Stretching in the rehabilitation of low-back pain patients.

Abstract:

:The major objective of this investigation was to study the effectiveness of the physical conditioning program used at the University of Miami Comprehensive Pain and Rehabilitation Center in restoring certain elements of the functional abilities of individuals suffering from chronic low-back pain and to evaluate the effectiveness of using a systematically applied, aggressive stretching maneuver as an add-on therapy in the treatment of chronic low-back pain patients. The effect(s) of the proposed stretching maneuver was evaluated. Twenty-eight chronic low-back pain patients were randomly assigned to one of two groups. The control group underwent a multimodal rehabilitation program, and the experimental group underwent the same rehabilitation program in addition to the systematic stretching maneuver under investigation. The results obtained showed that patients undergoing the multimodal rehabilitation program with and without the proposed systematic stretching maneuver showed a significant improvement in their functional abilities as seen from the significant increase in the static strength of the back extensors, with corresponding significant increase in back muscle myoelectric signals. Also, a significant decrease in their pain level was reported after 2 weeks of continuous treatment. The use of the systematic stretching maneuver enhanced the functional gains of chronic low-back pain patients compared to the control group.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Khalil TM,Asfour SS,Martinez LM,Waly SM,Rosomoff RS,Rosomoff HL

doi

10.1097/00007632-199203000-00012

keywords:

subject

Has Abstract

pub_date

1992-03-01 00:00:00

pages

311-7

issue

3

eissn

0362-2436

issn

1528-1159

journal_volume

17

pub_type

临床试验,杂志文章,随机对照试验

相关文献

SPINE文献大全
  • Cerebrospinal fluid concentrations of nitric oxide metabolites in spinal cord injury.

    abstract:STUDY DESIGN:Multiple center study to evaluate cerebrospinal fluid (CSF) concentrations of nitric oxide metabolites [NOx] in relation to neurologic severity and prognosis in spinal cord injury (SCI). OBJECTIVE:To examine whether CSF [NOx] correlates with neurologic severity and recovery in SCI. SUMMARY OF BACKGROUND ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181abda1d

    authors: Kimura S,Hosaka N,Yuge I,Yamazaki A,Suda K,Taneichi H,Denda H,Endo N

    更新日期:2009-08-15 00:00:00

  • Association of Duration of Preoperative Opioid Use with Reoperation After One-Level Anterior Cervical Discectomy and Fusion in Non-Myelopathic Patients.

    abstract:STUDY DESIGN:Retrospective Cohort Study OBJECTIVE.: To determine that rates of preoperative opioid use in patients undergoing single-level ACDF without myelopathy and determine the association with reoperations over 5 years SUMMARY OF BACKGROUND DATA.: Preoperative opioid use before cervical spine surgery has been link...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003861

    authors: Samuel AM,Lovecchio FC,Premkumar A,Vaishnav AS,Kim HJ,Qureshi SA

    更新日期:2020-12-07 00:00:00

  • Simian immunodeficiency virus (human HIV-II) transmission in allograft bone procedures.

    abstract:STUDY DESIGN:Infection of rhesus monkeys (Macaca mulatta) with simian immunodeficiency virus (SIV, HIV-II) was used to study disease transmission in allograft bone. Four allograft bone processing techniques--fresh, fresh frozen, double freeze-thaw, and double freeze-thaw with chemical decontamination--were evaluated. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Cook SD,Salkeld SL,Prewett AB

    更新日期:1995-06-15 00:00:00

  • Growth in girls with adolescent idiopathic scoliosis.

    abstract::The height development during childhood and puberty was analyzed in 54 girls with adolescent idiopathic scoliosis by the use of the Infancy Childhood Puberty growth model, which is based on healthy Swedish children. This model adjusts adolescent reference values for height for individual age at pubertal maturation. Th...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199201000-00016

    authors: Hägglund G,Karlberg J,Willner S

    更新日期:1992-01-01 00:00:00

  • Rapid, symptomatic enlargement of a lumbar juxtafacet cyst: case report.

    abstract:STUDY DESIGN:A case is reported in which a 45-year-old man developed cauda equina syndrome caused by enlargement of an L4-L5 juxtafacet cyst diagnosed 4 months earlier. OBJECTIVES:To highlight the short interval that can elapse between the discovery of a juxtafacet cyst and its remarkable progression. SUMMARY OF BACK...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200206010-00022

    authors: Paolini S,Ciappetta P,Santoro A,Ramieri A

    更新日期:2002-06-01 00:00:00

  • Surgeon specialty and outcomes after elective spine surgery.

    abstract:STUDY DESIGN:Retrospective cohort analysis of prospectively collected clinical data. OBJECTIVE:To compare outcomes of elective spine fusion and laminectomy when performed by neurological and orthopedic surgeons. SUMMARY OF BACKGROUND DATA:The relationship between primary specialty training and outcome of spinal surge...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000489

    authors: Seicean A,Alan N,Seicean S,Neuhauser D,Benzel EC,Weil RJ

    更新日期:2014-09-01 00:00:00

  • Atlantoaxial dislocation as the presenting symptom of ankylosing spondylitis.

    abstract::A 27-year-old woman presented with nontraumatic atlantoaxial dislocation that required a C1-C2 fusion. A comprehensive investigation initially failed to reveal any evidence of infectious or rheumatologic disease and she remained well for 3 1/2 years, at which time a diagnosis of ankylosing spondylitis was established....

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199311000-00037

    authors: Hamilton MG,MacRae ME

    更新日期:1993-11-01 00:00:00

  • Ultrastructure of the human intervertebral disc during aging and degeneration: comparison of surgical and control specimens.

    abstract:STUDY DESIGN:Human intervertebral disc tissue from the annulus was obtained in a prospective study investigating the ultrastructural features of disc cells and extracellular matrix. Experimental studies were approved by the authors' Human Subjects Institutional Review Board. Discs were obtained from surgical specimens ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200204150-00004

    authors: Gruber HE,Hanley EN Jr

    更新日期:2002-04-15 00:00:00

  • Changes in bone mineral density in the intertransverse fusion mass after instrumented single-level lumbar fusion: a prospective 1-year follow-up.

    abstract:STUDY DESIGN:Prospective cohort. OBJECTIVE:The purpose of this study was to evaluate changes in bone mineral density (BMD) in the intertransverse fusion mass as representative for the process of bone remodeling after spinal fusion. SUMMARY OF BACKGROUND DATA:Intertransverse bone graft is frequently applied to facilit...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318276fa27

    authors: Hagenmaier F,Kok D,Hol A,Rijnders T,Oner FC,van Susante JL

    更新日期:2013-04-15 00:00:00

  • Anti-TNF-alpha antibody reduces pain-behavioral changes induced by epidural application of nucleus pulposus in a rat model depending on the timing of administration.

    abstract:STUDY DESIGN:An experimental animal study. OBJECTIVE:To study if antitumor necrosis factor-alpha (TNF-alpha) antibody, which is administered at different times, reduces the pain behavior induced by application of nucleus pulposus (NP) to the nerve root. SUMMARY OF BACKGROUND DATA:Treatment with TNF-alpha inhibitor re...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000255097.18246.bc

    authors: Sasaki N,Kikuchi S,Konno S,Sekiguchi M,Watanabe K

    更新日期:2007-02-15 00:00:00

  • Rib Hyperostosis as a Risk Factor for Poor Prognosis in Cervical Spine Injury Patients With Diffuse Idiopathic Skeletal Hyperostosis.

    abstract:STUDY DESIGN:Retrospective multi-center study. OBJECTIVE:To identify the morphological features of costovertebral joints and ribs in surgically managed cervical injury patients with diffuse idiopathic skeletal hyperostosis (DISH) and to examine its impact on their vital prognosis. SUMMARY OF BACKGROUND DATA:Several r...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003252

    authors: Sawakami K,Watanabe K,Sato T,Miura K,Katsumi K,Hosaka N,Nomura S,Fujikawa R,Kikuchi R,Tashi H,Minato K,Segawa H,Ito T,Ishikawa S,Hirano T,Endo N

    更新日期:2020-03-01 00:00:00

  • Sagittal Alignment Profile Following Selective Thoracolumbar/Lumbar Fusion in Patients With Lenke Type 5C Adolescent Idiopathic Scoliosis.

    abstract:STUDY DESIGN:A retrospective case series. OBJECTIVE:This study aimed to report the sagittal outcome measures in patients with Lenke type 5C adolescent idiopathic scoliosis (AIS) undergoing thoracolumbar/lumbar (TL/L) fusion surgery. SUMMARY OF BACKGROUND DATA:Previous studies have demonstrated coronal correction of L...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003043

    authors: Tauchi R,Kawakami N,Ohara T,Saito T,Tanabe H,Morishita K,Yamauchi I

    更新日期:2019-09-01 00:00:00

  • Short-term comparison of cervical fusion with static and dynamic plating using computerized motion analysis.

    abstract:STUDY DESIGN:This study is a retrospective review of fusion rates for cervical plates, analyzed by means of computerized analysis. OBJECTIVES:This study compares the fusion rates for two-level anterior cervical discectomy and fusion between patients with static versus dynamic plates. SUMMARY OF BACKGROUND DATA:Anteri...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318060cca9

    authors: Goldberg G,Albert TJ,Vaccaro AR,Hilibrand AS,Anderson DG,Wharton N

    更新日期:2007-06-01 00:00:00

  • A Profile of Low Back Pain: Treatment and Costs Associated With Patients Referred to Orthopedic Specialists in Sweden.

    abstract:STUDY DESIGN:Analysis of Swedish national and regional register data. OBJECTIVES:The aim of this study was to characterize healthcare resource utilization, productivity loss, and costs of patients with low back pain (LBP) with or without leg pain, who have been referred from primary care settings to orthopedic special...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002089

    authors: Jonsson E,Olafsson G,Fritzell P,Hägg O,Borgström F

    更新日期:2017-09-01 00:00:00

  • Antifibrinolytics reduce blood loss in adult spinal deformity surgery: a prospective, randomized controlled trial.

    abstract:STUDY DESIGN:This is a prospective, randomized, double-blinded comparison of tranexamic acid (TXA), epsilon aminocaproic acid (EACA), and placebo used intraoperatively in patients with adult spinal deformity. OBJECTIVE:The purpose of this study was to provide high-quality evidence regarding the comparative efficacies ...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0000000000000799

    authors: Peters A,Verma K,Slobodyanyuk K,Cheriyan T,Hoelscher C,Schwab F,Lonner B,Huncke T,Lafage V,Errico T

    更新日期:2015-04-15 00:00:00

  • Is a condition-specific instrument for patients with low back pain/leg symptoms really necessary? The responsiveness of the Oswestry Disability Index, MODEMS, and the SF-36.

    abstract:STUDY DESIGN:Analysis of longitudinal data collected prospectively from patients seen in 27 National Spine Network member centers across the United States. OBJECTIVE:To evaluate the responsiveness of the Oswestry Disability Index, MODEMS scales, and all scales and summary scales of the MOS Short-Form 36 (SF-36) for pa...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.BRS.0000050654.97387.DF

    authors: Walsh TL,Hanscom B,Lurie JD,Weinstein JN

    更新日期:2003-03-15 00:00:00

  • Primary spinal natural killer/T-cell lymphoma successfully treated with concurrent chemoradiotherapy and autologous stem cell transplantation.

    abstract:STUDY DESIGN:This case report shows primary natural killer (NK)/T-cell lymphoma originating in the spine as the first case of successful treatment with autologous stem cell transplantation, along with case presentation and literature review. OBJECTIVE:For the proper treatment of this spinal tumor, the pathologic confi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182407b0b

    authors: Kim KT,Kim YB,Kim HJ,Cha YJ,Lee SJ,Park E

    更新日期:2012-05-01 00:00:00

  • Posterior osteotomy and instrumentation for thoracolumbar kyphosis in patients with achondroplasia.

    abstract:STUDY DESIGN:A retrospective case series of surgically treated achondroplastic patients with severe thoracolumbar kyphosis. OBJECTIVE:To evaluate the outcome of surgical treatment for thoracolumbar kyphosis in patients associated with achondroplasia presenting with paraparesis. SUMMARY OF BACKGROUND DATA:Thoracolumba...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000229262.87720.9b

    authors: Qi X,Matsumoto M,Ishii K,Nakamura M,Chiba K,Toyama Y

    更新日期:2006-08-01 00:00:00

  • Automatic Cobb angle determination from radiographic images.

    abstract:STUDY DESIGN:Automatic measurement of Cobb angle in patients with scoliosis. OBJECTIVE:To test the accuracy of an automatic Cobb angle determination method from frontal radiographical images. SUMMARY OF BACKGROUND DATA:Thirty-six frontal radiographical images of patients with scoliosis. METHODS:A modified charged pa...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182a0c7c3

    authors: Sardjono TA,Wilkinson MH,Veldhuizen AG,van Ooijen PM,Purnama KE,Verkerke GJ

    更新日期:2013-09-15 00:00:00

  • Changes in Cervical Spinal Alignment After Thoracolumbar Corrective Surgery in Adult Patients With Adolescent Idiopathic Scoliosis.

    abstract:STUDY DESIGN:Case-control study. OBJECTIVE:To examine factors influencing cervical alignment after corrective surgery for adult patients with adolescent idiopathic scoliosis (AdIS) SUMMARY OF BACKGROUND DATA.: Corrective surgery for spinal deformity influences postoperative cervical spinal alignment, but changes in th...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003410

    authors: Nagoshi N,Yagi M,Daimon K,Suzuki S,Tsuji O,Okada E,Fujita N,Nakamura M,Matsumoto M,Watanabe K

    更新日期:2020-07-01 00:00:00

  • A novel classification system for spinal instability in neoplastic disease: an evidence-based approach and expert consensus from the Spine Oncology Study Group.

    abstract:STUDY DESIGN:Systematic review and modified Delphi technique. OBJECTIVE:To use an evidence-based medicine process using the best available literature and expert opinion consensus to develop a comprehensive classification system to diagnose neoplastic spinal instability. SUMMARY OF BACKGROUND DATA:Spinal instability i...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0b013e3181e16ae2

    authors: Fisher CG,DiPaola CP,Ryken TC,Bilsky MH,Shaffrey CI,Berven SH,Harrop JS,Fehlings MG,Boriani S,Chou D,Schmidt MH,Polly DW,Biagini R,Burch S,Dekutoski MB,Ganju A,Gerszten PC,Gokaslan ZL,Groff MW,Liebsch NJ,Mendel E

    更新日期:2010-10-15 00:00:00

  • A pathologic study of lumbar disc herniation in the elderly.

    abstract::Twenty-nine fragments from herniated lumbar discs of patients over 60 years of age were studied pathohistologically. For comparison, 109 discs from patients under 59 years of age also were observed. They were classified into seven types according to their composition. In 70% of discs from patients between 60 and 69 an...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198909000-00017

    authors: Harada Y,Nakahara S

    更新日期:1989-09-01 00:00:00

  • Expression of ADAMTS-4 (aggrecanase-1) and possible involvement in regression of lumbar disc herniation.

    abstract:STUDY DESIGN:Examination of ADAMTS-4 expression, and cellular lineages, distribution, and numbers of ADAMTS-4 (aggrecanase-1) expressing cells in herniated lumbar intervertebral discs. OBJECTIVE:To determine the expression of ADAMTS-4, a metalloproteinase capable of digesting aggrecan, and its role in herniated lumbar...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000219954.67368.be

    authors: Hatano E,Fujita T,Ueda Y,Okuda T,Katsuda S,Okada Y,Matsumoto T

    更新日期:2006-06-01 00:00:00

  • Pre- and postoperative lower extremity motor power and ambulatory status of patients with spinal cord compression due to a metastatic spinal tumor.

    abstract:STUDY DESIGN:Retrospective review of medical records. OBJECTIVE:To describe pre- and postoperative ambulatory status and lower limb motor power, and compare characteristics of patients with metastatic spinal cord compression (MSCC) who were ambulatory at 48 hours postoperatively with those of patients with MSCC who we...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182927559

    authors: Park JH,Jeon SR

    更新日期:2013-06-01 00:00:00

  • How does free rod-sliding affect the posterior instrumentation for a dynamic stabilization using a bovine calf model?

    abstract:STUDY DESIGN:A biomechanical cadaveric study in lumbar calf spine. OBJECTIVE:Evaluation of the effects of selected degrees of freedom (df) on the dynamic stabilization of the spine in terms of segmental range of motion (RoM), center of rotation (CoR), and implant loadings. SUMMARY OF BACKGROUND DATA:For dorsal stabil...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000702

    authors: Schulze M,Hartensuer R,Gehweiler D,Vordemvenne T,Raschke MJ,Trautwein F,Heuer F

    更新日期:2015-02-01 00:00:00

  • Low Intensity Pulsed Ultrasound Promotes the Extracellular Matrix Synthesis of Degenerative Human Nucleus Pulposus Cells Through FAK/PI3K/Akt Pathway.

    abstract:STUDY DESIGN:In vitro experimental study. OBJECTIVE:To investigate the effect of low-intensity pulsed ultrasound (LIPUS) on the extracellular matrix (ECM) synthesis of degenerative human nucleus pulposus cells and explore the molecular mechanism. SUMMARY OF BACKGROUND DATA:LIPUS has been used successfully for bone fr...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001220

    authors: Zhang X,Hu Z,Hao J,Shen J

    更新日期:2016-03-01 00:00:00

  • Natural history of progressive adult scoliosis.

    abstract:STUDY DESIGN:A retrospective analysis of the progression of adult scoliosis. OBJECTIVE:To establish an individual prognosis. SUMMARY OF BACKGROUND DATA:Most studies have investigated the adolescent scoliosis after skeletal maturity, but the results are discordant. METHODS:Two senior physicians measured all the radio...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000263328.89135.a6

    authors: Marty-Poumarat C,Scattin L,Marpeau M,Garreau de Loubresse C,Aegerter P

    更新日期:2007-05-15 00:00:00

  • Acupuncture and dry-needling for low back pain: an updated systematic review within the framework of the cochrane collaboration.

    abstract:OBJECTIVES:To assess the effects of acupuncture and dry-needling for the treatment of nonspecific low back pain. BACKGROUND:Low back pain is usually a self-limiting condition that tends to improve spontaneously over time. However, for many people, back pain becomes a chronic or recurrent problem for which a large vari...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/01.brs.0000158941.21571.01

    authors: Furlan AD,van Tulder M,Cherkin D,Tsukayama H,Lao L,Koes B,Berman B

    更新日期:2005-04-15 00:00:00

  • Regional Myosin heavy chain distribution in selected paraspinal muscles.

    abstract:STUDY DESIGN:Cross-sectional study with repeated measures design. OBJECTIVE:To compare the myosin heavy-chain isoform distribution within and between paraspinal muscles and to test the theory that fiber-type gradients exist as a function of paraspinal muscle depth. SUMMARY OF BACKGROUND DATA:There is still uncertaint...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181bfcd98

    authors: Regev GJ,Kim CW,Thacker BE,Tomiya A,Garfin SR,Ward SR,Lieber RL

    更新日期:2010-06-01 00:00:00

  • Intraoperative cone beam-computed tomography with navigation (O-ARM) versus conventional fluoroscopy (C-ARM): a cadaveric study comparing accuracy, efficiency, and safety for spinal instrumentation.

    abstract:STUDY DESIGN:Cadaveric laboratory study. OBJECTIVE:To compare the accuracy, efficiency, and safety of intraoperative cone beam-computed tomography with navigation (O-ARM) with traditional intraoperative fluoroscopy (C-ARM) for the placement of pedicle screws. SUMMARY OF BACKGROUND DATA:Radiation exposure remains a co...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182a51d1e

    authors: Tabaraee E,Gibson AG,Karahalios DG,Potts EA,Mobasser JP,Burch S

    更新日期:2013-10-15 00:00:00