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Low Back Muscle Fusion Rehabilitation

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1. Low Back Muscle Fusion Rehabilitation

Low Back Muscle Fusion Rehabilitation Low Back Muscle Fusion Rehabilitation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Low Back (...) Muscle Fusion Rehabilitation Low Back Muscle Fusion Rehabilitation Aka: Low Back Muscle Fusion Rehabilitation From Related Chapters II. Theory Use musculature to brace spine Flex knees to lower center of gravity Contract abdominal muscles to act as corset Maintain Flexibility Decreases spine loading of lower extremities III. Management: Stabilization Program Find neutral position Standing and sitting positions Prone gluteal squeezes Supine pelvic bracing Push against floor Bridging progression: Move

2018 FP Notebook

2. Early Initiation of a Strength Training Based Rehabilitation After Lumbar Spine Fusion Improves Core Muscle Strength

Early Initiation of a Strength Training Based Rehabilitation After Lumbar Spine Fusion Improves Core Muscle Strength Early Initiation of a Strength Training Based Rehabilitation After Lumbar Spine Fusion Improves Core Muscle Strength - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. Early Initiation of a Strength Training Based Rehabilitation After Lumbar Spine Fusion Improves Core Muscle Strength The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03349580 Recruitment Status : Completed First Posted

2017 Clinical Trials

3. Low back pain and radicular pain: development of a clinical pathway

be distinguished from low back pain 84 8.2.3 Imaging does not improve diagnosis 85 8.2.4 Follow-up is important to reassure the patient… and the care provider 86 8.3 FINDING 3: THE BIO-PSYCHO-SOCIAL PERSPECTIVE: A NEW APPROACH FOR SOME 86 8.3.1 The obsolete biomechanical model still used 86 8.3.2 A risk assessment of the bio-psycho-social factors is possible 89 8.3.3 Stratifying care according to the risk assessment can be useful for LBP 93 8.3.4 Multidisciplinary rehabilitation since the subacute phase (...) of public health) KCE Report 295 Low back pain and radicular pain: development of a clinical pathway 9 KBVFGR – SRBMPR Koninklijke Belgische Vereniging voor fysische geneeskunde & revalidatie – RBSPRM – Société Royale Belge de médecine physique et de réadaptation – Royal Belgian Society of Physical and Rehabilitation Medicine KU Catholic University (Katholieke Universiteit) LBP Low back pain LMN Lokaal Multidisciplinair Netwerk LUSS Ligue des Usagers des Services de Santé MEDLINE Medical Literature

2017 Belgian Health Care Knowledge Centre

4. Low back pain and radicular pain: evaluation and management

TREATMENT (MEDICATION EXCLUDED) 38 3.2.1 Self-management 38 3.2.2 Exercise therapies 43 3.2.3 Postural therapies 52 3.2.4 Orthotics and appliances 57 3.2.5 Manual Therapies 61 3.2.6 Acupuncture 72 3.2.7 Electrotherapies 77 3.2.8 Psychological interventions 86 3.2.9 Multidisciplinary biopsychosocial rehabilitation (MBR) programs 90 3.2.10 Return to work programs 98 3.2.11 Back schools 101 3.3 MEDICATIONS 102 KCE Report 287 Low back pain and radicular pain 3 3.3.1 Non-steroidal anti-inflammatory drugs (...) subject headings MID Minimum important difference mm millimetre Mo Months MQE Moderate quality evidence MRC Medical Research Council Scale for muscle strength MRI Magnetic Resonance Imaging NA Not applicable NCGC National Clinical Guideline Centre NHMRC National Health and Medical Research Council (Australian) NICE National Institute for Health and Clinical Excellence (United Kingdom) KCE Report 287 Low back pain and radicular pain 9 NIDHI National Institute for Health and Disability Insurance

2017 Belgian Health Care Knowledge Centre

5. Cognitive and Mind-Body Therapies for Chronic Low Back and Neck Pain: Effectiveness and Value

experienced by a patient is due to one of these specific diagnoses. There are many treatment interventions for chronic low back and neck pain. These interventions include those that are invasive (epidural injections, discectomy, laminectomy, spinal fusion, neurostimulation, implantable pumps), pharmacologic (non-steroidal anti-inflammatory drugs, corticosteroids, tricyclic anti-depressants, serotonin-norepinephrine reuptake inhibitors, muscle relaxants, anti-seizure medications, and opioids (...) harms of tai chi include muscle soreness and foot or knee pain. Definitions Chronic back and neck pain can be categorized by duration, location, intensity and functional impact. Several of the common approaches to classification are defined below. There is no consensus on what change in the measures of pain and function is clinically meaningful, but the commonly cited recommendations are described below. Table 2.1. Classification of Low Back or Neck Pain by Duration Classification Duration Acute 10

2017 California Technology Assessment Forum

6. Diagnosis and Treatment of Low Back Pain

of transcutaneous electrical nerve stimulation (TENS). Not applicable Reviewed, New-added 19. For patients with low back pain, there is insufficient evidence to support the use of lumbar traction. Not applicable Reviewed, New-added 20. For patients with low back pain, there is insufficient evidence to support the use of electrical muscle stimulation. Not applicable Reviewed, New-added D. Pharmacologic Therapy 21. For patients with acute or chronic low back pain, we recommend treating with nonsteroidal anti (...) -inflammatory drugs, with consideration of patient-specific risks. Strong for Reviewed, Amended 22. For patients with chronic low back pain, we suggest offering treatment with duloxetine, with consideration of patient-specific risks. Weak for Reviewed, New-added 23. For patients with acute low back pain or acute exacerbations of chronic low back pain, we suggest offering a non-benzodiazepine muscle relaxant for short-term use. Weak for Reviewed, New-added 24. For patients with chronic low back pain, we

2017 VA/DoD Clinical Practice Guidelines

7. Lumbar Spine Muscle Degeneration Inhibits Rehabilitation-Induced Muscle Recovery

. Patients will be followed for six months post-operatively to measure muscle recovery and strength. Condition or disease Intervention/treatment Phase Disc Degeneration Low Back Pain Other: Exercise Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 60 participants Allocation: Non-Randomized Intervention Model: Parallel Assignment Intervention Model Description: Stratified by fatty infiltration severity (n=20/group x 2 (...) Lumbar Spine Muscle Degeneration Inhibits Rehabilitation-Induced Muscle Recovery Lumbar Spine Muscle Degeneration Inhibits Rehabilitation-Induced Muscle Recovery - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding

2018 Clinical Trials

8. Low Back Muscle Fusion Rehabilitation

Low Back Muscle Fusion Rehabilitation Low Back Muscle Fusion Rehabilitation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Low Back (...) Muscle Fusion Rehabilitation Low Back Muscle Fusion Rehabilitation Aka: Low Back Muscle Fusion Rehabilitation From Related Chapters II. Theory Use musculature to brace spine Flex knees to lower center of gravity Contract abdominal muscles to act as corset Maintain Flexibility Decreases spine loading of lower extremities III. Management: Stabilization Program Find neutral position Standing and sitting positions Prone gluteal squeezes Supine pelvic bracing Push against floor Bridging progression: Move

2015 FP Notebook

9. Spinal Surgery for Chronic Low Back Pain

therapy and short-term use of opioids as needed. Secondary care may involve multidisciplinary rehabilitation, adjunctive analgesics, strong opioids or fusion surgery. Diagnostic imaging may be used to determine whether patients with CLBP and neurological involvement that is refractory to conservative management are appropriate candidates for epidural spinal injections or decompression surgery. Spinal Surgery for Chronic Low Back Pain ASERNIP-S – June 2014 vii One guideline strongly recommended (...) versus conservative management for the treatment of CLBP. One systematic review showed no detectable difference in effectiveness between lumbar fusion and conservative management for chronic discogenic low back pain. The overview of reviews reported better Zurich Claudication Questionnaire scores in patients with spinal stenosis who received interspinous spacers than in patients who received conservative treatment, but evidence is needed regarding long-term follow-up. Another systematic review found

2014 ASERNIP-S

10. Evidence-Informed Primary Care Management of Low Back Pain

-inflammatory drugs (NSAIDs)* Interferential current therapy* Touch therapies* Y oga therapy* Acute and Subacute Low Back Pain Interventions and Practices Considered Diagnostic tests Laboratory testing Physical exercise Therapeutic exercise Therapeutic aquatic exercise* Yoga therapy* Active rehabilitation Self-management programs Massage therapy Acupuncture Acetaminophen and NSAIDs* Muscle relaxants Antidepressants Opioids Herbal medicine* Behavioural therapy/progressive muscle relaxation Multidisciplinary (...) work, within the limits permitted by the pain. Physical exercise is recommended. Patients should limit/pace any activity or exercise that causes spread of symptoms (peripheralization). Self-treating with an exercise program not specifically designed for the patient may aggravate symptoms. SR (G1, G2, G4) Return to Work Encourage early return to work. Refer workers with low back pain beyond 6 weeks to a comprehensive return-to- work rehabilitation program. Effective programs are typically

2011 Toward Optimized Practice

11. Motor control exercise for persistent, nonspecific low back pain: a systematic review

Motor control exercise for persistent, nonspecific low back pain: a systematic review Motor control exercise for persistent, nonspecific low back pain: a systematic review Motor control exercise for persistent, nonspecific low back pain: a systematic review Macedo LG, Maher CG, Latimer J, McAuley JH CRD summary The review found motor control exercise significantly reduced pain at short, intermediate and long-term follow-up, and disability at long-term follow-up, compared with a minimal (...) intervention, or when added to another intervention, in patients with persistent, non-specific lower back pain. The main conclusion appears to be reliable, although there was limited evidence for the minor conclusions. Authors' objectives To evaluate the effectiveness of motor control exercise for persistent non-specific low back pain. Searching MEDLINE (from 1950), CINAHL (from 1982), AMED (from 1985), EMBASE (from 1988) and PEDro were searched to June 2008 for publications in any language; search terms

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2009 DARE.

12. Systematic guideline search and appraisal, as well as extraction of relevant recommendations, for a DMP "chronic back pain"

-specific LBP 18 4.5.6 Invasive therapy for patients with chronic non-specific LBP 20 4.5.7 Rehabilitation measures 20 4.5.8 Cooperation of healthcare sectors 21 4.5.9 Patient training 21 4.5.10 Treatment of chronic LBP with specific symptoms and findings 22 4.5.10.1 Recommendations for patients with disc-related LBP, spinal canal stenosis, radiculopathy, and post-nucleotomy syndrome (failed back surgery syndrome) 22 4.5.10.2 Patients with lumbar facet joint pain 22 4.5.10.3 Patients with sacroiliac (...) of Medicine IQWiG Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen (Institute for Quality and Efficiency in Health Care) LBP low back pain LoE Level of Evidence NSAID nonsteroidal anti-inflammatory drug NVL Nationale VersorgungsLeitlinie (National Care Guideline) PENS percutaneous electrical nerve stimulation RCT randomized controlled trial SSNRI selective serotonin norepinephrine reuptake inhibitor SSRI selective serotonin reuptake inhibitor TENS transcutaneous electrical nerve

2016 Institute for Quality and Efficiency in Healthcare (IQWiG)

13. Mechanical Low Back Pain (Treatment)

Mechanical Low Back Pain (Treatment) Mechanical Low Back Pain Treatment & Management: Medical Issues/Complications, Rehabilitation Program, Surgical Intervention Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) that more focus was necessary on the psychosocial aspects of health behavior and job satisfaction. Exercise was found to be more effective than usual primary care management. Next: Rehabilitation Program Physical Therapy The treatment program for mechanical low back pain (LBP) must have specific functional goals and can be outlined in the following 6 steps: Control of pain and the inflammatory process - Pain treatment should be initiated early and efficiently to gain control. Ice, transcutaneous

2014 eMedicine.com

14. Rehabilitation following surgery for Lumbar Spinal Stenosis

spinal stenosis who had undergone primary spinal decompressive surgery (with or without fusion). Interventions compared were active rehabilitation (all forms of group or therapist-led exercise training or stabilisation training involving muscle strengthening exercises and flexibility training, as well as educational materials encouraging activity), and ‘usual care’ (varying from limited post-operative advice to stay active to a brief general programme of exercise with the primary aim of preventing (...) a relatively equal split male/female with mean ages 62 – 67.1. Outcomes assessed at short term (3 – 6 months) and long term (12 months) were functional status, leg pain, low back pain and general health. In one study not all participants attended short-term follow up and consequently only 340 were included in analysis. Only two studies assessed general health (n= 238). Short term outcomes Medium effect of rehabilitation on functional status which was clinically significant (log SMD, -0.22; 95% CI, -0.44

2015 The Musculoskeletal Elf

15. Safety and Efficacy Study of Rexlemestrocel-L in Subjects With Chronic Discogenic Lumbar Back Pain

associated with moderate radiographic degeneration at a lumbar disc is defined as the following (subject must meet all of the listed conditions): Chronic low back pain for at least 6 months Have failed 6 months of conservative back pain care. (Conservative treatment regimens may include any or all of the following: initial rest, medications [e.g., anti-inflammatory, analgesics, narcotics/opioids, muscle relaxants], massage, acupuncture, chiropractic manipulations, activity modification, home-directed (...) Safety and Efficacy Study of Rexlemestrocel-L in Subjects With Chronic Discogenic Lumbar Back Pain Placebo-controlled Study to Evaluate Rexlemestrocel-L Alone or Combined With Hyaluronic Acid in Subjects With Chronic Low Back Pain - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number

2015 Clinical Trials

16. Lumbar Fusion With The Icotec CF/PEEK Pedicle System In Combination With The Icotec CF/PEEK TLIF Cage ETurnâ„¢

Patients suffering from symptomatic degenerative disc disease or degenerative spondylolisthesis grade 1 or 2 with chronic low back pain, pain in the leg or buttock, muscle weakness, sensation abnormalities and/or neurogenic claudication requiring 1- or 2-level lumbar or lumbar-sacral spinal fusion. Procedure: 1- or 2-level spinal fusion 1- or 2-level lumbar or lumbar-sacral spinal fusion with the icotec CF/PEEK Pedicle System in combination with the icotec CF/PEEK TLIF Cage ETurn™ Outcome Measures Go (...) , Layout table for eligibility information Ages Eligible for Study: 18 Years to 80 Years (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Sampling Method: Non-Probability Sample Study Population Primary care clinic of selected spine centers Criteria Inclusion Criteria: Symptomatic degenerative disc disease or degenerative spondylolisthesis grade 1 or 2 with chronic low back pain, pain in the leg or buttock, muscle weakness, sensation abnormalities and/or neurogenic

2014 Clinical Trials

17. Spinal Instability and Spinal Fusion Surgery (Treatment)

stability produced by radical resection of facet and lateral masses. Covert instability Like chronic overt instability, covert instability is initially managed conservatively, but with a much higher threshold for abandoning conservative treatment in favor of fusion. Isolated spondylolysis without spondylolisthesis and spondylolisthesis without dynamic instability are typically treated conservatively with physical therapy and epidural steroid injections for at least 3-6 months. If back pain exists (...) , and secondary gain issues As always, the contraindications for surgery have to be weighed against the risks of not performing the operation in each particular situation. For instance, smoking and severe depression may be contraindications for fusion in a patient with back pain and disk degeneration but should not deter the surgeon from fusing an unstable cervical spine fracture. It is important to note that an active spine infection (diskitis/osteomyelitis) does not necessarily constitute a contraindication

2014 eMedicine Surgery

18. Spinal Instability and Spinal Fusion Surgery (Follow-up)

stability produced by radical resection of facet and lateral masses. Covert instability Like chronic overt instability, covert instability is initially managed conservatively, but with a much higher threshold for abandoning conservative treatment in favor of fusion. Isolated spondylolysis without spondylolisthesis and spondylolisthesis without dynamic instability are typically treated conservatively with physical therapy and epidural steroid injections for at least 3-6 months. If back pain exists (...) , and secondary gain issues As always, the contraindications for surgery have to be weighed against the risks of not performing the operation in each particular situation. For instance, smoking and severe depression may be contraindications for fusion in a patient with back pain and disk degeneration but should not deter the surgeon from fusing an unstable cervical spine fracture. It is important to note that an active spine infection (diskitis/osteomyelitis) does not necessarily constitute a contraindication

2014 eMedicine Surgery

19. Cancer and Rehabilitation (Overview)

. for 4-6 weeks, and the patient should keep her affected arm below the height of her shoulder for 2 weeks. However, encourage use of the arm in front of the body (as in washing the face or eating) to prevent stiffening of the joints. Some patients benefit from physical therapy (PT) to strengthen the abdominal muscle after TRAM flap surgery. If a TRAM flap reconstruction is planned, address rehabilitation issues, and preoperatively counsel the patient about the need for a program to address back (...) resources. [ , , ] See the images below. Breast cancer. Transverse rectus abdominis muscle (TRAM) flap. Breast cancer. Transverse rectus abdominis muscle (TRAM) flap. Surgical rehabilitation in head and neck cancer. Preface Physical medicine and rehabilitation (PM&R) is the medical specialty principally concerned with impairments, disabilities, and handicaps that arise after acute or chronic illness. According to the 1980 classification of the World Health Organization (WHO), impairment is physiologic

2014 eMedicine.com

20. Cancer and Rehabilitation (Diagnosis)

. for 4-6 weeks, and the patient should keep her affected arm below the height of her shoulder for 2 weeks. However, encourage use of the arm in front of the body (as in washing the face or eating) to prevent stiffening of the joints. Some patients benefit from physical therapy (PT) to strengthen the abdominal muscle after TRAM flap surgery. If a TRAM flap reconstruction is planned, address rehabilitation issues, and preoperatively counsel the patient about the need for a program to address back (...) resources. [ , , ] See the images below. Breast cancer. Transverse rectus abdominis muscle (TRAM) flap. Breast cancer. Transverse rectus abdominis muscle (TRAM) flap. Surgical rehabilitation in head and neck cancer. Preface Physical medicine and rehabilitation (PM&R) is the medical specialty principally concerned with impairments, disabilities, and handicaps that arise after acute or chronic illness. According to the 1980 classification of the World Health Organization (WHO), impairment is physiologic

2014 eMedicine.com

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