Complaint Of Low Back Pain Research Articles

Üniversite Öğrencilerinde Ağrı, Aleksitimi, Emosyonel Durum ve Yaşam Kalitesinin Değerlendirilmesi

Objective: The aim of this study was to investigate the relationship between musculoskeletal complaints, alexithymia defined as difficulty in the description and recognition of emotions, depression and quality of life in university students. Materials and Methods: 396 (233 female, 163 male) university students aged 18-25 were included. Extended Nordic Musculoskeletal Questionnaire was used to evaluate the musculoskeletal disorders, Toronto Alexithymia Scale was used to evaluate alexithymia, Beck Depression Inventory was used to evaluate the emotional state, Short Form-36 was used to evaluate the quality of life. Statistical analysis including descriptive and correlation was performed, p<0.05 was accepted for statistical significance. Results: Body regions which were most commonly reported for experiencing pain, low back (49.2%), neck (43.7%), upper back (40.2%) at some point in their lifetime, low back (38.2%), neck (35.4%), upper back (33.1%) during the past 12 months, low back (28.5%), neck (28.3%), upper back (24.5%) in the past month, low back (11.4%), neck (11.4%), upper back (10.1%) on the day of study. It was found that there was a correlation between the complaints of low back and neck pain with depression levels (p=0.00). Conclusion: In cases, musculoskeletal pain was the most common spine in all periods. This situation can be caused by the exposure of students to their fixed body positions in their daily lives for a long time. Although the quality of life of cases was high in terms of quality of life, we observed that emotionally affected negatively.

HUBUNGAN USIA DAN LAMA KERJA DENGAN RISIKO KELUHAN NYERI PUNGGUNG BAWAH PADA PEMBUAT EMPING TELO DI RINGINHARJO BANTUL DIY TAHUN 2017

Background: One aspect of occupational health is occupational disease, it is a worker risk due to industrial development and labor increase. According to Minister of Manpower and Transmigration Regulation no. Per.01 / MEN / 1981, occupational diseases are caused by a number of factors but some are from work, and lifestyle diseases. The problem that happened in Ringinharjo Village Hamlet from observation on September 26, 2017, obtained 10 respondents who are whole is teling emping maker, got result 80% of respondents have complaints of pain in back area, wrist and shoulder.  Objective: This study aims to determine the correlation between age and duration of work with risk of low back pain complaints on cassava emping maker in Ringinharjo, Bantul, DIY.  Methods: This research design is analytic survey study with cross sectional approach. A sample of 30 female teling employs was selected from the total sample. Data were analyzed by Kendall-tau test.  Result: There is correlation between age  = 0.000, duration of work  = 0.037 with lower back pain complaints.  Conclusion: There is a correlation between age and duration of work, with lower back complaints on cassava maker in Ringinharjo Village, Bantul District, Bantul Regency, DIY.

The Clinical Predictive Value of the Neutrophil to Lymphocyte Ratio as a Biomarker in Lumbar Disc Herniation

Objective: Low back pain is a frequently seen problem in the society and causes loss of labor. Although etiology of lumbar disc herniation is multi-factorial it is known that it is determinant for the etiology of intervertebral disc degeneration herniation. In recent studies, it has been shown that it has an efficient role in the process of inflamation and inflamatory cytokine disc. We aimed to investigate the association between the neutrophil to Lymphocyte Ratio level as an inflammatory biomarker in patients with lumbar disc herniation. Methods: 394 patients between the age of 18-80 applying to our center because of low back pain complaint and having lumbar MR were included in the study. The patients were divided into two groups as having lumbar disc hernia and not having based on the lumbar MR result. Blood samples were taken from all patients during application and neutrophil lymphocyte rates were calculated. Results. Average age of group with lumbar disc hernia was 46 and 55 of these cases were female and 45 of them were male. N/L rate was measured as 3.81+/-1.85 (p=0.001) in the group having lumbar disc hernia and significant difference compared to the control group was noted. It was found out that lifting weight (β=0.121 95% Cl (0.052-0.281), P&amp;lt;0.001),BMI (β=0.226, 95% Cl (0.080-0.640) P=0.005), DM (β=0.268 95% Cl (0.074-0.969), P=0.045), smoking (β=3.226 95% Cl (1,343-7.749), P&amp;lt;0.009), educational background (β=5.268 95% Cl (1.941-9.796), P=0.001) and NLR (β=1.302 95% Cl (1.013-1.673), P=0.039) were the independent predictors in the presence of lumbar disc herniation. Conclusion: NLR may be used as a simple and reliable premise independent predictor of lumbar disc herniation in patients with low back pain.

Magnetic resonance imaging evaluation of the effects of cigarette and maras powder (smokeless tobacco) on lumbar disc degeneration

ObjectiveThe main aim of this study was to investigate and compare the effects of the use of Maras powder and cigarettes on lumbar disc degeneration. Paients and methodsThis study included 87 adult patients who presented at our hospital with a complaint of mechanical low back pain and underwent lumbar magnetic resonance imaging (MRI). Patients meeting the inclusion criteria were divided into three groups. Group 1 included those who smoked Maras powder but not cigarettes, group 2 was comprised of those who smoked cigarettes but did not use Maras powder, and group 3 was comprised of those who did not use tobacco (no cigarettes or Maras powder) (control group). Lumbar disc degeneration was rated according to the Pfirrmann classification. Hematological parameters were obtained from all three groups. ResultsDegeneration levels in group 1 were significant when compared to the other groups at all disc levels. Maras powder contributed to intervertebral disc degeneration and this effect increased gradually towards the distal area. The neutrophil to lymphocyte ratio was significantly higher in group 1 than in the other two groups, and was positively correlated with the duration of use of Maras powder (r = 0.689, p ≤ 0.001). ConclusionAlthough more prevalent in the Maras powder group, lumbar disc degeneration increased significantly with tobacco usage. The results of our study show that Maras powder, commonly used regionally, is likely to cause more spinal disc degeneration than cigarettes.

Masa Kerja, Sikap Kerja Dan Jenis Kelamin Dengan Keluhan Nyeri Low Back Pain

&lt;p&gt;&lt;em&gt;Low Back Pain (LBP) is one of the health problems that are often found in the community. Every year 15-45% of adults suffer from low back pain, and one in 20 sufferers must be hospitalized due to acute attacks. Risk factors that influence the occurrence of low back pain include work period, work attitude and gender. This study aims to determine the relationship between Work Period, Work Attitude and Gender with Low Back Pain Pain Complaints in the Neurological Polyclinic of Royal Prima Jambi Hospital. The population in this study were all low back pain sufferers at the Nerve Polyclinic at Royal Prima Jambi Hospital from 425 people in May and sampling was done using accidental sampling technique which amounted to 78 patients. The analysis in this study using the Chi-square test. The results of the analysis show that there is a relationship between Work Period, Work Attitude and Gender with Low Back Pain Complaints in the Neurological Polyclinic of Royal Prima Jambi Hospital with a P-Value value of &amp;lt;0.05. There is a relationship between Work Period, Work Attitude and Gender with Low Back Pain Complaints in the Nerve Polyclinic Royal Prima Jambi Hospital. &lt;/em&gt;&lt;/p&gt;&lt;p&gt; &lt;/p&gt;&lt;p&gt;&lt;strong&gt;Keywords: &lt;/strong&gt;&lt;em&gt;Working Period, Work Attitude, Gender, Low Back Pain&lt;/em&gt;&lt;strong&gt;&lt;/strong&gt;&lt;/p&gt;

CORRELATION WORK ATTITUDE WITH LOW BACK PAIN (LBP) COMPLAINTS (STUDI ON FISH PORTER IN MUNCAR HARBOR BANYUWANGI)

Low back pain (LBP) is one of the complaints that are often encountered in workers, including fish porter. Fish porter are at risk of LBP's complaints, because their work is was did by standing and bent. This study purpose to study the correlation between work attitude with LBP complaints for fish porter (manol) in Muncar Harbor Banyuwangi. This tudy was analytic observational with a cross sectional aprroach. The number of samples in this study amounted 35 respondents and taken from the population amounted 42 respondents using simple random sampling technique. Data collection technique used interview questionnaires to get individual characteristics (age, length of work and smoking habits). REBA and NBM are used to observations work attitude and to determine LBP complaints. Data were analyzed using chi-square test and cross tabulation. The results the most fish porter aged up to 35 years (88,6%) , had length of work period up to five years (80%), moderate smokers category (48,6%). Majority work attitudes were not ergonomic (74.3% ), and 51.4% fish porter experienced LBP complaints. The result of the analysis with the chi-square test showed work attitude had correlation LBP complain (p value 0.042). Keywords: Low back pain, work attitude

EVALUASI SIKAP KERJA SEBAGAI RISIKO NYERI PUNGGUNG BAWAH

ABSTRACT&#x0D; Introduction: Low back pain (NPB) is the second leading cause of global disability in musculoskeletal problems, with the highest prevalence in Indonesia being among farmers. A non-ergonomic work attitude is at risk for lower back pain. Purpose: This study identified work attitudes as a risk in relation to the incidence of low back pain. Method: This study was an observational analytic cross-sectional approach conducted on 32 farmers in Karowa Village using Rapid Entire Body Assessment (REBA) to evaluate work attitudes and questionnaires to measure complaints of lower back pain. Results: The working attitude of farmers was 77.4% at high risk and 93.7% of farmers complained of moderate pain. There is a significant relationship between work attitude and lower back pain in farmers with a positive and strong direction. Discussion: The more it is not ergonomic the working attitude of farmers is, the more at risk of developing complaints of lower back pain. Community and farmers are expected to do work safely such as avoiding overloading of shoulders, often changing positions or stretching the body while working, and if possible do work alternately.&#x0D; &#x0D; Keywords: Evaluation, Work Attitude, Risk, Pain, Lower Back.

The Effect of Tai Chi Gymnastic on Decreasing Low Back Pain of Elderly Farmers

Low back pain is one of health problems that distrub a daily comfort and activities. Low back pain increasing along with the increase of age and bent forward position which was applied in daily working by elderly farmers. The aim of this study was to analyze the effect of tai chi gymnastic on decreasing low back pain of elderly farmers. The research design of this study was one group of pre test-post test design. The population objects in this study were all of elderly farmers with low back pain complaints which were recorder in the elderly medical center, which contained of 32 samples in total and were determined using simple random sampling technique. The independent variable in this study was Tai Chi gymnastic and low back pain of elderly farmers as dependent variable. Verbal descriptor scale was used as the data collection method. This study was using editing, coding, scoring and tabulating as data processing techniques, and Wilcoxon signed rank test on testing the statistics. The result of this study showed the percentages of each low back pain phases, which contained of 41% mild low back pain, 50% moderate low back pain and 9% hard low back pain before tai chi gymnastics. Besides, the percentages of low back pain phases after tai chi gymnastic were 69% for mild low back pain, 31% moderate low back pain and 0% hard low back pain. The result of Wilcoxon signed rank test showed that the p-value = 0.001 &lt; 0.05, so that H0 was rejected. The conclusion there was an effect of Tai chi gymnastic on decreasing low back pain of elderly farmers.&#x0D; Keywords: low back pain; elderly farmers; Tai chi gymnastic

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KELUHAN NYERI PUNGGUNG BAWAH (LOW BACK PAIN) PADA NELAYAN DI DESA BATU KARAS KECAMATAN CIJULANG PANGANDARAN

Data from the Ministry of Health's 2006 research on diseases and accidents that occur in fishermen and traditional divers, said that a number of fishermen on Bungin Island, West Nusa Tenggara suffered from joint pain (57.5 percent) and mild to deafness hearing loss (11.3 percent ) The results of the initial research health research on fishermen in Batukaras Village showed that the 10 most diseases were dominated by diseases related to low back pain. The aim of this study is to explore causes factor asscociation with low back pain in Batu Karas Village Community Fishermen Group. This study uses a quantitative approach with a cross sectional study design. The population in this study was the Batu Karas Village Community Fishermen Group. This sampling was carried out based on the fishermen presented at the time of the study (accidental sampling) and willing to become research respondents by filling out and signing informed consent as many as 140 respondents. Data retrieval is done by structured interviews with questionnaires. Variables that have a statistically significant relationship with the incidence of complaints of lower back pain are years of work, smoking habits, with a p-value &lt;0.005. The conclusion of this study are the work period of more than 20 years and smoking habits associated with lower back pain.Key words: Fishermen, Low Back Pain, The Work Period, Smoking Habits

Sacroiliac Joint Pain: A Study of Predisposing Factors in an Indonesian Hospital

Background:Sacroiliac joint pain has been one of the most common causes of lower back pain, regardless of gender. Diminished pain after an anaesthetic block has been the only gold standard diagnostic procedure, making the diagnosis become challenging due to the needs of fluoroscopic procedure. Thus, a study to find predisposing factors of sacroiliac joint pain is pivotal for primary prevention and prognosis predictor.Objective:Our study aims to find predisposing factors of sacroiliac joint pain in Indonesian patients.Methods:We conducted a prospective study on patients with a chief complaint of lower back pain whose pain diminished after anaesthetic block.Results:We found 99 subjects, with a male to female ratio of 1:2.19, aged from 21 to 75 years old (mean: 42.88). In addition to multiparous pregnancy and obesity, office-based occupation and prolonged sitting duration are also becoming major predisposing factors of sacroiliac joint pain (50.5% and 51.51% respectively). We also found majority of the patients with a history of vertical trauma with the onset of pain 1 year post trauma.Conclusion:We found some factors that can be considered to trigger sacroiliac joint pain that are: female gender, advancing age, pregnancy history, long sitting duration and office worker occupation.

The Risk of Work Posture Did Not Affect on Worker’s Disability Index with Low Back Pain Complaints in PT Muroco Jember

The existence of various industrial centers in Jember Regency has an impact on the high absorption of labor coming from the local community, because most of the production activities are still done by using the power / physical strength of man. Low back pain (LBP) is one of the symptoms of musculoskeletal pain in the lower back, not a disease or diagnosis for a disease. The high risk factor of LBP complaints occurring in industrial workers is the work posture. Patients with chronic LBP complaints may experience affective disorders such as depression and psychosomatic disorders that will lead to a poorer prognosis, while also often experiencing disabilities that implicate the quality of life of patients. This study aims to determine the risk of work posture on worker’s disability index with low back pain complaints in PT Muroco Jember. The type of this research is observational analytic with cross sectional research design which conducted on 31 workers of PT Muroco which fulfill the criteria of inclusion and exclusion. The risk of work posture was obtained by employee observation and completion of the modified quick exposure check questionnaire while the disability index was obtained by filling the modified oswestry low back pain disability questionnaire. The result of the Gamma correlation between the two variables is p = 0,135. It shows that there is no correlation between risk of work posture and worker’s disability index with low back pain complaint in PT Muroco Jember.

ANALISIS PENGARUH WHOLE BODY VIBRATION (WBV) TERHADAP KELUHAN LOW BACK PAIN (LBP) PADA OPERATOR ALAT BERAT DI PT. X

&lt;p&gt;&lt;em&gt;Low back pain is a common disease affecting almost all individuals at some point in their life. Low back pain is multifactorial in origin. The cause of increased prevalence of low back pain in populations of professional drivers is often uncertain. The factor reported to be most strongly associated with low back pain are exposure to whole body vibration. Other possible risk factors with weaker or inconsistenst evidence for influencing low back pain are individual factors (age, time of work, body mass index and physical activitity). This research is conducted observasionally with cross sectional design with a large sample of 70 people which selected by purposive sampling. Data collected from accelerometer, questionnaires, observation and interviews. The results of research obtained that exposure whole body vibration suffered by operator is 0,543 m/s&lt;sup&gt;2&lt;/sup&gt; and complaints of low back pain on a heavy equipment operators at PT. X is 64,3 %. Bivariat analysis showed that there are significant relationship between whole body vibration (p&amp;lt;0,05;95 % CI 0,99-2,99 OR 1,723), age (p&amp;lt;0,05; 95 % CI 1,42-3,77 OR 2,31), time of work (p&amp;lt;0,05; 95 % CI 1,07-7,81 OR 2,89) with low back pain. There was no significant relationship between body mass index (p&amp;gt;0,05; 95 % CI 0,68-1,37 OR 0,969) and physical activity (p&amp;gt;0,05; 95 % CI 0,55-1,14 OR 0,798) to low back pain. This research conclude that there is correlation whole body vibration with complaints of low back pain. &lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Keyword: &lt;/strong&gt;&lt;em&gt;whole body vibration, low back pain, operator&lt;/em&gt;&lt;/p&gt;

EFFECT OF BACK EXERCISE TO DECREASE LOW BACK PAIN OF BATIK ARTISANTS IN KAUMAN VILLAGE, SOKARAJA

ABSTRACT&#x0D; Low back pain ( LBP ) is a musculoskeletal disorder that occurs in the lower back which can be caused by various diseases and activity of the body being less good. One effort to overcome the LBP is back exercise. The research purpose is to find out the effect of back exercise therapy which concern to lowering painful complaint of batik artisants in Kauman village Sokaraja subsdistrict. This research is using Quasi Experiment technique phenomenological non equivalen control group design (pre -post test). Sample taking is using purposive sampling technique. Data analysis use Friedman experiment for treatment group and Repeated Annova experiment for control group. Experiment analysis is different between treatment group and control group with using Mann Whitney experiment. The result of Friedman experiment in treatment group shows that p-value=0,000(p&lt;0,05), it means the therapy those given is effective to lowering painful complaint. The result of Repeated Annova experiment in control group shows that p-value=0,234(p&gt;0,05), it means the painful complaint seems not different in control group. The result of Mann Whitney experiment shows that p-value=0,000(p&lt;0,05) it means there are differences between painful complaint in treatment group and control group after doing back exercise. There is the effect by giving back exercise therapy which concern to lowering the complaint of low back pain for batik artisants in Kauman village Sokaraja subdistrict.&#x0D; &#x0D; Key words: Handmade Batik, Low back pain, back exercise

Factors Related to Complaints of Low Back Pain in Workers in Pt Maruki International Indonesia Makassar City

Low Back Pain (LBP) is a musculoskeletal disorder that occurs in the lower back caused by various diseases and poor body activities. This study aims to determine the risk factors associated with complaints of low back pain in workers at PT Maruki International Indonesia Makassar City in 2017. This type of research is analytic observation with a cross sectional approach. The sample technique uses 72 purposive sampling. Data analysis was univariate and bivariate using computer programs and using chi square test analysis to determine the relationship between dependent and independent variables. The study found that the prevalence of LBP complaints was felt by 49 workers (68.1%). The results of the analysis of the relationship of each variable with complaints of low back pain are work attitude (p = 0, 000), age (p = 0, 594), work period (p = 0, 010), Body Mass Index (p = 0, 036) and smoking habits (p = 0, 715). The conclusions of this study are work attitudes, years of service and body mass index have a relationship with complaints of low back pain. While age and smoking habits have no relationship with complaints of low back pain.

Modified three-stage Gaines procedure for symptomatic adult spondyloptosis

Spondyloptosis or complete anterior dislocation of the L5 vertebra over S1 is a rare clinical condition. In general, the surgical management of spondyloptosis includes either posterior long-segment in situ fusion (with total disregard for altered biomechanics) or restoration of lumbosacral kyphosis by reduction of spondyloptosis using multistaged procedures. Reduction is possible in spondyloptosis only after sacral dome osteotomy or L5 corpectomy with interbody fusion of L4 over S1 as described by Robert Gaines. We present the case of a 29 year old manual laborer who presented with complaints of severe low back pain and bilateral sciatica. He was diagnosed to have spondyloptosis of L5 over S1 with modified Newman's score of 10 + 10. The patient underwent three-staged modified Gaines procedure in the form of L5 corpectomy, reduction of L4 over S1 and interbody fusion between L4 and S1. The reduction was maintained at the end of 18 months and he was able to resume his job as a manual laborer.

Lumbosacral alignment in lumbar disc herniation

Aim: Lumbosacral alignment has a potential role in providing proper spinal function, balanced and appropriate posture. The aim of our study was to compare lumbosacral angles between lumbar disc herniation and lumbar disc herniation-free patients. It was aimed to identify specific changes in lumbar disc herniation.Material and Methods: A total of 118 (69 female, 49 male) patients with the complaint of chronic low back pain were enrolled. Lumbar magnetic resonance images and standing lateral lumbar radiographs were obtained from the electronic hospital database. The presence or absence of disc herniation was diagnosed with lumbar magnetic resonance images. Measurement of lumbosacral angles were performed on the standing lateral lumbar radiographs.Results: Lumber lordosis angle and lumbosacral disc angle were significantly smaller in the lumbar disc herniation group (p = 0.033 and p = 0.038). No significant difference was detected in sacral tilt and lumbosacral angle (p = 0.705 and p = 0.413).Conclusion: The variations in lumbosacral angles cause changes in the spinal kinematics that may affect the occurrence of disc herniation. Loss of lumbar lordosis increases the compressive forces on the spine and may associate with the presence of disc herniation. Lumbosacral alignment must be taken into account when evaluate the pathophysiology of lumbar disc herniation.

Prevalence and Associations of Avascular Necrosis of the Hip in a Large Well-characterized Cohort of Patients With Inflammatory Bowel Disease.

Avascular necrosis (AVN) is associated with significant morbidity potentially causing severe pain and disability; patients with inflammatory bowel disease (IBD) have a higher prevalence of AVN compared with non-IBD populations. The purpose of our study was to determine the prevalence of AVN in our IBD population and to evaluate these subjects for the presence of clinical characteristics associated with AVN on computed tomography (CT) imaging. In 1313 IBD patients with abdomen/pelvis CT scans, we identified 27 patients (2.1%) with CT findings consistent with AVN. Through historical chart review, we confirmed that most patients had prior exposure to steroids, although 2 patients had no documented steroid exposure at all. We found that 59% of the concurrent radiology reports did not comment on the presence of AVN, suggesting that incidental CT findings of AVN among IBD patients are likely underreported. Notably, we found that 63% of these cases had documented complaints of low-back and/or hip pain. Using logistic regression, we found an association between anti-neutrophil cytoplasmic antibody-positive status across IBD (p = 0.007) and a smoking history in Crohn disease (p = 0.03) with the presence of AVN. We found that a significant proportion of IBD patients with AVN are reported in their records as having hip or low-back pain, and review of CT imaging under dedicated bone windows may identify AVN among this population. Our findings also suggest that additional etiological factors, beyond corticosteroids, contribute to the development of AVN in IBD. Further investigation is warranted regarding the mechanisms associated with AVN in IBD.

Magnetic resonance imaging of the lumbar spine in adult: Evaluation of spinal incidental findings in patients with low back pain

Aim: We aimed to incidental findings discovered in patients with suspected low back pain disease undergoing MRI of the lumbar spine and the clinical importance of those findings. Material and Methods: One thousand seven hundred fourteen patients included who were admitted to our hospital with a preliminary diagnosis of low back pain were examined. The duration of low back pain complaints of the patients was ranging from 1 week to 4 years. MRI examinations were interpreted by academic neuroradiologists who had 7 years of experience, at the time of the study. Results: Overall, 358 patients (20.9%) had incidental findings. Transitional vertebrae was the most common (134 cases, 7.8%) incidental finding, followed by vertebral hemangioma (65 cases, 3.8%) and Tarlov cyst (54 cases, 3.2%). The incidence of fatty filum terminale, compact bone island, spina bifida, synovial cyst and sacral meningocele was 2.1%, 1.5%, 1%, 0.8% and 0.7% respectively. Of these 1714 patients, 329 patients (92.06%) had one finding, 22 patients (5.95%) had two findings, and 7 patient (1.98%) had three findings. The conus medullaris was terminated in 1710 (99.7%) of the patients (L1-2) .This level were considered normal. In four cases, the spinal cord was determined to be below the required level. The prevalence of transitional vertebra was 7.8%. The prevalence of sacralization and lumbalization was 5.1% and 2.7%, respectively. Conclusion: In this study we showed that incidental findings are mostly benign but interestingly there were no malignant or potentially malignant incidental lesions.

Co-diagnoses of spondylolysis and femoroacetabular impingement: a case series of adolescent athletes.

ABSTRACTLocating the source of lumbopelvic–hip pain requires the consideration of multiple clinical pathways. Although low back pain has an incidence of 50% in the adolescent population, the pathophysiology in this population typically differs from that of other age groups. Dynamic mechanical impairments of the hip, such as femoroacetabular impingement, may contribute to the pathogenesis of adolescent low back pain. Eight adolescent male athletes who presented to a single provider with a primary complaint of low back pain with hip pain or motion loss on exam and were ultimately diagnosed with lumbar spondylolysis and dynamic mechanical hip issues between 2009 and 2011 were included. The age at spondylolysis diagnosis ranged from 15 to 19 years (mean ± standard deviation: 16.3 ± 1.3 years). Seven patients had cam-type impingement, whereas one presented with pincer-type impingement. All patients demonstrated either decreased internal rotation at 90 degrees of hip flexion and neutral abduction or pain on the Flexion Adduction Internal Rotation test on at least one of hip. All eight patients were treated initially with 6 weeks of physical therapy consisting of attempted restoration of hip motion and the graduated progression of hip and spine stabilization exercises. Five patients (62.5%) returned to sport at an average of 11.2 weeks (range: 6–16 weeks). For three patients (37.5%), hip pain and motion loss persisted, thus requiring surgery. All subjects had symptoms for at least 6 weeks, with 6 months as the longest duration. This report is the first documented series of adolescent athletes with co-diagnoses of spondylolysis and femoroacetabular impingement. Study Information: This retrospective case series was approved by the Institutional Review Board at Hospital for Special Surgery.

Examination procedures and interventions for the hip in the management of low back pain: a survey of physical therapists

ObjectivesThe main research aims were to investigate whether physical therapists are examining the hip(s) in individuals with a primary complaint of low back pain (LBP) and if so, the interventions being provided that target the hip(s). MethodsAn anonymous electronic survey was distributed to the membership of the American Physical Therapy Association Orthopaedic and Sports Sections, as well as that of the American Academy of Orthopaedic Manual Physical Therapists. Participant demographics and survey responses were analyzed using descriptive statistics. Associations between variables were examined using chi-square analysis. ResultsThe estimated response rate was 18.4% (n=1163, mean age 40.5±11.4 years). The majority of respondents (91%, n=1059) reported they always or most of the time examined the hip(s) in individuals with LBP. The most common examination items utilized were hip strength testing (94%, n=948), passive range of motion (91%, n=921) and muscle flexibility testing (90%, n=906). The most common interventions included hip strengthening (94%, n=866) and hip flexibility exercises (90%, n=814). Respondents enrolled in or having completed a post-professional fellowship were more likely to utilize hip joint manual therapy techniques (x2=25.3, p=<0.001) and less likely to prescribe hip flexibility exercises (x2=7.9, p=0.005) or use electrophysical modalities (x2=4.3, p=0.039). ConclusionsPhysical therapists commonly examine and provide interventions directed at the hip(s) for individuals with LBP. Post-professional fellowship training appears to influence the intervention selection of the physical therapist, with an increase in usage of hip joint manual therapy and a decrease in hip muscle flexibility and modality usage.