<![CDATA[Journal of Orthopaedic & Sports Physical Therapy - Susan L. Edmond, PT, DSc, OCS]]> http://www.jospt.org/susanledmond en-us (c) 2011 Wed, 30 Apr 2008 09:05:25 EST http://feedvalidator.org/docs/rss2.html www.eResources.com (Generator) jospt@eresources.com (JOSPT) jospt@eresources.com (eResources) 0 Association Between Centralization, Depression, Somatization, and Disability Among Patients With Nonspecific Low Back Pain http://www.jospt.org/issues/articleID.2505/article_detail.asp Susan L. Edmond, Mark W. Werneke, Dennis L. Hart

STUDY DESIGN: Secondary analysis of a prospective observational cohort study. OBJECTIVES: To evaluate whether depression and somatization subscores of the Symptom Checklist-90-Revised (SCL-90-R), which have been shown to identify chronic disability in individuals with nonspecific low back pain, are applicable to a different population of individuals with low back pain; and to determine if this potential association is confounded by a combination of centralization and subsequent treatment based on centralization. BACKGROUND: To help direct management of patients with nonspecific low back pain, recommendations include performing tests designed to identify psychosocial risk factors predictive of poor patient outcomes. SCL-90-R depression and somatization subscores have been shown to predict chronic disability among patients with low back pain. METHODS: SCL-90-R depression and somatization subscores and data on centralization were collected during the initial physical therapy examination of 231 consecutive patients treated for low back pain in 2 clinics. Disability was assessed by the Oswestry Disability Questionnaire at intake and discharge from physical therapy, and work status was determined by patient self-report at 6 and 12 months after discharge. Pain intensity was assessed by the numeric pain rating scale at the initial visit, and at 6- and 12-month follow-ups. Data were analyzed using logistic regression. RESULTS: Odds ratios for the association between depression and somatization subscores and patient outcomes ranged from 0.76 to 2.93. For analyses in which the data suggested a trend toward an association, the association was less evident following adjustment for centralization and centralization-based treatment. CONCLUSIONS: In our sample, in which all individuals received physical therapy, and those who centralized received interventions based on the direction of centralization, SCL-90-R depression and somatization subscores were moderately associated with chronic pain and disability. This association was reduced when centralization and centralization-based treatment was considered in multivariable analyses.

J Orthop Sports Phys Ther 2010;40(12):801-810, Epub 22 October 2010. doi:10.2519/jospt.2010.3334

KEY WORDS: lumbar spine, physical therapy, psychological risk factors, SCL-90-R

]]> Fri, 22 Oct 2010 00:00:00 EST http://www.jospt.org/issues/articleID.2505/article_detail.asp Letters to the Editor-in-Chief http://www.jospt.org/issues/articleID.1318/article_detail.asp Philip S. Sizer Jr, Jean-Michel Brismée, Christopher Showalter, Susan L. Edmond, Owen Legaspi, Jochen Schomacher, Andrea J. Johnson, Chad E. Cook, Joseph J. Godges, Peter Huijbregts

Letters to the Editor-in-Chief of the JOSPT as follows:

  • Letter regarding the article, Does Evidence Support the Existence of Lumbar Spine Coupled Motion? A Critical Review of the Literature. J Orthop Sports Phys Ther. 2007:37(7):412. doi:10.2519/jospt.2007.0205.
  • Authors' Response. J Orthop Sports Phys Ther. 2007:37(7):412-413. doi:10.2519/jospt.2007.0206.
  • Letter regarding the article, The Effect of Anterior Versus Posterior Glide Joint Mobilization on External Rotation Range of Motion in Patients With Shoulder Adhesive Capsulitis. J Orthop Sports Phys Ther. 2007:37(7):413. doi:10.2519/jospt.2007.0207.
  • Authors' Response. J Orthop Sports Phys Ther. 2007:37(7):414-415. doi:10.2519/jospt.2007.0208.
]]> Tue, 26 Jun 2007 00:00:00 EST http://www.jospt.org/issues/articleID.1318/article_detail.asp Does the Evidence Support the Existence of Lumbar Spine Coupled Motion? A Critical Review of the Literature http://www.jospt.org/issues/articleID.1244/article_detail.asp Susan L. Edmond, Owen Legaspi
STUDY DESIGN: Literature review. OBJECTIVES: To synthesize the current literature addressing coupled motion between side bending and rotation in the lumbar spine to deter­mine if a consistent pattern exists across articles. BACKGROUND: Low back pain is one of the most common conditions seen in outpatient physi­cal therapy clinics. This condition is often treated with manual therapy techniques. Many approaches to manual therapy incorporate the concept of coupled motion. METHODS AND MEASURES: Using OVID databases, we reviewed and categorized articles published between 1982 and 2006 that addressed coupled motion between side bending and rotation in the lumbar spine. We identified 24 articles in which 32 analyses addressed our clinical question. RESULTS: Seventeen of the 24 articles identified concluded that some form of coupled motion exists; however, there was little agreement across articles as to the specific characteristics of coupled motion. CONCLUSIONS: The inconsistency in reported patterns of coupled motion suggests that physical therapists should use caution when applying concepts of coupled motion to the evaluation and treatment of patients with low back pain.

 

J Orthop Sports Phys Ther. 2007;37(4):169-178. doi:10.2519/jospt.2007.2300

 

KEY WORDS: coupled movements, lumbar biomechanics, lumbar motion

]]> Mon, 02 Apr 2007 00:00:00 EST http://www.jospt.org/issues/articleID.1244/article_detail.asp