Sthenia, ambition and educational level in patients suffering from ankylosing spondylitis: A controlled study of personality features as compared to rheumatoid arthritis and unspecified low back pain

1982 ◽  
Vol 1 (4) ◽  
pp. 243-250 ◽  
Author(s):  
J. L. Zant ◽  
A. J. Dekker-Saeys ◽  
I. C. Van Den Burgh ◽  
A. Kolman ◽  
R. J. Van Der Stadt
1970 ◽  
Vol 22 (1) ◽  
pp. 144-146 ◽  
Author(s):  
ABMS Alam ◽  
MA Hoque ◽  
MZ Haque ◽  
ASMM Rahman ◽  
F Ahamed

We report a case of middle aged man who presented with inflammatory low back pain with restriction of movement and enthesopathy. Later on the developed inflammatory pain affecting small and large joints of upper and lower limbs associated with morning stiffness with deformities. There is also positive family history. So, though the incidence is very rare the co-existence of rheumatoid arthritis and ankylosing spondylitis in this case would be a possibility. DOI: 10.3329/taj.v22i1.5040 TAJ 2009; 22(1): 144-146


1992 ◽  
Vol 55 (2) ◽  
pp. 69-72 ◽  
Author(s):  
Grace M Sweeney ◽  
A K Clarke

This article reports the findings of a Department of Health study of easy chairs for people with ankylosing spondylitis, rheumatoid arthritis, osteoarthritis of the hips and generalised low back pain. Fifteen chairs were tested for comfort, support, ease of sitting and ease of egress by a sample of 100 subjects in a controlled setting. The results demonstrated that several of the tested chairs could be used comfortably by people with arthritis and low back pain, and that common design characteristics influenced comfort for all subjects.


2020 ◽  
Vol 46 (6) ◽  
pp. 365-368
Author(s):  
William B. Weeks ◽  
Jason Pike ◽  
Christopher J. Schaeffer ◽  
Mathew J. Devine ◽  
John M. Ventura ◽  
...  

2014 ◽  
Vol 21 (1) ◽  
pp. 75-78 ◽  
Author(s):  
Michael W. Groff ◽  
Andrew T. Dailey ◽  
Zoher Ghogawala ◽  
Daniel K. Resnick ◽  
William C. Watters ◽  
...  

The utilization of pedicle screw fixation as an adjunct to posterolateral lumbar fusion (PLF) has become routine, but demonstration of a definitive benefit remains problematic. The medical evidence indicates that the addition of pedicle screw fixation to PLF increases fusion rates when assessed with dynamic radiographs. More recent evidence, since publication of the 2005 Lumbar Fusion Guidelines, suggests a stronger association between radiographic fusion and clinical outcome, although, even now, no clear correlation has been demonstrated. Although several reports suggest that clinical outcomes are improved with the addition of pedicle screw fixation, there are conflicting findings from similarly classified evidence. Furthermore, the largest contemporary, randomized, controlled study on this topic failed to demonstrate a significant clinical benefit with the use of pedicle screw fixation in patients undergoing PLF for chronic low-back pain. This absence of proof should not, however, be interpreted as proof of absence. Several limitations continue to compromise these investigations. For example, in the majority of studies the sample size is insufficient to detect small increments in clinical outcome that may be observed with pedicle screw fixation. Therefore, no definitive statement regarding the efficacy of pedicle screw fixation as a means to improve functional outcomes in patients undergoing PLF for chronic low-back pain can be made. There appears to be consistent evidence suggesting that pedicle screw fixation increases the costs and complication rate of PLF. High-risk patients, including (but not limited to) patients who smoke, patients who are undergoing revision surgery, or patients who suffer from medical conditions that may compromise fusion potential, may appreciate a greater benefit with supplemental pedicle screw fixation. It is recommended, therefore, that the use of pedicle screw fixation as a supplement to PLF be reserved for those patients in whom there is an increased risk of nonunion when treated with only PLF.


2017 ◽  
Vol 30 (suppl 1) ◽  
pp. 351-361 ◽  
Author(s):  
Alexandre Apolinário de Souza Batista ◽  
Nicholas Henschke ◽  
Vinícius Cunha Oliveira

Abstract Introduction: Non-specific low back pain (LBP) can be understood through the interaction of biopsychosocial factors such as education. Unfortunately, it remains unclear whether education can be considered an important risk and prognostic factor for the occurrence of LBP. Objective: To investigate the association between education and LBP. Methods: The following databases were searched: MEDLINE, EMBASE, Cochrane, AMED and PsyINFO. Results: Thirteen studies were included in the review. The Prevalence Critical Appraisal Instrument (PCAI) was used to assess risk of bias. Methodological quality scores ranged from 7 to 10 on a scale of 0-10. There was a 23% (95% CI, 13-37) prevalence of LBP (10,582 out of a total of 99,457 cases) in the general sample at the time of assessment. The meta-analysis of studies on the prevalence of LBP in people with low, medium or high educational level found the following results, respectively: 24% (95% CI, 12-43), 27% (95% CI, 9-56), and 18% (95% CI, 5-50). The meta-regression identified heterogeneity among the studies included in the review. This can be explained by educational differences (p < 0.05). Conclusion: Occurrence of LBP varies according to educational level. Individuals with higher educational levels are less often affected by LBP than individuals with medium or low educational levels.


2019 ◽  
Author(s):  
Chao Hsing Yeh ◽  
Cuicui Li ◽  
Ronald Glick ◽  
Elizabeth A. Schlenk ◽  
Kathryn Albers ◽  
...  

Abstract Background: Chronic low back pain (cLBP) is a major health problem and the most common pain condition among those 60 years of age or older in the US. Despite the development of pharmacological and nonpharmacological interventions, cLBP outcomes have not improved and disability rates continue to rise. This study aims to test auricular point acupressure (APA) as a non-invasive, nonpharmacological self-management strategy to manage cLBP and to address current shortcomings of cLBP treatment. Methods: For this prospective randomized controlled study, participants will be randomly assigned into three groups: (1) APA (active points related to cLBP), (2) Comparison Group -1 (non-active points, unrelated to cLBP), (3) Comparison Group-2 (enhanced educational control, an educational booklet on cLBP will be given and the treatment used by participants for their cLBP will be recorded). The ecological momentary assessment smartphone app will be used to collect real-time cLBP outcomes and adherence to APA practice. Treatment and nonspecific psychological placebo effects will be measured via questionnaires for all participants. This proposed trial will evaluate the APA sustained effects for cLBP at 12-month follow-up. Monthly phone follow-up will be used to collect study outcomes. Blood will be collected during study visits at baseline, post-APA treatment, and follow-up study visits at 1-, 3-, 6-, 9- and 12-months post-completion of treatment for a total of 7 assessments. Appointments will start between 9 and 11 am to control for circadian variation in cytokine levels. Discussion: This study is expected to provide vital information on the efficacy, sustainability, and underlying mechanism of APA on cLBP necessary for APA to gain acceptance from both healthcare providers and patients, which would provide a strong impetus for including APA as part of cLBP management in clinical and home settings. Trial registration: NCT03589703, Registered on May 22, 2018 Keywords: Chronic low back pain, auricular point acupressure, older adults, cytokines


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