The Orthotic Treatment of Acute and Chronic Disease of the Cervical and Lumbar Spine

Zarghooni, Kourosh; Beyer, Frank; Siewe, Jan; Eysel, Peer

doi:10.3238/arztebl.2013.0737

Cited by 22 publications

(18 citation statements)

References 34 publications

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“…Appropriate lumbar lordosis decreases disc pressure by changing the distribution of the load between the disc and apophyseal joints and also reduces the tension in the intervertebral ligaments that can cause disc degeneration 9 , 10 ) . Wearing a lumbar support may increase intra-abdominal pressure that can decrease disc pressure, limit disc compression, and reduce disc pain 11 ) . To create a better back supporter, the lumbar spinal curvature of an individual should be considered.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a back care pillow as an adjuvant physical therapy for chronic non-specific low back pain treatment: a randomized controlled trial

et al. 2015

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[Purpose] The aim of this study was to investigate the effect of a back care pillow (BCP) on pain, lumbar range of motion (LROM) and functional disability of patients with chronic non-specific low back pain (LBP). [Subjects and Methods] Fifty-two subjects who were aged between 20–69 years old, who presented with LBP of more than 3 months duration with a numerical rating scale (NRS) value of at least 4 were randomly assigned to treatment (BCP) and control (CON) groups. Participants in each group received six sessions of the 30 minutes treatment for two weeks. The BCP group was asked to wear the BCP during the daytime during the study period. Pain, lumbar ROM and functional disability were assessed before and after the 2-week treatment, and at the end of a 12-week follow up. [Results] After the 2-week treatment and 12-week follow up, all outcomes had improved in both groups; the BCP group had maintained the decrease in pain intensity and improved lumbar ROM in the extension position after the 12-week follow up, and showed better improvements in all outcomes at 2 weeks and after the 12-week follow up. [Conclusion] BCP combined with physical therapy had better pain, lumbar ROM and functional disability outcomes than physical therapy alone.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of a back care pillow as an adjuvant physical therapy for chronic non-specific low back pain treatment: a randomized controlled trial

et al. 2015

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“…Against this, Zarghooni et al in their review found that orthoses are not recommended for nonspecific LBP. They should, therefore, be used only after individual consideration of the indications in each case [18]. The use of belts, corsets, or orthoses is frequently reported as an alternative therapeutic associated in LBP but without strong evidence.…”

Section: Discussionmentioning

confidence: 99%

Effect of plaster corset in acute low back pain in less developed country

Zomalheto

Agbodande

Avimadjè

2015

The Egyptian Rheumatologist

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Aim of the work: To evaluate the effect of plaster corset in patients with acute low back pain (LBP) in the Rheumatology Department of National Hospital University Hubert Koutoukou Maga of Cotonou (Benin).Patients and methods: A prospective case-control study was conducted from January 2012 to June 2013. The selected patients suffered from acute low back pain and were treated with plaster corset for thirty days associated with medical drugs compared to a control-group with the same disease treated only with medical drugs. Demographic data, clinical parameters and outcomes during six months were collected. The primary endpoint was the reduction of visual analog score (VAS) for pain and the functional disability was evaluated using the EIFEL score.Results: Thirty-three patients were recruited in the plaster corset group (PG) and 34 patients of matched age and sex in the control group. The mean VAS was 86.7 ± 21.3 and 88.3 ± 20.2 respectively in the ''PG'' and ''CG''. The results showed a significant decrease of VAS after 3 months in PG than in the CG (p = 0.023) but no significant difference was present after 6 months. The EIFEL score significantly decreased in the PG compared to the CG after 6 months. The number of patients who did not take any medication after three months was higher in the PG in contrast to the CG (27 patients versus 12).Conclusion: Plaster corset can be complementarily used in addition to the medical treatment to decrease the pain and functional disability and can help to reduce work stoppage.

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“…Although several reports were available with respect to cervico-thoracic devices, other groups of immobilizers completely lacked any reports or studies. This might be one of the reasons why there is no definitive evidence about the use of orthoses after spinal interventions or in painful conditions of the cervical spine [24].…”

Section: Discussionmentioning

confidence: 99%

The ability of external immobilizers to restrict movement of the cervical spine: a systematic review

et al. 2016

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Purpose To review the ability of various types of external immobilizers to restrict cervical spine movement. Methods With a systematical review of original scientific articles, data on range of motion, type of used external immobilization device and risk of bias were extracted. The described external immobilization devices were grouped and the mean restriction percentage and standard deviation were calculated. Finally, each device was classified based on its ability to restrict movement of the cervical spine, according to five levels of immobilization: poor (MIL \20 %), fair (MIL 20-40 %), moderate (MIL 40-60 %), substantial (MIL 60-80 %), and nearly complete (MIL C80 %). Results The ability to reduce the range of motion by soft collars was poor in all directions. The ability of cervicohigh thoracic devices was moderate for flexion/extension but poor for lateral bending and rotation. The ability of cervico-low thoracic devices to restrict flexion/extension and rotation was moderate, while their ability to restrict lateral bending was poor. All cranio-thoracic devices for non-ambulatory patients restricted cervical spine movement substantial in all directions. The ability of vests with non-invasive skull fixation was substantial in all directions. No studies with healthy adults were identified with respect to cranial traction and halo vests with skull pins and their ability to restrict cervical movement. Conclusions Soft collars have a poor ability to reduce mobility of the cervical spine. Cervico-high thoracic devices primarily reduce flexion and extension, but they reduce lateral bending and rotation to a lesser degree. Cervico-low thoracic devices restrict lateral bending to the same extent as cervico-high thoracic devices, but are considerably more effective at restricting flexion, extension, and rotation. Finally, cranio-thoracic devices nearly fully restrict movement of the cervical spine.

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The Orthotic Treatment of Acute and Chronic Disease of the Cervical and Lumbar Spine

Abstract: No definitive evidence as yet supports the use of orthoses after spinal interventions or in painful conditions of the cervical or lumbar spine. They should, therefore, be used only after individual consideration of the indications in each case.

Cited by 22 publications

References 34 publications

Effectiveness of a back care pillow as an adjuvant physical therapy for chronic non-specific low back pain treatment: a randomized controlled trial

Effectiveness of a back care pillow as an adjuvant physical therapy for chronic non-specific low back pain treatment: a randomized controlled trial

Effect of plaster corset in acute low back pain in less developed country

The ability of external immobilizers to restrict movement of the cervical spine: a systematic review

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