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Lumbar interspinous pressure pain threshold values for healthy young men and women and the effect of prolonged fully flexed lumbar sitting posture:An observational study

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World Journal of Orthopedics 2020年第3期11卷 158-166页

作者： Martin Petersson allan abbott Department of Physiotherapy Gripen Värmland Country CouncilKarlstad SE-65224Sweden Department of Medical and Health Sciences Division of PhysiotherapyFaculty of Health SciencesLinköping UniversityLinköping SE-58183Sweden

BACKGROUND Low back pain(LBP)is a common condition with large burden *** to prolonged sitting with a flexed lumbar posture has been suggested in the literature to be a potential risk factor for self-reported *** study has previously investigated whether exposure to prolonged flexed sitting posture provokes discomfort/pain and decreased interspinous pressure pain thresholds for healthy young men and women without back pain,despite this being a suggested risk factor for *** To investigate whether sitting in a prolonged flexed lumbar posture provokes discomfort and lowers interspinous pressure pain thresholds in the lumbar spine for healthy young men and women without previous *** This is a an observational before and after study of 26 participants(13 men,13 women)between 20-35 years *** was used to examine the pain threshold for pressure applied between spinous processes of the lumbar spine *** algometer measures were performed in prone before and after participants were instructed to sit in a fully flexed posture for a maximum of 15 min or until discomfort was experienced in the low back(Borg CR10=7/10).Wilcoxon signed-rank test was used for analyze values from the before and after test ***-Whitney U test was used to investigate potential gender *** Fully flexed lumbar spine sitting posture up to 15 min provoked temporary discomfort but the proportion of participants experiencing discomfort 7/10 in the low back was 62%.For all pain pressure threshold locations tested,there was a significant difference for the study population with moderate-large decreased(r=-0.56)pressure pain threshold after exposure to prolonged flexed sitting posture(P<0.01).Comparisons between gender did not show any significant *** The result showed that exposure to fully flexed lumbar sitting posture for up to 15 min produced temporary discomfort in the low back in young healthy adults with no previo

关键词： Low back pain Pain pressure threshold Algometer Posture Spine Pain mechanism

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Evidence base and future research directions in the management of low back pain

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World Journal of Orthopedics 2016年第3期7卷 156-161页

作者： allan abbott Department of Medical and Health Sciences Division of Physiotherapy Faculty of Health Sciences Linkoping University Faculty of Health Science and Medicine Bond University

Low back pain(LBP) is a prevalent and costly condition. Awareness of valid and reliable patient history taking,physical examination and clinical testing is important for diagnostic accuracy. Stratified care which targets treatment to patient subgroups based on key characteristics is reliant upon accurate diagnostics. Models of stratified care that can potentially improve treatment effects include prognostic risk profiling for persistent LBP, likely response to specific treatment based on clinical prediction models or suspected underlying causal mechanisms. The focus of this editorial is to highlight current research status and future directions for LBP diagnostics and stratified care.

关键词： Low back pain Diagnostics Prognostics Stratification Treatment

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Reliability and concurrent validity of postural asymmetry measurement in adolescent idiopathic scoliosis

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World Journal of Orthopedics 2017年第1期8卷 68-76页

作者： Ashleigh Prowse Berit Aslaksen Marie Kierkegaard James Furness Paul Gerdhem allan abbott Faculty of Health Science and Medicine Bond University Department of Physio-therapy Karolinska University Hospital Department of Neurobiology Care Sciencesand Society (NVS)Division of PhysiotherapyKarolinska Institutet Department of Clinical Science Intervention and Technology (CLINTEC)Karolinska Institutet Department of Medical and Health Sciences Division of PhysiotherapyFaculty of Health SciencesLink?ping University

AIM To investigate the reliability and concurrent validity of the Baseline~? Body Level/Scoliosis meter for adolescent idiopathic scoliosis postural assessment in three anatomical *** This is an observational reliability and concurrent validity study of adolescent referrals to the Orthopaedic department for scoliosis screening at KarolinskaUniversity Hospital, Stockholm, Sweden between MarchMay 2012. A total of 31 adolescents with idiopathic scoliosis(13.6 ± 0.6 years old) of mild-moderate curvatures(25°± 12°) were consecutively recruited. Measurement of cervical, thoracic and lumbar curvatures, pelvic and shoulder tilt, and axial thoracic rotation(ATR) were performed by two trained physiotherapists in one day. The intraclass correlation coefficient(ICC) was used to determine the inter-examiner reliability(ICC2,1) and the intra-rater reliability(ICC3,3) of the Baseline~? Body Level/Scoliosis meter. Spearman's correlation analyses were used to estimate concurrent validity between the Baseline~? Body Level/Scoliosis meter and Gold Standard Cobb angles from radiographs and the Orthopaedic Systems Inc. *** There was excellent reliability between examiners for thoracic kyphosis(ICC2,1 = 0.94), ATR(ICC2,1 = 0.92) and lumbar lordosis(ICC2,1 = 0.79). There was adequate reliability between examiners for cervical lordosis(ICC2,1 = 0.51), however poor reliability for pelvic and shoulder tilt. Both devices were reproducible in the measurement of ATR when repeated by one examiner(ICC3,3 0.98-1.00). The device had a good correlation with the Scoliometer(rho = 0.78). When compared with Cobb angle from radiographs, there was a moderate correlation for ATR(rho = 0.627).CONCLUSION The Baseline~? Body Level/Scoliosis meter provides reliable transverse and sagittal cervical, thoracic and lumbar measurements and valid transverse plan measurements of mild-moderate scoliosis deformity.

关键词： Reliability Validity Scoliosis Posture Assessment

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