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]

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.

Abstract The aim of this study was to evaluate the results of lumbar spine surgery and determine which factors modify outcome. A follow-up questionnaire, the Beck Depression Inventory (BDI, the Short Form 36 Health Survey (SF-36) and the Oswestry Low Back Disability Questionnaire (ODI) were sent to working-aged patients who had undergone lumbar spine surgery in the Oulu University Hospital between June, 2005 and May, 2008. Those with a BDI &#8805; 10 were further classified into either non-melancholic (NmDS) or melancholic depression (MDS) groups. Potential spinal cord stimulation (SCS) candidates were interviewed via telephone. The postal survey was sent to 814 patients, of which 537 (66%) replied. Of these, 361 had undergone disc surgery, 85 stabilizing surgery and 91 decompression. Pain intensity was milder, the frequency of pain more rare, functional disability minimal and quality of life better after disc surgery compared to stabilizing surgery and decompression, which are technically more demanding operations and the patients’ condition are often more serious. Altogether, 213 patients presented with depressive symptoms (DS) defined as having a BDI &#8805; 10, and these were further classified into NmDS (n = 153) and MDS (n = 60) subtypes. ODI differed between DS subtypes: those without DS had minimal, NmDS moderate and MDS severe functional disability. Pain was more frequent and more intense among DS patients. In particular, MDS patients suffered from pain, used more pain medication, but received less benefit from it. Disc surgery patients were divided according to body mass index (BMI): normal, pre-obese and obese. Pre-obese and obese patients gained weight during the follow-up. Obese patients had more DS and a worse functional outcome than normal-weighted or pre-obese patients. Of the entire cohort (n = 814), 21 patients received SCS. Eleven respondents underwent SCS treatment after they had replied. Features predicting SCS treatment were daily or continuous pain, higher pain intensity with predominant radicular pain, more severe pain-related functional disability, more DS and reduced benefit from pain medication. The time between lumbar surgery and implantation of a SCS device was extensive. Based on data from phone interviews, it appears that SCS was not offered to all potential candidates. In conclusion, the outcome of lumbar spine surgery was good after disc surgery but less favourable after more demanding stabilizing surgery or decompression. DS, especially of the MDS subtype, and obesity were more often seen in patients with a poorer surgical outcome. SCS treatment was used late and only for patients with very severe pain. / Tiivistelmä Tutkimuksen tarkoitus oli arvioida tuloksia lannerangan kirurgiassa ja kartoittaa tekijöitä, jotka vaikuttavat leikkaustulokseen. Seurantakysely, Beckin depressio¬kysely (BDI), SF-36 elämänlaatukysely ja Oswestryn toiminta¬kyky¬kysely (ODI), lähetettiin työikäisille Oulun yliopistollisessa sairaalassa kesäkuu 2005 - maaliskuu 2008 alaselkäleikatuille potilaille. Beckin depressioasteikko &#62; 10 luokiteltiin ei-melankolisesti masentuneisiin (NmDS) ja melankolisesti masen¬tuneisiin (MDS). Mahdolliset takajuostestimulaatio (TJS) -ehdokkaat haastateltiin puhelimitse. Postikysely lähetettiin 814 potilaalle, joista 537 (66%) vastasi. Näistä 361:lle tehtiin välilevytyräleikkaus, 85:lle stabiloiva leikkaus ja 91:lle juurikanavan avarrusleikkaus. Välilevytyräleikatuilla kipu oli lievempää, harvemmin esiintyvää, toiminnallinen haitta vähäisempää ja elämänlaatu parempaa verrattuna potilaisiin, joille tehtiin vaativampi stabiloiva tai juurikanavan avarrusleikkaus. Kaikkiaan 213 potilaalla oli depressio-oireita (DS, BDI &#8805; 10) ja nämä luokiteltiin edelleen NmDS (n = 153) ja MDS (n = 60) alaryhmiin. ODI erottui eri DS alatyyppien välillä: ei-DS-potilailla oli minimaalinen, NmDS-potilailla kohtuullinen ja MDS-potilailla vaikea toiminnallinen haitta. Kipua oli useammin ja voimakkaampana DS-potilailla. Erityisesti MDS-potilaat kärsivät kivuista, käyttivät enemmän kipulääkkeitä ja hyötyivät niistä vähemmän. Välilevytyräleikatut luokiteltiin painoindeksin (BMI) pohjalta normaaleihin, ylipainoisiin ja lihaviin. Ylipainoiset ja lihavat lihoivat seuranta-aikana. Lihavilla potilailla oli enemmän masennusta ja huonompi toiminnallinen tulos verrattuna normaaleihin ja ylipainoisiin. Koko tutkimusryhmässä (n = 814) 21 potilasta oli saanut TJS:n. Yksitoista vastaajaa sai TJS:n kyselytutkimuksen jälkeen. TJS:n saaneilla oli päivittäistä tai jatkuvaa, kovempaa ja pääasiassa jalkaan säteilevää kipua. Kipu aiheutti enemmän toiminnallista haittaa, enemmän masennusta ja nämä saivat vähemmän apua kipulääkityksestä. Aika leikkauksen ja TJS:n asennuksen välillä oli pitkä. Puhelinhaastattelun avulla saatu tieto osoittaa, ettei TJS-hoitoa tarjota kaikille potentiaalisille hyötyjille. Yhteenvetona voidaan todeta, että välilevytyräleikkauksen jälkeen tulos oli hyvä ja vaativampien stabiloivan ja juurikanavan avarrusleikkauksen jälkeen heikompi. DS, etenkin MDS ja lihavuus korostuivat huonommin toipuneissa. TJS-hoitoa käytettiin vain vaikeimmille tapauksille ja odotusajat olivat pitkät.