Biomedical subjects

G Oland

Publications and source records attributed to G Oland.

4 recordsLinked to original sources

PubMed1996

Intraspinal cross-section areas measured on myelography--computed tomography. The relation to outcome in nonoperated lumbar disc herniation.

STUDY DESIGN: A prospective cohort study with computed tomographic-myelographic and clinical base registrations and follow-up by questionnaire 14 months after the onset of leg pain. OBJECTIVES: To detect predictive relations between intraspinal area measures and outcome in nonoperated lumbar disc herniation. SUMMARY OF BACKGROUND DATA: Myelography and computed tomography are qualitative methods ordinarily. The authors wanted to investigate the quantitative possibilities of computed tomographic technology in the pursuit of predictive measures. METHOD: Cross-section areas of the disc hernia, the dural sac, and the residual spinal canal were measured on computed tomography-myelography in 58 patients with lumbar disc herniation who did not undergo surgery. Pain, disability, and vocational status were asked for in a questionnaire after 8 months. RESULTS: After a median of 14 months from the onset of leg pain, 77% had returned to work, and only 7% were pain-free. The hernia size was not associated with the outcome measures. A high score for pain intensity and distal pain distribution was associated with a wide dural sac and a wide residual spinal canal. Disability and vocational status were not associated with any of the areas measured. Patients with the longest duration of leg pain had the narrowest spinal canals. CONCLUSIONS: Area measurements on computed tomography-myelography could not predict outcome in patients with lumbar disc herniation who were not operated on. There was an association between pain and a wide dural sac, which might underscore the sensory role of dura in protracted cases of sciatica.

Adult↗

PubMed1993

PRIDE model methods.

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Disability Evaluation↗

PubMed1991

A trial of modern rehabilitation for chronic low-back pain and disability. Vocational outcome and effect of pain modulation.

Of 66 nonoperated low-back pain patients who entered a 4-week program of modern active rehabilitation after 13 months' sick leave, only 15 (23%) had returned to work at 18 months' follow-up. Effective pain modulation with pool traction did not influence the vocational status or pain level at the time of follow-up. The prevalence of blue-collar workers among the clients were doubled compared with the general population, and a high proportion were unskilled (71%). It is concluded that the resources of health services should be used in the subacute stage to produce an earlier and more precise organic and psychosocial diagnosis and to state the preference of an active attitude supported by general physical training.

Adult↗

PubMed1989

[Symptoms and findings in chronic low back pain. Significance of symptom localization and radiographic findings].

The article presents a one-year material of 41 women and 59 men with chronic low-back disorders. Patients who had undergone back surgery and patients with inflammatory disease, fibromyalgia and somatoform disorders were excluded. Median age was 39 years, and median time off work was 16 months. Neurological deficits were found in the lower extremities in 48%. Of the 48 patients with calf symptoms, 60% had neurological deficits. Of 22 patients with thigh symptoms, 45% had neurological deficits, and such deficits were found in 30% of the 30 patients with back pain only. Relevant roentgenographic findings were obtained in 84%; decreased disc height, osteoarthritic facet joints, end-plate fracture, narrow bony canal, disc bulge and disc prolapse. It is concluded that, in the evaluation of low-back disorders, survey x-ray examination is a valuable and necessary supplement to a detailed history and thorough clinical examination.

Adolescent↗