The Experts below are selected from a list of 15 Experts worldwide ranked by ideXlab platform
Parmenas Oroko - One of the best experts on this subject based on the ideXlab platform.
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Lumbosacral Corsets Improve the Outcome of Patients with Non-Specific Acute Low Back Pain
The Annals of African Surgery, 2018Co-Authors: Aruyaru Stanley Mwenda, Akil Fazal, Hassan Saidi, Parmenas OrokoAbstract:Introduction : Low back pain (LBP) is a common global problem affecting 60-90% of the population in their lifetime. It is a leading reason for hospital admission, healthcare spending, workplace absenteeism and years lived with disability. Up to 90% of patients suffering from low back pain do not have a serious pathology warranting imaging or further intervention. These are categorized as having non- specific low back pain. This has a good prognosis running a short course of 3 to 6 weeks. The use of Corset as a physical therapy for non-specific acute LBP has not been clearly supported with scientific evidence. However, it is commonly prescribed for this category of patients. It is important to assess the effect of this modality on the outcome of patients with non- specific acute LBP. Methods : This study aimed to assess the outcome of patients with non-specific acute low back pain treated with a Corset in addition to a standard analgesic protocol compared to those on a standard analgesic protocol alone over 3- week duration at the Aga Khan University Hospital, Nairobi, Kenya. Results: Seventy-nine patients were analyzed. There was a significant effect of time on the Oswestry Disability Index (ODI) (F= (1.38, 106.56) =207.89, P=.000). There was a statistically significant difference in ODI score between the two arms favoring the intervention arm (F (1, 27) =4.23, p=.043). The difference in pain score and days off duty was not statistically significant. The number of days off duty was comparable between the two arms. Compliance to use of Corset was good with mean of 1 day off the Corset. The maximal change in both ODI and pain score occurred between the first and second reviews indicating maximum clinical improvement within the first week. Conclusion: Compared to use of analgesia alone, the use of additional Corset among patients with non-specific acute LBP resulted in a significant improvement in their back specific disability Key words: Non-Specific Low Back Pain, Lumbosacral Corset, Disability
Sanghyu Cho - One of the best experts on this subject based on the ideXlab platform.
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the effect of a Lumbosacral Corset on the onset of rectus abdominis and hip extensor activity during hip extension in healthy subjects
Physical Therapy Korea, 2002Co-Authors: Chulhong Park, Ohyou Kwo, Sanghyu ChoAbstract:This study examined the muscle recruitment order during extension of the hip joint in normal subjects, and evaluated whether the external support obtained from wearing a Lumbosacral Corset had an effect on muscle recruitment leading to increased lumbar stability. The subjects were 40 normal adults (32 male, 8 female) with no history of low back pain and no pathological findings in the nervous or musculoskeletal systems. All subjects extended their hip joints under 3 positions (prone, sidelying, standing). During extension, the onsets of contraction of the rectus abdominis, gluteus maximus, and semitendinosus muscles were measured. Electromyographic activity was measured using a surface electrode, and the muscle contraction onset time was designated as the point exceeding a threshold of 25 ms, using a mean plus twice of the standard deviation. To compare the average order of muscle contraction onset time, a Freedman two-way analysis of variance by ranks was used. The relative difference between muscle contraction onset time wearing and not wearing a Lumbosacral Corset was measured using a paired t-test. A difference in the average muscle contraction onset order for the rectus abdominis, gluteus maximus, and semitendinosus muscles was observed (p
Mwenda, Stanley Aruyaru - One of the best experts on this subject based on the ideXlab platform.
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Effect of Additional Lumbosacral Corset on the Outcome of Patients with Non-Specific Acute Low Back Pain at The Aga Khan University Hospital, Nairobi
eCommons@AKU, 2016Co-Authors: Mwenda, Stanley AruyaruAbstract:Introduction: Low back pain (LBP) is a common problem world over affecting 60-90% of the population in their lifetime. It is a leading reason for hospital admission, healthcare spending, workplace absenteeism and years lived with disability. Up to 90% of patients suffering from low back pain do not have a serious pathology warranting imaging or further intervention besides symptom relief. These are categorized as having non- specific low back pain. This has a good prognosis running a short course of 3 to 6 weeks. The management of non-specific acute LBP entails analgesia and non-pharmacologic interventions (back school and physical therapy). Many modalities of physical therapy are often employed for non-specific acute LBP. The use of Lumbosacral Corset as a physical therapy for non-specific acute LBP has not been clearly supported with scientific evidence. However, it is commonly prescribed for this category of patients. It is important to assess the effect of this modality on the outcome of patients with non- specific acute LBP. Objective: To assess the outcome (change in back specific disability) of patients with non-specific acute low back pain treated with a Lumbosacral Corset in addition to a standard analgesic protocol compared to those on a standard analgesic protocol alone over a 3- week duration at the Aga Khan University Hospital, Nairobi, Kenya. Methods: A two-arm single blinded randomized controlled trial was carried out involving 82 consecutively sampled patients. Patients were randomized to analgesic protocol alone or analgesic protocol and a Lumbosacral Corset and followed up weekly for three weeks. Back specific disability was assessed using the Oswestry Disability Index (ODI). The primary outcome was the mean change in the ODI score between the two arms. We analyzed the data by use of repeated masures ANOVA. Results: Seventy-nine patients were analysed. The baseline characteristics were similar. There was a significant effect of time on the ODI (F=(1.38, 106.56)=207.89, P=.000). There was a statistically significant difference in ODI score between the two arms favouring the intervention arm ( F (1, 27)=4.23, p=.043). The difference in pain score and days off duty was not statistically significant. The number of days off duty was comparable between the two arms. Compliance to use of Lumbosacral Corset was good with mean of 1 day off the Corset. The maximal change in both ODI and pain score occurred between the first and second reviews indicating maximum clinical improvement with the first week. Conclusion: Compared to use of analgesia alone, the use of additional Lumbosacral Corset among patients with non-specific acute LBP resulted in a significant improvement in their back specific disabilit
Aruyaru Stanley Mwenda - One of the best experts on this subject based on the ideXlab platform.
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Lumbosacral Corsets Improve the Outcome of Patients with Non-Specific Acute Low Back Pain
The Annals of African Surgery, 2018Co-Authors: Aruyaru Stanley Mwenda, Akil Fazal, Hassan Saidi, Parmenas OrokoAbstract:Introduction : Low back pain (LBP) is a common global problem affecting 60-90% of the population in their lifetime. It is a leading reason for hospital admission, healthcare spending, workplace absenteeism and years lived with disability. Up to 90% of patients suffering from low back pain do not have a serious pathology warranting imaging or further intervention. These are categorized as having non- specific low back pain. This has a good prognosis running a short course of 3 to 6 weeks. The use of Corset as a physical therapy for non-specific acute LBP has not been clearly supported with scientific evidence. However, it is commonly prescribed for this category of patients. It is important to assess the effect of this modality on the outcome of patients with non- specific acute LBP. Methods : This study aimed to assess the outcome of patients with non-specific acute low back pain treated with a Corset in addition to a standard analgesic protocol compared to those on a standard analgesic protocol alone over 3- week duration at the Aga Khan University Hospital, Nairobi, Kenya. Results: Seventy-nine patients were analyzed. There was a significant effect of time on the Oswestry Disability Index (ODI) (F= (1.38, 106.56) =207.89, P=.000). There was a statistically significant difference in ODI score between the two arms favoring the intervention arm (F (1, 27) =4.23, p=.043). The difference in pain score and days off duty was not statistically significant. The number of days off duty was comparable between the two arms. Compliance to use of Corset was good with mean of 1 day off the Corset. The maximal change in both ODI and pain score occurred between the first and second reviews indicating maximum clinical improvement within the first week. Conclusion: Compared to use of analgesia alone, the use of additional Corset among patients with non-specific acute LBP resulted in a significant improvement in their back specific disability Key words: Non-Specific Low Back Pain, Lumbosacral Corset, Disability
Chulhong Park - One of the best experts on this subject based on the ideXlab platform.
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the effect of a Lumbosacral Corset on the onset of rectus abdominis and hip extensor activity during hip extension in healthy subjects
Physical Therapy Korea, 2002Co-Authors: Chulhong Park, Ohyou Kwo, Sanghyu ChoAbstract:This study examined the muscle recruitment order during extension of the hip joint in normal subjects, and evaluated whether the external support obtained from wearing a Lumbosacral Corset had an effect on muscle recruitment leading to increased lumbar stability. The subjects were 40 normal adults (32 male, 8 female) with no history of low back pain and no pathological findings in the nervous or musculoskeletal systems. All subjects extended their hip joints under 3 positions (prone, sidelying, standing). During extension, the onsets of contraction of the rectus abdominis, gluteus maximus, and semitendinosus muscles were measured. Electromyographic activity was measured using a surface electrode, and the muscle contraction onset time was designated as the point exceeding a threshold of 25 ms, using a mean plus twice of the standard deviation. To compare the average order of muscle contraction onset time, a Freedman two-way analysis of variance by ranks was used. The relative difference between muscle contraction onset time wearing and not wearing a Lumbosacral Corset was measured using a paired t-test. A difference in the average muscle contraction onset order for the rectus abdominis, gluteus maximus, and semitendinosus muscles was observed (p
