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4. Paraspinal Muscle Evoked Cerebral Potentials in Patients with Unilateral Low Back Pain

Author

Zhu, Yu, Haldeman, Scott, Starr, Arnold, Seffinger, Michael A, and Su, Su-Hwan

Subjects
Chronic Pain, Neurosciences, Clinical Research, Pain Research, Musculoskeletal, Adult, Back, Evoked Potentials, Somatosensory, Female, Humans, Low Back Pain, Magnetics, Male, Middle Aged, Muscle Contraction, Muscle Spindles, Muscles, Myofascial Pain Syndromes, Vibration, PARASPINAL MUSCLE SEPS, MUSCLE SPASM, LOW PACK PAIN, Biomedical Engineering, Clinical Sciences, Orthopedics
Abstract

Cerebral somatosensory evoked potentials (SEPs) were elicited by magnetic stimulation of paraspinal muscles unilaterally at the L2 and L5 levels in 20 healthy subjects and 16 patients with low back pain and unilateral muscle spasm. A magnetic coil with a mean diameter of 4.7 cm was placed tangentially to the skin. The stimulus strength was sufficient to induce a visible muscle twitch without producing muscle contraction in the legs. The potentials recorded over the scalp consisted of several components (P30, N40, P55, N70, and P90) and were elicited in all subjects. In both healthy and patient subjects, paraspinal muscle evoked potentials were readily elicited. Vibration applied to paraspinal muscles, as well as voluntary contraction of paraspinal muscles, was associated with attenuation of the evoked potentials. This finding suggests that muscle spindle receptors provide the afferent input responsible for the early components of the magnetically evoked cerebral potentials. In patients with unilateral muscle spasm, the amplitudes of P30-N40, N40-P50, and P50-N70 were decreased significantly on the affected side when compared with values on stimulation of the unaffected side, as well as those obtained from control subjects. The cerebral evoked potentials returned to normal amplitude when the muscle spasm subsided following a period of time and after the application of spinal manipulative therapy. The technique has potential for quantitative evaluation of muscle spasm in low back pain.

Published
1993

6. Initial Choice of Spinal Manipulation Reduces Escalation of Care for Chronic Low Back Pain Among Older Medicare Beneficiaries

Author

Whedon, James M., primary, Kizhakkeveettil, Anupama, additional, Toler, Andrew WJ., additional, Bezdjian, Serena, additional, Rossi, Daniel, additional, Uptmor, Sarah, additional, MacKenzie, Todd A., additional, Lurie, Jon D., additional, Hurwitz, Eric L., additional, Coulter, Ian, additional, and Haldeman, Scott, additional

Published
2021
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7. Initial Choice of Spinal Manipulative Therapy for Treatment of Chronic Low Back Pain Leads to Reduced Long-term Risk of Adverse Drug Events Among Older Medicare Beneficiaries

Author

Whedon, James M., primary, Kizhakkeveettil, Anupama, additional, Toler, Andrew WJ, additional, MacKenzie, Todd A., additional, Lurie, Jon D., additional, Hurwitz, Eric L., additional, Bezdjian, Serena, additional, Bangash, Maria, additional, Uptmor, Sarah, additional, Rossi, Daniel, additional, and Haldeman, Scott, additional

Published
2021
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10. Methods for the Best Evidence Synthesis on Neck Pain and Its Associated Disorders

Author

Carroll, Linda J., primary, Cassidy, J David, additional, Peloso, Paul M., additional, Giles-Smith, Lori, additional, Cheng, C Sam, additional, Greenhalgh, Stephen W., additional, Haldeman, Scott, additional, van der Velde, Gabrielle, additional, Hurwitz, Eric L., additional, Côté, Pierre, additional, Nordin, Margareta, additional, Hogg-Johnson, Sheilah, additional, Holm, Lena W., additional, Guzman, Jaime, additional, and Carragee, Eugene J., additional

Published
2008
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11. Course and Prognostic Factors for Neck Pain in Whiplash-Associated Disorders (WAD)

Author

Carroll, Linda J., primary, Holm, Lena W., additional, Hogg-Johnson, Sheilah, additional, Côté, Pierre, additional, Cassidy, J David, additional, Haldeman, Scott, additional, Nordin, Margareta, additional, Hurwitz, Eric L., additional, Carragee, Eugene J., additional, van der Velde, Gabrielle, additional, Peloso, Paul M., additional, and Guzman, Jaime, additional

Published
2008
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12. Course and Prognostic Factors for Neck Pain in the General Population

Author

Carroll, Linda J., primary, Hogg-Johnson, Sheilah, additional, van der Velde, Gabrielle, additional, Haldeman, Scott, additional, Holm, Lena W., additional, Carragee, Eugene J., additional, Hurwitz, Eric L., additional, Côté, Pierre, additional, Nordin, Margareta, additional, Peloso, Paul M., additional, Guzman, Jaime, additional, and Cassidy, J David, additional

Published
2008
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13. A New Conceptual Model of Neck Pain

Author

Guzman, Jaime, primary, Hurwitz, Eric L., additional, Carroll, Linda J., additional, Haldeman, Scott, additional, Côté, Pierre, additional, Carragee, Eugene J., additional, Peloso, Paul M., additional, van der Velde, Gabrielle, additional, Holm, Lena W., additional, Hogg-Johnson, Sheilah, additional, Nordin, Margareta, additional, and Cassidy, J David, additional

Published
2008
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14. The Burden and Determinants of Neck Pain in the General Population

Author

Hogg-Johnson, Sheilah, primary, van der Velde, Gabrielle, additional, Carroll, Linda J., additional, Holm, Lena W., additional, Cassidy, J David, additional, Guzman, Jamie, additional, Côté, Pierre, additional, Haldeman, Scott, additional, Ammendolia, Carlo, additional, Carragee, Eugene, additional, Hurwitz, Eric, additional, Nordin, Margareta, additional, and Peloso, Paul, additional

Published
2008
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16. The Burden and Determinants of Neck Pain in Whiplash-Associated Disorders After Traffic Collisions

Author

Holm, Lena W., primary, Carroll, Linda J., additional, Cassidy, J David, additional, Hogg-Johnson, Sheilah, additional, Côté, Pierre, additional, Guzman, Jaime, additional, Peloso, Paul, additional, Nordin, Margareta, additional, Hurwitz, Eric, additional, van der Velde, Gabrielle, additional, Carragee, Eugene, additional, and Haldeman, Scott, additional

Published
2008
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18. Research Priorities and Methodological Implications

Author

Carroll, Linda J., primary, Hurwitz, Eric L., additional, Côté, Pierre, additional, Hogg-Johnson, Sheilah, additional, Carragee, Eugene J., additional, Nordin, Margareta, additional, Holm, Lena W., additional, van der Velde, Gabrielle, additional, Cassidy, J David, additional, Guzman, Jaime, additional, Peloso, Paul M., additional, and Haldeman, Scott, additional

Published
2008
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19. Assessment of Neck Pain and Its Associated Disorders

Author

Nordin, Margareta, primary, Carragee, Eugene J., additional, Hogg-Johnson, Sheilah, additional, Weiner, Shira Schecter, additional, Hurwitz, Eric L., additional, Peloso, Paul M., additional, Guzman, Jaime, additional, van der Velde, Gabrielle, additional, Carroll, Linda J., additional, Holm, Lena W., additional, Côté, Pierre, additional, Cassidy, J David, additional, and Haldeman, Scott, additional

Published
2008
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20. The Burden and Determinants of Neck Pain in Workers

Author

Côté, Pierre, primary, van der Velde, Gabrielle, additional, Cassidy, J David, additional, Carroll, Linda J., additional, Hogg-Johnson, Sheilah, additional, Holm, Lena W., additional, Carragee, Eugene J., additional, Haldeman, Scott, additional, Nordin, Margareta, additional, Hurwitz, Eric L., additional, Guzman, Jaime, additional, and Peloso, Paul M., additional

Published
2008
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21. Treatment of Neck Pain: Noninvasive Interventions

Author

Hurwitz, Eric L., primary, Carragee, Eugene J., additional, van der Velde, Gabrielle, additional, Carroll, Linda J., additional, Nordin, Margareta, additional, Guzman, Jaime, additional, Peloso, Paul M., additional, Holm, Lena W., additional, Côté, Pierre, additional, Hogg-Johnson, Sheilah, additional, Cassidy, J David, additional, and Haldeman, Scott, additional

Published
2008
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22. Treatment of Neck Pain

Author

Carragee, Eugene J., primary, Hurwitz, Eric L., additional, Cheng, Ivan, additional, Carroll, Linda J., additional, Nordin, Margareta, additional, Guzman, Jaime, additional, Peloso, Paul, additional, Holm, Lena W., additional, Côté, Pierre, additional, Hogg-Johnson, Sheilah, additional, Velde, Gabrielle van der, additional, Cassidy, J David, additional, and Haldeman, Scott, additional

Published
2008
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23. Clinical Practice Implications of the Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders

Author

Guzman, Jaime, primary, Haldeman, Scott, additional, Carroll, Linda J., additional, Carragee, Eugene J., additional, Hurwitz, Eric L., additional, Peloso, Paul, additional, Nordin, Margareta, additional, Cassidy, J David, additional, Holm, Lena W., additional, Côté, Pierre, additional, van der Velde, Gabrielle, additional, and Hogg-Johnson, Sheilah, additional

Published
2008
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25. Letters

Author

Haldeman, Scott, primary, Kohlbeck, Frank, additional, and McGregor, Marion, additional

Published
2002
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37. Course and prognostic factors for neck pain in workers: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders.

Author

Carroll LJ, Hogg-Johnson S, Côté P, van der Velde G, Holm LW, Carragee EJ, Hurwitz EL, Peloso PM, Cassidy JD, Guzman J, Nordin M, and Haldeman S

Subjects
Advisory Committees, Causality, Comorbidity, Ergonomics statistics & numerical data, Humans, Neck Pain physiopathology, Occupational Diseases physiopathology, Prevalence, Prognosis, Psychology, Risk Reduction Behavior, Workload statistics & numerical data, Neck Pain diagnosis, Neck Pain epidemiology, Occupational Diseases diagnosis, Occupational Diseases epidemiology
Abstract

Study Design: Best-evidence synthesis., Objective: To perform a best evidence synthesis on the course and prognostic factors for neck pain and its associated disorders in workers., Summary of Background Data: Knowledge of the course of neck pain in workers guides expectations for recovery. Identifying prognostic factors assists in planning effective workplace policies, formulating interventions and promoting lifestyle changes to decrease the frequency and burden of neck pain in the workplace., Methods: The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and its Associated Disorders (Neck Pain Task Force) conducted a critical review of the literature published between 1980 and 2006 to assemble the best evidence on neck pain and its associated disorders. Studies meeting criteria for scientific validity were included in a best evidence synthesis., Results: We found 226 articles related to course and prognostic factors in neck pain and its associated disorders. After a critical review, 70 (31%) were accepted on scientific merit; 14 of these studies related to course and prognostic factors in working populations. Between 60% and 80% of workers with neck pain reported neck pain 1 year later. Few workplace or physical job demands were identified as being linked to recovery from neck pain. However, workers with little influence on their own work situation had a slightly poorer prognosis, and white-collar workers had a better prognosis than blue-collar workers. General exercise was associated with better prognosis; prior neck pain and prior sick leave were associated with poorer prognosis., Conclusion: The Neck Pain Task Force presents a report of current best evidence on course and prognosis for neck pain. Few modifiable prognostic factors were identified; however, having some influence over one's own job and being physically active seem to hold promise as prognostic factors.

Published
2008
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38. The sensitivity of review results to methods used to appraise and incorporate trial quality into data synthesis.

Author

van der Velde G, van Tulder M, Côté P, Hogg-Johnson S, Aker P, Cassidy JD, Carragee E, Carroll L, Guzman J, Haldeman S, Holm L, Hurwitz E, Nordin M, and Peloso P

Subjects
Decision Making, Evidence-Based Medicine, Exercise Therapy, Humans, Occupational Health, Quality Control, Reproducibility of Results, Sensitivity and Specificity, Treatment Outcome, Clinical Trials as Topic standards, Data Collection methods, Guidelines as Topic, Meta-Analysis as Topic, Neck Pain therapy
Abstract

Study Design: Systematic review., Objective: To determine whether results and conclusions on the effectiveness of exercise for workers with neck pain vary with the Cochrane Back Review Group Guidelines and best-evidence synthesis review methods. To identify methodologic weaknesses associated with these review methods that may impact on the validity of their results., Summary of Background Data: The Cochrane Back Review Group Guidelines and best-evidence synthesis have different approaches to appraising trial quality and incorporating quality into data synthesis. The impact of different review methods on the reproducibility and validity of review results is unknown., Methods and Results: Systematic search of Medline, Embase, CINAHL, and Cochrane databases, without language restrictions. Twelve trials were selected. Two review methods were used to appraise trial quality and to incorporate quality into data synthesis. As recommended by the Cochrane Back Review Group Guidelines, trials were assigned quality scores using a scale. Results of all 12 trials were stratified into levels of evidence according to their scores. Based on these results, no treatment recommendation could be formulated. Best-evidence synthesis critically appraised methodology; trials were accepted on the strength of their scientific merit or rejected due to risk of bias. According to the 4 trials accepted for best-evidence synthesis, workers should be activated with exercise given its beneficial effect on patient-perceived recovery. Both the Cochrane Back Review Group Guidelines and best-evidence synthesis reviews were found to have weaknesses associated with their methods., Conclusions: Review results and conclusions are sensitive to methods for appraising trial quality and incorporating quality into data synthesis when the evidence consists largely of low-quality trials. Both the Cochrane Back Review Group Guidelines and best-evidence synthesis methods were found to have strengths and methodologic weaknesses that healthcare decision-makers should be aware of when interpreting systematic reviews.

Published
2007
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