BACKGROUND: Maladaptive fear of movement in individuals with low back pain may be associated with worse clinical outcomes. OBJECTIVE: To explore beliefs about the perceived dangers regarding different spinal postures within the Czech Republic. DESIGN: Exploratory cross-sectional study including physiotherapists and members of the general public. METHODS: Self-reported perceived safety/danger of "straight" and "flexed" spinal postures regarding 1) sitting, 2) lifting of light and 3) heavy object from the floor based on three pairs of photographs was measured using numeric rating scales (0-10, safe to dangerous) without any given context and in the context of low back pain. The sum of differences between the ratings of flexed and straight postures were used to calculate Bending Safety Beliefs Thermometer (BSBThermometer) total score potentially ranging -60‒60 (higher values indicates evaluation of flexed spinal postures as more dangerous in comparison to straight postures). RESULTS: 760 participants were included in the analysis. The mean BSBThermometer total score was 31.1 (SD 16.1) and higher scores were positively associated with being women (b = 14.8, 95% CI [9.9-19.8]); non-medical profession (b = 24.7, 95% CI [15.2-34.2]); age (b = 0.38, 95% CI [0.16-0.6]; and their interactions. There was no significant association with current low back pain status or history of low back pain. CONCLUSIONS: On average, participants evaluated "flexed" spinal postures as significantly more dangerous when compared with "straight" spinal postures, with only subgroups of physiotherapists scoring lower than the general public. Clinically, these beliefs could be targeted by individualized education, exposure-based interventions and public campaigns; however, further research is required.

• MeSH
• dospělí MeSH
• fyzioterapeuti * psychologie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• lumbalgie * patofyziologie   psychologie   MeSH
• postura těla * fyziologie   MeSH
• průřezové studie MeSH
• senioři MeSH
• strach psychologie   MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika MeSH

PURPOSE: The Core Outcome Measures Index (COMI) is a short, multidimensional instrument translated into several languages that covers five domains recommended in the assessment of outcome in patients with low-back and neck pain. The purpose of this study was to cross-culturally adapt the COMI from English to Czech language and to test the face and construct validity and reproducibility of its results in patients with low-back and neck pain. METHODS: Participants (n = 125) were included from primary and secondary care. The participants reported moderate pain and disability levels. All participants filled in the COMI forms before and after surgery. Descriptive statistics, Wilcoxon paired test, Crombach's alpha, principal component analysis and information entropy calculation were used. RESULTS: The instrument was successfully forward and back-translated. It can be seen that the questionnaire applied as part of our intervention study produces answers with a sufficient degree of variability and with a satisfactory degree of representation of extreme values. It can be also seen that the questionnaire can diagnose an objectively occurring change associated with the surgeon within the intervention procedure. Our other findings support the idea of ​​a possible reduction in the number of questions that measure the same latent variable. Our investigations also showed that it is possible to reduce the range of the point scale of the perception of pain to 5 degrees of intensity and thus unify the range with the other questions. CONCLUSION: The Czech COMI shows acceptable properties and is thus suitable to use as a short instrument for measuring important domains in patients with low-back and neck pain.

• MeSH
• bolest krku * diagnóza   MeSH
• dospělí MeSH
• hodnocení výsledků zdravotní péče metody   MeSH
• lidé středního věku MeSH
• lidé MeSH
• lumbalgie * diagnóza   MeSH
• měření bolesti metody   MeSH
• posuzování pracovní neschopnosti MeSH
• průzkumy a dotazníky normy   MeSH
• reprodukovatelnost výsledků MeSH
• senioři MeSH
• srovnání kultur * MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika MeSH

BACKGROUND: Vertebral fragility fractures (VFFs) commonly result from low bone mass and microarchitecture deterioration of bone tissue. spinal orthoses are common non-pharmacological options for managing vertebral fracture pain. However, the effects of spinal orthoses on pain, physical functioning, and quality of life (QoL) are still debated. OBJECTIVE: This survey aimed to investigate the patients-reported outcomes of a dynamic spinal orthosis prescribed in the routine clinical practice of VFFs management. METHODS: This multi-center national-wide prospective cohort study assessed older patients (aged > 60 years) diagnosed with acute VFFs and prescribed with a dynamic spinal orthosis (Spinfast®). A survey questionnaire was realized and included sections on patient characterization, osteoporosis characterization, spinal orthosis, clinical outcomes, pain medications, and osteoporosis medications. The questionnaire was administered at baseline and after three months. A total of 68 patients completed the questionnaire at three months. Most patients had one or two VFFs and were treated with pain medications and osteoporosis medications. Compliance and tolerability of the spinal orthosis were assessed, and clinical outcomes such as pain intensity, physical functioning, and QoL were measured. RESULTS: The results showed no significant differences in outcomes between age subgroups. Italian physical medicine and rehabilitation physicians were commonly involved in the management of VFFs patients. Sixty-six patients completed the questionnaire. The results showed that pain intensity, physical functioning and QoL improved after three months of spinal orthosis wearing (p< 0.0001). CONCLUSION: The correct management of VFFs is mandatory to improve pain and reduce disability, and our findings suggested a positive role of dynamic spinal orthosis to improve the comprehensive management of VFFs patients. However, high-quality research trials are warranted to provide clear recommendations for the correct clinical management of VFF.

• MeSH
• bolesti zad rehabilitace   terapie   MeSH
• fraktury páteře * rehabilitace   MeSH
• hodnocení výsledků péče pacientem MeSH
• kvalita života * MeSH
• lidé středního věku MeSH
• lidé MeSH
• měření bolesti MeSH
• osteoporotické fraktury * rehabilitace   MeSH
• prospektivní studie MeSH
• protetické prostředky * MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• zpráva o sobě MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• multicentrická studie MeSH

AIM: This study aimed to analyse cross-cultural differences in the prevalence of low back pain (LBP) and other back pain of general nurses in direct inpatient care in the Czech Republic (CZ) and Great Britain (GB). METHODS: The survey was used using an extended standardized Nordic Musculoskeletal Questionnaire and self-created additional questions. The data were analysed with Stata 15 using a significance level of 0.05. RESULTS: The data analysis was based on 1043 questionnaires. We identified statistically significant differences in the LBP prevalence between the respondents (CZ 93% and GB 85%) over a period of 12 months. Nurses in both countries stated a higher prevalence of LBP compared to pain in the neck, shoulders or upper back. LBP increases in relation to age, length of work experience, body mass index (BMI) and university education (BSc). Age, length of work experience, BMI and education (nursing college and master's degree) were confirmed as significant risks contributing to the increased prevalence of other back pain as well. Respondents reported a reduction in work performance, leisure activities and the need to change profession in relation to LBP. CONCLUSION: The results of the study confirm that LBP is a frequent occupational health issue in the general nurses working in direct inpatient care in both countries.

• MeSH
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• lumbalgie * epidemiologie   MeSH
• nemoci z povolání epidemiologie   MeSH
• pilotní projekty MeSH
• prevalence MeSH
• průzkumy a dotazníky MeSH
• srovnání kultur * MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• srovnávací studie MeSH
• Geografické názvy
• Česká republika MeSH
• Spojené království MeSH

OBJECTIVES: This project aimed to promote running as the best treatment for lower back pain (LBP) in an outpatient setting. INTRODUCTION: LBP is one of the most prevalent conditions worldwide. Sixty-two percent of all Germans experience episodes of non-specific back pain at least once a year, with one-fifth developing chronic conditions. Intervertebral disc (IVD) degeneration is a natural process, contributing to periods of acute LBP. However, the scientific literature and guidelines partially overlook the significance of water management in IVD. This implementation project sought to address this gap by educating patients about this process. Running and/or walking were chosen as general approaches for treatment rather than specific disease-related approaches. METHODS: This implementation project was conducted in an outpatient physiotherapy clinic in Brandenburg, Germany, utilizing the JBI Evidence Implementation Framework. An evidence-informed clinical audit and feedback strategy was used to measure compliance with ten audit criteria. Five physiotherapists and 20 patients took part in the audits. RESULTS: At baseline, only 20% of participating physiotherapists screened for yellow flags regarding psychological issues. However, after project implementation, this criterion scored 100% compliance. Some patients performed exercises independently, but confusion persisted regarding the choice of beneficial exercises. Patients continued running, but those who took a break due to pain expressed uncertainty about resuming. CONCLUSIONS: The project highlighted the effectiveness of collaborative efforts between patients and therapists to address the issue. The project team's conviction in action and solution strategies serves as the foundation for this collaboration. This implementation strategy provided "running" patients with the confidence to either resume or reintegrate running after an extended break. SPANISH ABSTRACT: http://links.lww.com/IJEBH/A222.

• MeSH
• běh * MeSH
• dospělí MeSH
• fyzioterapie (techniky) * MeSH
• lékařská praxe založená na důkazech MeSH
• lidé středního věku MeSH
• lidé MeSH
• lumbalgie * terapie   MeSH
• terapie cvičením metody   MeSH
• vzdělávání pacientů jako téma metody   MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Německo MeSH

OBJECTIVE: Chronic low back pain, affecting up to 58% of the population, often stems from intervertebral disc degeneration. Although magnetic resonance imaging (MRI) is commonly used for diagnostics, challenges arise in pinpointing pain sources due to frequent asymptomatic findings. Single-photon emission tomography (SPECT) integrated with computed tomography (CT) offers a promising approach, enhancing sensitivity and specificity. METHODS: In this retrospective study, spanning 2016 to 2022, SPECT/CT imaging was performed on 193 patients meeting specific criteria. We correlated SPECT/CT findings with lumbar MRI results, utilizing Pfirrmann and Rajasekaran classifications for disc degeneration and endplate damage assessment. Logistic regression analysis adjusted for age and sex evaluated associations. RESULTS: Of 965 spinal levels assessed, SPECT/CT positivity strongly correlated with higher Pfirrmann grades and Rajasekaran endplate classifications. Notably, Modic changes (MCs) on MRI displayed a nonsignificant relationship with SPECT/CT positivity. Significant associations were observed in older patients with positive MCs, Pfirrmann grades, and Rajasekaran classifications. CONCLUSIONS: This comprehensive study, the largest of its kind, establishes a significant link between SPECT/CT positivity and advanced lumbar degenerative changes. Higher Pfirrmann grades and increased Rajasekaran endplate damage demonstrated substantial correlations with SPECT/CT positivity. Notably, MCs did not exhibit such association. Our findings underscore the potential of SPECT/CT in identifying pain generators in degenerative spinal conditions, offering valuable insights for future interventions.

• MeSH
• bederní obratle diagnostické zobrazování   MeSH
• chronická bolest diagnostické zobrazování   etiologie   MeSH
• degenerace meziobratlové ploténky * diagnostické zobrazování   komplikace   MeSH
• dospělí MeSH
• jednofotonová emisní výpočetní tomografie metody   MeSH
• lidé středního věku MeSH
• lidé MeSH
• lumbalgie * diagnostické zobrazování   etiologie   MeSH
• magnetická rezonanční tomografie * metody   MeSH
• retrospektivní studie MeSH
• senioři MeSH
• SPECT/CT metody   MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

Odloučení placenty může být katastrofální událostí s následky pro matku i plod. Prezentujeme masivní odloučení placenty, ke kterému došlo u mladé asymptomatické matky v 30. týdnu těhotenství. Ačkoli elektronický monitoring plodu a ultrazvuk umožnily rychlou diagnózu retroplacentárního hematomu o velikosti 8 × 5 cm, plod během akutního císařského řezu odumřel. Plod byl intubován a resuscitován, ale neúspěšně. Histologické vyšetření placenty prokázalo ztenčené a na sebe navrstvené choriové klky se zvýšeným množstvím kapilár a syncitiálními hnízdy a ložisky fibrinoidní nekrózy za přítomnosti hyalinních pruhů jak na straně matky, tak na straně plodu.

Abruptio placenta can be a catastrophic event with a high association with adverse maternal and fetal outcomes. We present a case of massive abruptio placenta occurring in a young asymptomatic mother at 30 weeks‘ gestation. Although electronic fetal monitoring and ultrasound allowed a prompt diagnosis of an 8 × 5 cm retroplacental hematoma, the fetus died at the time of emergency cesarean section. The fetus was intubated, but could not be resuscitated. Histologic examination of the placenta documented thinning and stacked hypercapillarized villi, with syncytial buds and foci of fibrinoid necrosis in the presence of hyaline streaks on both the maternal and fetal sides.

• MeSH
• bolesti zad etiologie   MeSH
• císařský řez metody   MeSH
• děložní krvácení diagnostické zobrazování   etiologie   patologie   MeSH
• distres plodu diagnóza   etiologie   MeSH
• hematom diagnostické zobrazování   etiologie   patologie   MeSH
• histologické techniky MeSH
• mladý dospělý MeSH
• monitorování plodu MeSH
• narození mrtvého plodu MeSH
• předčasné odlučování placenty * diagnostické zobrazování   patologie   MeSH
• těhotenství MeSH
• ultrasonografie MeSH
• Check Tag
• mladý dospělý MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• kazuistiky MeSH

• MeSH
• bolesti zad * etiologie   MeSH
• krční obratle * patofyziologie   MeSH
• lidé MeSH
• psychosomatické poruchy * diagnóza   MeSH
• relaxační terapie metody   MeSH
• Check Tag
• lidé MeSH

Článek se zabývá hodnocením morfologie svalů břišní stěny s důrazem na posouzení stranové symetrie u elitních hráček florbalu v souvislosti s bolestí dolní části zad. Výzkumu se zúčastnilo 20 hráček extraligy žen ve florbalu, které vyplnily elektronický dotazník standardizovaně hodnotící bolesti dolní části zad. U hráček byly sonograficky měřeny lineární rozměry břišních svalů v klidové poloze oboustranně. Byla zjištěna signifikantní stranová asymetrie lineárních rozměrů břišních svalů (p = 0,02; Cohenovo d = 0,52). Souvislost této asymetrie s biomechanikou pohybu ve florbalu, korelující se stranou držení hole hráček, však nelze na základě shromážděných dat prokázat (p = 0,34–0,95; Cohenovo d = –0,15 až 0,38). Ve výsledcích dále pozorujeme určité trendy. Ve srovnání s dříve publikovaným ženským průměrem vidíme u účastnic hypertrofii m. rectus abdominis. Hráčky, které uvedly obtíže s bolestí dolní části zad, mají průměrně nižší hodnoty lineárních rozměrů všech měřených břišních svalů. Stranová asymetrie svalů břišní stěny se po korelaci s výsledky dotazníků překvapivě zdá být možným protektivním faktorem výskytu bolesti zad u těchto elitních hráček (Pearsonův korelační koeficient r = –0,39; p = 0,09). Pro potvrzení vztahu stranové asymetrie, biomechaniky florbalu a bolesti dolní části zad je vhodné rozšířit výzkum v této oblasti při zapojení většího množstvím probandů. Zároveň je třeba zdůraznit, že zjištění možného protektivního vlivu asymetrie u elitních hráček není přenositelné na obecnou populaci a že nebyl hodnocen dlouhodobý vliv této asymetrie na výskyt bolestí v pozdějším věku.

The article contains an evaluation of the morphology of the abdominal wall muscles focusing on the assessment of lateral symmetry in elite floorball players and its relationship with the occurrence of low back pain. A total of 20 female players of women‘s floorball extraleague, who filled out an electronic questionnaire assessing low back pain, participated in the evaluation. The linear parameters of the abdominal wall muscles were measured in the players on both sides at rest using sonography. A significant lateral asymmetry of the linear parameters of abdominal wall muscles was demonstrated in the work (P = 0.02; Cohen‘s d = 0.52). However, the relationship between this asymmetry and the biomechanics of movement in floorball, correlated with the side of the player’s stick, cannot be proven based on the collected data (P = 0.34–0.95; Cohen‘s d = –0.15 to 0.38). We also observe certain trends in the results. Compared to the previously published female average, we notice hypertrophy of the rectus abdominis in participants. On average, female players who reported low back pain have lower values of the linear parameters of abdominal wall muscles. After correlation with the results of the questionnaires, lateral asymmetry of the abdominal wall muscles surprisingly appears to be a possible protective factor in the occurrence of back pain in these elite players (Pearson‘s correlation coefficient r = –0.39; P = 0.09). To confirm the relationship between lateral asymmetry, floorball biomechanics and low back pain, it is advisable to expand research in this area by involving a larger number of probands. At the same time, it should be emphasized that the finding of a possible protective effect of asymmetry in elite female players is not transferable to the general population and that the long-term effect of this asymmetry on the occurrence of pain in later life has not been evaluated.

• MeSH
• bolesti zad * etiologie   patofyziologie   MeSH
• břišní stěna anatomie a histologie   diagnostické zobrazování   MeSH
• břišní svaly * anatomie a histologie   diagnostické zobrazování   MeSH
• lidé MeSH
• měření bolesti MeSH
• sportovci MeSH
• ultrasonografie metody   MeSH
• zpráva o sobě MeSH
• Check Tag
• lidé MeSH
• ženské pohlaví MeSH

BACKGROUND: The Dynamic Neuromuscular Stabilization (DNS) diaphragm test and intra-abdominal pressure regulation test (IAPRT) are qualitative clinical tests that assess postural stability provided by the diaphragm. OBJECTIVE: Evaluate the inter-rater reliability of the diaphragm test and IAPRT between an experienced and novice DNS clinician among individuals with non-specific low back pain (LBP) and neck pain. METHODS: Forty-five participants with non-specific LBP and/or neck pain were assessed by an experienced and novice DNS physiotherapist in the diaphragm test and IAPRT, and scored on a visual analog scale (VAS) according to five different criteria. RESULTS: Moderate reliability was noted when assessing LBP and neck pain patients in the diaphragm test and IAPRT (p < 0.001). Moderate reliability also existed when assessing only LBP (p < 0.001) or neck pain (p = 0.002, p = 0.009) independently. Patients with lower pain (NPRS score of 5 or < ) demonstrated lower intra-class correlation coefficients, yet still moderate reliability in the diaphragm test (p = 0.004) and IAPRT (p = 0.001). Patients with higher pain (NPRS score of 6 or > ) demonstrated greater intra-class correlation coefficients, with the diaphragm test resulting in good reliability (p < 0.001). CONCLUSIONS: The diaphragm test and IAPRT demonstrate moderate reliability between an experienced and novice DNS clinician when evaluating LBP and neck pain patients, with a greater degree of reliability noted in patients suffering from higher reported pain.

• MeSH
• bolest krku * patofyziologie   diagnóza   MeSH
• bránice * patofyziologie   MeSH
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• lumbalgie * patofyziologie   diagnóza   MeSH
• měření bolesti metody   MeSH
• odchylka pozorovatele MeSH
• posturální rovnováha fyziologie   MeSH
• reprodukovatelnost výsledků MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH