Evaluation of the Effects of Lumbosacral Corset on the Patients with Chronic Non-specific Low Back Pain (original) (raw)
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The natural course of low back pain: a systematic critical literature review
Chiropractic & Manual Therapies, 2012
Background: Most patients in the secondary care sector consulting for low back pain (LBP) seem to have a more or less constant course of pain during the ensuing year. Fewer patients with LBP in the primary care sector report continual pain over a one-year period. However, not much is known about the long-term course of LBP in the general population. A systematic critical literature review was undertaken in order to study the natural course of LBP over time in the general population.
Evaluation of low back pain and assessment of lumbar corsets with and without back supports
Annals of the Rheumatic Diseases, 1981
A method is described for evaluating the progress of patients with back pain. Various symptoms were scored on analogue scales and spinal motion was measured by various techniques. These data were integrated to make subjective and objective indices respectively. Reasonable reproducibility of the measurements was obtained. This technique was used to elucidate the role of the lumbar support in surgical corsets in relief of back pain. Sufferers from back pain were randomly allocated to corsets with and without lumbar supports. There was significant improvement in those with a support compared with those without. On the other hand objective changes measured with the corset removed did not differ between the 2 groups. This study indicates that the spinal support in a lumbosacral corset makes a significant contribution towards the relief of symptoms.
An overview of evaluation of low back pain
International Journal of Research in Medical Sciences, 2016
Low back pain is an extremely common problem with a lifetime prevalence of 60-90% and an annual incidence of 5%. 1-2 Low back pain has also been a cause of disability and occupational absence. Though the vast majority (almost one third) of individuals will experience low back pain in their lifetime, the condition is fortunately self-limiting in most cases. 3-4 For those in whom it is not self-limiting and who continue to suffer low back pain, a plethora of potential treatment exists. Numerous mechanical and life style related risk factors can lead to low back pain. Prolapsed intervertebral disc is the commonest cause of lumbo-sciatic syndrome 5. A working knowledge of relevant anatomy, biomechanics and epidemiology is essential for an organized functional approach in making a diagnosis. A detailed history and musculoskeletal physical examination coupled with the appropriate ABSTRACT Background: Low back pain has plagued humans for thousands of years and it is extremely common with lifetime prevalence of 60-90% and annual incidence of 5% so we studied the problem of acute lumbosciatic syndrome which is defined as pain located near the loins in the lower back region and along the sciatic nerve, its remedies with objective to find out the possible causes of acute lumbosciatic syndrome. Aim of the study was to study characteristics of low back pain patients and outline the best possible treatment for them. Methods: The study comprises of 110 patient of adolescent to elderly age presenting with acute low back pain with radiation of pain to buttock and thigh. The prospective randomized study was completed in two years at the department of orthopedics at a tertiary care center. Results: Acute low backache was found to be more common in upper middle class and Lower class. Medium and heavy manual workers were found to be more predisposed to acute low backache and among specific occupation porters carrying heavy weights were most commonly involved. Prolapsed intervertebral disc was found be commonest cause of acute lumbosciatic syndrome. By conservative treatment in a year there was 76% of patients showed improvement in back pain, 73% showed improvement in paresthesias, 79% showed improvement in numbness and 69% showed improvement in neurological claudication. Education in proper posture and body mechanics is helpful in returning the patient to the usual level of activity after the acute exacerbation has been relieved. Conclusions: Every patient of low back pain should be thoroughly examined on all parameters before reaching to final diagnosis and treatment of low back pain by conservative treatment should be aimed on the prevention rather than treatment by multiple drugs.
Effects of lumbar corset on the patients with lumbar spondylosis
Bangladesh Medical Journal, 2014
This experimental study was done in the Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University to find out the effects of lumbar corset on the patients with lumbar spondylosis. Ninety seven patients were selected in the study. Out of them 40(41.24%) were male and 57(58.76%) were female. The male to female ratio was 1:1.42. The mean age was 41.22 ± 8.52 years. The patients were divided into two groups, 50 patients in group A ( Treated with NSAID, activities of daily living instructions and lumbar corset) and another 47 patients in group B (Treated with NSAID and activities of daily living instructions only ). In both the groups, patients were treated for six weeks and assessed at 7 days interval. Improvement was noticed in both the groups in every visit but there was no difference in improvement between the groups till 4th week of treatment. At the end of treatment group A showed statistically significant difference in overall improvement in c...
Low back pain is defined a pain, muscle tension, or stiffness localised below the costal margin and above the inferior gluteal fold with or without referred or radicular leg pain (1).Back pain can be caused by a wide variety of factors. This includes structural problems of the back, inflammation, muscle and soft tissue injury, secondary response to other diseases or conditions, imbalances in body mechanics and psychological /social factors (2).Over 70 % of people in resource-rich countries will experience low back pain at some time in their lives(1).Considering the life time prevalence of 60% to 85%,it will eventually affect almost everyone during working life-men and women equally (3).In western countries life time prevalence of low back pain ranges from 15% to 45%(4).
South African Medical Journal, 2015
Lower back pain (LBP) is the most common musculo skeletal problem seen by general practitioners and remains the most common cause of disability in US patients <45 years of age. [13] It is the most expensive benign condition in industrialised countries owing to the number of work days lost. LBP, by definition, includes pain below the costal margin but above the inferior gluteal folds. [13] Definitions are given in Table 1. These include pain with and without non neuropathic leg pain. Various studies have indicated that 80% of US adults experience LBP in their lifetime. [3,4] In clinical practice, most practitioners have a superficial approach to this important clinical problem. Specific causes for LBP are uncommon and account for <15% of all such cases. In 85% of cases LBP is nonspecific; it will improve within 6 weeks, irrespective of treatment. The medical practitioner should try to establish whether the pain is mechanical or inflammatory. This distinction can often be made with the use of 'diagnostic red flags' (Table 2). Mechanical (nonspecific) LBP includes orthopaedic and neurosurgical causes, which may require surgical intervention. Epidemiological evidence suggests several risk factors for the development of LBP, including smoking, obesity and physically strenuous work. However, sedentary work and psychologically taxing work are also risk factors. Inflammatory back pain (IBP) is the hallmark symptom of spondyloarthritis. The features of IBP are listed in Table 3.
Current concepts in low back pain: a review
Complementary Therapies in Medicine, 1993
The epidemic nature of back pain is often attributed to changing lifestyles. The size of the problem is reflected by the lack of its preventive management, despite an improved understanding of the nature of the complaint. Although defiant of attempts at uniform classification, back pain is most oRen attributed to mechanical causes and several new methods are emerging, both for the investigation and treatment of these. The future calls for more active treatment strategies, supported by agreed terminologies. This would replace the transparently futile pursuit of fundamental pathology, esoteric treatment approaches, and inappropriate referral to surgeons.
Asian Spine Journal, 2014
Purpose: The purpose of the study was to determine the prevalence of low back pain (LBP) in the primary care setting with emphasis on the socio-demographic contributing factors and impact of LBP on lifestyle habits. Overview of Literature: LBP is one of the most common medical conditions seen in the Primary Health Care Clinic. Methods: A representative sample of 2,600 patients were approached and 1,829 subjects agreed to participate in this study (70.0%). Data on socio-demographic characteristics, life style habits and type of treatment were collected through a questionnaire. Results: The prevalence of LBP in the study sample was 56.5% (95% confidence interval, 54.2-58.8). LBP was more prevalent among women (53.9%) compared to men (46.1%). There was significant difference between male and female patients of LBP in terms of ethnicity (p<0.001), marital status (p=0.010), occupation (p<0.001), monthly household income (p=0.004), and cigarette/sheesha smokers (p<0.001). The percentages of different aspects of functional disabilities were statistically significantly higher among females compared to male patients with LBP. Almost a quarter of female patients with LBP (26%) and 18% male patients with LBP reported pain in the arms and legs (p=0.002). In addition, gastrointestinal complaints such as abdominal pain and food intolerance were significantly higher among female patients with LBP as compared to males (31% vs. 24.6%, p=0.018; and 25% vs. 18%, p=0.008, respectively). Complaints about headache and fainting were also significantly higher among female patients as compared to male LBP patients (43% vs. 36%, p=0.029; and 26% vs. 20%, p=0.016, respectively). The multivariate logistic regression revealed that being female, prolonged standing, prolonged sitting, heavy weight lifting, weakness in the legs, regular exercise, and cigarette/sheesh a smoking had a significant effect on the presence of LBP. Conclusions: LBP is highly prevalent among both genders and in older age. Also, weakness in the legs, smoking, prolonged standing and sitting had a significant effect on LBP. Furthermore, the current study findings support the fact that LBP continues to be an important clinical, social and economic, burden and a public health problem affecting the population of the entire world.