Abstract:
BACKGROUND:Blocking the lumbar or lumbosacral spine with a custom-made rigid lumbar brace, based on the mechanical origin of active discopathy, is a therapeutic option for low back pain, but no study has yet defined its applicability in low back pain. OBJECTIVE:To assess the pain evolution of individuals with non-specific chronic low back pain associated with Modic type 1 changes treated with custom-made rigid lumbar brace. METHODS:This was a retrospective observational study conducted in the Physical Medicine and Rehabilitation unit at Clermont-Ferrand University Hospital, France, between January 2014 and December 2016. Inclusion criteria were adults with non-specific chronic low back pain associated with Modic type 1 changes on the lumbar or lumbosacral spine confirmed by MRI. Patients had 4 consultations with the physician (baseline, 5 weeks, 3 months, and 5 months). The brace was progressively withdrawn at 3 months. The main outcome was pain improvement of at least 30% at 3 months (visual pain scale). The secondary outcome was an improvement of at least 50%. We also studied the association between pain improvement at the 2 thresholds (30 and 50%) and clinical data, level of Modic type 1 changes, and pain recurrence after withdrawal of the brace. RESULTS:Among the 174 patients who wore the brace, 62 were included in the study; 49/62 (79%) showed improvement of at least 30% at 3 months. Two months after brace withdrawal, pain recurred for 30/46 patients (16 missing data). No sociodemographic, clinical or radiographic criteria were associated with pain evolution. CONCLUSION:In the present study, a rigid lumbar brace worn for 3 months was associated with a 30% reduction in pain for 79% of patients with chronic low back pain and active discopathy. However, the retrospective open and uncontrolled design of our study limits our interpretation about a specific treatment effect. A prospective randomized controlled trial is needed to clarify the effect of a rigid lumbar brace in this condition.
journal_name
Ann Phys Rehabil Medjournal_title
Annals of physical and rehabilitation medicineauthors
Boutevillain L,Bonnin A,Chabaud A,Morel C,Giustiniani M,Pereira B,Soubrier M,Coudeyre Edoi
10.1016/j.rehab.2018.06.008subject
Has Abstractpub_date
2019-01-01 00:00:00pages
3-7issue
1eissn
1877-0657issn
1877-0665pii
S1877-0657(18)31428-3journal_volume
62pub_type
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
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abstract:UNLABELLED:Osteoporosis is a common complication in children with motor impairments. They have a higher risk of fractures (20% during their lifetime) mostly at femoral level. Furthermore, these children have pain yet no clear relation has been established between osteoporosis and pain. The efficacy of bisphosphonates h...
journal_title:Annals of physical and rehabilitation medicine
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journal_title:Annals of physical and rehabilitation medicine
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journal_title:Annals of physical and rehabilitation medicine
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abstract:OBJECTIVES:Focus on the different therapeutic patient education (TPE) programs for stroke survivors found in the literature. Verify their content and efficacy. METHOD:A literature review was conducted by searching for entries from 1966 to 2011 in the Medline and Cochrane Library databases. The references for the accep...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,评审
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,评审
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abstract:BACKGROUND:The role of microRNAs (miRs) in hormone therapy (HT) is of keen interest in developing biomarkers and treatments for individuals with breast cancer. Although miRs are often moderate regulators under homeostatic conditions, their function is changed more in response to physical activity. OBJECTIVE:This singl...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,多中心研究
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journal_title:Annals of physical and rehabilitation medicine
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journal_title:Annals of physical and rehabilitation medicine
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doi:10.1016/j.rehab.2020.07.010
更新日期:2020-08-27 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2011.08.002
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVE:Compare the clinical outcomes of different knee braces in the early phase of rehabilitation after anterior cruciate ligament reconstruction (ACLR) in athletes. MATERIALS AND METHODS:We conducted a retrospective database study of athletes during early rehabilitation in a tertiary referral hospital between 1 F...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2017.02.001
更新日期:2017-07-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,评审
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pub_type: 杂志文章,随机对照试验
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更新日期:2017-07-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2017.09.005
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:The Osteoarthritis Quality of Life scale (OAQoL) is an osteoarthritis-specific measure developed in the United Kingdom by a needs-based approach. This study describes the adaptation and validation of this English scale into French. METHODS:The OAQoL was translated into French by a dual-panel technique follow...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2015.09.003
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:To assess with an isokinetic dynamometer the force and endurance of the spinal flexor and extensor muscles in pre-teens or teens aged 11 to 13 and 14 to 16 years with and without low back pain (LBP). METHOD:The control group and the LBP group were homogeneous in terms of age, weight, height and Body Mass Ind...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2013.10.004
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,评审
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pub_type: 杂志文章,多中心研究
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2010.11.005
更新日期:2011-02-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 共识发展会议,杂志文章
doi:10.1016/j.rehab.2008.12.016
更新日期:2009-03-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2013.10.003
更新日期:2013-12-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2010.03.006
更新日期:2010-05-01 00:00:00
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2019.09.011
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVES:For hospitalizations in rehabilitation centers (RCs) in France, the quantification of healthcare givers' activity is based on the dependency of the patients, defined as a total or partial inability to perform activities required for daily living without help. The tools currently used to quantify dependency a...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2018.04.006
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to analyze the effect of running retraining on the recovery of the knee's functional and muscular properties after anterior cruciate ligament (ACL) reconstruction. METHODS:Eighty-five athletes who had undergone ACL reconstruction surgery were selected randomly to receive, or not to ...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.rehab.2009.12.006
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journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2016.04.010
更新日期:2016-09-01 00:00:00
abstract:PURPOSE:The perception of verticality results from the integration of vestibular, visual and somatosensory information. Spinal cord injured patients with complete paraplegia have total somatosensory deafferentation below a certain metameric segment. In our study, we were interested in the implication of somatosensory s...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.1016/j.rehab.2010.07.005
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVE:The main objective of this study was to describe the distribution of referrals offered to patients assessed in the "Post-Acute Stroke program" of Bordeaux University Hospital (France). This program was developed in 2008 to organize the dispensation of care in rehabilitation units specialized in neurological d...
journal_title:Annals of physical and rehabilitation medicine
pub_type: 杂志文章
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更新日期:2016-09-01 00:00:00