Objective: The paraspinal muscles often fail to relax on forward flexion in many persons with low-back pain. The goal of this prospective study was to determine whether this abnormal lack of a flexion-relaxation phenomenon corrects after lumbar diskectomy for symptoms of radiculopathy with low-back pain.
Design: Electromyographic testing was performed on 17 patients before and 30 days after lumbar diskectomy.
Results: Although pain improved significantly (P < 0.05), the flexion-relaxation phenomenon did not improve.
Conclusions: Failure to recover muscle relaxation while pain is relieved suggests another mechanism for paraspinal activity.
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http://dx.doi.org/10.1097/PHM.0b013e318198b6ed | DOI Listing |
Zh Nevrol Psikhiatr Im S S Korsakova
December 2024
International University of Restorative Medicine, Moscow, Russia.
The trend of an annual increase in the detection of new cases of osteoarthritis (OA) and an increase in the number of patients with chronic lower back pain (LBP) calls for the search for new drugs and pharmaconutraceuticals with anti-inflammatory and chondroprotective properties. In 2019, approaches to the treatment of pain in OA significantly changed. In international and Russian clinical guidelines (CG), pharmaconutraceutical chondroitin sulfate (CS) and glucosamine sulfate (GS) are recommended for OA of different localization as a basic therapy.
View Article and Find Full Text PDFZh Nevrol Psikhiatr Im S S Korsakova
December 2024
Clinical Hospital of St. Luka, St. Petersburg, Russia.
Objective: To analyze the efficacy and tolerability of aceclofenac in the treatment of patients with acute non-specific musculoskeletal pain in the lower back (ANBP) compared with other NSAIDs (dexketoprofen, nimesulide and lornoxicam), as well as to assess the impact of NSAIDs therapy on the relative risk of recurrence and chronicity of this pathology.
Material And Methods: The study involved 80 patients (47 women and 33 men), average age 52.6 [47.
Sci Rep
December 2024
School of Mechanical and Electrical Engineering, Chengdu University of Technology, Chengdu, 610059, Sichuan, People's Republic of China.
In the context of an aging society, products for the elderly typically need to meet the criteria of ease of use and reduction of physical fatigue. Focusing on elderly shopping scene, combined with the ergonomic principles and JACK simulation software analysis, a method of mapping NIOSH lifting equation to the product optimization design is proposed to optimize the dimensions and styling design of the elderly shopping trolley as a carrier, to optimize length, depth, and basket height from the ground. When the handle height of the elderly shopping cart is adjustable to three levels: 795 mm, 908 mm, and 1021 mm, it can effectively reduce the pressure on the lower limbs.
View Article and Find Full Text PDFAten Primaria
December 2024
Medicina Familiar y Comunitaria, Consultorio Barriada del Ángel - UGC Fuensanta, Córdoba, España.
This article rewievs the available evidence on low back pain, one of the most prevalent conditions and the main cause of disability in most countries according to the latest Global Disease Burden 2021 study, which has led entities such as the WHO to recently publish recommendations on low back pain management. The causes and associated risk factors are analyzed, with more than 90% of low back pain cases being nonspecific and closely related to biopsychosocial context, as well as the role of imaging tests, whose findings have not been proven to be the source of low back pain. Finally, the effectiveness of the different treatments is analyzed, with non pharmacological being the first-line of treatment and pharmacological treatment having a very limited role, despite the excessive use we make of it.
View Article and Find Full Text PDFMol Immunol
December 2024
Department of Orthopedics, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, China. Electronic address:
Low back pain after spine surgery is a major complication due to excessive epidural fibrosis, which compresses the lumbar nerve. Macrophage-myofibroblast transition (MMT) promoted epidural fibrosis in a mouse laminectomy model. Previously, we demonstrated that LincR-PPP2R5C regulated CD4 + T-cell differentiation.
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