effects of mood state and arousal on low back pain and the outcome of osteopathic treatment

by John Roberts

Publisher: University of Surrey in [Guildford]

Written in English
Published: Downloads: 642
Share This

Edition Notes

Thesis (MSc) (Clinical Neurosciences) - Roehampton Institute London, University of Surrey, 1995.

Statementby John Roberts.
ID Numbers
Open LibraryOL20148809M

Adult patients age 18 and over in primary care who have symptoms of low back pain or radiculopathy. The focus is on the acute (pain for up to 7 weeks) and subacute (pain for between 7 and 12 weeks) phases of low back pain. It includes the ongoing management, including indications for spine specialist referral within the first 12 weeks of onset. Subjects had a 2-week period of recovery between the studies. The effects of bed rest on pain intensity in the lower back, depression, and mood state were investigated. Results Subjects experienced significantly more intense lower back pain, lower hemisphere abdominal pain, headache, and leg pain during head-down tilt bed rest. They had higher. What causes low back pain? There are many causes for low back pain. Some of the most common ones include: accidents, injuries, tight muscles from the hassles of daily life, and changes in the body due to getting older and/or being overweight. Only about 3% (3 out of people) will have low back pain from cancer, infection, or diseases in.   Free Online Library: Effects of exercise and outcome feedback on mood: evidence for misattribution.(Abstract) by "Journal of Sport Behavior"; Psychology and mental health Sports and fitness Exercise Case studies Psychological aspects Mood (Psychology) Physiological aspects.

Introduction Low back pain (LBP) is the leading cause of disability worldwide. Of those patients who present to primary care with acute LBP, 40% continue to report symptoms 3 months later and develop chronic LBP. Although it is possible to identify these patients early, effective interventions to improve their outcomes are not available. This double-blind (participant/outcome assessor.   The baseline intensity of pain also predicts the treatment outcome of chronic pain patients with MDD treated with selective serotonin reuptake inhibitors (SSRI). The odds ratios for patients with MDD having a poor response to treatment and baseline mild, moderate or severe co-morbid pain were , and , respectively, compared to patients. Manual therapy initiates a cascade of neurophysiological changes in various systems including the peripheral nervous system, autonomic nervous system and the endocrine system. Of particular focus of this review was the hypothalamic-pituitary-adrenal (HPA) axis. When faced with a stressor, the HPA axis provides the frontline of defence resulting in the production of cortisol, measurement of.

effects of mood state and arousal on low back pain and the outcome of osteopathic treatment by John Roberts Download PDF EPUB FB2

Low back pain is an extremely common clinical entity, estimated to be the fifth most common reason for all physician visits in the United States.

19 Acute low back pain usually lasts a few days to weeks, whereas chronic low back pain is defined as lasting longer than 3 months. 20 Depression is a known complicating factor for the by: 3.

1. Introduction. Previous research has suggested a link between pain and depressed mood. There is evidence of an association between the syndrome of chronic pain and the clinical diagnosis of major depression in clinical samples, and in the general population.There is also evidence that mood states and the moment-to-moment perception of pain are linked.Cited by: When you mood is low and it hurts, get too tough.

Use of Medication. Regardless of the cause of your discomfort, medication has a prominent place in your treatment. Once advised by your doctor, use it as advised and required.

Sherwin is a Medical Research Scientist and Author of the Low Back Pain Program and eBook. With over 20 years. The clinical measures used for this report were the Revised Oswestry Low Back Pain and Disability Questionnaire (ROLBPDQ), Visual Analog Pain Scale (VAPS) and Profile of Mood States (POMS).

They have been used in clinical outcome studies and have shown to be reliable and valid measuring instruments, 26, 27 The ROLBPDQ is a 60 item inventory Cited by: 1. Patient expectations of benefit from common interventions for low back pain and effects on outcome: Secondary analysis of a clinical trial of manual therapy interventions February The Journal.

Low back pain, without symptoms or signs of serious medical or psychological conditions, associated with clinical findings of (1) mobility impairment in the thoracic, lumbar, or sacroiliac regions, (2) referred or radiating pain into a lower extremity, and (3) generalized pain, is useful for classifying a patient with low back pain into the.

It’s important to consider the effect that pain management has on mood disorders. The better that the pain is controlled, the less it diminishes quality of life.

In theory, people living with chronic pain would be able to do more if their pain is well-controlled, reducing the severity and/or occurrence of mood disorders that pain so often causes. cally might be hampered by low back pain. For the selection of the self-reported disability question-naires and lifting performance tasks, we only selected questionnaires/tests that are low back pain specific and of which all psychometric, including responsiveness, prop-erties have been studied in relevant low back pain popu.

Looking specifically at lower extremity peripheral nerve pathology, I think pain management in the future will require not only an assessment of the actual pain generator/nerve pathology in the lower extremity but also its effect on the patient’s central nervous system (CNS).

At this time, we are looking at patients with severe nerve. An evidence based book for patients with back pain (The Back Book) was launched with the guidelines. 4 We believe that evidence based management of acute back pain will improve outcome. While undertaking a prospective randomised controlled trial of manipulative treatment that aimed to compare the outcome of osteopathy and of physiotherapy we.

Much of the lower back pain is self-limiting with only 2–7% developing chronicity. Reocurrent and chronic back pain account for 75–85% of all costs associated with lower back pain [8,9]. The cause of low back pain is non-specific in most.

Low back pain affects a reported percent of U.S. adults each day,1 and 18 percent report having had back pain in the previous month.2 The lifetime prevalence of low back pain is.

relationship between emotion arousal levels (e.g. high-arousal and low-arousal) and pain, secondary analyses were done investigating whether emotional arousal, especially within the PA domain, predicts lower pain reports.

Eighty-three healthy undergraduates (mean age =. General outcome variables: Pain, depression, interference. Ratings of pain experience were collected using the Multidimensional Pain Inventory (MPI; []).Characteristic pain intensity was calculated on a scale from 0 – 6 by averaging ratings of current pain, average pain, and worst pain in the past week[].Depression Symptoms were measured using the item Center for Epidemiological Studies.

There is also a significant body of evidence emphasizing the effects of Osteopathic treatment in managing persistent pain. Licciardone and his colleagues performed a meta-analysis and concluded that OMT (Osteopathic Manipulative Treatment) significantly reduces back pain, compared to placebo.

This effect has been shown to persist at three. Similarly, negative mood has been found to mediate the association between sleep and pain severity in patients with fibromyalgia, low back pain and facial pain (Consoli et al., ; O’Brien et al., ).

Given the link between sleep disturbance and depression (Tsuno, Besset, & Ritchie, ), depressive symptoms may modulate pain perception. Introduction. Chronic Musculoskeletal Disorders (MSD), including chronic Low Back Pain (LBP), impact approximately one quarter of the population, remain significant health care challenges, have important societal direct and indirect costs, and result in personal suffering and majority of consultations for Osteopathic Manipulative Medicine (OMM) are for musculoskeletal.

Traditional mindfulness-based interventions (MBIs) have been applied successfully across many populations. The time commitment for these programs is often a barrier, and while brief MBIs have become popular, the impact of these on health-related outcomes is unclear as they have not yet been reviewed.

A search of databases, including Medline, Embase, and PsycINFO, was. The OG consisted of subjects receiving one general osteopathic treatment session (assessment mobilisation only) 11 and the control group (restful state group) consisted of subjects who were invited to rest on a treatment table with a pillow under the knees for assuring maximal comfort.

For the OG, osteopathic treatment consisted of gentle repetitive mobilisations (without joint manipulation.

Purpose: We studied the efficacy of osteopathic manual treatment (OMT) and ultrasound therapy (UST) for chronic low back pain. Methods: A randomized, double-blind, sham-controlled, 2 × 2.

Persistent pain is considered a complex biopsychosocial phenomenon whose understanding and management is yet to be improved. More research is needed to determine the common paths that lead to developing persistent pain, to identify the populations most at risk and to develop and evaluate interventions.

The last decades have seen a shift in pain management, from the biomedical model to. Purpose of Review: This article provides an overview of evaluating and treating low back pain in the outpatient setting.

Recent Findings: As most cases of acute low back pain have a favorable prognosis, current guidelines on imaging studies recommend conservative treatment for 6 weeks prior to obtaining an MRI if no red flags are present.

Of these red flags, a prior history of cancer is the. Low Back Pain Clinical Practice Guidelines Linked to the outcome, for musculoskeletal disorders commonly man- treatment matched to low back pain subgroup responder categories, (2) treatments that have evidence to prevent recurrence of low back pain, and (3) treatments that have evidence to in.

To address research question 2, that is, whether pain duration moderates the direct effect of pain intensity on pain disability and/or the indirect effect of pain intensity on pain disability through depressed mood, a moderated mediation model was performed with PROCESS [].Again, bootstrap samples and a confidence interval of 95% were selected (bias corrected).

Spinal manipulation is a commonly used modality for the treatment of low back pain with increasing evidence of positive outcomes. Adjunctive therapies such as hydrotherapy, flotation and exercise. Osteopathic manipulative treatment and sham manipulation on both appear to provide some benefits when used in addition to usual care for the treatment of chronic nonspecific low back pain.

Introduction. Millions of patients each year suffer from acute pain as a result of trauma, illness, or surgery. Pain is the most common reason for admission to the emergency department (ED), comprising more than 40% of the over million ED visits rmore, a large proportion of cases in the ED setting involve pain of moderate to severe intensity.

For patients with acute low back pain, researchers found moderate evidence that spinal manipulation provides more short-term pain relief than either mobilization or detuned short-wave diathermy.

For patients with chronic low back pain, there is moderate evidence that spinal manipulation has an effect similar to that of efficacious prescription. Relieving anxiety, fatigue, depression, or insomnia with mood stabilizers, benzodiazepines, or anticonvulsants will also ease any related pain.

The most versatile of all psychiatric drugs, the antidepressants have an analgesic effect that may be at least partly independent of their effect on depression since it seems to occur at a lower dose.

The Back Pain Consortium established through HEAL will conduct studies to better understand the mechanisms of common pain conditions such as chronic low back pain, develop improved diagnostic and treatment tools, and identify, prioritize, and test therapies that reduce the need for opioid use for millions of Americans.

PDF | This quasi-experimental study investigates the effects of relaxation compared to relaxation combined with rational emotive therapy on mood states | Find, read and cite all the research.The purposes of this dissertation are to: examine the effect of McKenzie therapy and intensive exercise therapy on physiological as well as quality of life measures [physiological component]; and, to evaluate a self treatment resource for low back pain sufferers [educational component].

In the physiological component 18 chronic low back pain patients (nine male, nine female) underwent four.Some resistance, in part, may involve the lack of consensus as to whether or not cancer pain causes changes in mood states or whether changes in mood leads to increased pain perception and/or reporting.

42,43 Clearly, during the cancer trajectory, there are many sources, aside from pain, that can lead to poorer quality of life (e.g., fears.