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Back pain and renal failure

Back pain and renal failure

Published in: Lancet (2004), vol.364, iss.9449, p.1992 Status: Postprint (Author’s version) Back pain and renal failure Pierre Delanaye a , Christophe Bovy a , Laurence de Leval b , Marie-France Fassotte c , Nancy Witvrouw c , Charles Dechenne a , Françoise Tassin c , Jean-Marie Krzesinski a

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Criteria for inclusion in programs of functional restoration for chronic low back pain: Pragmatic Study

Criteria for inclusion in programs of functional restoration for chronic low back pain: Pragmatic Study

4 Introduction Chronic non-specific low back pain (cLBP) is a non-specific musculoskeletal symptom that has progressed for at least 3 months and that does not involve serious causes (malignancy, vertebral fracture, infection, or inflammatory disorders such as axial spondyloarthritis) [1]. It is an extremely common health problem with an estimated prevalence of more than 576 million in 2017 [2]. Years lived with disability caused by LBP have increased over the last decades, mainly because of population increase and ageing. LBP is now the leading cause of disability worldwide [1 ;2] and consequently leads to a major socioeconomic impact on society [1;3]. In Europe, cLBP is the most common cause of medically-certified sick leave and early retirement [4]: in Denmark and France, LBP accounts for 19-20% of all sick leave days and this increases in France for long-term sick leaves, to 30% of sick leaves of more than 6 months [5]. In 2008 in the USA, the total direct medical costs of cLBP were estimated at 8,386$ per patient whereas in Germany, the annual direct costs were estimated at more than 7,000€ and work absenteeism accounted for 75% of the total costs per patient [6;7]. Its treatment and prevention therefore represent a major challenge for public health.
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Serum biomarkers in people with chronic low back pain and Modic 1 changes: a case-control study

Serum biomarkers in people with chronic low back pain and Modic 1 changes: a case-control study

intervertebral disc disease and low back pain have not been described yet. Also, whether LBP overall was associated with changes that might be masking smaller differences between patients with and without active discopathy remains unanswered. Values we found seemed different from the val- ues reported in the general population. In previous studies, mean serum levels were 4.6 pg/ml for IL-1β, 18.3 pg/ ml for IL-6, 38.3 pg/ml for IL-8, 37.0 pg/ml for TNF-α 22 , 291.6 (39.9) µmol/l for total thiols 23 , 125.8 (40.6) µmol/l

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Osteopathy in the French-speaking part of Switzerland: Practitioners’ profile and scope of back pain management

Osteopathy in the French-speaking part of Switzerland: Practitioners’ profile and scope of back pain management

3. In your opinion, what percentage of your patients with acute low back pain see you exclusively (without the intervention of another health professional)? (Only numbers can be entered in this field) % 4. In general, over the past year, how often have your adult patients visited you for the following main

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Osteopathy in the French-speaking part of Switzerland: Practitioners’ profile and scope of back pain management

Osteopathy in the French-speaking part of Switzerland: Practitioners’ profile and scope of back pain management

46. Xue CC, Zhang AL, Lin V, Myers R, Polus B, Story DF. Acupuncture, chiropractic and osteopathy use in Australia: a national population survey. BMC Public Health. 2008; 8:105. Epub 2008/04/02. https://doi. org/10.1186/1471-2458-8-105 PMID: 18377663 ; PubMed Central PMCID: PMC2322980. 47. Franke H, Franke JD, Fryer G. Osteopathic manipulative treatment for nonspecific low back pain: a sys- tematic review and meta-analysis. BMC Musculoskelet Disord. 2014; 15:286. Epub 2014/09/02. https:// doi.org/10.1186/1471-2474-15-286 PMID: 25175885 ; PubMed Central PMCID: PMC4159549. 48. Paige NM, Miake-Lye IM, Booth MS, Beroes JM, Mardian AS, Dougherty P, et al. Association of Spinal
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Evaluation of hip muscles using torque-and power-velocity relationships in chronic low back pain subjects

Evaluation of hip muscles using torque-and power-velocity relationships in chronic low back pain subjects

These previous studies suggest that lower limb and pelvis muscles must be considered in the management of CLBP rehabilitation. Some previous studies focused on lower limbs in CLBP (Lemaire et al. (10); Yahia et al. (11); Scholtes et al. (9)). However, to the authors’ knowledge, no study focused on hip muscles assessments, which are anatomically directly linked to the trunk muscles. Indeed, several hip flexor and extensor muscles have their proximal insertions on the trunk (Vitte et al. (12)). Deconditioning syndrome that occurs on trunk muscles and its consequences on muscle properties (Poiraudeau et al. (13)) would also have an impact on hip muscles. This impact could probably also be linked to low back pain, since these muscles have an important postural and dynamic role especially at the lumbar spine (Marieb (14)).
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The Belgian pilot project for early rehabilitation of nursing personnel suffering from low back pain.

The Belgian pilot project for early rehabilitation of nursing personnel suffering from low back pain.

ABSTRACT Background: The project is the result of both a political and a scientific thinking in order to lessen the burden of chronic low back pain (LBP) among workers. Following a scientific review made by the Belgian Fund for Occupational Diseases (FOD), a pilot program has been designed to promote an early return to work and to prevent the transition of LBP to chronicity. This project is funded by the government since March 1 st 2005 and targets nursing staff in the health care sector.

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Level of education and back pain in France: the role of demographic, lifestyle and physical work factors.

Level of education and back pain in France: the role of demographic, lifestyle and physical work factors.

We did not take into account the presence of psychological problems. Associations between LBP and psychological problems would have been difficult to interpret, since the presence of psychological problems is both a potential risk factor, and a consequence of chronic LBP ( Andersson 1999 Linton 2000 Hurwitz et al. 2003 Dersh et al. 2007 ; ; ; ). The role of two possible pathways from socioeconomic position to LBP could not be studied in this study: the first one is chronic stress in general ( Kopek et al. 2004 ), which could be associated to LBP and also related to report of physical work exposure, especially since physical work exposure was self-assessed. The second one is sociocultural factors such as beliefs about back pain ( Buchbinder, 2001 , ; ). How people understand and interpret back pain is expected to be related to education. Skovron et al. 1994 van Tulder et al. 2002
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Use of Borg Scale in Patients with Chronic Low Back Pain Attending a Physical Training

Use of Borg Scale in Patients with Chronic Low Back Pain Attending a Physical Training

Background: Though an association between low back pain (LBP) and physical fitness remains controversial, rehabilitation programs generally include aerobic exercise training to improve cardiovascular endurance. Training workload is usually adapted individually by means of heart rate (HR) though HR can be influenced by several factors and is not always feasible in patients with pain. Based on these arguments, some clinicians suggest that fitness training with a workload increase guided by ratings of perceived exertion (Borg score) are more easy to interpret. The purpose of this study was to study the relevance of a stepwise increase of workload based on the combination Borg-score and HR during a training program attended by patients with chronic LBP.
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Validation of a self-administered questionnaire for assessing exposure to back pain mechanical risk factors

Validation of a self-administered questionnaire for assessing exposure to back pain mechanical risk factors

Abstract Objective: To validate a self-administered questionnaire assessing exposure to mechanical risk factors, developed for a cohort study aiming at assessing the influence of physical and psycho-social factors on the incidence of low back pain (LBP). Methods: The study first involved a criterion validity test. A sample of the cohort workers (n=152) was observed at the workplace during four 30 min periods randomly distributed along the shift. At the end of the work shift, the questionnaire was filled in both by the worker and the observer. Agreements were tested between self-reports and observations, and between self-reports and observer opinion. Secondly, a comparison of exposure–effect relationships based on self-reports to those based on observations was carried out on the whole study cohort (n=716). Both sets of Relative Risks of being an inci- dent case (LBP lasting at least 7 consecutive days in the follow-up year) were tested for heterogeneity. Results: Self-reports agreement levels were better with observer opinion than with observational data and were higher for answers at a dichotomous level. Vehicle driving, manual handling without estimation of weight and
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Quebec Serve and Protect Low Back Pain Study: What About Mental Quality of Life?

Quebec Serve and Protect Low Back Pain Study: What About Mental Quality of Life?

a b s t r a c t Background: As of now, the impact of low back pain (LBP) and its chronic state, chronic low back pain (CLBP), on mental health-related quality of life (HRQOL) has never been investigated among police of- ficers. The present investigation aims at studying this relationship using a biopsychosocial model. Methods: Between May and October 2014, a Web-based cross-sectional study was conducted among Quebec police of ficers (Quebec, Canada). Mental HRQOL was measured using the role emotional (RE) and the mental health (MH) domains of the SF-12v2 Health Survey. The impact of CLBP on mental HRQOL (as opposed to acute/subacute LBP or no LBP) was studied with a multivariate linear regression model. Results: Of the 3,589 police of ficers who participated in the study, 1,013 (28.4%) reported CLBP. The mean age of respondents was 38.5  8.7 years, and 32.0% were females. The RE (44.1/100) and MH (49.0/100) mean scores of the CLBP group were comparable with the scores found in populations suffering from cancer or heart diseases. Compared to of ficers without LBP, the presence of CLBP was significantly associated with lower RE ( b : 0.068; p ¼ 0.003) and MH ( b : 0.062; p ¼ 0.002) scores. These re- lationships were not found in the acute/subacute LBP group.
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Risk factors for first-ever low back pain among workers in their first employment

Risk factors for first-ever low back pain among workers in their first employment

Statistical analysis To study the impact of work-related factors on the development of first-ever low back pain, we constructed three Cox proportional hazard models. In addition to individual variables, these considered work-related physical factors (model a), psychosocial work characteristics (model b) or both (model c). First, correlation coefficients among the independent variables were calculated to prevent the occurrence of colinearity. We then removed non- significant variables by means of a backward selection procedure until the models only contained terms that made a significant contribution. All analyses were conducted with the module PROC PHREG in the SAS package (release 8.02). Throughout, the 5% level of significance was maintained.
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Reproducibility of dynamometric and non-dynamometric trunk extensor muscle tests in patients with chronic low back pain

Reproducibility of dynamometric and non-dynamometric trunk extensor muscle tests in patients with chronic low back pain

IV. CONCLUSION I. BACKGROUND AND AIMS Literature describes several dynamometric and non-dynamometric tests to assess trunk extensor muscle performances. In patients with chronic low back pain (CLBP), reproducibility of such assessments remains understudied. The purpose of this study was to compare reproducibility of two dynamometric tests and of the widely used Sorensen test.

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Assessment of lumbopelvic movement control in tennis players with and without low back pain

Assessment of lumbopelvic movement control in tennis players with and without low back pain

Assessment of lumbopelvic movement control in tennis players with and without low back pain Grosdent S 1,2 , Demoulin C 1,2 , Lemaire V 1 , Roussel N 3,4 , Tomasella M 1,2 , Crielaard J-M 1,2 , Vanderthommen M 1,2 1 Liege University (ULg), Department of Motricity Sciences, Liege, Belgium – 2 Liege University Hospital (CHU), Department of Physical Medicine and Rehabilitation, Liege, Belgium – 3 Artesis University College of Antwerp, Division of Musculoskeletal Physiotherapy, Department of Health Sciences, Antwerp, Belgium – 4 University of Antwerp, Faculty of
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Intensive spa and exercise therapy program for returning to work for low back pain patients: a randomized controlled trial

Intensive spa and exercise therapy program for returning to work for low back pain patients: a randomized controlled trial

Patients in the control group received unstandardized usual care at the discretion of their physician and the “Back Book”. Pharmacological and non-pharmacological co-interventions were allowed in both groups and were recorded in the electronic case report form (see Appendix 2). Outcomes. The primary outcome was the self-reported percentage of returning to work at 1 year after ran- domization. Secondary outcomes were: LBP recorded every 2 weeks for 1 year on a self-administered numeric rating scale for pain (NRS: 0 no pain, 100 maximal pain) and expressed by the mean area under the curve (AUC calculated using the trapezoidal rule and divided by individual follow-up duration), change from baseline in LBP-specific activity limitation assessed by the French version of the Quebec Back Pain Disability Scale (0 no limitation, 100 maximal limitation) 32 , 33 and in health-related quality of life assessed by the French version of the
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Cost-effectiveness of acupuncture versus standard care for pelvic and low back pain in pregnancy: A randomized controlled trial

Cost-effectiveness of acupuncture versus standard care for pelvic and low back pain in pregnancy: A randomized controlled trial

Because it results in poor functional and quality of life scores [ 2 , 10 – 12 ],PGLP represents an economic burden, especially regarding indirect non-healthcare costs related to time lost for work and leisure[ 2 ]. As for treatment, European guidelines recommend individualized exercises focusing on sta- bilizing exercises, information and reassurance, and a limited choice of pain medications, with acetaminophen as first choice[ 8 ]. Over 50%-75% of women with PGLBP receive little or no intervention from healthcare providers[ 3 , 5 , 13 ]. There is some evidence of low back pain allevi- ation during pregnancy by acupuncture[ 14 – 20 ], but offering acupuncture as part of routine obstetrical care would result in extra costs for the health system and patients. Therefore, our purpose was to assess the cost-effectiveness of providing hospital acupuncture care for PLBP in pregnancy.
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Socioeconomic position and low-back pain--the role of biomechanical strains and psychosocial work factors in the GAZEL cohort.

Socioeconomic position and low-back pain--the role of biomechanical strains and psychosocial work factors in the GAZEL cohort.

We chose to consider a definition of LBP independent of care seeking or sick leave, both of which are consequences that could be related per se to the occupational exposures studied. By selecting only disorders that lasted more than 30 days, we focused on LBP associated with high social and economic costs. The data and the study design appeared appropriate to discuss hypotheses about pathways for inequalities in LBP. As low back pain ‘ ’ is rather common, statistical analyses based on Cox models were preferred to computation of odd ratios ( 33 ).

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Are tall people at higher risk of low back pain surgery? A discussion on the results of a multipurpose cohort.

Are tall people at higher risk of low back pain surgery? A discussion on the results of a multipurpose cohort.

resonance imaging (ORa=1.6, 1.1 to 2.2) 7 . Results were adjusted on mental health, smoking status, somatising tendency, propensity to consult for low back pain and occupational risk factors. However, when restricted to severe cases (Roland-Morris score >10) this association was no more significant (ORa=1.4, 0.9 to 2.3). The disability score used however may be an indicator of severity less sensitive than back surgery.

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Efeitos dos exercícios pilates na função do tronco e na dor de pacientes com lombalgia / Effects of pilates exercices on trunk function and pain in patients with low back pain

Efeitos dos exercícios pilates na função do tronco e na dor de pacientes com lombalgia / Effects of pilates exercices on trunk function and pain in patients with low back pain

Introduction: Scientifi c evidences report that poor back muscle endurance is the most risk factor for developing low back pain. Overall, physical exercise has been effective to recovery of the functioning as well as to improve the clinical symptoms of patients with low back pain. Objective: To assess the effects of Pilates training on mat in variables of fl exibility, balance, strength and endurance of the lumbar extensor muscles in patients with low back pain unknown. Method: 16 patients with chronic low back pain (mean age 33 yrs) performed a training program with a mat method of 13 Pilates exercises (basic and intermediate), 2 x a week for a session of approximately 1h, during 11 weeks. The main outcome measures analyzed be- fore (pre-) and post-Pilates training were: fl exibility (sit-and-reach during a Wells test), unipodal support (under a force plat- form), strength (lumbar dynamometer) and endurance (Sorensen test) of lumbar muscles and pain (VAS). Results: Signifi - cant decrease of the pain was found (P < 0.05). However, no signifi cant changes were found for other variables analyzing in pre- and post-training, although the slight improvement in the fl exibility and strength. Conclusions: The results of the pres- ent study showed the effi cacy of the Pilates exercises to decrease pain. However, more studies would be conducted using much more subjects to establish better standardization of Pilates exercises in patients with low back pain.
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The impact of chronic low back pain is partly related to loss of social role: A qualitative study

The impact of chronic low back pain is partly related to loss of social role: A qualitative study

3. Results 3.1 Participants The sample consisted of 25 participants, 11 men and 14 women (Table 1). Patients participated in one of 4 focus groups with 5 to 9 participants per focus group. age, sex, pain intensity, duration of pain, occupation, duration of work disability, family status They ranged in age from 25 to 81 years, with a median age of 50 years. Disease duration ranged from 1 to 35 years, with a median duration of 10 years. Median visual analog scale for pain was 4 out of 10 (range, 0 – 8). Eighty percent had radicular pain associated with back pain (in case of presence of radicular pain, the back pain was predominant), 5 participants (20%) were on sick leave while 16 (64%) were in the workplace, 2 were retired, 1 was unemployed and 1 was work disabled. Sixteen participants (64%) had benefited from intensive back rehabilitation [31].
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