Show Notes for July 13, 2018

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 –

  • Connection Between Pro-inflammatory biomarkers and nonspecific low back pain
  • And Finally, a Story about Correlation between the Oswestry Disability Index and walking capacity and performance in patients with lumbar spinal stenosis

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #639 recorded July 13, 2018

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

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Connection Between between pro-inflammatory biomarkers and nonspecific low back pain

About 85% of the patients with low back pain seeking medical care have nonspecific low back pain (NsLBP), implying that no definitive cause can be identified.

Nonspecific low back pain is defined as LBP and disability which cannot be linked to a underlying pathology, such as cancer, spinal osteomyelitis, fracture, spinal stenosis, cauda equine, ankylosing spondylitis and visceral-referred pain.

Many pain conditions are linked with elevated serum levels of pro-inflammatory biomarkers. Outcomes of interest are NsLBP and the level of pro-inflammatory biomarkers.

The purpose of a recent study published in the journal The Spine Journal, was to unravel the etiology and get better insight in the prognosis of nonspecific low back pain, the aim of this study was to assess the association between proinflammatory biomarkers and the presence and severity of nonspecific low back pain.

This study concluded that there is moderate evidence for

  1. a positive association between the pro-inflammatory biomarkers CRP and IL-6 and the severity of nonspecific low back pain, and
  2. a positive association between TNF-α and the presence of nonspecific low back pain. Conflicting and limited evidence was found for the association between TNF-α and RANTES and severity of nonspecific low back pain, respectively.

Surf to our Show Notes for Links – https://www.ncbi.nlm.nih.gov/pubmed/29960111

 

 

Correlation between the Oswestry Disability Index and walking capacity and performance in patients with lumbar spinal stenosis

The Oswestry Disability Index (ODI) plays a significant role in lumbar spinal stenosis research and is used to assess patient’s walking limitations.

The World Health Organization describes the constructs of walking capacity and performance and recommend measuring both to fully describe patient’s walking ability.

A recent review of the literature, published in the European Spine Journal, was made to provide an overview of relations between the Oswestry Disability Index and outcome measures of walking capacity and performance in spinal stenosis research, and to provide a strategy for improving such measures in future research.

The study concluded that the Oswestry Disability Index should not stand alone when evaluating walking limitations in patients with lumbar spinal stenosis.

To enable a comprehensive assessment of walking ability, a walking test should be used to assess walking capacity and accelerometers should be investigated and standardized in measuring walking performance.

Surf to our Show Notes for Links – https://link.springer.com/article/10.1007/s00586-018-5520-5?wt_mc=alerts.TOCjournals&utm_source=toc&utm_medium=email&utm_campaign=toc_586_27_7

 

 

 

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Finally, I leave you with the following quote:

Ideas are easy. Implementation is hard.”
― 
Guy Kawasaki

For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.

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