Ulm, Univ., Diss., 2008.

Thesis (MScPhysio (Physiotherapy))--Stellenbosch University, 2008. / The prevalence of low back pain (LBP) in United Arab Emirates (UAE) is estimated to be about 57% in males and 64% in females. Low back pain is commonly treated by primary care physicians and physiotherapists in the UAE. are increasingly used for clinical assessment, to demonstrate and reflect on the effectiveness of an intervention. Oswestry Disability Index (ODI) is Self-reported outcome measure that widely used and recommended for LBP. ODI Arabic version was developed and validated in women population. To date no UAE Arabic version of the ODI exists which has been cross-culturally adapted, validated and published in the peer-reviewed literature. . Objective The objectives are, to cross-culturally adapt the Arabic version of the ODI developed in Tunisia to devise a pre-final ODI-UAE Arabic version; to pre-test the pre-final ODI-UAE Arabic version in a target group of patients to devise the final ODI-UAE Arabic version; and to determine the reliability and construct validity of the final ODI-UAE Arabic version. Study design Culture adaptation, reliability and validity testing. Methodology The cross culture adaptation of the ODI Arabic version developed in Tunisia was performed in accordance with the published guidelines. For reliability 108 clients of UAE nationals with LBP were consecutively selected and completed the final ODI-UAE Arabic version, at baseline and 48 hours, and test–retest reliability and internal consistency were calculated. For validity 108 completed the final ODI-UAE Arabic version, VAS, and the Squat test at baseline and 4 weeks follow up; construct validity, items frequency response, response to change and floor and ceiling were evaluated. Results The ODI-UAE (9 questions) had high level of test–retest with ICC of 0.99; the mean at baseline and 48 hours was (0.68); Cronbach's alpha was 0.99. Strong positive correlation with VAS r =>0.70 (p = <0.01), and moderate inverse correlation between ODI and Squat r =>0.65 (p = <0.01).The results of the maximum frequency response were less than 80% for the entire 9 question. The effect size and the SRM of ODI-UAE, VAS and Squat test at baseline and 4 weeks were identical comparable the effect size, were 1.66, 1.85, and 1.59 respectively. ODI-UAE demonstrated absence of floor and ceiling effect; less than 15% of the respondents achieved the lowest or highest possible score respectively (0 -11.5) or (87-100%). Conclusion The ODI-UAE Arabic version is an easy to understand, reliable and valid condition-specific outcome measure for the measurement of the limitation of functional ability cause by LBP in the United Arab Emirates national population.

Thesis (M.Sc.(Physiotherapy)), Faculty of Health Sciences, University of the Witwatersrand, 2009 / Background Lower back pain (LBP) is a very prevalent and potentially disabling condition throughout the world not excluding South Africa. Most people in South Africa make use of Government hospitals making the results of this research applicable to the general population. Questionnaires like the Oswestry Disability Index (ODI) are easy and effective research tools to assess disability from LBP but most of them are developed in English. In South Africa however, many people are often not literate in English or struggle to fill in a questionnaire correctly without some assistance. This is possibly due to the previous education system adopted by the Apartheid government, variety of different cultures and the 11 official languages. Objectives To formulate a culturally adapted English version of the ODI suitable for possible use in the Zulu speaking population. Secondly, to establish whether there is a relationship between the degree of assistance needed to fill in the questionnaire and the level of education of the subject. Thirdly, to measure the internal consistency of the modified ODI and lastly to identify inconsistencies when using a translator for data collection. Study Design Explorative cross-sectional study Methods Cultural adaptation of the ODI was done suitable for the Zulu speaking population. Recordings were made of the participants filling in the modified ODI to identify problematic questions and inconsistencies in translations offered by the research assistant. The amount of assistance needed for each participant was scored with a rating scale and relationships were shown with regards to level of education. The internal consistency of the modified ODI was determined. Results A culturally adapted English version of the ODI was produced and problematic phrases altered. Two groups were identified from the data collection process; the assisted (20) and the Independent group (36).Overall the assisted group had lower levels of education and needed up to 100% assistance with the questionnaire compared with the Independent group. The overall Internal consistency of the questionnaire was found to be 0.8183 (Chronbach alpha) which is considered as good reliability. Inconsistencies with translations were identified and reported. Conclusion A significant amount of the target population needed assistance when filling in the English ODI despite the cultural adaptation thereof. This may be due to lower levels of education and the fact that they were mostly schooled in Zulu. Making use of a translator may not be the most reliable form of data collection but keeping in mind the literacy levels in South Africa, it may be a more accurate way of collecting correct data from individuals compared with incurring massive costs in translating of documents into a target language.

No description available.

<p>Low back pain (LBP) is a common musculoskeletal condition that can lead to pain, functional limitations and disability. Due to the prevalence of LBP, multiple self-reported outcome measures have been developed, which have resulted in redundancy in the literature. Two frequently used outcome measures are the Roland Morris Questionnaire (RMQ) and the Oswestry Disability Index (ODI). Few authors have performed head-to-head comparison studies to determine which of these outcome measures are the most successful at measuring sensitivity to change. The purpose of this thesis was to answer the question: Is there a difference in the sensitivity to change between the RMQ and the ODI in their ability to measure pain-related functional status in persons with low back pain?</p> <p>The first part of this thesis involves a systematic review of head-to-head comparison studies to determine the difference in the sensitivity to change of the RMQ and the ODI. Five databases were searched and nine articles were located. The second part of this thesis entails the development of a quality criteria form to evaluate head-to-head comparison studies.</p> <p>The third aspect of this research was to perform a head-to-head comparison study of the RMQ and the ODI using data from the nine studies. A small but significant difference was noted in favour of the RMQ in terms of the Spearman rank correlation coefficient between its change scores and the reference standard (Z = 2.36, p = 0.018; Z = 3.28, p = 0.001) and also in the Receiver Operating Characteristic curve area (<em>X</em>²₁ = 8.58, p = 0.003).</p> / Master of Science Rehabilitation Science (MSc)

Tikslas – nustatyti kineziterapijos poveikį slaugytojų, dirbančių slaugos skyriuje, juosmeninės stuburo dalies skausmui ir funkcijai. Tyrimo hipotezė – galvojame, kad naudojant juosmeninės stuburo dalies raumenis stiprinančius pratimus bei juosmens tempimą Saunders aparatu juosmeninės stuburo dalies skausmas mažės, o funkcija – gerės. Stuburo ligos yra labai paplitusios visame pasaulyje: apie 80 proc. pasaulio gyventojų bent kartą yra jautę vienokio ar kitokio intensyvumo nugaros skausmą. Apie 20 proc. gyventojų periodiškai pasikartoja nugaros skausmas, trunkantis tris ir daugiau dienų (Seibutis, 2008). Nugaros juosmeninės dalies skausmas yra labai paplitęs, dažniausiai jis nustatomas darbingo amžiaus žmonėms nuo 30 iki 50 metų amžiaus (Secer ir kt., 2009). Temos aktualumas – slaugos skyriuje dirbančiam personalui tenka susidurti su slaugos priemonių ir kėlimo įrangos stoka bei dideliu darbo krūviu, todėl personalas skundžasi varginančiais stuburo skausmais dėl netaisyklingo pacientų kėlimo ir vartymo (Aw et al., 2013). Užsienio autorių (d'Errico et al., 2013) atliktuose tyrimuose buvo nustatyta, kad dirbančių slaugytojų tarpe ypatingai dažnas yra juosmeninės stuburo dalies skausmas, kurį būtina kontroliuoti ir imtis priemonių nedarbingumui dėl jo mažinti. Temos naujumas – mokslinių tyrimų ir straipsnių apie slaugos skyriuje dirbančių slaugytojų nugaros juosmeninės dalies skausmus nėra daug. Kadangi slaugos skyriuose dirbančių slaugytojų darbo sąlygoms ir tenkančiam krūviui... [toliau žr. visą tekstą] / Object: to determine the effects of physical therapy for nurses working in the nursing section of the lumbar spine pain and function. Hypothesis of research – we think that the use of lumbar spine exercises and lumbar strain Saunders apparatus lumbar spine pain will decrease and the function is going to get better. Spinal diseases are very common in all world: about 80 percent of world population at least once felt one or another back pain intensity. About 20 percent of population back pain, lasting for three or more days is periodically recurring (Seibutis, 2008). Low back pain is a very common disorder, but mostly is determinated for able – bodied persons aged from 30 till 50 years old (Secer et al., 2009). Relevance of the subject – in the care unit working staff have to deal with the lack of nursing tools and lifting equipment and a heavy workload, because staff complaining to of troublesome of low back pain about incorrect patient lifting and turning (Aw et al., 2013). Previous investigations of foreign authors, it was found that nurses working in particular among frequent is pain in the lumbar spine, which it is necessary to monitor the occurrence of and to take measures for its reduction (d'Errico et al., 2013). Newness of the subject – research and articles about nursing for nurses working in the section of the back lumbar pain is not a lot of. Whereas the sections working in nursing nurses working conditions and the lack of attention given to the workload, decreasing... [to full text]

Made available in DSpace on 2016-06-02T20:18:18Z (GMT). No. of bitstreams: 1 TeseIAPW.pdf: 1512962 bytes, checksum: fa65d9db2288861ce39f29eb99b3533c (MD5) Previous issue date: 2004-12-02 / Work-related musculoskeletal disorders (WRMDs) are diseases that result in persistent pain, loss of functional capacity and associated work disability. This diagnostic is important because it is used to guide clinical and legal decisions. Their initial diagnosis is difficult because such diagnoses are based on complaints of pain and they often involve conflicting social and economic interests. Because of the complexity of such diagnoses, further studies are needed in order to analyze the association between subjective descriptions and objective findings. Therefore was made two research. The objective of the first research was to evaluate the impact of personal, clinical and occupational aspects on work ability of workers with and without WRMDs using an approved version of the Work Ability Index (WAI) and pain scale. This evaluated 127 workers of industrial production lines. A descriptive analysis was carried out using the Chi-square test and it was also performed a logistic regression analysis. A significant association was identified between the WAI and all personal, clinical and occupational aspects. Regression analysis showed that pain and sick leave together accounted for 59% of poor work ability. The objective of the second research was to evaluate the clinical and functional aspects of WRMDs, in relation to physical evaluation, perception of pain, self-reporting of symptoms and functional ability, among active workers at a single company with and without symptoms or evidence of this disorders. 134 female workers were physically evaluated by two trained physiotherapists. They filled out a questionnaire on discomfort due to pain, a pain scale, the Oswestry Disability Questionnaire (ODQ) and the Work Ability Index (WAI). The results were correlated and logistic regressions were run. According to the results symptom reports were explained by the results from the pain scale and the clinical findings and clinical findings by symptom reports and WAI. In two research the relationship between pain, symptom reports and clinical findings demonstrates that the patient s current state can be assessed not only by means of objective examinations, but also by means of instruments that take into account the patient s perception of his or her state. / Os distúrbios ostemusculares relacionados ao trabalho (DORT) podem resultar em dor crônica, diminuição da capacidade funcional e associada incapacidade para o trabalho.Seu diagnóstico é importante pois direciona as decisões clínicas e legais. No entanto, essas lesões apresentam desafios para seu diagnóstico e prognóstico, uma vez que envolvem indicadores subjetivos, porque há fatores de interesses sociais e econômicos envolvidos. Em função desta complexidade, mais estudos são necessários para analisar a associação entre relatos subjetivos e achados objetivos. Desta forma foram realizados dois estudos. O objetivo do primeiro foi avaliar o impacto de fatores pessoais, do trabalho e da lesão na capacidade funcional dos trabalhadores com e sem história de acometimento de lesões músculo-esqueléticas relacionadas ao trabalho, utilizando a aplicação autorizada do Índice de Capacidade para o Trabalho (WAI) e escala de dor. Este avaliou 127 trabalhadores de linhas de produção industrial. Os resultados foram analisados descritivamente, por meio do teste Qui-quadrado e pela análise de regressão logística. Todos os fatores pessoais, ocupacionais e clínicos analisados apresentaram relação significativa com a capacidade para o trabalho. A análise de regressão mostrou que dor e afastamento do trabalho explicaram juntas 59% da baixa capacidade para o trabalho. O objetivo do segundo estudo foi avaliar os aspectos clínicos e funcionais dos DORT, em relação a avaliação clínica, percepção da dor, auto-relato de sintomas e capacidade funcional através da avaliação de trabalhadores de uma mesma empresa, com sem sintomas de DORT. 134 mulheres foram fisicamente avaliadas por dois fisioterapeutas treinados e responderam a um questionário relacionado a sensação de dor ou desconforto, escala de dor, questionário de incapacidade de Oswestry (ODQ) e índice de capacidade para o trabalho (WAI). Os resultados foram correlacionados e a análise de logística foi aplicada. Os resultados indicaram que relatos de sintomas foram explicados pela escala de dor e exame clínico e o exame clínico foi explicado pelos relatos de sintomas e WAI. As associações entre dor, relatos de sintomas e exame clínico, demonstraram que o estado atual do paciente pode ser avaliado não somente por exames objetivos mas também por meio de instrumentos que levem em conta a percepção do próprio paciente sobre seu estado.

Background: Low back pain (LBP) is often associated with lumbar spinal instability (LSI). The multifidus muscle is considered a stabilizer of the spine and has been studied extensively with Rehabilitative Ultrasound Imaging (RUSI). There may be a relationshipbetween clinical signs of LSI, decreased cross-sectional area (CSA) of the multifidus and weakness. Having the ability to detect multifidus weakness without the use of RUSI may serve to be invaluable to the clinician in detecting multifidus weakness.Purpose: To investigate the relationship between the modified prone straight leg raise test (MPSLR) and CSA of the multifidusmuscle as measured by RUSI and to investigate the relationship between MPSLR and RUSI findings with the presence of low back pain symptoms that interfere with regular daily activities. Subjects: Participants consisted of two groups of subjects. One group (n=30, 87% male) comprised individuals in general good health, aged 18-55, without history of back pain. The second group (n=36, 56% male) comprised individuals aged 18-55, with history of low back pain within the past 12 months. Methodology: Subjects performed a MPSLR test to identify multifidus weakness. All subjects repeated the same test with concurrent RUSI to visualize the multifidusand measure its CSA. Results: A significant association between a positive MPSLR, asymmetry of the multifidus, and pain was observed (p r = .049, p = .696) was not observed. A sensitivity of 94% and a specificity of 63% was also discovered in the ability of the MPSLR test to detect asymmetry of themultifidus muscle within subjects. A positive MPSLR combined with a high Oswestry score of 25-30 further reinforced the probability of pain (p < .001) Conclusion: The MPSLR test demonstrated a strong association between a positive test and asymmetry of themultifidus muscle within subjects. Clinical Relevance: The MPSLR test can be used to identify patients at risk for LBP symptoms due to asymmetrical changes in the multifidus muscle of the lumbar spine, and aid in directing an appropriate rehabilitation approach to those patients in need of specific multifidus exercise prescription.

The main aim of the presented diploma thesis was to record objective and subjective changes after therapy with DNS concept in a group of 13 people with LBP. Moiré projection topography was used to record postural changes after 5.5 week therapeutic intervention. It was not clear, whether DNS exercise would help them to achieve visible postural changes and whether this technique is able to record these changes, which would mean that it is a suitable option for objectivisation of therapies focusing on correction of stabilisation and postural functions. Pedoscan was used for further objectivisation of the effect of DNS concept. The chosen correlate of the mentioned objective evaluation was Oswestry disability index, evaluating limitations of common everyday activities resulting from pain in the lower back, and the Numeric pain scale. Patients underwent 5 hour-long physiotherapeutic lessons, the recommended frequency of exercises in the household environment was 3-4 times per day. The probands exercised with the use of DNS concept according to the individual examination findings, especially in the area of the integrated spine stabilisation system. The data were statistically elaborated by Wilcoxon Signed-Rand test, which a non-parametric variant of the pair T-test. It is obvious from the results that...

During recent decades, lumbar spinal stenosis (LSS) has become the most common indication for spine surgery, a change that coincides with a higher worldwide prevalence of overweight and obesity. Thus, surgical treatment of LSS in the overweight and obese population is common and increasing in scope. The overall aim of this thesis was to investigate whether body mass index (BMI) is related to the development of LSS, and whether BMI is linked to outcome after surgery for LSS. We further evaluated whether there are specific experiences of LSS from a patient perspective. Data were obtained for all patients registered in the Swedish Spine Register who had undergone surgery for LSS between January 1, 2006 and June 30, 2008. After adjusting for differences in baseline characteristics, patients with obesity showed both poorer results after surgery and a higher rate of dissatisfaction than patients with normal weight (odds ratio 1.73; 95% confidence interval, CI, 1.36-2.19). Furthermore, patients with obesity in the cohort reported modest weight loss at follow-up (2.0 kg; 95% CI, 1.5-2.4), and only 8% reported a clinical important weight loss 2 years after surgery. Our analysis of 389,132 construction workers, showed that overweight (incidence rate ratio, IRR 1.68; 95% CI, 1.54-1.83) and obesity (IRR 2.18; 95% CI, 1.87-2.53) were associated with an increased future risk in developing LSS when compared with patients with normal weight. To gain insight into the patients' perspective of LSS, we performed interviews with 18 patients who were on a waiting list for LSS surgery. The transcripts, analyzed with content analysis, revealed that living with LSS is a physical, mental and social challenge in which resources to cope with the condition are of major importance. In summary, obesity is associated with poorer results after surgery, and patients with obesity report modest weight loss during follow-up. In addition, obesity is associated with an increased risk to develop LSS. Our findings revealed that being a patient with LSS, naturally involves considerable suffering and pain, but it also implies being a person with his or her own resources who is able to cope with these adverse conditions.