physical therapy exercises for back and neck pain
Chapter 016. Back and Neck Pain (Part 1) ppsx
... responsible for 25% of spinal column length (Figs 16-1 and 16-2) The disks are largest in the cervical and lumbar regions where movements of the spine are greatest The disks are elastic in youth and ... spine consists of cylindrical vertebral bodies separated by intervertebral disks and held together by the anterior and posterior longitudinal ligaments The intervertebral disks are composed of a ... age The function of the anterior spine is to absorb the shock of body movements such as walking and running Figure 16-1 Vertebral anatomy (From A Gauthier Cornuelle, DH Gronefeld: Radiographic...
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Chapter 016. Back and Neck Pain (Part 3) ppsx
... exaggerate their pain for the purpose of compensation or for psychological reasons Examination of the Back A physical examination that includes the abdomen and rectum is advisable Back pain referred ... "sclerotomal" pain may explain some cases of back and leg pain without evidence of nerve root compression Radicular back pain is typically sharp and radiates from the lumbar spine ... paraspinal muscles, and dull pain Knowledge of the circumstances associated with the onset of back pain is important when weighing possible serious underlying causes for the pain Some patients...
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Chapter 016. Back and Neck Pain (Part 4) docx
... present—see "Examination of the Back. " b These muscles receive the majority of innervation from this root c Straight leg–raising sign present—see "Examination of the Back. " ... Examination Findings Lumbo Reflex sacral Nerve Sen Motor Pain sory Distribution Roots L2a — Up per Psoas (hip flexion) Anteri or thigh anterior thigh L3a...
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Chapter 016. Back and Neck Pain (Part 5) pps
... normal when only limb pain or sensory nerve root injury or irritation is present Causes of Back Pain Table 16-3 Causes of Back and Neck Pain Congenital/developmental Spondylolysis and spondylolisthesisa ... Vertebral artery dissectionb Other Referred pain from visceral disease Postural Psychiatric, malingering, chronic pain syndromes a Low back pain only b Neck pain only ... responsible for the injury Needle EMG provides objective information about motor nerve fiber injury when the clinical evaluation of weakness is limited by pain or poor effort EMG and nerve conduction...
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Chapter 016. Back and Neck Pain (Part 8) ppsx
... onset of low back and buttock pain Patients are often males below age 40 Associated features include morning back stiffness, nocturnal pain, pain unrelieved by rest, an elevated ESR, and the histocompatibility ... x-rays, CT, or MRI Surgical foraminotomy results in long-term relief of leg and back pain in 80–90% of these patients The usefulness of therapeutic facet joint blocks for pain has not been rigorously ... disease, typically occurs in later life and primarily involves the cervical and lumbosacral spine Patients often complain of back pain that is increased with movement and associated with stiffness The...
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Chapter 016. Back and Neck Pain (Part 9) docx
... to appear MRI and CT are sensitive and specific for osteomyelitis; CT may be more readily available in emergency settings and better tolerated by some patients with severe back pain Spinal epidural ... with debilitating pain Candidates for PVP have midline back pain, palpation tenderness over the spinous process of the affected vertebral body,
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Chapter 016. Back and Neck Pain (Part 10) pdf
... lumbosacral back pain include chronic prostatitis, prostate cancer with spinal metastasis (Chap 91), and diseases of the kidney and ureter Lesions of the bladder and testes not usually produce back pain ... abdominal pain, midlumbar back pain, or both The pain may have a beltline distribution around the body A lesion in the transverse or proximal descending colon may refer pain to the mid or left back ... lumbosacral pain, as can renal artery or vein thrombosis Paraspinal lumbar pain may be a symptom of ureteral obstruction due to nephrolithiasis Other Causes of Back Pain Postural Back Pain There...
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Chapter 016. Back and Neck Pain (Part 7) ppsx
... nerve root pain despite conservative treatment for weeks at a minimum, and (4) recurrent incapacitating pain despite conservative treatment The latter two criteria are more subjective and less ... findings that, by themselves, should not dictate management decisions for patients with back pain There are four indications for intervertebral disk surgery: (1) progressive motor weakness from ... of multiple lumbosacral nerve roots within the spinal canal Low back pain, weakness and areflexia in the legs, saddle anesthesia, and loss of bladder function may occur The problem must be distinguished...
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Chapter 016. Back and Neck Pain (Part 11) doc
... for their back pain; (3) no information is provided about the details of treatment; and (4) no attempt to tabulate structural causes of ALBP is made The algorithms for the treatment of back pain ... physiologic studies, and imaging studies have been devised to minimize the likelihood of unsuccessful surgery.[newpage] Back Pain: Treatment Acute Low Back Pain (ALBP) ALBP is defined as pain of
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Chapter 016. Back and Neck Pain (Part 12) pdf
... but evidence for a long-term benefit is lacking Randomized studies of back school for primary prevention of low back injury and pain have failed to demonstrate any benefit NSAIDs and acetaminophen ... effective for ALBP Possible advantages of early ambulation for ALBP include maintenance of cardiovascular conditioning, improved disk and cartilage nutrition, improved bone and muscle strength, and ... Early resumption of normal physical activity (without heavy manual labor) is likely to be beneficial Proof is lacking to support the treatment of acute back and neck pain with acupuncture, transcutaneous...
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Chapter 016. Back and Neck Pain (Part 13) pot
... Dorsum forearm Wrist hand extensorsa Extensor digitoruma (finger extension) C8 Finger flexors Little finger Abductor pollicis (abduction D1) Medial 4th and brevis 5th fingers, medial forearm hand and ... innervation from this root Neck pain, which usually arises from diseases of the cervical spine and soft tissues of the neck, is common (4.6% of adults in one study) Neck pain arising from the cervical ... flexion) Lateral forearm, thumb, Radial index Pronator teres finger hand/forearm (internal forearm rotation) C7 Tricep s Middle fingers Tricepsa (arm extension) Posterio r arm, dorsal forearm, lateral...
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Chapter 016. Back and Neck Pain (Part 14) ppsx
... neck, shoulder, arm, or hand pain or tingling Neck pain, stiffness, and a range of motion limited by pain are the usual manifestations A herniated cervical disk is responsible for ~25% of cervical ... responsible for ~25% of cervical radiculopathies Extension and lateral rotation of the neck narrows the ipsilateral intervertebral foramen and may reproduce radicular symptoms (Spurling's sign) In ... radiculopathy and myelopathy may also be present Spinal cord involvement is suggested by Lhermitt's symptom, an electrical sensation elicited by neck flexion and radiating down the spine from the neck...
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Chapter 016. Back and Neck Pain (Part 15) potx
... metastatic to the cervical spine, infections (osteomyelitis and epidural abscess), and metabolic bone diseases may be the cause of neck pain Neck pain may also be referred from the heart with coronary ... cause neck pain and less commonly atlantoaxial subluxation; surgery may be required to prevent spinal cord compression Acute herpes zoster presents as acute posterior occipital or neck pain prior ... the fourth and fifth digits EMG and nerve conduction studies confirm the diagnosis Treatment consists of surgical resection of the anomalous band The weakness and wasting of intrinsic hand muscles...
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Chapter 016. Back and Neck Pain (Part 16) doc
... with cognitive intervention and exercises in patients with chronic back pain after previous surgery for disc herniation: A prospective randomized controlled study Pain 122:1, 2006 Cassidy JD ... compensation for pain and suffering on the outcome of insurance claims for whiplash injury N Engl J Med 342:1179, 2000 [PMID: 10770984] Cavalier R et al: Spondylolysis and spondylolisthesis in children and ... compensation for pain and suffering on the outcome of insurance claims for whiplash injury N Engl J Med 342:1179, 2000 [PMID: 10770984] Cavanaugh JM et al: Pain generation in lumbar and cervical...
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Chapter 016. Back and Neck Pain (Part 6) pps
... perianal pain, sometimes following minor trauma Neuroimaging studies reveal a low-lying conus (below L1-L2) and a short and thickened filum terminale Trauma A patient complaining of back pain and ... posteriorly; the meninges and spinal cord are normal A dimple or small lipoma may overlie the defect Most cases are asymptomatic and discovered incidentally during evaluation for back pain Tethered cord ... persisting for >1 year that not respond to conservative measures (e.g., rest, physical therapy) Surgery is usually indicated for cases with progressive neurologic deficit, abnormal gait or postural deformity,...
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Chapter 016. Back and Neck Pain (Part 2) doc
... intervertebral foramen at the same level The lumbar and cervical spine possess the greatest potential for movement and injury Approach to the Patient: Back Pain Types of Back Pain Understanding the ... tumor, infection, or referred pain from visceral structures (Table 16-1) Table 16-1 Acute Low Back Pain: Risk Factors for an Important Structural Cause History Pain worse at rest or at night ... intervertebral disk is not pain- sensitive under normal circumstances Pain sensation is conveyed partially by the sinuvertebral nerve that arises from the spinal nerve at each spine segment and reenters the...
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Báo cáo khoa học: "Use of kilovoltage X-ray volume imaging in patient dose calculation for head-and-neck and partial brain radiation therapy" pptx
... were 0, 50, 110, 250 and 310 degree for NK/T cases, and 0, 45, 90, 120, 160, 200, 240, 280 and 320 degree for NPC cases For brain cases, gantry angles were 0, 60, 230, 300 and 45 Hu et al Radiation ... body transformations, we selected the head -and- neck and brain tumor cases for our study, where this assumption was generally valid The calibration curve for kV-CBCT is different from that for conventional ... Synergy S, XVI, Crawley, UK) For imaging the head -and- neck and brain tumor patients, we used the following parameters: 100 kVp, S20 collimator and F0 filter, total 65 mAs and a high-resolution reconstruction...
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Báo cáo y học: "Pre- and post-operative gait analysis for evaluation of neck pain in chronic whiplash" pptx
... length Table All patients gave postoperative neck pain ratings that were significantly lower than before surgery, both for daily pain, and for how much their pain increased during exertion Table No ... cadence, and bilateral step lengths Pain assessment Participants rated their overall pain before and after each evaluation session, on a linear visual analog scale (VAS) with representing no pain and ... highly automated function and therefore better suited for standardized analysis A clinically validated marker system [27,28] was adopted for the purpose of this investigation, and the consistency of...
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báo cáo khoa học: " Process evaluation of a participatory ergonomics programme to prevent low back pain and neck pain among workers" pdf
... Hurwitz EL, Guzman J, Peloso PM: The burden and determinants of neck pain in workers: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders Spine (Phila ... for LBP and NP and prioritised ergonomic measures to prevent LBP and NP Working group members were positive about the quality of the PE steps performed during the meeting, meeting duration, and ... factors for LBP and NP and prioritised ergonomic measures to prevent LBP and NP Moreover, recruitment, reach, fidelity, and satisfaction towards the PE programme were good The same was found for...
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