assessment: An Examination of Validity for Determining Intervention Strategies in Patients with Low Back Pain. Spring 2006
Objective: To examine the predictive validity of posterior-anterior (PA) mobility testing in a group of patients with low back pain (LBP).
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Randomized, Controlled Trial of BreathTherapy for Patients with Chronic Low-back Pain. Fall 2005
Breath therapy is a western mind-body therapy integrating body awareness, breathing, meditation, and movement. Preliminary data suggest benefits from breath therapy for proprioception and low back pain. OBJECTIVE: To assess the effect of breath therapy on cLBP.
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Special Physical Therapy Technique Successful for Chronic Back Pain. Summer 2005
A physical therapy method is successful in treating people with severe back pain due to disc disease, according to research that was presented at the American Academy of Neurology 57th Annual Meeting in Miami Beach, Fla., April 9 – 16, 2005.
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A Clinical Prediction Rule to Identify Patients with Low Back Pain Most Likely to Benefit from Spinal Manipulation: A Validation Study Spring 2005
"The results of this study mean that physical therapists can have increased confidence in using the rule to identify patients with low back pain who are good candidates for spinal manipulation."
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For more details and to view an online instructional video on the predication rule, go to www.apta.org.
A Less Traumatic Technique Fall 2004
Minimally invasive spine surgery offers patients the benefits of decreased blood loss, fewer complications, and a more rapid recuperation.
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