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Lamba, Dheeraj, and Ritambhara K Upadhyay. "COMPARISON BETWEEN MODIFIED OSWESTRY LOW BACK PAIN DISABILITY QUESTIONNAIRE AND ABERDEEN LOW BACK PAIN SCALE TAKING LOW BACK-SPECIFIC VERSION OF THE SF-36 PHYSICAL FUNCTIONING SCALE AS A GOLD STANDARD IN PATIENTS WITH LOW BACK PAIN." Asian Journal of Pharmaceutical and Clinical Research 11, no. 11 (2018): 97. http://dx.doi.org/10.22159/ajpcr.2018.v11i11.27909.
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Objective: The objective of the study was to compare the modified Oswestry low back pain (LBP) disability questionnaire with Aberdeen LBP scale (ABPS) and to find out which scale is better for functional assessment in LBP patients.Methods: A total of 100 randomly selected patients who fulfilled the inclusion criteria were recruited for the study. Modified Oswestry LBP disability questionnaire and ABPS were compared with a gold standard that is a low back-specific Version of the SF-36 Physical Functioning Scale. Statistical comparison was done using one-way ANOVA to find out which scale is better for assessing functional disability in LBP patients.Results: On analyzing the results using one-way ANOVA both the scales, i.e., modified Oswestry disability questionnaire and ABPS showed significant values indicating that both are equally reliable and effective tools and either can be used as outcome measurement tool in patients suffering from LBP.Conclusion: The present study concludes that the modified Oswestry disability questionnaire and Aberdeen low back scale both are equally reliable and effective outcome measurement tools for the assessment of patients suffering from LBP.
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Patel, Krupa, and Amit Amit M. Patel. "Correlation of Low Back Pain and Its Function Limitation Activity in Daily Life Among Office Worker." International Journal of Health Sciences and Research 14, no. 8 (2024): 47–51. http://dx.doi.org/10.52403/ijhsr.20240807.
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INTRODUCTION: Low back pain is associated with physical demands of the workplace, social support, and pain. The normal degenerative aging process, epidemiological studies reveal that poor ergonomic factors in the workplace contribute to low back pain in a back. Lifting or carrying loads, having a static posture for a long time and frequent bending and twisting have the physical load risk factors consistently associated with work-related back disorders. OBJECTIVE: To correlate the Oswestry Disability Index and Quebec Back Pain Disability Scale in Office worker. METHOD: 110 Office worker were selected for the study and the age between 30 to 45 year. A correlation study was conducted between Oswestry disability index and Quebec Back pain disability scale. Through Digital form. RESULTS: Spearmen’s rho correlation was used for analyse data by using SPSS 20.00. Significant and very strong positive correlation was found between Oswestry disability index and Quebec back pain scale (r=0.91& p<0.05) in Office worker. CONCLUSION: Oswestry disability index and Quebec back pain scale were correlated in Office worker. Significant and very strong positive correlation found between pain and functional activity. Key words: Oswestry disability index, Quebec back pain scale, Pain, Functional Activity, Office worker
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Mahendra Kumar, R., Kumbar Rajeshwari, S. Sandeep, B. S. Sudarshan, and B. K. Rakshith. "Cognitive behavioral therapy (CBT) and meditation in the treatment of persistent low back pain: Interventional Study." Journal of Drug Delivery and Therapeutics 14, no. 1 (2024): 29–34. http://dx.doi.org/10.22270/jddt.v14i1.6186.
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Objective: To compare the effect of both CBT and Meditation in chronic lower back pain patients.
 Method: Participants fulfilling the exclusion and inclusion criteria and who are between the age group of 35-50 years with CLBP were included. Numerical pain rating scale and Montreal Cognitive Assessment (MOCA) was used for the participant selection. The participants were further divided into three groups and 4-week intervention of conventional physiotherapeutic exercise, meditation and CBT, was given to the participants. Numerical Pain Rating Scale and Oswestry Low Back Pain Disability Questionnaire were used as outcome measures.
 Results: 40 chronic back pain patients were enrolled and randomized. All enrolled participants completed baseline tests, providing cross-sectional data for this study. Simple randomization allocated 14 patients to the control group and 13 patients each to Experimental Group 1 and Experimental Group 2. Significant within-group improvements occurred on the Numerical Rating Scale and Oswestry scores between baseline and final visits for all groups. However, the experimental groups showed significantly greater decreases in pain intensity versus controls, evidenced by reduced mean Numerical Rating Scale and Oswestry scores at follow-up. One-way ANOVA and Welch tests revealed significantly reduced Numerical Rating Scale and Oswestry scores after treatment across groups. Both tests yielded statistically significant p-values <0.01.
 Conclusion: The findings show that meditation and cognitive behavioural therapy (CBT) are beneficial in reducing pain. As a result, for patients with persistent low back pain, taking into consideration these two treatment techniques is critical.
 Keywords: Cognitive Behavioural Therapy, Chronic Pain, Oswestry Questionnaire
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Hossain, Md Rashedul. "Low-Back Outcome Scale and the Oswestry Disability Index they Reflective of Patient Satisfaction." Journal of Orthopedics & Bone Disorders 8, no. 1 (2024): 1–7. http://dx.doi.org/10.23880/jobd-16000255.
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Background: Low back pain is the most common type of pain. The causes of many painful conditions of the low back remain obscure. Low back pain bothers not only patients but also the experts about its multidisciplinary approaches. The typical background of a low back incidence is a faulty postural pattern. A mechanical or functional strain causing muscular misbalance in one part of the body may soon result in compensatory changes in other parts. The Low-Back Outcome Scale (LBOS) of Greenough and Fraser and the Oswestry disability index (ODI) were compared to the patient satisfaction index (PSI) in lumbar disc herniation (LDH) surgery. Methods: This prospective interventional study was conducted in department of Orthopaedic Surgery, BSMMU, Dhaka from October 2017 to September 2019. A total of 22 patients who underwent discectomy were followed through assessment of pre and post-surgical satisfaction by the PSI, the LBOS, and the ODI. The LBOS were rated as satisfied if the outcomes were excellent or good and as dissatisfied if fair and poor. Considering the ODI, clinically satisfied was defined as a 13-point improvement from the baseline ODI scores. Phi (Φ) correlation analysis was used to study the correlation among the PSI, the LBOS and the ODI scores as proxy for patients’ satisfaction. Results: In this study, out of 22 patients 8 (36.4%) were 35-45 years of age, 8 (36.4%) were 46- 55years, 4 (18.2%) were 56- 65 years and 2 (9.1%) were 66-70 years old. The mean (± SD) age of the patients was 51.1±9.7 years and the youngest and the oldest patients were 35 and 70 years respectively. Among 22 subjects, majority of the study subjects 15 (68.2%) were male and only 7 (31.8%) were female. Significant improvement from the pre- to post-operative ODI scores was observed. Post-surgical satisfaction based on the PSI, the ODI, and the LBOS were 72.7%, 68.1%, and 81.1%, respectively. Regarding patient satisfaction, there were weak associations between LBOS vs. PSI and ODI vs. PSI (Φ=−0.054, P=0.533) and (Φ=−0.129, P=0.136), respectively. Conclusions: Our study showed that the ODI and the LBOS were not reflective of patients’ satisfaction after discectomy.
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Lee, Yu-jin, Minjin Kwon, Na-youn Kim, and Yu-Ra Im. "Case Report: The Complex Korean Medicine Treatment of Abdominal and Lower Back Pain after Laparoscopic Hysterectomy." Journal of Internal Korean Medicine 44, no. 2 (2023): 197–206. http://dx.doi.org/10.22246/jikm.2023.44.2.197.
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Objectives: This study reports the effect of Korean medicine treatment on a patient with abdominal and lower back pain after a laparoscopic hysterectomy.Methods: The patient received Korean herbal medicine, pharmacopuncture treatment, and acupuncture treatment for six days. We measured the numeric rating scale (NRS), Oswestry Disability Index (ODI), Range of Motion (ROM), and Life-5 Dimensions scale (EQ-5D) to assess symptom changes.Results: After treatment, the patient showed decreased numeric rating scale (NRS) and Oswestry Disability Index (ODI), as well as augmented Range of Motion (ROM) and European Quality of Life 5 Dimensions scale (EQ-5D).Conclusion: The results indicate that Korean medicine treatment is effective management for patients with abdominal and lower back pain after a laparoscopic hysterectomy.
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Jamil, Komal, and Rida Baqir. "The Comparative Effects of McKenzie Technique versus Swiss Ball Exercises Along with Hot Pack in Patients with Low Back Pain." Life and Science 4, no. 3 (2023): 6. http://dx.doi.org/10.37185/lns.1.1.338.
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Objective: To compare the effects of the McKenzie technique with Swiss ball exercises for low back pain management.Study Design: Quasi-experimental study.Place and Duration of Study: The study was conducted at the Department of Physical Therapy Patel Hospital Karachi, Pakistan, from May 2018 to November 2018.Materials and Methods: A total number of 50 patients with low back pain from the age of 18-40 years were included in the study. Research participants were divided into 2 groups. Group A comprised 25 participants who performed the McKenzie exercises and Group B comprised 25 participants who performed the Swiss ball exercises. In both groups, a heating pad was applied for 20 minutes before exercise interventions. Research participants were evaluated from a numeric rating scale and the Oswestry disability index questionnaire. Data were analyzed by SPSS version 21.Result: The results showed there is a significant effect of McKenzie Exercises in the management of low back pain; the results were evaluated by the differences in the numeric rating scale (P= 0.016) and the Oswestry disability index (P= 0.026) between Pre and Post application of the intervention. The McKenzie numeric rating scale pretreatment mean is 4.48 with(S.D+0.58), the numeric rating scale post-treatment mean is 2.84 with (S.D +1.625), and the McKenzie pretreatment Oswestry disability index mean is 24.87 with (S.D +24.87) and post-treatment Oswestry disability index mean is 16.96 with (S.D +16.96).Conclusion: McKenzie’s technique showed a more beneficial effect than the Swiss ball exercises in patients with low back pain.
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Davidson, Megan, and Jennifer L. Keating. "A Comparison of Five Low Back Disability Questionnaires: Reliability and Responsiveness." Physical Therapy 82, no. 1 (2002): 8–24. http://dx.doi.org/10.1093/ptj/82.1.8.
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Abstract Background and Purpose. The aim of this study was to examine 5 commonly used questionnaires for assessing disability in people with low back pain. The modified Oswestry Disability Questionnaire, the Quebec Back Pain Disability Scale, the Roland-Morris Disability Questionnaire, the Waddell Disability Index, and the physical health scales of the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) were compared in patients undergoing physical therapy for low back pain. Subjects and Methods. Patients with low back pain completed the questionnaires during initial consultation with a physical therapist and again 6 weeks later (n=106). Test-retest reliability was examined for a group of 47 subjects who were classified as “unchanged” and a subgroup of 16 subjects who were self-rated as “about the same.” Responsiveness was compared using standardized response means, receiver operating characteristic curves, and the proportions of subjects who changed by at least as much as the minimum detectable change (MDC) (90% confidence interval [CI] of the standard error for repeated measures). Scale width was judged as adequate if no more than 15% of the subjects had initial scores at the upper or lower end of the scale that were insufficient to allow change to be reliably detected. Results. Intraclass correlation coefficients (2,1) calculated to measure reliability for the subjects who were classified as “unchanged” and those who were self-rated as “about the same” were greater than .80 for the Oswestry and Quebec questionnaires and the SF-36 Physical Functioning scale and less than .80 for the Waddell and Roland-Morris questionnaires and the SF-36 Role Limitations–Physical and Bodily Pain scales. None of the scales were more responsive than any other. Discussion and Conclusion. Measurements obtained with the modified Oswestry Disability Questionnaire, the SF-36 Physical Functioning scale, and the Quebec Back Pain Disability Scale were the most reliable and had sufficient width scale to reliably detect improvement or worsening in most subjects. The reliability of measurements obtained with the Waddell Disability Index was moderate, but the scale appeared to be insufficient to recommend it for clinical application. The Roland-Morris Disability Questionnaire and the Role Limitations–Physical and Bodily Pain scales of the SF-36 appeared to lack sufficient reliability and scale width for clinical application.
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Cherepanov, Evgeniy Arkad'evich, and E. A. Cherepanov. "Russian Version of Oswestry Questionnaire: Test Validity and Reliability." N.N. Priorov Journal of Traumatology and Orthopedics 18, no. 1 (2011): 73–79. http://dx.doi.org/10.17816/vto201118173-79.
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The purpose of the study was the evaluation of Russian Oswestry questionnaire (disability index) version 2.1a reliability. Evaluation was performed on the basis of prospective cohort examination of 101 patients. All patients were questioned at the time of first examination, within 2-5 days after first visit and after completion treatment. Repetition of results, internal consistency of the test, correlation with visual analog scale (VAS) and SF-36 questionnaire subscales were studied. Repetition of results made up 0.96, Cronbach's a coefficient - 0.919, correlation with VAS - 0.668. Adapted of Russian Oswestry questionnaire version 2.1a is a valid and reliable tool. It is recommended for application in practical and scientific work for the evaluation of vital activity disturbances in patients with low back pains. The study was approved by Prof. J. Fairbank, the author of Oswestry questionnaire.
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Riaz, Hifza, Yasir Ali Kazmi, Asha, et al. "Effectiveness of Extracorporeal Shockwave Therapy versus Maitland Mobilization On Pain and Sacroiliac Joint Dysfunction." Healer Journal of Physiotherapy and Rehabilitation Sciences 5, no. 2 (2025): 50–55. https://doi.org/10.55735/hjprs.v5i2.339.
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Background: Sacroiliac joint dysfunction is a common cause of low back pain, significantly impacting mobility and quality of life. Various conservative interventions, including extracorporeal shock wave therapy and Maitland mobilisation, are used to manage sacroiliac joint dysfunction. Objective: To evaluate the effectiveness of extracorporeal shock wave therapy versus Maitland mobilisation on pain and functional outcomes in patients with sacroiliac joint dysfunction. Methodology: A randomised clinical trial was conducted on 26 individuals diagnosed with sacroiliac joint dysfunction, recruited from Moeen Physiotherapy and Rehman Physiotherapy clinic in Faisalabad. The sample size was calculated using G*Power 3.1.9.4. Participants aged 30-50 years with a clinical diagnosis of sacroiliac joint dysfunction confirmed by provocative tests and imaging were included. Those with previous spinal surgery, inflammatory joint diseases, or neurological disorders were excluded. Received focused extracorporeal shock wave therapy (0.2-0.4 mJ/mm2, 2000 pulses per session) thrice a week for four weeks. Underwent graded Maitland mobilisation sessions targeting the sacroiliac joint, three times per week for four weeks. Visual Analog Scale 0-10 and Oswestry Disability Index 0-100% were utilized as assessment tools. The study duration was March 2023 to September 2024. Results: Both groups showed significant improvement in Visual Analog Scale and Oswestry Disability Index scores post-treatment (p<0.05). However, the shock wave therapy group exhibited a more significant reduction in pain scores (Visual Analog Scale: 6.8±1.2 to 2.3±0.9, p=0.01) and functional disability (Oswestry Disability Index: 42.5%±6.4 to 18.2%±4.3, p=0.02) compared to the Maitland mobilisation group (Visual Analog Scale: 6.6±1.1 to 3.5±1.2, Oswestry Disability Index: 43.1%±6.7 to 24.5%±5.1, p=0.03). Conclusion: Both shock wave therapy and Maitland mobilisation effectively reduce pain and improve function in sacroiliac joint dysfunction patients, but shock wave therapy provides superior pain relief and functional recovery.
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Kwon, Minjin, Tae-Ju Kim, Yu-jin Lee, et al. "A Case Report on Functional Dyspepsia Treated with Korean Medicine in a Patient with Panic Disorder and Lower Back Pain." Journal of Internal Korean Medicine 43, no. 5 (2022): 918–28. http://dx.doi.org/10.22246/jikm.2022.43.5.918.
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Objectives: This study reports on the efficacy of Korean medical treatments for a functional dyspepsia patient with panic disorder and lower back pain.Methods: A 51-year-old male patient with functional dyspepsia was treated with herbal medicines and acupuncture for 17 days. The treatment effect was evaluated by measurements drawn from the Numerical Rating Scale, range of motion, Oswestry Disability Index, European Quality of Life 5 Dimensions Scale, and Gastrointestinal Symptom Score.Results: Following the treatment, the patient showed a decrease on the Numerical Rating Scale and Oswestry Disability Index and in Gastrointestinal Symptom Score, as well as an improvement in range of motion and European Quality of Life 5 Dimensions score.Conclusions: Korean medical treatments appear to be effective in reducing functional dyspepsia. Further clinical research on patients with functional dyspepsia is needed.
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Jamali, Mohammad, Yashar Goorakani, Niloofar Solat, Reza Taheri, and Sulmaz Ghahramani. "Outcome Evaluation of Patients with Burst Thoracolumbar Fractures: A Case Series." Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 37, no. 04 (2018): 304–8. http://dx.doi.org/10.1055/s-0038-1675223.
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Objective The aim of the present study was to evaluate the outcome of short segment instrumentation in patients affected by burst thoracolumbar fractures. Methods A total of 19 patients with unstable burst fractures of the thoracolumbar spine were eligible for short segment instrumentation. Their functional outcome (by using the Oswestry and Denis scales) and back pain (using the visual analog scale) were evaluated after 12 months. Results The mean age of the patients was 30.7 years old, and most of them were male (n = 15). The mean hospital stay was 4.6 days. The mean ± standard deviation (SD) of the pain score according to the visual analog scale was 1.63 ± 1.25 after 12 months of surgery, and there were no patients classified with grades 4 or 5 on the Denis work scale. The average Oswestry disability index (ODI) was 17% during the follow-ups. Conclusions The outcome of the studied patients, including the clinical pain and the functional outcome of postsurgical patients, suggested that the short-segment instrumentation could be an appropriate method for patients with unstable thoracolumbar junction fractures. However, a long-term follow-up is recommended.
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Cruz Ricardez, José Antonio, and Jesús Alfonso Cao Romero Arroyo. "INTERSPINOUS SPACER IN PERSISTENT DISCOGENIC PAIN: PERCUTANEOUS APPROACH OR OPEN TECHNIQUE." Coluna/Columna 15, no. 2 (2016): 120–23. http://dx.doi.org/10.1590/s1808-185120161502155246.
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ABSTRACT Objective: To compare the postoperative clinical course of placement of interspinous spacer with open technique (ISO) with percutaneous interspinous spacer (PIS). Methods: Quasi-experimental, longitudinal study of 42 patients with discogenic pain uncontrolled with analgesics, aged 35-55 years old, 21 women, and 21 men. Clinical history, location of pain, VAS scale before and after surgery, Oswestry Disability Index and Macnab modified scale at 6 months were used. Results: When performing quantitative analysis statistical significance (p = 0.0478, 0.0466, 0.0399) was demonstrated with Student's t test between the results according to VAS scale; in the qualitative analysis with the Oswestry index and Macnab modified scale it was demonstrated the hypothesis that the results is dependent of the surgical technique. Conclusions: According to the results, we can conclude that there is a statistically significant difference depending on the surgical technique used with respect to the rate of disability and functionality in daily life as well as in the improvement of pain symptoms.
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Kyrölä, K., H. Kautiainen, L. Pekkanen, P. Mäkelä, I. Kiviranta, and A. Häkkinen. "Long-term clinical and radiographic outcomes and patient satisfaction after adult spinal deformity correction." Scandinavian Journal of Surgery 108, no. 4 (2018): 343–51. http://dx.doi.org/10.1177/1457496918812201.
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Background and Aims: Adult spinal deformity surgery has increased with the aging population and modern surgical approaches, although it has high complication and reoperation rates. The permanence of radiographic correction, mechanical complications, predictive factors for poor patient-reported outcomes, and patient satisfaction were analyzed. Material and Methods: A total of 79 adult patients were retrospectively analyzed at baseline and 1–9 years after adult spinal deformity correction between 2007 and 2016. Patient-reported outcomes (Oswestry Disability Index, visual analog scale, and Scoliosis Research Society–30 scores), changes in radiographic alignment, indications for reoperation, predictors of poor outcomes according to the Oswestry Disability Index and Scoliosis Research Society–30 scores, and patient satisfaction with management were studied. Results: Oswestry Disability Index and visual analog scale scores (p = 0.001), radiographic correction of thoracic kyphosis, lumbar lordosis, and pelvic retroversion (p ⩽ 0.001) and sagittal vertical axis (p = 0.043) were significantly better at 4–5 years of follow-up than at baseline. The risk for the first reoperation owing to mechanical failure of instrumentation or bone was highest within the first year, at 13.9% (95% confidence interval = 8.0%–23.7%), and 29.8% (95% confidence interval = 19.4%–43.9%) at the 5-year follow-up. Oswestry Disability Index and Scoliosis Research Society–30 total scores had a good correlation (r = −0.78; 95% CI = −0.86 to –0.68; p < 0.001). Satisfaction with management was correlated with patient-reported outcomes. Male sex and depression (p = 0.021 and 0.018, respectively) predicted poor outcomes according to the Oswestry Disability Index and/or Scoliosis Research Society–30 score. Conclusion: The achieved significant radiographic correction was maintained 5 years postoperatively. Despite reoperations, patient satisfaction and clinical outcomes were good. Depression and male sex predicted poor clinical outcomes.
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Kim, TaeYeong, JaeHyuk Lee, SeJun Oh, Seungmin Kim, and BumChul Yoon. "Effectiveness of Simulated Horseback Riding for Patients With Chronic Low Back Pain: A Randomized Controlled Trial." Journal of Sport Rehabilitation 29, no. 2 (2020): 179–85. http://dx.doi.org/10.1123/jsr.2018-0252.
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Context: A simulated horseback riding (SHR) exercise is effective for improvement of pain and functional disability, but its comparative effectiveness with the other is unknown. Objective: The authors aimed to demonstrate the effect of a SHR exercise in people with chronic low back pain. Design: A randomized controlled trial. Settings: Community and university campus. Participants: A total of 48 participants with chronic low back pain were divided into 2 groups, and SHR exercises (n = 24) or stabilization (STB) exercises (n = 24) were performed. Interventions: The exercises were performed for 30 minutes, 2 days per week for 8 weeks. Main Outcome Measures: Numeric rating scale, functional disabilities (Oswestry disability index and Roland–Morris disability), and fear-avoidance beliefs questionnaire (FABQ) scores were measured at baseline and at 4 weeks, 8 weeks, and 6 months. Results: A 2-way repeated analysis of variance identified that between-group comparisons showed significant differences in the FABQ related to work scale (F = 21.422; P = .01). There were no significant differences in the numeric rating scale (F = 1.696; P = .21), Oswestry disability index (F = 1.848; P = .20), Roland–Morris disability (F = 0.069; P = .80), and FABQ related to physical scale (F = 1.579; P = .24). In within-group comparisons, both groups presented significant differences in numeric rating scale (both SHR and STB after 4 wk), Oswestry disability index (both SHR and STB after 6 mo), and Roland–Morris disability (SHR after 6 mo and STB after 8 wk) compared with baseline values. In FABQ-related physical (SHR after 4 wk) and work scales (SHR after 6 mo), there were only significant differences in the SHR compared with baseline values. Conclusions: SHR exercise for 8 weeks had a greater effect than STB exercise for reducing work-related FABQ. The SHR exercise performed in a seated position could substantially decrease pain-related fear disability in young adults with chronic low back pain.
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Abdul Ghaffar, Muhammad Mahmood Alam, Waseem Akhtar, Ishrat Fatima, Muhammad Burhan, and Muhammad Mustafa Gul. "Correlation of Numeric Pain Rating Scale and Oswestry Disability Index of Non-specific Low Back Pain among Nursing Staff." Journal of Health and Rehabilitation Research 3, no. 2 (2023): 935–40. http://dx.doi.org/10.61919/jhrr.v3i2.237.
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Background: In Pakistan, nurses are pivotal in healthcare, often facing musculoskeletal discomfort, with low back pain being particularly prevalent. Given their vital role in patient care, understanding the extent of this issue is crucial for improving their work conditions and health outcomes. Objective: This study aims to evaluate the prevalence and impact of low back pain among nurses in Pakistani healthcare facilities, particularly focusing on those working in gynecology and obstetrics wards. Methods: A cross-sectional study was conducted over six months, involving 150 nurses from gynecology and obstetrics wards across four major hospitals in Lahore. The Oswestry Low Back Disability Questionnaire and the Numerical Pain Rating Scale were employed for data collection. Analysis was performed using IBM SPSS Statistics 23, with a significance level set at 0.05. Results: The study found that 58.7% of the nurses experienced low back pain, while 41.3% did not. A strong correlation (0.887) was observed between the Numeric Pain Rating Scale and Oswestry Disability Index, with a highly significant p-value of 0.000, indicating statistical significance at the 0.01 level. Conclusion: The study concludes that nurses working morning shifts in gynecology and obstetrics wards are more likely to report higher average pain scores. Additionally, the strong correlation between the Numeric Pain Rating Scale and Oswestry Disability Index underscores the relationship between pain intensity and disability in this group.
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Kim, Tae-ju, Min-jin Kwon, Na-young Kim, and Joon-woo Kim. "A Case Report of Complex Korean Medical Treatments, Including <i>Shihogayonggolmoryo-tang</i>, for Sleep Disorders Accompanied by a Herniated Intervertebral Disc." Journal of Internal Korean Medicine 45, no. 2 (2024): 314–22. http://dx.doi.org/10.22246/jikm.2024.45.2.314.
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Objectives: We describe the clinical course in a 53-year-old female patient admitted to a Korean Medicine Hospital with insomnia disorder accompanied by a herniated intervertebral disc and managed with Korean medical treatments.Methods: The patient was treated with herbal medicines, including <i>Shihogayonggolmoryo-tang</i>, acupuncture, pharmacopuncture, and Chuna manual therapy for 33 days. The therapeutic effect was evaluated based on the Insomnia Severity Index, Numerical Rating Scale score, Oswestry Disability Index, and European Quality of Life 5 Dimensions Scale.Results: Post-treatment, the Insomnia Severity Index decreased from 21 to 6, the Numerical Rating Scale score decreased from 7 to 3, the Oswestry Disability Index decreased from 60 to 18, and the European Quality of Life 5 Dimensions Scale increased from 0.35 to 0.85.Conclusions: Korean medical treatments improved the symptoms of this patient with insomnia disorder accompanied by a herniated intervertebral disc. Further clinical research on patients with insomnia disorder is needed.
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PIROV, U. M., A. A. RAZZOKOV, and KH D. RAKHMONOV. "COMPARATIVE EVALUATION OF THE RESULTS OF TREATMENT OF UNSTABLE UNCOMPLICATED SPINAL FRACTURES." AVICENNA BULLETIN 25, no. 2 (2023): 215–27. http://dx.doi.org/10.25005/2074-0581-2023-25-2-215-227.
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Objective: To perform a comparative analysis of the results of treatment of unstable uncomplicated spinal fractures (UUSF) Methods: Six hundred fifty-nine patients aged 18-74 years (mean age 45.4±2.3 years) with a UUSF were enrolled; 63.7% of them were males. The patients were categorized into three groups: Group I (35.9%) patients underwent posterior transpedicular fixation, Group II (20.6%) – posterior fusion using various plates, and Group III (43.4%) patients were treated conservatively, as they refused surgery. The results of treatment were evaluated using a newly developed scale, and the quality of life was assessed using the Oswestry scale. Results: In Group I, good results were achieved in 59.9% of cases, whereas 1.1% of patients showed unsatisfactory results. In Group II satisfactory results (62.6%) were predominant, while in Group III most common were unsatisfactory results (55.6%). When studying the quality of life using the Oswestry scale, the best results were achieved in Group I. The total score in Group I was 3.2±0.03; in Group II – 15.8±2.3 and in Group III – 24.9±3.4, while the Oswestry index score was 7.1±1.6; 35.1±3.8; and 55.3±4.6 respectively. Conclusion: The results of the study demonstrated a highly significant correlation between the long-term results of UUSF treatment and the chosen treatment tactics. Transpedicular fixation allowed us to achieve positive results in 98.9% of patients Keywords: Uncomplicated spine fractures, unstable spine fractures, transpedicular fixation, posterior fusion, long-term results, conservative treatment.
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Pirov, U. M., and A. A. Razzokov. "Surgical treatment of unstable uncomplicated vertebral fractures." Health care of Tajikistan, no. 2 (July 13, 2023): 86–93. http://dx.doi.org/10.52888/0514-2515-2023-357-2-86-93.
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Aim. To enhance the outcomes of surgical treatment of unstable uncomplicated vertebral fractures.Materials and Methods. This research involves an analysis of surgical treatment data from 237 patients aged 18 to 74 years, all with unstable uncomplicated vertebral fractures. These patients underwent surgery using the technique of posterior transpedicular fusion. The primary group, constituting 51.9% of cases, utilized enhanced approaches, while the control group (48.1% of cases) employed standard methods. The treatment outcomes were evaluated using a newly developed scale, while the Oswestry scale was used to gauge the quality of life.Results and Discussion. The primary components of the refined surgical treatment tactics used in the main group were low-traumatic manipulations, which aimed to minimize tissue trauma and avert intraoperative complications. Utilizing the proposed objective scoring method, a statistically significant improvement in long-term outcomes was established in the primary group compared to the control group, with scores of 95.5±0.4 points and 88.7±0.7 points respectively (P<0.05). According to the Oswestry scale, the sum of points in the main group was 2.5±0.05, compared to 5.1±0.06 in the control group. The Oswestry index in the analyzed groups was 7.1±1.6 and 22.4±1.2 respectively.Conclusion. The findings demonstrate a statistically significant increase in the proportion of favorable outcomes, and the absence of unsatisfactory results, in the primary group as compared to the control group. Furthermore, an improvement in the quality of life for patients in the primary group was observed.
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ZANG, Lei, Peng DU, Yong HAI, Qing-jun SU, Shi-bao LU, and Tie LIU. "Device related complications of the Coflex interspinous process implant for the lumbar spine." Chinese Medical Journal 126, no. 13 (2013): 2517–22. http://dx.doi.org/10.3760/cma.j.issn.0366-6999.20130304.
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Background Coflex, a type of interspinous process implant, can provide intervertebral dynamic stability for surgical segments and effectively relieve lumbocrural pain. However, few studies have described therapeutic strategies and the avoidance of Coflex implant complications. Methods Coflex implant complications in this study included intraoperative or postoperative spinous process fracture, aggravated postoperative lumbocrural pain, dislodgment and malposition. The complications were analyzed, and therapeutic strategies were applied according to the specific complication. The Visual Analogue Scale and Oswestry Disability Index scores were evaluated by using the paired-samples test from SPSS 12.0. Results Conservative treatment was provided to seven patients who experienced aggravated lumbocrural pain even though their devices remained in the correct position, and pedicle screw treatment was used as an alternative in four cases. The Visual Analogue Scale and Oswestry Disability Index scores showed evident improvement in these patients. The Visual Analogue Scale and Oswestry Disability Index scores of two patients who underwent revision were also improved. Conclusions Coflex implants should be avoided in patients with osteoporosis, a narrow interspinous space and intervertebral coronal spondylolysis, or sagittal instability. Furthermore the device choice, depth of implantation, and clamping intensity should be appropriate. Conservative treatment can be provided to patients with symptoms if the device remains in the correct position; however, revisions and salvages should be undertaken with internal fixation of pedicle screws for patients with device malposition, intraoperative implantation failure, or device intolerance.
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Gil, Ho Young, Wonseok Seo, Gyu Bin Choi, et al. "A New Role for Epidurography: A Simple Method for Assessing the Adequacy of Decompression during Percutaneous Plasma Disc Decompression." Journal of Clinical Medicine 11, no. 23 (2022): 7144. http://dx.doi.org/10.3390/jcm11237144.
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Percutaneous plasma disc decompression (PPDD) is a minimally invasive treatment for discogenic low back pain and herniated disc-related symptoms. However, there are no known outcome predictive variables during the procedure. The purpose of this study was to evaluate and validate epidurography as an intra-procedure outcome predictor. We retrospectively enrolled 60 consecutive patients who did not respond to conventional treatments. In the next stage of treatment, PPDD was performed, and the epidurography was conducted before and after the PPDD. We analyzed the relationship between epidurographic improvement and the success rate. The Numerical Rating Scale and the Oswestry Disability Index were used to assess pain and functional capacity, respectively, before the procedure and 1 month after the procedure. The pain reduction and the success rate in the epidurographic improvement group were significantly higher than in the epidurographic non-improvement group. Both the Numerical Rating Scale and the Oswestry Disability Index scores were significantly reduced in both groups, but there was no significant difference in Oswestry Disability Index scores. This study’s results showed that PPDD is an effective treatment method. We also suggested that epidurography may be a potential outcome predictor for ensuring successful outcomes and determining the endpoint of the procedure.
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Goel, Vibhor, Ajeet Kumar Saharan, and Manisha Saharan. "Comparison of Clinical Effectiveness of Conventional Physiotherapeutic Techniques versus Advanced Programmed Based Electrotherapeutic Interventions on Chronic Lumbar Discogenic Radiculitis." International Journal of Health Sciences and Research 13, no. 12 (2023): 187–98. http://dx.doi.org/10.52403/ijhsr.20231224.
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Objective: Purpose of this study is to compare the effect of Conventional Physiotherapy techniques and exercise therapeutic regime versus advanced programmed based electrotherapeutic interventions and exercise therapeutic regime on chronic lumbar discogenic radiculitis (unilateral or bilateral). Subjects: In this study subjects are classified in two groups. One is control group and another is experimental group. 52 patients of age group between 25 to 34 years of age were randomly divided equally in control group (n=26) and experimental group (n=26). Methods: Control group was treated with Conventional Physiotherapy and Experimental group is intervened by advanced programmed based electrotherapeutic interventions & exercise therapeutic regime. Treatment was given 6 times per week for three weeks and follow up was done after 4th week of initial evaluation of patients. Numeric Rating scale of pain (NRS) and Revised Oswestry Disability Index (ROLDI) was assessed in both the groups on the basis of pretreatment and post treatment scores. Results: In both these groups exercise therapeutic plan or regime is same so it is clear that advanced programmed based electrotherapeutic interventions is more effective in giving good clinical prognosis not only in NRS scale but also in ROLDI scale. Clearly p value is less than 1% and it is almost equivalent to 0 level and rejection of null hypothesis is advocated strongly. Conclusion: Advanced programmed based electrotherapeutic interventions and exercise therapeutic regime is better treatment approach as compared to conventional physiotherapeutic techniques and exercise therapeutic regime in treating chronic discogenic radiculitis. Key words: Chronic Discogenic Radiculitis, Revised Oswestry Disability Score, Numeric Pain Rating Scale (NPRS), Revised Oswestry Disability Index (ROLDI).
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Sriharitha, Ambala, and K. Viharikha. "A Clinical Study to Evaluate the Effectiveness of “Helonias Dioica 30C” in Treatment of Lower Backache in Tailors by Using Oswestry Scale." International Journal of Research and Review 12, no. 3 (2025): 377–82. https://doi.org/10.52403/ijrr.20250346.
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Lower back pain is the commonly found musculoskeletal disorder over the globe. It is one of the usual cause for the sickness absenteeism in the work areas. Lower back pain is common in workers, especially who work in a sitting position for long hours. Homoeopathy is very often opted as one of the effective alternate method of treatment for this condition. This study was conducted to know the effectiveness of Homoeopathic remedy “Helonias dioica 30C” in treatment of postural lower back pain of the Tailors. Improvement was noted based on the reduction in the Oswestry pain scale score and relief of the patient. Pre-treatment and post treatment scores were calculated, and paired t test was applied to test the level of significance. As per statistical analysis, Helonias dioica 30C is significant in improving lower back pain among tailors. Keywords: Homoeopathy, Helonias dioica, Tailors, Lower back pain, Oswestry Scale.
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Brandão, Thiago Kolachinski, André Nunes Machado, Bruno Vieira Moter, Adriano Masayuki Yonezaki, Fabrício Hidetoshi Ueno, and Luciano Miller Reis Rodrigues. "PROGNOSTIC FACTORS OF LUMBAR DISCECTOMY RECOVERY.A PROSPECTIVE ANALYSIS." Coluna/Columna 16, no. 4 (2017): 283–87. http://dx.doi.org/10.1590/s1808-185120171604147556.
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ABSTRACT Objective: To perform a prospective analysis of the quality of life prognostic factors in patients undergoing lumbar discectomy after two years of the procedure, relating the tools Short Form Health Survey, Roland Morris, Oswestry Disability Index, and VAS. Methods: Seventy-two patients were evaluated through the questionnaires in the preoperative, and one month, six months, one year and two years in the postoperative period, being performed lumbar discectomy after failure of conservative treatment. Results: We observed an improvement in comparative analysis during follow-up regarding baseline values. Conclusion: The domains social aspect, pain, general state, emotional aspect, mental health and vitality presented an improvement from the first month after the surgery; however, the domain functional capacity only showed significant improvement after 6 months and the physical aspects only after one year. Roland-Morris and VAS scales improved after one month after surgery, but Oswestry scale showed that for the measured aspects there was only improvement after six months of surgery.
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Choi, Won Rak, Sang Min Ahn, Seok Hyeon Kim, Keong Yoon Kim, Hee Jung Son, and Chang-Nam Kang. "The impact of instrumented lumbar fusion surgery on psychiatric problems in elderly patients with degenerative spinal stenosis: The observational study." Medicine 103, no. 26 (2024): e38719. http://dx.doi.org/10.1097/md.0000000000038719.
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This is a prospective cohort study to investigate the effects of instrumented lumbar fusion surgery on psychiatric problems, including anxiety, insomnia, and depression, in patients with degenerative spinal stenosis, as well as on pain and the activities of daily living. Surgery was performed in the patients with Schizas grade C or D spinal stenosis with; if a patient’s quality of life was impaired for at least 3 months or if patient had neurologic deficits. Finally, 69 patients were reviewed. Beck anxiety inventory, insomnia severity index, geriatric depression scale short form-Korean, visual analog scale for back pain, visual analog scale for leg pain, and Oswestry disability index was measured on the day surgery was decided on (T1), the day before surgery (T2), the day before discharge (T3), and 6 months after surgery (T4). The patients had mild degrees of anxiety, insomnia, and depression at T1, and Beck anxiety inventory, insomnia severity index, visual analog scale for back pain, visual analog scale for leg pain, and Oswestry disability index improved significantly by T4. In elderly patients with degenerative spinal stenosis, instrumented lumbar fusion surgery improves not only pain and activities of daily living, but also anxiety and insomnia. However, there was no improvement in depression over the 6-month follow-up period.
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Sheehan, Jason P., Christopher I. Shaffrey, David Schlesinger, Brian J. Williams, Vincent Arlet, and James Larner. "RADIOSURGERY IN THE TREATMENT OF SPINAL METASTASES." Neurosurgery 65, no. 6 (2009): 1052–62. http://dx.doi.org/10.1227/01.neu.0000359315.20268.73.
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Abstract OBJECTIVE The effectiveness and limitations of spinal radiosurgery using a helical TomoTherapy system for the treatment of spinal metastases are reviewed in this article. METHODS This is a retrospective review of patients who underwent stereotactic radiosurgery for spinal metastases between July 2004 and December 2007. Radiographic follow-up consisted of magnetic resonance imaging to assess tumor growth control as well as pre- and posttreatment x-rays, which were used to measure changes in segmental angulation and deformity. Clinical performance was assessed using the Karnofsky Performance Scale, Oswestry Disability Index, and visual analog scale. RESULTS Forty patients were treated for 110 metastatic tumors (range, 1–6 tumors per patient). The mean age at the time of radiosurgical treatment was 67 years (age range, 35–81 years). Twenty-three patients (57.5%) had undergone previous surgical resection. Pain was the most common presenting symptom, seen in 32 patients (80%). The mean Oswestry Disability Index score at presentation was 43 (range, 20–90), and the mean visual analog scale score was 6.2 (range, 0–10). The mean radiosurgical dose to the tumor was 17.3 Gy (range, 10–24 Gy). At a mean follow-up duration of 12.7 months (range, 4–32 months), decreased or stable tumor volume was seen in 90 (82%) of the tumors treated. There was improvement in pain in 34 patients (85%). The mean postradiosurgical Oswestry Disability Index score was 25 (range, 10–90), whereas the postradiosurgical visual analog scale score was 3.2 (range, 0–9). Progression of kyphosis was the most common radiographic sequela, experienced by 73% of patients alive at 12 months, with a mean change in angulation of 7.3 ± 4.5 degrees. CONCLUSION Radiosurgery is effective as either primary or adjunctive treatment of metastatic tumors of the spine.
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SIMÕES, MARCELO SIMONI, ERNANI VIANNA DE ABREU, MARCIA BALLE KAIPER, ALESSANDRO MACHADO DA SILVA, and THIANE ALEXANDRINO. "TRUNK MOBILITY AFTER MINIMALLY INVASIVE ONE-LEVEL LUMBAR INSTRUMENTATION." Coluna/Columna 15, no. 3 (2016): 235–37. http://dx.doi.org/10.1590/s1808-185120161503147350.
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ABSTRACT Objective: To evaluate the impact of a minimally invasive lumbar one-level fixation on trunk mobility and quality of life compared with the preoperative condition in 26 consecutive patients. Methods: The following data were collected preoperatively and postoperatively for the statistical analysis: maximal trunk extension and flexion angles, Visual Analog Scale of pain and Oswestry Disability Index scores. Results: There was improvement in all variables. Statistical significance was observed in trunk extension, pain, and Oswestry Disability Index. Although mobility in trunk flexion was higher in average values after surgery, this difference was not statistically demonstrated. Conclusion: Minimally invasive one-level lumbar fixation does not cause reduction of trunk flexibility in comparison to the mobility before surgery.
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Piyush Jain, Ajeet Kumar Saharan, Chandra Shekhar Vishnoi, Matindra Prakash Singh Bhati, and Preeti Sharma. "Single IASTM and cupping therapy session improves pain and disability in patients with non-specific low back pain." GSC Advanced Research and Reviews 11, no. 3 (2022): 045–50. http://dx.doi.org/10.30574/gscarr.2022.11.3.0146.
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The objective of this study was to evaluate if a single session of actual or placebo cupping and instrument-assisted soft tissue mobilization (IASTM) therapy in patients with Nonspecific low back pain would be enough to temporarily reduce pain intensity and functional disability. The outcome measures were Numerical pain rating scale and Oswestry Disability Index questionnaire. This is an experimental clinical trial; after examination Evaluation (EV), patients were submitted to real or placebo cupping IASTM therapy (15 minutes, bilaterally at the Lower back Pain and were revaluated immediately after the session (EV1) and after one week (EV2). The patients showed a significant improvement in all pain severity in the numerical pain rating scale (p < 0.05) and a decrease in disability in Oswestry Disability Index questionnaire (p < 0.001). No significant changes are present found in any outcome of the placebo cupping and IASTM therapy group. Thus, the IASTM and cupping therapy is effective in reducing low back pain and decreasing disability after one single session.
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Piyush, Jain, Kumar Saharan Ajeet, Shekhar Vishnoi Chandra, Prakash Singh Bhati Matindra, and Sharma Preeti. "Single IASTM and cupping therapy session improves pain and disability in patients with non-specific low back pain." GSC Advanced Research and Reviews 11, no. 3 (2022): 045–50. https://doi.org/10.5281/zenodo.6815542.
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The objective of this study was to evaluate if a single session of actual or placebo cupping and instrument-assisted soft tissue mobilization (IASTM) therapy in patients with Nonspecific low back pain would be enough to temporarily reduce pain intensity and functional disability. The outcome measures were Numerical pain rating scale and Oswestry Disability Index questionnaire. This is an experimental clinical trial; after examination Evaluation (EV), patients were submitted to real or placebo cupping IASTM therapy (15 minutes, bilaterally at the Lower back Pain and were revaluated immediately after the session (EV1) and after one week (EV2). The patients showed a significant improvement in all pain severity in the numerical pain rating scale (p < 0.05) and a decrease in disability in Oswestry Disability Index questionnaire (p < 0.001). No significant changes are present found in any outcome of the placebo cupping and IASTM therapy group. Thus, the IASTM and cupping therapy is effective in reducing low back pain and decreasing disability after one single session.
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Godek, Piotr. "Collagen Therapy in Lumbar Spondylosis – a Pilot Study. Does the Route of Administration Matter?" Ortopedia Traumatologia Rehabilitacja 21, no. 6 (2019): 427–36. http://dx.doi.org/10.5604/01.3001.0013.7400.
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Background. To compare the effectiveness of three techniques of collagen injection in the treatment of low back pain (LBP) in lumbar spondylosis. Material and methods. In this randomized prospective study, 30 patients with lumbar spondylosis were assigned to 3 groups: subcutaneous (Group A, n = 10), periradicular (Group B, n = 10) and epidural (Group C, n = 10). Collagen injections were administered once a week (4 injections in total). Assessment involved a visual pain scale (VAS) (0-10), Oswestry scale (0-50), Laitinen scale (0-16) and One Leg Stance Test (OLST) – time to onset of pain in the support limb. Patients were assessed at the start of treatment (W0), on completion of treatment (W1) and 1 month after completion of treatment (W2). Results. Improvement was seen with all three techniques of collagen administration. The minimal clinically important difference (MID) of 3 points on the VAS scale was noted in 44% of patients in Group A, 40% of patients in Group B and 60% of Group C. The MID for the Oswestry scale, determined at 10 points, was achieved in 56%, 50% and 20% of patients, respectively, while the MID for the Laitinen scale, determined at 4 points, was achieved in 56%, 30% and 40% of patients, respectively. All treated patients achieved the reference value of 30 seconds for OLST only in Group A. Conclusion. Subcutaneous administration of collagen is not inferior in terms of effectiveness to periradicular and epidural injections in the treatment of LBP in lumbar spondylosis.
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Kumar, Krishna, Rita Nguyen, and Sharon Bishop. "A Comparative Analysis of the Results of Vertebroplasty and Kyphoplasty in Osteoporotic Vertebral Compression Fractures." Operative Neurosurgery 67, no. 3 (2010): ons171—ons188. http://dx.doi.org/10.1227/01.neu.0000380936.00143.11.
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Abstract BACKGROUND: The most common complication of osteoporosis is vertebral fractures, which occur more frequently than all other fractures (hip, wrist, and ankle). OBJECTIVE: To prospectively analyze vertebroplasty compared with kyphoplasty for the treatment of osteoporotic vertebral compression fractures using improvement in pain, functional capacity, and quality of life as outcome measures. METHODS: The study population included 28 patients in the vertebroplasty group and 24 patients in the kyphoplasty group. The mean follow-up period was 42.2 weeks and 42.3 weeks in the vertebroplasty and kyphoplasty groups, respectively. Outcomes were measured pre- and postoperatively using the visual analogue scale, the Oswestry Disability Index, the EuroQol-5D questionnaire, and the Short-Form 36 Health Survey. RESULTS: In the vertebroplasty group, visual analogue scale scores improved from a mean of 8.0 cm to 5.5 cm at last follow-up (P = .001). Preoperatively, the Oswestry Disability Index was 57.6, which improved to 38.4 (P = .006). The EuroQol-5D score preoperatively was 0.157 and improved to 0.504 (P = .001). The Short-Form 36 Health Survey showed greatest improvement in the areas of physical health, role physical, body pain, and vitality. In the kyphoplasty group, visual analogue scale scores improved from a mean of 7.5 cm preoperatively to 2.5 cm postoperatively (P = .000001). The mean Oswestry Disability Index preoperatively was 50.7 and improved to 28.8 (P = .002). The EuroQol-5D score improved from a mean of 0.234 preoperatively to 0.749 (P = .00004). The Short-Form 36 Health Survey showed greatest improvement in the areas of physical health, physical functioning, role physical, body pain, and social functioning. CONCLUSION: Both vertebroplasty and kyphoplasty are effective at improving pain, functional disability, and quality of life; however, kyphoplasty provides better results, which are maintained over long-term follow-up.
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Jang, Hae Mi, and Hye-Ja Park. "Effects of a Lumbar Stabilization Exercise Program on Low Back Pain, the Oswestry Disability Index, Use of Body Mechanics, and Lumbar Strength among Intensive Care Unit Nurses." Journal of Health Informatics and Statistics 47, no. 3 (2022): 209–16. http://dx.doi.org/10.21032/jhis.2022.47.3.209.
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Objectives: This study examined the effects of a lumbar stabilization exercise program on low back pain, the Oswestry Disability Index, use of body mechanics, and lumbar strength among intensive care unit nurses. Methods: Thirty-five nurses were assigned to an exercise group (n = 18) or a control group (n = 17) from a university hospital-affiliated intensive care unit. The 8-week lumbar stabilization exercise program comprised 30 minutes of stretching, lumbar stabilization exercise, and Mckenzie extension exercise (3 times/week) and a single education session on body mechanics. Outcomes were assessed using questionnaires on low back pain (visual analogue scale), the Oswestry Disability Index (%), use of body mechanics, and back strength (kg). Data were analyzed by χ²-test, independent t-test, and analysis of covariance. Results: The lumbar stabilization exercise program provided improvements in low back pain, the Oswestry Disability Index, use of body mechanics, and back strength Conclusions: Lumbar stabilization exercise program might be a useful strategy for enhancing usage of work-related body mechanics and back muscle strength, and ameliorating low back pain and disability index for nurses working at the intensive care units.
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Kulkarni, Ashlesha, Janhavi Atre, and Rasika Kaluskar. "Prevalence of Disability Due to Low Back Pain in MSRTC Bus Drivers of Pune, India." International Journal of Health Sciences and Research 12, no. 4 (2022): 64–69. http://dx.doi.org/10.52403/ijhsr.20220407.
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Background- Back pain is a highly prevalent disabling musculoskeletal condition which affects almost everyone at some point in their life. With the changing lifestyle, incidence of Work-Related Musculoskeletal Disorders (WRMSDs) is increasing. Since, bus drivers are constantly exposed to many stressors including long hours of travelling, prevalence of Low Back Pain is very common in this occupation. This study aimed to evaluate the prevalence of Disability due to low back pain in MSRTC bus drivers. Methods - 180 bus drivers were approached of which 164 gave consent to participate, further 153 drivers sufficing inclusion criteria were recruited into the study. Data obtained was analysed using descriptive statistics. Results - According to the Modified Oswestry Low back pain Disability Index, out of 153 samples 70% population suffered from Moderate disability secondary to low back pain followed by 25% population suffering from severe disability and only 5% suffering from minimal disability due to various work-related factors. Conclusion - Using the Modified Oswestry Low back pain Disability Index the study concluded that maximum bus drivers suffer from moderate to severe disability due to Low back pain. Key words: Bus Drivers, Low Back pain, Disability, Work Related Musculoskeletal Disorders, Modified Oswestry Disability Rating Scale.
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Conger, Aaron, Nathaniel M. Schuster, David S. Cheng, et al. "The Effectiveness of Intraosseous Basivertebral Nerve Radiofrequency Neurotomy for the Treatment of Chronic Low Back Pain in Patients with Modic Changes: A Systematic Review." Pain Medicine 22, no. 5 (2021): 1039–54. http://dx.doi.org/10.1093/pm/pnab040.
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Abstract Objective Determine the effectiveness of intraosseous basivertebral nerve radiofrequency neurotomy for the treatment of chronic low back pain with type 1 or 2 Modic changes. Design Systematic review. Population Persons aged ≥18 years with chronic low back pain with type 1 or 2 Modic changes. Intervention Intraosseous basivertebral nerve radiofrequency neurotomy Comparison Sham, placebo procedure, active standard care treatment, or none. Outcomes The primary outcome of interest was the proportion of individuals with ≥50% pain reduction. Secondary outcomes included ≥10-point improvement in function as measured by Oswestry Disability Index as well as ≥2-point reduction in pain score on the Visual Analog Scale or Numeric Rating Scale, and decreased use of pain medication. Methods Three reviewers independently assessed publications before May 15, 2020, in MEDLINE and Embase and the quality of evidence was evaluated using the Grades of Recommendation, Assessment, Development, and Evaluation framework. Results Of the 725 publications screened, seven publications with 321 participants were ultimately included. The reported 3-month success rate for ≥50% pain reduction ranged from 45% to 63%. Rates of functional improvement (≥10-point Oswestry Disability Index improvement threshold) ranged from 75% to 93%. For comparison to sham treatment, the relative risk of treatment success defined by ≥50% pain reduction and ≥10-point Oswestry Disability Index improvement was 1.25 (95% confidence interval [CI]: .88—1.77) and 1.38 (95% CI: 1.10—1.73), respectively. For comparison to continued standard care treatment the relative risk of treatment success defined by ≥50% pain reduction and ≥10-point Oswestry Disability Index improvement was 4.16 (95% CI: 2.12–8.14) and 2.32 (95% CI: 1.52–3.55), respectively. Conclusions There is moderate-quality evidence that suggests this procedure is effective in reducing pain and disability in patients with chronic low back pain who are selected based on type 1 or 2 Modic changes, among other inclusion and exclusion criteria used in the published literature to date. Success of the procedure appears to be dependent on effective targeting of the BVN. Non-industry funded high-quality, large prospective studies are needed to confirm these findings.
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Heo, Dong Hwa, and Jin-Sung Kim. "Clinical and radiological outcomes of spinal endoscopic discectomy–assisted oblique lumbar interbody fusion: preliminary results." Neurosurgical Focus 43, no. 2 (2017): E13. http://dx.doi.org/10.3171/2017.5.focus17196.
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OBJECTIVEDirect neural decompression cannot be achieved by performing lateral lumbar interbody fusion (LLIF). To overcome the indirect decompressive effect of LLIF, additional endoscopic discectomy with oblique lumbar interbody fusion (OLIF) has been attempted. The purpose of this study was to assess the clinical and radiological outcomes of patients who underwent OLIF with additional endoscopic discectomy.METHODSSpinal endoscopic discectomy–assisted OLIF was attempted to remove herniated disc material. Only patients with a follow-up time that exceeded 12 months were enrolled. Clinical parameters examined were the Oswestry Disability Index and visual analog scale scores of back and leg pain. Postoperative MRI was also performed.RESULTSFourteen patients were enrolled. Central and foraminal disc herniations were evident in 8 and 6 patients, respectively. Concomitant central or foraminal herniated discs were removed completely after additional endoscopic discectomy, and disc removal was confirmed by postoperative MRI. Mean preoperative visual analog scale scores and Oswestry Disability Index scores improved postoperatively.CONCLUSIONSOLIF with additional endoscopic discectomy results in successful direct neural decompression without posterior decompressive procedures. Endoscopic assistance might overcome the limitations of LLIF.
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Rijanti, Kusumawardhany Airlangga, Imam Subadi, and Patricia Maria Kurniawati. "Validity and Reliability of WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) Type 12 Questions Indonesian Version on Back Pain." Folia Medica Indonesiana 57, no. 3 (2021): 220. http://dx.doi.org/10.20473/fmi.v57i3.13580.
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The study was to prove the validity and reliability of the WHODAS 2.0 Indonesian version questionnaire in patients with back pain. This study was an observational cross-sectional study conducted in 2018. The study included the filling of WHODAS 2.0 Indonesian version, Indonesian version of Oswestry Disability Index (ODI) questionnaire, Wong-Baker Scale, conducted at Department of Rehabilitative Medicine, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, against 82 respondents with back pain. Each respondent was given informed consent. The validity of the WHODAS 2.0 Indonesian version questionnaire was measured using Pearson's test on the correlation of WHODAS 2.0 Indonesian version questionnaire and Oswestry Disability Index questionnaire with r >0.3 (0.862). WHODAS 2.0 Indonesian version questionnaire and Wong-Baker Scale had r >0.3 (0.449–0.785). The reliability of the WHODAS 2.0 Indonesian version questionnaire was measured using Pearson's correlation test with r >0.3 (0.764–0.866). WHODAS 2.0 Indonesian version's internal reliability was tested using Cronbach-Alfa Test with alpha >0.6 (0.634–, 853). In conclusion, the WHODAS 2.0 - Indonesian version is a valid and reliable questionnaire for patients with back pain.
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Pande, Ketan C., Ketan Khurjekar, and Vilas Kanikdaley. "Correlation of Low Back Pain to a High-Intensity Zone of the Lumbar Disc in Indian Patients." Journal of Orthopaedic Surgery 17, no. 2 (2009): 190–93. http://dx.doi.org/10.1177/230949900901700214.
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Purpose. To assess the correlation between low back pain and a high-intensity zone (HIZ) of the lumbar disc in Indian patients. Methods. 200 patients with low back and/or leg pain underwent magnetic resonance imaging of the lumbosacral spine. The location and severity of pain and disability were assessed using the pain drawing, visual analogue scale, and Oswestry Disability Index, respectively. The inter-observer reliability was assessed using the kappa statistic. Results. The prevalence of an HIZ was 13% and 17% according to observers A and B, respectively. The inter-observer reliability was fair (κ=0.64, p<0.005). The presence of an HIZ did not correlate with low back pain according to the pain drawing, visual analogue scale, and Oswestry Disability Index. According to the pain drawing data, the sensitivity, specificity, and positive predictive values of an HIZ to low back pain were 11%, 82%, and 62%, respectively. Conclusion. The presence of an HIZ is not diagnostic of a disrupted and painful disc, and should be interpreted together with other prevailing symptoms and clinical findings.
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Ruiz, Ferrin K., Daniel D. Bohl, Matthew L. Webb, Glenn S. Russo, and Jonathan N. Grauer. "Oswestry Disability Index is a better indicator of lumbar motion than the Visual Analogue Scale." Spine Journal 14, no. 9 (2014): 1860–65. http://dx.doi.org/10.1016/j.spinee.2013.10.027.
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Qasim, Faria, Syed Shakeel Ur Rehman, and Muhammad Sanaullah. "EFFECTS OF LUMBAR SEGMENTAL MOBILIZATION IN PREPOSITION VERSUS PRONE LYING IN CHRONIC LOW BACK PAIN." Pakistan Journal of Rehabilitation 11, no. 1 (2022): 34–38. http://dx.doi.org/10.36283/pjr.zu.11.1/008.
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BACKGROUND AND AIM low back pain decrease range of motion at lumber region. Manual therapy had significant effect on range of motion. Mobilization is performed in specific position of joint. The aim of this study was to compare lumber segmental mobilizations in prepositions versus prone lying in chronic low backache. METHODOLOGY A 6 month randomized controlled trial was conducted. We excluded 22 patients because of exclusion (neurological sign, pregnancy, spinal surgery and systemic disease) criteria we conveniently selected a sample of 40 patients between age of 25-45and having low back pain past 6 months and placed into two groups by lottery method. In group A segmental mobilization was done in preposition and in group B segmental mobilization was done in prone lying. The data collection tools were visual analog scale, Pressure Pain Threshold, Oswestry disability index and Goniometer. Data was analyzed by SPSS and statistical test were applied at 95% level of significance determine the effects of both the treatments regimes and compared with each other. RESULTS By comparing both groups the pre visual analog scale mean in group A and group B was7.75±0.72, 8.10±0.64 respectively (p 0.112) and post visual analog scale mean in group A and group B was 3.50±0.52, 4.90±0.72 respectively (p 0.00). The pre pressure pain threshold mean in group A and group B was 4.00±0.92,4.15±0.81 respectively (p0.59) and the post pressure pain threshold mean in group A and group B was 2.20±0.41, 2.75±0.64 respectively (p 0.00). The Pre Oswestry Low Back Pain Disability mean in group A and group B was 39.80±2.63, 39.85±2.21 respectively (p 0.95) and the Post Oswestry Low Back Pain Disability mean in group A and group B was 22.30±1.42, 29.45±1.64 respectively (p 0.00). CONCLUSION Segmental mobilization in pre-position has significantly better than that of in prone position in improving low backache in terms of pain, disability, pressure threshold and spinal ranges. KEY WORDS Lumbar Manipulation, back pain, Visual Analog Pain Scale, Range of Motion, Articular, Mechanical Low Back Pain
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Dias, Caio Roncon, Nelson Astur, Ricardo Shigueaki Galhego Umeta, Maria Fernanda Silber Caffaro, Osmar Avanzi, and Robert Meves. "SURGICAL VS. CONSERVATIVE TREATMENT FOR DEGENERATIVE LUMBAR STENOSIS." Coluna/Columna 14, no. 3 (2015): 202–4. http://dx.doi.org/10.1590/s1808-185120151403147185.
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Objectives:To compare the clinical outcomes between patients with degenerative lumbar stenosis who were treated by decompression with those awaiting the same kind of treatment for the disease.Methods:Retrospective study which divided patients with degenerative lumbar stenosis with surgical indication in 2 groups, operated and awaiting the procedure. The Oswestry Disability Index (ODI) questionnaire, visual analog scale and SF36 were applied.Results:Twelve operated patients and 18 awaiting the procedure were included. The average age of those operated was 59 years (43-70), and 55 (37-82) (p=0.3) for those awaiting surgery. The operated group had a mean ODI of 38.67 against 59.72 (p<0.05) in the non-operated group. The pain analog scale had lumbar result of 5.33 and pain radiating to the lower limbs of 3.83 in operated patients, against 6.78 (p>0.05) and 7.22 (p<0.05) in the awaiting surgery patients, respectively. As for the SF36 scale, functional capacity, limitations due to physical aspects and pain had an average score of 36.25, 19.58 and 21.67 in the operated group against 35.94, 27.50 and 32.61 in the awaiting group (p>0.05), respectively.Conclusion:The operated patients showed improvement of referred pain in the lower limbs (leg VAS) and improved function (Oswestry), however showed no significant change in quality of life according to SF36 scale and low back pain (lumbar VAS) were found.
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Lee, Young Rok, Beom Seok Kim, Ye Ji Lee, et al. "A Patient with Symptoms Caused by Electric Shock Treated with Traditional Korean Medicine." Journal of Acupuncture Research 37, no. 3 (2020): 193–201. http://dx.doi.org/10.13045/jar.2020.00192.
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This case report describes a 60-year-old female patient diagnosed with intercostal neuropathy and vertebral compression fractures which occurred following an electric shock injury. The patient received acupuncture, pharmacopuncture, and herbal medicine administration between February 10th, 2020 and April 25th, 2020. The pain level in the thoracic and left intercostal areas was assessed using the Numerical Rating Scale. The Self-report of the Leeds Assessment of Neuropathic Symptoms and Signs Pain Scale were used to diagnose neuropathic pain. The Neuropathic-Pain -Scale was used to evaluate the degree of neuropathic symptoms. The Oswestry Disability Index and the European Quality of Life-5 Dimensions were used to assess quality of life scales and functional disorder. Following combined Korean medicine treatment, the patient exhibited reduced levels of pain and significant improvement in functional disorder symptoms and quality of life.
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Pavlova, Iu O., O. B. Fedorovych, A. V. Perederiy, and K. A. Tymruk-Skoropad. "Development of the Ukrainian Version of Oswestry Disability Index – Intercultural Adaptation and Validation of the Tool." Ukraïnsʹkij žurnal medicini, bìologìï ta sportu 6, no. 3 (2021): 300–309. http://dx.doi.org/10.26693/jmbs06.03.300.
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Tools based on patient assessment (Patient-Reported Outcome Measures, PROMs) have significant interest in rehabilitation practice. Nowadays, this approach is considered reliable, trustworthy, and reasonable. Tools that have undergone all stages of adaptation and validation are highly proven and meet international standards, which, in particular, is a guarantee of high-quality survey results. The purpose of the study was to conduct an intercultural adaptation of the Oswestry Disability Index to the Ukrainian language and further verify the validity of this version of the instrument. Materials and methods. The study included individuals who had complaints of back pain (n = 104, 60.6 % females; age (M±SE) – 36.9±1.6 years old). Three different tools were used to assess pain (Oswestry Disability Index, Visual Analogue Scale) and various parameters of life quality (“The MOS 36-Item Short-Form Health Survey”). The internal consistency of the Oswestry Disability Index questionnaire was evaluated (the α-Cronbach’s index was determined), its reliability was studied (according to the test-retest procedure), and correlation and regression analyzes were used to check the constructive validity. The structure of the questionnaire was studied using exploratory factor analysis. Results and discussion. The proposed Ukrainian version of the questionnaire passed all stages of translation and intercultural adaptation, which meets the international standards and requirements of the MAPI Research Trust. In addition to the scientific coordinators, a sufficient number of translators, editor of the scientific literature, and a group of patients were involved in these processes. The questionnaire has high internal consistency (α-Cronbach = 0.931) and reliability (Spearman’s rho = 0.94, p < 0.01). In the structure of the tool, two factors explain 69.165% of the total variance. Issues related to walking and social life were related to the first factor, sitting, standing, traveling – to the second factor, the intensity of pain, self-care, lifting objects, and sex life – were related to both the first and second factors. The questionnaire has a sufficient level of constructive validity. An average correlation with the value of the Visual Analogue Scale (r = 0.547, p < 0.001), a strong correlation with the life quality scale “Physical Functioning” (r = -0.871, p < 0.001) were identified. Conclusion. The Ukrainian version of the Oswestry Disability Index questionnaire can be used to assess the level of pain, physical well-being, and physical component of the life quality of patients who have complaints of back pain
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Askal Ali, K., P. Mahendran, and K. Kalaiselvi. "Mckenzie approach for quadratus lumborum dysfunction in patients suffering from chronic low back pain with borderline BMI." VIMS JOURNAL OF PHYSICAL THERAPY 6, no. 2 (2024): 81–87. https://doi.org/10.46858/vimsjpt.6213.
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Background: Low back pain is the common condition people with borderline mckenzie Method are popular active treatment approach that include both exercise and information for patient with chronic LBP. Objectives: To assess the effectiveness of mckenzie approach for quadratus lumborum Dysfunction in people with borderline BMI. Design: Single group, pre and post experimental study, single centre included patient with LBA. Methodology; The experimental study included 26 people with low back pain based on the Inclusion and exclusion criteria. Subjects were explained about the mckenzie exercises. Oswestry disability index and VAS scales was taken as outcome measures and checked before and after completion of 4 weeks. Result: The study shows significant improvement when assessed post study used in VAS scale and OSWESTRY scales with P<0.005. Hence reject the null hypothesis and accept alternate hypothesis. Which states that significant effect of Mckenzie protocol reducing severity of back pain and improving functional activity. Conclusion: The study has concluded that mckenzie approach for quadratus lumborum dysfunction in patients suffering from CLBP with borderline BMI has shown great improvement by reducing pain and improving functional activity.So, further effort should be forward promoting mckenzie approach as a part of physiotherapist rehab service whenever necessary with goal of reducing LBP.
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Filipska, Karolina, Dorota Wolska, Beata Haor, and Anna Antczak-Komoterska. "Self-assessment of the Musculoskeletal System Load of the Nurses Employed in Conservative and Surgical Departments." Journal of Neurological and Neurosurgical Nursing 7, no. 4 (2018): 155–59. http://dx.doi.org/10.15225/pnn.2018.7.4.4.
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Introduction. Work-related musculoskeletal disorders (WMSDs) all over the world are a frequent cause of illness affecting people working especially in the health sector. In the medical professions, nursing staff experiences negative impact of work on the motor system to the highest degree.Aim. The aim of the work is to assess the extent of disability of nursing staff exposed to excessive strain on the spine as measured by the Oswestry Disability Index.Material and Methods. The study involved 50 nurses employed in surgical (32%) and conservative (68%) departments. The study used the method of a diagnostic survey, and the Oswestry Disability Index questionnaire was the research tool. The collected material was subjected to statistical analysis.Results. Women accounted for nearly 98% of the respondents. The average age of the respondents was over 46 years (46 years and 3 months). The results of the study showed that the occurrence of pain in the spine adversely affects the functional performance, in particular the social life (p=0.0004) and lifting (p=0.036). The average disability score at the Oswestry scale was 25.88%, which indicates a moderate disability of the respondents.Conclusions. Pain in the spine significantly affects the functional capacity of the subjects. This problem is particularly common among nursing staff. (JNNN 2018;7(4):155–159)
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Ahmed, Awaiz, Abdulla Jawed, Murali Venkatesan, and James Doyle. "Encouraging Medium-term Results of Wallis Second Generation Dynamic Stabilisation Device." Ortopedia Traumatologia Rehabilitacja 20, no. 2 (2018): 149–56. http://dx.doi.org/10.5604/01.3001.0012.0429.
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Background. Aim of this prospective study was to evaluate safety and efficacy of second generation Wallis system for degenerative lumbar disc disease. Material and methods. 25 patients underwent discectomy and insertion of Wallis system. Outcome assessment was done using Modified Oswestry disability index (ODI) and visual analogue scale (VAS) for backache and leg pain. Results. The mean follow-up was 20.5 months. The mean VAS for backache and leg pain showed significant improvement from 7.2 to 3.0 (p<0.001) and mean modified Oswestry disability index showed significant improvement from 59.1 to 24.7 (p<0.001). Only one patient (4%) underwent revision surgery for persistent pain due to granulation tissue deep to the implant. There were no other complications. Conclusion. The Wallis spine system is a safe and effective implant for treating degenerative lumbar disc disease.
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Gautschi, Oliver P., Martin N. Stienen, Marco V. Corniola, et al. "Assessment of the Minimum Clinically Important Difference in the Timed Up and Go Test After Surgery for Lumbar Degenerative Disc Disease." Neurosurgery 80, no. 3 (2017): 380–85. http://dx.doi.org/10.1227/neu.0000000000001320.
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Abstract BACKGROUND: The Timed Up and Go Test (TUG Test) has previously been described as a reliable tool to evaluate objective functional impairment in patients with degenerative disc disease. OBJECTIVE: The aim of this study was to assess the minimum clinically important difference (MCID) of the TUG Test. METHODS: The TUG Test (measured in seconds) was correlated with validated patient-reported outcome measures (PROs) of pain intensity (Visual Analog Scale for back and leg pain), functional impairment (Oswestry Disability Index, Roland Morris Disability Index), and health-related quality of life measures (Short Form-12 and EuroQol 5D). Three established methods were used to establish anchor-based MCID values using responders of the following PROs (Visual Analog Scale back and leg pain, Oswestry Disability Index, Roland Morris Disability Index, EuroQol 5D index, and Short Form-12 Physical Component Summary) as anchors: (1) average change, (2) minimum detectable change, and (3) change difference approach. RESULTS: One hundred patients with a mean ± SD age of 56.2 ± 16.1 years, 57 (57%) male, 45 patients undergoing microdiscectomy, 35 undergoing lumbar decompression, and 20 undergoing fusion surgery were studied. The 3 MCID computation methods revealed a range of MCID values according to the PRO used from 0.9 s (Oswestry Disability Index based on the change difference approach) to 6.0 s (EuroQol 5D index based on the minimum detectable change approach), with a mean MCID of 3.4 s for all measured PROs. CONCLUSION: The MCID for the TUG Test time is highly variable depending on the computation technique used. The average TUG Test MCID was 3.4 s using all 3 methods and all anchors.
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Uvarovas, Valentinas, Igoris Šatkauskas, Andrius Vaitiekus, Šarūnas Venckus, Artūras Kiškis, and Audrius Dervinis. "Stuburo krūtininės ir juosmeninės dalies lūžių operacinio gydymo rezultatai." Lietuvos chirurgija 11, no. 3-4 (2012): 101–7. http://dx.doi.org/10.15388/lietchirur.2012.3.2862.
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TikslasĮvertinti pacientų darbingumo pokyčius po stuburo lūžių operacinio gydymo.Ligoniai ir metodaiRetrospektyviai išanalizuoti 121 ligonio, operuoto 2007–2010 m. RVUL Ortopedijos ir traumatologijos centre dėl nestabilių stuburo krūtininės ir juosmeninės dalių lūžių be neurologinių komplikacijų duomenys. Į galutinę analizę įtraukti 44 ligoniai, kurie suskirstyti į tris socialines grupes: A – dirbantys ne visu krūviu, turintys neįgalumą, pensininkai; B – dirbantys visu krūviu; C – bedarbiai. Atlikta ligonių nedarbingumo analizė ir gydymo rezultatų vertinimas naudojant Oswestry klausimyną.RezultataiIš tirtų 44 ligonių moterų buvo 17 (38,6 proc.), vyrų – 27 (61,4 proc.). Amžiaus vidurkis buvo 41,9 ± 15,9 (21–75) metų. Vidutinis laikas iki operacijos buvo 9,5 ± 12,2 (1–50) dienos. A grupėje nedarbingumas po operacijos padidėjo nuo 5 (11,4 proc.) iki 21 (47,7 proc.), B grupėje darbingumas grįžo 21 (63,6 proc.) iš 33, C grupėje bedarbių sumažėjo nuo 6 (13,6 proc.) iki 2 (4,6 proc.) po gydymo. Ligoniai Oswestry klausimynu ištirti vidutiniškai po 19,1 ± 3,85 (12–24) mėnesių po traumos. Iš visų ištirtų 44 ligonių sunkus ir luošinantis neįgalumas pagal Oswestry skalę nustatytas 18 (40,9 proc.), o lengvas ir vidutinis neįgalumas – 26 (59,1 proc.). Vidutinis Oswestry klausimyno balų skaičius buvo 36 ± 21,5 (0–76).IšvadosPo stuburo lūžių operacinio gydymo darbingumas grįžta 63,6 proc. prieš traumą visu krūviu dirbusių pacientų. Po traumos gydymo dirbančių ne visu krūviu, turinčių neįgalumą, pensininkų padaugėjo nuo 11,4 iki 47,7 proc. Iš visų operuotų pacientų dažniau nustatytas lengvas ir vidutinis neįgalumas nei sunkus.Reikšminiai žodžiai: stuburas, lūžiai, operacinis gydymas, fiksacijos tipas, socialinės grupės.Outcome of surgical treatment of thoracic and lumbar spine fractures ObjectiveTo evaluate the disability score after the surgical treatment of spinal column fractures.Materials and methodsData on 121 patients with unstable thoracic and lumbar spinal column vertebrae fractures without neurological complications, who underwent surgical fixation in the Centre of Traumatology and Orthopaedics in the Republic Vilnius University Hospital in 2007–2010, was retrospectively analyzed; 44 fixations were enrolled into the final study, and all the patients were grouped into three groups according to the level of disability: A – retirees, people having disability and working not full time; B – working full time; C – unemployed. The results of the disability and surgical treatment were analyzed by using the Oswestry scale.ResultsOf the 44 treated patients, 17 (38.6 perc.) were women and 27 (61.4 perc.) – men. The average age of the patients was 41.9 ± 15.9 (range, 21–75). The average time until the surgery was 9.5 ± 12.2 (1–50) days. The number of patients with disability in group A increased from 5 (11.4 perc.) to 21 (47.7 perc.), in group B the ability to work full time returned to 21 (63.6 perec.) out of 33, in group C the number of unemployed after surgery decreased from 6 (13.6 perc.) to 2 (4.6 perec.). The Oswestry disability scale was used 19.1 ± 3.85 (12–24) months after surgery. Severe disability was diagnosed to 18 (40.9 perc.) patients, minimal and moderate to 26 (59.1 perc.). The average score according to the Oswestry scale was 36 ± 21.5 (0–76).ConclusionsAfter surgical treatment, the ability to work returned to 63.6 perc. of the patients who were able to work full time before the trauma. After the trauma and surgery, the number of retirees and disabled patients increases from 11.4 perc. to 47.7 perc. The minimal and moderate disability among the operated on patients is identified more often than the severe one.Keywords: spinal column, fractures, surgical treatment, fixation type, social groups.
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Muñiz Luna, Luis, Hugo Vilchis Sámano, Marcos Marban Heredia, et al. "FUNCTIONAL DISABILITY, SAGITTAL ALIGNMENT AND PELVIC BALANCE IN LUMBAR SPONDYLOLISTHESIS." Coluna/Columna 15, no. 1 (2016): 30–32. http://dx.doi.org/10.1590/s1808-185120161501152836.
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ABSTRACT Objectives: To demonstrate the recovery of lumbar sagittal pelvic alignment and sagittal pelvic balance after surgical reduction of lumbar spondylolisthesis and establish the benefits of the surgery for reduction and fixation of the lumbar spondylolisthesis with 360o circumferential arthrodesis for 2 surgical approaches by clinical and functional evaluation. Method: Eight patients with lumbar spondylolisthesis treated with surgical reduction and fixation of listhesis and segmental circumferential fusion with two surgical approaches were reviewed. They were evaluated before and after treatment with Oswestry, Visual Analogue for pain and Odom scales, performing radiographic measurement of lumbar sagittal alignment and pelvic sagittal balance with the technique of pelvic radius. Results: Oswestry scales and EVA reported improvement of symptoms after treatment in 8 cases; the Odom scale had six outstanding cases reported. The lumbar sagittal alignment presented a lumbosacral lordosis angle and a lumbopelvic lordosis angle reduced in 4 cases and increased in 4 other cases; pelvic sagittal balance increased the pelvic angle in 4 cases and decreased in 3 cases and the sacral translation of the hip axis to the promontory increased in 6 cases. Conclusion: The surgical procedure evaluated proved to be useful by modifying the lumbar sagittal alignment and the pelvic balance, besides reducing the symptoms, enabling the patient to have mobility and movement and the consequent satisfaction with the surgery.
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Cheng, Xingdong, and Rong Xue. "Cross-cultural adaptation and validation of simplified Chinese version of the Waddell Disability Index for patients with nonspecific low back pain in Mainland China." Medicine 102, no. 27 (2023): e34344. http://dx.doi.org/10.1097/md.0000000000034344.
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The current study aimed to translate the Waddell Disability Index (WDI) in a cross-cultural fashion, and evaluate the reliability and validity of the adapted simplified Chinese version (SC-WDI) for patients with nonspecific low back pain (LBP). The cross-cultural adaptation of the SC-WDI was conducted following international guidelines. The reliability and validity of the SC-WDI was assessed in a prospective observational study. The test–retest reliability was assessed by comparing the results of the first and final SC-WDI scales, 3 days interval. The discriminative, concurrent, and construct validity of the cross-cultural adapted questionnaire was evaluated. The relationship between the SC-WDI with SC-Oswestry Disability Index, SC-Roland-Morris Disability Questionnaire and visual analogue scale was assessed using the correlation coefficients. SPSS 18.0 (Chicago, IL) was used for statistical analysis. Two hundred eighty patients with LBP were included in current study. The mean age of participants was 48.4 years (range 25–82), and the mean disease duration was 1.3 years (range 0.5–24). The mean BMI was 24.6 ± 2.2. No floor or ceiling effects were noted for the SC-WDI. Cronbach’s α for the total scale of was excellent with the value of 0.821. The intraclass correlation coefficient values of total SC-WDI was 0.74, which reflected a satisfactory test–retest reliability. SC-WDI had a good discriminative validity. It also indicated that the SC-WDI had a good concurrent criterion validity (R = 0.681, 0.704, and 0.615, respectively) and construct validity with SC-Oswestry Disability Index, SC-Roland-Morris Disability Questionnaire, and visual analogue scale (all P values of < .0001). The SC-WDI demonstrated a good acceptability, score distribution, internal consistency, test–retest reliability and validity. It has high sensitivity in evaluating the HRQOL. Therefore, it is was considered as a satisfactory tool for evaluating HRQOL of Chinese patients with LBP.
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Farooq, Muhammad, Mahboob Khan, Ali Shahjehan, et al. "Clinical outcomes of three Level Interlaminar Endoscopic Decompression Surgery in the Treatment of Multilevel lumber Spinal Stenosis." Pakistan Journal Of Neurological Surgery 27, no. 3 (2023): 177–83. http://dx.doi.org/10.36552/pjns.v27i3.881.
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This is the first case report to test the efficacy of three-level endoscopic spine surgery for the treatment of lumber spinal stenosis. The patient was a 50-year-old entrepreneur with pain on standing and walking and all activities that compress the canal such as lumber extension. Three-level endoscopic surgery was performed at L3-L4, L4-L5, and L5-S1. Certain clinical and surgical outcomes were selected such as the Visual Analogue Scale for pain, Oswestry Disability Index score for level of disability and functional limitation, pain on certain aggravating activities involving extension like walking and moving downstairs, spinal and core stability using prone segmental instability test and patient satisfaction values taken at baseline and after the endoscopic surgery at two levels i.e. immediately after surgery and after one month follow up. Multiple-level interlaminar endoscopic surgery was successful in terms of reducing pain, improving score on the Oswestry disability index, improving daily life activities, increasing spinal and core stability, and increasing patient satisfaction
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Wen, Yuetao, Hui Zhou, Youxin Liao, Ya He, Fei Wang, and Jingang Li. "Posterior pedicle screw fixation combined with transpedicular bone grafting for treatment of single-level thoracolumbar fractures with the aid of a vertebroplasty tool." Journal of International Medical Research 50, no. 2 (2022): 030006052210812. http://dx.doi.org/10.1177/03000605221081290.
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Objective This study was performed to assess the efficacy of a novel tool to assist transpedicular bone grafting in short-segment pedicle screw fixation combined with pedicle fixation at the level of the fractured vertebra (six-screw fixation). Methods We retrospectively analyzed 80 patients (40 in the control group and 40 in the tool-aided group) with single-level thoracolumbar fractures. Patients in the control group underwent traditional six-screw fixation combined with transpedicular bone grafting. In the tool-aided group, we introduced a novel vertebroplasty tool to assist transpedicular bone grafting. Basic information and related indicators were recorded. Results There were no significant differences in the patients’ baseline characteristics or surgical outcomes between the control group and tool-aided group. Both traditional surgery and tool-aided surgery restored the height of the fractured vertebrae and decreased the Cobb angle, visual analog scale score, and Oswestry Disability Index. However, tool-aided surgery more effectively restored the height of the fractured vertebrae and reduced the visual analog scale score and Oswestry Disability Index than did traditional surgery. Conclusion Vertebroplasty tool-aided surgery facilitated more precise and successful grafting of bone into damaged vertebrae than did traditional surgery and therefore might be recommended for treating single-level thoracolumbar fractures.