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Kianchong Lim - One of the best experts on this subject based on the ideXlab platform.
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a clinical prediction rule for classifying patients with low back pain who demonstrate short term improvement with mechanical Lumbar Traction
European Spine Journal, 2009Co-Authors: Congcong Cai, Yonghao Pua, Kianchong LimAbstract:The objective of the study was to develop a clinical prediction rule for identifying patients with low back pain, who improved with mechanical Lumbar Traction. A prospective, cohort study was conducted in a physiotherapy clinic at a local hospital. Patients with low back pain, referred to physiotherapy were included in the study. The intervention was a standardized mechanical Lumbar Traction program, which comprised three sessions provided within 9 days. Patient demographic information, standard physical examination, numeric pain scale, fear-avoidance beliefs questionnaire and Oswestry low back pain disability index (pre- and post-intervention) were recorded. A total of 129 patients participated in the study and 25 had positive response to the mechanical Lumbar Traction. A clinical prediction rule with four variables (non-involvement of manual work, low level fear-avoidance beliefs, no neurological deficit and age above 30 years) was identified. The presence of all four variables (positive likelihood ratio = 9.36) increased the probability of response rate with mechanical Lumbar Traction from 19.4 to 69.2%. It appears that patients with low back pain who were likely to respond to mechanical Lumbar Traction may be identified.
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treadmill walking with body weight support is no more effective than cycling when added to an exercise program for Lumbar spinal stenosis a randomised controlled trial
The Australian journal of physiotherapy, 2007Co-Authors: Congcong Cai, Yonghao Pua, Kianchong LimAbstract:Question: Is 6 weeks of treadmill walking with body weight support more effective than cycling in people with Lumbar spinal stenosis when added to an exercise program? Design: Randomised controlled trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Participants: Sixty-eight patients aged 58 (SD 8) with symptoms of Lumbar spinal stenosis for 12 weeks (SD 49). Intervention: Participants performed either treadmill with body weight support or cycling, twice weekly, for 6 weeks. Both groups also received an exercise program consisting of heat, Lumbar Traction, and flexion exercises. Outcome measures: The primary outcome was disability measured using the modified Oswestry Disability Index. Secondary outcomes were disability, measured using the Roland-Morris Disability Questionnaire, pain severity, and patient perceived benefit. Measures were collected midway through intervention at 3 weeks and after intervention at 6 weeks. Results: There was no difference between the groups in reduction in disability or pain over the 6-week intervention period. The between-group difference in the modified Oswestry Disability Index was 3.2 points (95% CI –3.1 to 7.7) at 6 weeks, and in pain severity was 2 mm on a 100 visual analogue scale (95% CI –5 to 10). Furthermore, the wide confidence intervals associated with estimates of patient benefit are consistent with no difference between the two groups. However, both groups did improve. Conclusion: Treadmill with body weight support and cycling may be equally effective in the conservative management of people with Lumbar spinal stenosis. However, the improvement observed in both groups was probably a combination of the intervention and the natural course of recovery of Lumbar spinal stenosis. [Pua YH, Cai CC, Lim KC (2007) Treadmill walking with body weight support is no more effective than cycling when added to an exercise program for Lumbar spinal stenosis: a randomised controlled trial. Australian Journal of Physiotherapy 53: 83–89]
Congcong Cai - One of the best experts on this subject based on the ideXlab platform.
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a clinical prediction rule for classifying patients with low back pain who demonstrate short term improvement with mechanical Lumbar Traction
European Spine Journal, 2009Co-Authors: Congcong Cai, Yonghao Pua, Kianchong LimAbstract:The objective of the study was to develop a clinical prediction rule for identifying patients with low back pain, who improved with mechanical Lumbar Traction. A prospective, cohort study was conducted in a physiotherapy clinic at a local hospital. Patients with low back pain, referred to physiotherapy were included in the study. The intervention was a standardized mechanical Lumbar Traction program, which comprised three sessions provided within 9 days. Patient demographic information, standard physical examination, numeric pain scale, fear-avoidance beliefs questionnaire and Oswestry low back pain disability index (pre- and post-intervention) were recorded. A total of 129 patients participated in the study and 25 had positive response to the mechanical Lumbar Traction. A clinical prediction rule with four variables (non-involvement of manual work, low level fear-avoidance beliefs, no neurological deficit and age above 30 years) was identified. The presence of all four variables (positive likelihood ratio = 9.36) increased the probability of response rate with mechanical Lumbar Traction from 19.4 to 69.2%. It appears that patients with low back pain who were likely to respond to mechanical Lumbar Traction may be identified.
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treadmill walking with body weight support is no more effective than cycling when added to an exercise program for Lumbar spinal stenosis a randomised controlled trial
The Australian journal of physiotherapy, 2007Co-Authors: Congcong Cai, Yonghao Pua, Kianchong LimAbstract:Question: Is 6 weeks of treadmill walking with body weight support more effective than cycling in people with Lumbar spinal stenosis when added to an exercise program? Design: Randomised controlled trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Participants: Sixty-eight patients aged 58 (SD 8) with symptoms of Lumbar spinal stenosis for 12 weeks (SD 49). Intervention: Participants performed either treadmill with body weight support or cycling, twice weekly, for 6 weeks. Both groups also received an exercise program consisting of heat, Lumbar Traction, and flexion exercises. Outcome measures: The primary outcome was disability measured using the modified Oswestry Disability Index. Secondary outcomes were disability, measured using the Roland-Morris Disability Questionnaire, pain severity, and patient perceived benefit. Measures were collected midway through intervention at 3 weeks and after intervention at 6 weeks. Results: There was no difference between the groups in reduction in disability or pain over the 6-week intervention period. The between-group difference in the modified Oswestry Disability Index was 3.2 points (95% CI –3.1 to 7.7) at 6 weeks, and in pain severity was 2 mm on a 100 visual analogue scale (95% CI –5 to 10). Furthermore, the wide confidence intervals associated with estimates of patient benefit are consistent with no difference between the two groups. However, both groups did improve. Conclusion: Treadmill with body weight support and cycling may be equally effective in the conservative management of people with Lumbar spinal stenosis. However, the improvement observed in both groups was probably a combination of the intervention and the natural course of recovery of Lumbar spinal stenosis. [Pua YH, Cai CC, Lim KC (2007) Treadmill walking with body weight support is no more effective than cycling when added to an exercise program for Lumbar spinal stenosis: a randomised controlled trial. Australian Journal of Physiotherapy 53: 83–89]
Yonghao Pua - One of the best experts on this subject based on the ideXlab platform.
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a clinical prediction rule for classifying patients with low back pain who demonstrate short term improvement with mechanical Lumbar Traction
European Spine Journal, 2009Co-Authors: Congcong Cai, Yonghao Pua, Kianchong LimAbstract:The objective of the study was to develop a clinical prediction rule for identifying patients with low back pain, who improved with mechanical Lumbar Traction. A prospective, cohort study was conducted in a physiotherapy clinic at a local hospital. Patients with low back pain, referred to physiotherapy were included in the study. The intervention was a standardized mechanical Lumbar Traction program, which comprised three sessions provided within 9 days. Patient demographic information, standard physical examination, numeric pain scale, fear-avoidance beliefs questionnaire and Oswestry low back pain disability index (pre- and post-intervention) were recorded. A total of 129 patients participated in the study and 25 had positive response to the mechanical Lumbar Traction. A clinical prediction rule with four variables (non-involvement of manual work, low level fear-avoidance beliefs, no neurological deficit and age above 30 years) was identified. The presence of all four variables (positive likelihood ratio = 9.36) increased the probability of response rate with mechanical Lumbar Traction from 19.4 to 69.2%. It appears that patients with low back pain who were likely to respond to mechanical Lumbar Traction may be identified.
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treadmill walking with body weight support is no more effective than cycling when added to an exercise program for Lumbar spinal stenosis a randomised controlled trial
The Australian journal of physiotherapy, 2007Co-Authors: Congcong Cai, Yonghao Pua, Kianchong LimAbstract:Question: Is 6 weeks of treadmill walking with body weight support more effective than cycling in people with Lumbar spinal stenosis when added to an exercise program? Design: Randomised controlled trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Participants: Sixty-eight patients aged 58 (SD 8) with symptoms of Lumbar spinal stenosis for 12 weeks (SD 49). Intervention: Participants performed either treadmill with body weight support or cycling, twice weekly, for 6 weeks. Both groups also received an exercise program consisting of heat, Lumbar Traction, and flexion exercises. Outcome measures: The primary outcome was disability measured using the modified Oswestry Disability Index. Secondary outcomes were disability, measured using the Roland-Morris Disability Questionnaire, pain severity, and patient perceived benefit. Measures were collected midway through intervention at 3 weeks and after intervention at 6 weeks. Results: There was no difference between the groups in reduction in disability or pain over the 6-week intervention period. The between-group difference in the modified Oswestry Disability Index was 3.2 points (95% CI –3.1 to 7.7) at 6 weeks, and in pain severity was 2 mm on a 100 visual analogue scale (95% CI –5 to 10). Furthermore, the wide confidence intervals associated with estimates of patient benefit are consistent with no difference between the two groups. However, both groups did improve. Conclusion: Treadmill with body weight support and cycling may be equally effective in the conservative management of people with Lumbar spinal stenosis. However, the improvement observed in both groups was probably a combination of the intervention and the natural course of recovery of Lumbar spinal stenosis. [Pua YH, Cai CC, Lim KC (2007) Treadmill walking with body weight support is no more effective than cycling when added to an exercise program for Lumbar spinal stenosis: a randomised controlled trial. Australian Journal of Physiotherapy 53: 83–89]
Edward Czarnecki - One of the best experts on this subject based on the ideXlab platform.
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effect of 10 30 and 60 body weight Traction on the straight leg raise test of symptomatic patients with low back pain
Journal of Orthopaedic & Sports Physical Therapy, 2000Co-Authors: Thomas F Meszaros, Ronald Olson, Kornelia Kulig, Douglas S Creighton, Edward CzarneckiAbstract:Study Design Single group test-retest repeated measures. Objectives To determine the effects of Lumbar Traction with 3 different amounts of force (10%, 30% and 60% body weight) on pain-free mobility of the lower extremity as measured by the straight leg raise (SLR) test. Background There are several recommendations on how Lumbar Traction should be performed, but the duration, frequency, force, and type of technique to be applied differ among the sources. Methods and Measures Ten subjects with subjective complaints of low back pain or radicular symptoms with a positive unilateral SLR test below 45° participated in this study. The pain-free mobility of the lower extremity in the SLR test position was measured prior to and immediately following 5 minutes of static Traction in the supine position. Random assignment in the order of the amount of applied Traction was implemented. Results The straight leg raise measurements were found to be significantly greater immediately following 30% and 60% of body weight t...
Thomas F Meszaros - One of the best experts on this subject based on the ideXlab platform.
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effect of 10 30 and 60 body weight Traction on the straight leg raise test of symptomatic patients with low back pain
Journal of Orthopaedic & Sports Physical Therapy, 2000Co-Authors: Thomas F Meszaros, Ronald Olson, Kornelia Kulig, Douglas S Creighton, Edward CzarneckiAbstract:Study Design Single group test-retest repeated measures. Objectives To determine the effects of Lumbar Traction with 3 different amounts of force (10%, 30% and 60% body weight) on pain-free mobility of the lower extremity as measured by the straight leg raise (SLR) test. Background There are several recommendations on how Lumbar Traction should be performed, but the duration, frequency, force, and type of technique to be applied differ among the sources. Methods and Measures Ten subjects with subjective complaints of low back pain or radicular symptoms with a positive unilateral SLR test below 45° participated in this study. The pain-free mobility of the lower extremity in the SLR test position was measured prior to and immediately following 5 minutes of static Traction in the supine position. Random assignment in the order of the amount of applied Traction was implemented. Results The straight leg raise measurements were found to be significantly greater immediately following 30% and 60% of body weight t...
