Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.
In this week’s news: We’ll Be Looking At –
- Recurrences of Low Back Pain After Chiropractic Treatment
- And Finally, a Story about Differences in Lumbar Spine and Lower Extremity in People with and without LBP
For HealthBeat …. This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #606 recorded September 15, 2017.
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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And Now for some news ….
Recurrences of Low Back Pain After Chiropractic Treatment
The purpose of a study published in the Journal of Manipulative Physiological Therapeutics, was to investigate recurrence rate and prognostic factors in a large population of patients with low back pain (LBP) up to 1 year after chiropractic care using standardized definitions.
In Switzerland, 722 patients with LBP completed the Numeric Rating Scale for pain (NRS) and the Oswestry Disability Index (ODI) before treatment and 1, 3, 6, and 12 months later (ODI up to 3 months).
Based on NRS values, patients were categorized as “fast recovery,” “slow recovery,” “recurrent,” “chronic,” and “others.” In multivariable logistic regression models, age, sex, work status, duration of complaint (subacute: ≥14 days to less than 3 months; chronic: ≥3 months), previous episodes, baseline NRS, and baseline ODI were investigated as predictors.
The study concluded that recurrence rate was low in this LBP patient population. The duration of complaint before treatment was the main predictor for recurrence. The fact that even subacute duration significantly increased the odds for an unfavorable course of LBP is of clinical relevance.
Surf to our Show Notes for Links – https://www.ncbi.nlm.nih.gov/pubmed/28822475
Differences in Lumbar Spine and Lower Extremity in People with and without LBP
When functional movements are impaired in people with low back pain, they may be a contributing factor to chronicity and recurrence.
The purpose of a recent study published in the journal Clinical Biomechanics, was to examine lumbar spine, pelvis, and lower extremity kinematics during a step down functional task between people with and without a history of low back pain.
Subjects with low back pain displayed less lumbar spine movement than controls across all three planes of movement. This group difference was most pronounced in the sagittal plane.
For the lower extremity, subjects with low back pain displayed more frontal and axial plane knee movement than controls. There were no significant differences in kinematics among movement-based low back pain subgroups.
The study concluded that people with low back pain displayed less lumbar region movement in the sagittal plane and more off-plane knee movements than the control group during a step down task.
Clinicians can use this information when assessing lumbar spine and lower extremity movement during functional tasks, with the goal of developing movement-based interventions.
Surf to our Show Notes for Links – http://www.clinbiomech.com/article/S0268-0033(17)30124-9/abstract
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For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.