Browsing by Subject "Low Back Pain"
Now showing 1 - 2 of 2
- Results Per Page
- Sort Options
Item OSTEOPATHIC MANIPULATIVE TREATMENT FOR LOW BACK PAIN DURING PREGNANCY: A CASE REPORT(2013-04-12) Hanley, KellyPurpose: In 2010 Licciardone et al. published the landmark paper "Osteopathic manipulative treatment of back pain and related symptoms during pregnancy: a randomized controlled trial" in the American Journal of Obstetrics and Gynecology. They found that osteopathic manipulative treatment (OMT) was effective at slowing or halting the deterioration of back-specific functioning during pregnancy. Since this publication there is been an increase in interest among physicians in the use of OMT as a treatment for back pain during pregnancy. The purpose of this case report is to demonstrate a pregnant patient with low back pain who was successfully treated with OMT. Methods: This case report consisted of a review of a patient's medical file. Results: A 19-year old G1P0 Caucasian female presented at an osteopathic manipulative medicine clinic at 21 weeks gestation for a three month history of low back pain. The patient was found to have somatic dysfunctions of the cervical, thoracic, and lumbar spine, as well as the pelvis and sacrum. She was treated with a variety of OMT techniques and reported reduced pain both immediately after treatment and at her 10 day follow-up appointment. Conclusions: Low back pain is a common complaint among pregnant women and can be treated with OMT to reduce pain and improve function. Osteopathic physicians should continue to offer OMT to their obstetric patients because of its proven effectiveness.Item The SPADE symptom cluster and physical disability in chronic low back pain patients(2019-12) Hendrix, Zachary N.; Cross, Deanna S.; Licciardone, John C.; Kearns, Cathleen; Mathew, Stephen O.Introduction: Chronic pain is a major healthcare issue. It is debilitating and often occurs simultaneously with other health issues (Murray et al., 2013; Shmagel et al., 2016). The SPADE symptom cluster (sleep disturbance, pain interference, anxiety, depression, and low energy/fatigue) is common in chronic low back pain (cLBP) patients and may interact with their disability (Alamam et al., 2019; Davis et al., 2016; Tavares et al., 2019). Methods: This cross-sectional study utilized data from the Pain Registry for Epidemiological, Clinical, and Interventional Studies and Innovation (PRECISION). The PROMIS-29 v2.0 was used to assess SPADE symptoms, and the Roland-Morris Disability Questionnaire was used to measure disability. The Spearman-Rho correlation between each SPADE symptom and disability was calculated. The correlations were then tested for significant differences and ranked in order of strongest to weakest correlation. Lastly, groups were assigned based on the number of presenting symptoms and tested for between-groups differences in mean disability. Results: Each of the five SPADE symptoms and the composite SPADE score were all positively and significantly correlated with disability. Pain Interference was most strongly correlated with disability. SPADE comorbidity was related to disability. Conclusion: SPADE symptoms greatly increase disability in chronic low back pain patients.