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Subject:

SPORTS MEDICINE : MEDICAL: BACK PAIN: Working through Back Pain

From:

"David P. Dillard" <[log in to unmask]>

Reply-To:

To support research in sports medicine <[log in to unmask]>

Date:

Sat, 2 May 2015 11:48:34 -0400

Content-Type:

TEXT/PLAIN

Parts/Attachments:

Parts/Attachments

TEXT/PLAIN (329 lines)

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.


SPORTS MEDICINE :

MEDICAL: BACK PAIN:

Working through Back Pain

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Working through Back Pain

Published: 01 May 2015 10:29 PM

Updated: 01 May 2015 10:29 PM

Pittsburgh Post Gazette

Dallas Morning News

http://www.dallasnews.com/lifestyles/health-and-fitness/ 
health/20150501-working-through-back-pain.ece

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A shorter URL for the above link:

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http://tinyurl.com/mao5sh4

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After he had battled lower back pain for three months with hot showers, 
analgesic heat rubs and heating pads, it finally happened. Chris Roth 
awoke one morning barely able to move.

.

This was a huge problem for Roth. As owner of Steel City Ballroom in a 
Pittsburgh suburb, he teaches the trademark hip-shaking and body-twisting 
steps of ballroom dancing. I canceled my lessons, said Roth, 44. Id had 
back pain but not like that. This was the most extreme pain. Thats when I 
couldnt push through it.

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Fortunately for Roth, Anthony Delitto was a student. The chairman of the 
University of Pittsburgh department of physical therapy in the School of 
Health and Rehabilitation Sciences offered to help.

.

In his office, Delitto analyzed Roths posture and how he walked to figure 
out the potential source of his pain. Then he had him lie down on his back 
and cross his legs in a figure-four position. Then he pounced on him and 
rocked him back and forth a few times. They heard a pop. The pain 
vanished. The hip was realigned. Back to the ballroom.

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Roths effort to continue dancing throughout the pain actually represents a 
new approach to treating lower back pain. Dont shut down. Remain active. 
Push through the pain so it doesnt become chronic.

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To study that concept, Patient-Centered Outcomes Research Institute has 
awarded the University of Pittsburgh $14 million over five years to lead a 
national trial to test whether a more aggressive European treatment can 
better prevent acute lower back pain from becoming a chronic condition in 
which the level of pain magnifies and is more difficult and expensive to 
treat.

.

Certain patients are more inclined to worry that when their back hurts 
they are further harming it, causing them to become inactive, he said. 
That can seriously impede recovery and cause further damage, leading to 
chronic back pain.


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The complete article may be read at the URL above.

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Selected Publication Citations of Anthony Delitto

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Childs, J. D., Fritz, J. M., Flynn, T. W., Irrgang, J. J., Johnson, K. K., 
Majkowski, G. R., & Delitto, A.
(2004).
A clinical prediction rule to identify patients with low back pain most 
likely to benefit from spinal manipulation: a validation study.
Annals of internal medicine, 141(12), 920-928.

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Fritz, J. M., George, S. Z., & Delitto, A.
(2001).
The role of fear-avoidance beliefs in acute low back pain: relationships 
with current and future disability and work status.
Pain, 94(1), 7-15.

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Hicks, G. E., Fritz, J. M., Delitto, A., & McGill, S. M.
(2005). 
Preliminary development of a clinical prediction rule for determining 
which patients with low back pain will respond to a stabilization exercise 
program.
Archives of physical medicine and rehabilitation, 86(9), 1753-1762.

.

Brennan, G. P., Fritz, J. M., Hunter, S. J., Thackeray, A., Delitto, A., & 
Erhard, R. E.
(2006).
Identifying subgroups of patients with acute/subacute nonspecific low back 
pain: results of a randomized clinical trial.
Spine, 31(6), 623-631.

.

Fritz, J. M., Delitto, A., & Erhard, R. E.
(2003).
Comparison of classification-based physical therapy with therapy based on 
clinical practice guidelines for patients with acute low back pain: a 
randomized clinical trial.
Spine, 28(13), 1363-1371.

.

Wainner, R. S., Fritz, J. M., Irrgang, J. J., Boninger, M. L., Delitto, 
A., & Allison, S.
(2003).
Reliability and diagnostic accuracy of the clinical examination and 
patient self-report measures for cervical radiculopathy.
Spine, 28(1), 52-62.

.

Delitto, A., Cibulka, M. T., Erhard, R. E., Bowling, R. W., & Tenhula, J. 
A.
(1993).
Evidence for use of an extension-mobilization category in acute 
low back syndrome: a prescriptive validation pilot study.
Physical Therapy, 73(4), 216-222.

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Erhard, R. E., Delitto, A., & Cibulka, M. T.
(1994).
Relative effectiveness of an extension program and a combined program of 
manipulation and flexion and extension exercises in patients with acute 
low back syndrome.
Physical Therapy, 74(12), 1093-1100.

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Mueller, M. J., Diamond, J. E., Delitto, A., & Sinacore, D. R.
(1989). 
Insensitivity, limited joint mobility, and plantar ulcers in patients with 
diabetes mellitus.
Physical Therapy, 69(6), 453-459.

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Delitto, A., Rose, S. J., McKowen, J. M., Lehman, R. C., Thomas, J. A., & 
Shively, R. A.
(1988).
Electrical stimulation versus voluntary exercise in strengthening thigh 
musculature after anterior cruciate ligament surgery.
Physical therapy, 68(5), 660-663

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Hicks, G. E., Fritz, J. M., Delitto, A., & Mishock, J. (2003).
Interrater reliability of clinical examination measures for identification 
of lumbar segmental instability.
Archives of physical medicine and rehabilitation, 84(12), 1858-1864.

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Fritz, J. M., Delitto, A., Welch, W. C., & Erhard, R. E.
(1998).
Lumbar spinal stenosis: a review of current concepts in evaluation, 
management, and outcome measurements.
Archives of physical medicine and rehabilitation, 79(6), 700-708.

.

Jette, A. M., & Delitto, A.
(1997).
Physical therapy treatment choices for musculoskeletal impairments.
Physical therapy, 77(2), 145-154.


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WEBBIB1415

.

.




Sincerely,
David Dillard
Temple University
(215) 204 - 4584
[log in to unmask]
http://workface.com/e/daviddillard

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Bushell, R. & Sheldon, P. (eds),
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Place, New York: Cognizant Communication Books.
Wellness Tourism: Bibliographic and Webliographic Essay
David P. Dillard
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.

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