Deconditioning in chronic low back pain: might there be a relationship between fitness and magnetic resonance imaging findings?

Deconditioning in chronic low back pain: might there be a relationship between fitness and magnetic resonance imaging findings?
Abstract  The presence of persistent low back pain leads to avoidance of daily activities, contributes to further exercise intolerance and subsequent further loss of functional capacity. We sought to search for the relationship between lumbar magnetic resonance imaging findings and deconditioning in a homogeneous subset of patients with low back pain. We studied 20 sedentary, nonsmoking patients with chronic low back pain using symptom-limited cardiopulmonary exercise testing using treadmill breath-by-breath analysis using modified Bruce protocol. Lumbar facet and disc degeneration involving L1-S1 levels were assessed using 1.5 Tesla MRI. The total number of levels involved was positively correlated with age (r = 0.478, P = 0.033). The Pfirrmann grading o…

Predictive validity of health-related fitness in youth: a systematic review

Predictive validity of health-related fitness in youth: a systematic review
The objective of the present systematic review was to investigate whether physical fitness in childhood and adolescence is a predictor of cardiovascular disease (CVD) risk factors, events and syndromes, quality of life and low back pain later in life. Physical fitness-related components were: cardiorespiratory fitness, musculoskeletal fitness, motor fitness and body composition. Adiposity was considered as both exposure and outcome. The results of 42 studies reporting the predictive validity of health-related physical fitness for CVD risk factors, events and syndromes as well as the results of five studies reporting the predictive validity of physical fitness for low back pain in children and adolescents were summarised. Strong evidence was found indicating that higher levels of cardioresp…

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Pulselessness in the Upper Extremities: Takayasu Arteritis

Pulselessness in the Upper Extremities: Takayasu Arteritis
A 24-year-old woman was admitted to the hospital by her general practitioner because of pulselessness in the upper extremities. Except for chronic lower back pain, arthralgia, fatigue, and a loud systolic murmur, clinical symptoms were moderate. The initial echocardiogram suspected a malformation of the vessels deriving from the aortic arch and showed signs of concentric left ventricular hypertrophy. A magnetic resonance angiography of the thoracic aorta, neck, and head revealed the left subclavian (*), common carotid (**), and vertebral (***) arteries truncated (A). The right subclavian (°) (A) and vertebral (°°) (B) arteries displayed proximal filiform stenoses. The vessel walls showed massive thickening, and laboratory analyses showed signs of a chronic inflammation. Takayasu arterit…

Acute aortic dissection occurring during the butterfly stroke in a 12-year-old boy [Case report - Vascular thoracic]

Acute aortic dissection occurring during the butterfly stroke in a 12-year-old boy [Case report - Vascular thoracic]
A 12-year-old boy had severe chest and back pain of sudden onset while practicing the butterfly stroke in a swimming class. Computed tomography revealed an intimal flap in the descending thoracic aorta with massive right hemothorax. A ruptured type B acute aortic dissection was diagnosed, and then he collapsed. We totally replaced the descending aorta with a woven polyester prosthetic graft during deep hypothermic circulatory arrest. Hemostasis was achieved, but consciousness was not regained after operation, and multiple organ failure occurred. He died on the fifth postoperative day. He and his family had no history of cardiovascular disease. It seems that the swimming provoked a severe Valsalva maneuver, raising blood pressure acutely and thereby leading to dissection. This is then analo…

[a rare complication of brucellosis: mitral valve endocarditis.]

[a rare complication of brucellosis: mitral valve endocarditis.]
[A rare complication of brucellosis: mitral valve endocarditis.] Turk Kardiyol Dern Ars. 2008;36(5):329-331 Authors: Güray Y, Oztürk S, Boyacı A Early diagnosis of brucella endocarditis is of paramount importance because of its fatal consequences. The most commonly affected localization is the aortic valve, while mitral valve involvement is rare. A 44-year-old male patient with a history of rheumatic heart disease presented with fever, fatigue, and back pain. Three consecutive blood cultures revealed growth of Brucella melitensis. On transthoracic echocardiography, mitral valve area was 1.5 cm2 and there was mild mitral regurgitation. Transesophageal echocardiography showed multiple vegetations on the anterior and posterior mitral valve leaflets. Combination of …

The association between obesity and the prevalence of low back pain in young adults: the cardiovascular risk in young finns study

The association between obesity and the prevalence of low back pain in young adults: the cardiovascular risk in young finns study
Does abdominal obesity increase the risk of low back pain in women? American Journal of Epidemiology (Source: Medscape Orthopaedics Headlines)

Extreme Back Pain Relief - Banish That Pain Forever With Core Muscle Strength, Cardio and Recovery

Extreme Back Pain Relief - Banish That Pain Forever With Core Muscle Strength, Cardio and Recovery
Tired of back pain? If you are willing to make an Extreme commitment to your back muscles, then this very simple program can give you long-lasting relief.