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Prognostic factors in low back pain individuals undergoing steroid and anaesthetic intra-articular facet joint infiltration: a protocol for a prospective, longitudinal, cohort study

INTRODUCTION: Lumbar pain of facet origin is a common problem worldwide. For those patients not responding to traditional treatment, one approach may be intra-articular infiltration of corticoid and anaesthetic. However, despite the increasing demand for this procedure, no consensus exists regarding...

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Autores principales: Rodrigues, João Carlos, Poetscher, Arthur Werner, Lenza, Mario, Gotfryd, Alberto Ofenhejm, Martins Filho, Délio Eulálio, Rodrigues, Luciano Miller Reis, Garcia, Rodrigo Gobbo, Rosemberg, Laercio Alberto, Barros, Durval do Carmo Santos, Kihara Filho, Eduardo Noda, Ferretti, Mario, Bang, Gilbert Sung Soo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6624116/
https://www.ncbi.nlm.nih.gov/pubmed/31292177
http://dx.doi.org/10.1136/bmjopen-2018-026903
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author Rodrigues, João Carlos
Poetscher, Arthur Werner
Lenza, Mario
Gotfryd, Alberto Ofenhejm
Martins Filho, Délio Eulálio
Rodrigues, Luciano Miller Reis
Garcia, Rodrigo Gobbo
Rosemberg, Laercio Alberto
Barros, Durval do Carmo Santos
Kihara Filho, Eduardo Noda
Ferretti, Mario
Bang, Gilbert Sung Soo
author_facet Rodrigues, João Carlos
Poetscher, Arthur Werner
Lenza, Mario
Gotfryd, Alberto Ofenhejm
Martins Filho, Délio Eulálio
Rodrigues, Luciano Miller Reis
Garcia, Rodrigo Gobbo
Rosemberg, Laercio Alberto
Barros, Durval do Carmo Santos
Kihara Filho, Eduardo Noda
Ferretti, Mario
Bang, Gilbert Sung Soo
author_sort Rodrigues, João Carlos
collection PubMed
description INTRODUCTION: Lumbar pain of facet origin is a common problem worldwide. For those patients not responding to traditional treatment, one approach may be intra-articular infiltration of corticoid and anaesthetic. However, despite the increasing demand for this procedure, no consensus exists regarding its therapeutic value. The selection of eligible participants may be a determining factor since only those with an inflammatory process will benefit from the use of corticosteroids. This study aims to identify differences in disability, pain and quality of life scores in individuals with and without facet joint inflammation who were diagnosed using MRI. METHOD AND ANALYSIS: This prospective cohort will include individuals older than 18 years with a clinical diagnosis of facet syndrome who underwent intra-articular infiltration. Changes in scores of pain, disability and quality of life questionnaires at 1, 3, 6 and 12 months of follow-up compared with baseline will be analysed. An MRI examination performed before infiltration will help to distinguish between exposed (with inflammation) and non-exposed (non-inflammation) groups with facet syndrome. The primary outcome will be the disability questionnaire (Roland Morris), and the secondary outcomes will be the score questionnaires for pain (Visual Analogue Scale), quality of life (EuroQol Quality of Life Questionnaire) and disability (Oswestry). ETHICS AND DISSEMINATION: The Internal Review Board approved this study, which started only after the approval number (5291417.0.0000.0071) was received. All recruited participants will receive a verbal explanation about the purpose of the study, and their decision to participate will be free and voluntary. All participants enrolled in the study will provide a signed informed consent form including confidentiality terms. The results obtained in this study will be presented at national and international conferences and published in peer-reviewed scientific journals to disseminate the knowledge. TRIALS REGISTRATION NUMBER: NCT03304730; Pre-results.
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spelling pubmed-66241162019-07-28 Prognostic factors in low back pain individuals undergoing steroid and anaesthetic intra-articular facet joint infiltration: a protocol for a prospective, longitudinal, cohort study Rodrigues, João Carlos Poetscher, Arthur Werner Lenza, Mario Gotfryd, Alberto Ofenhejm Martins Filho, Délio Eulálio Rodrigues, Luciano Miller Reis Garcia, Rodrigo Gobbo Rosemberg, Laercio Alberto Barros, Durval do Carmo Santos Kihara Filho, Eduardo Noda Ferretti, Mario Bang, Gilbert Sung Soo BMJ Open Radiology and Imaging INTRODUCTION: Lumbar pain of facet origin is a common problem worldwide. For those patients not responding to traditional treatment, one approach may be intra-articular infiltration of corticoid and anaesthetic. However, despite the increasing demand for this procedure, no consensus exists regarding its therapeutic value. The selection of eligible participants may be a determining factor since only those with an inflammatory process will benefit from the use of corticosteroids. This study aims to identify differences in disability, pain and quality of life scores in individuals with and without facet joint inflammation who were diagnosed using MRI. METHOD AND ANALYSIS: This prospective cohort will include individuals older than 18 years with a clinical diagnosis of facet syndrome who underwent intra-articular infiltration. Changes in scores of pain, disability and quality of life questionnaires at 1, 3, 6 and 12 months of follow-up compared with baseline will be analysed. An MRI examination performed before infiltration will help to distinguish between exposed (with inflammation) and non-exposed (non-inflammation) groups with facet syndrome. The primary outcome will be the disability questionnaire (Roland Morris), and the secondary outcomes will be the score questionnaires for pain (Visual Analogue Scale), quality of life (EuroQol Quality of Life Questionnaire) and disability (Oswestry). ETHICS AND DISSEMINATION: The Internal Review Board approved this study, which started only after the approval number (5291417.0.0000.0071) was received. All recruited participants will receive a verbal explanation about the purpose of the study, and their decision to participate will be free and voluntary. All participants enrolled in the study will provide a signed informed consent form including confidentiality terms. The results obtained in this study will be presented at national and international conferences and published in peer-reviewed scientific journals to disseminate the knowledge. TRIALS REGISTRATION NUMBER: NCT03304730; Pre-results. BMJ Publishing Group 2019-07-09 /pmc/articles/PMC6624116/ /pubmed/31292177 http://dx.doi.org/10.1136/bmjopen-2018-026903 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Radiology and Imaging
Rodrigues, João Carlos
Poetscher, Arthur Werner
Lenza, Mario
Gotfryd, Alberto Ofenhejm
Martins Filho, Délio Eulálio
Rodrigues, Luciano Miller Reis
Garcia, Rodrigo Gobbo
Rosemberg, Laercio Alberto
Barros, Durval do Carmo Santos
Kihara Filho, Eduardo Noda
Ferretti, Mario
Bang, Gilbert Sung Soo
Prognostic factors in low back pain individuals undergoing steroid and anaesthetic intra-articular facet joint infiltration: a protocol for a prospective, longitudinal, cohort study
title Prognostic factors in low back pain individuals undergoing steroid and anaesthetic intra-articular facet joint infiltration: a protocol for a prospective, longitudinal, cohort study
title_full Prognostic factors in low back pain individuals undergoing steroid and anaesthetic intra-articular facet joint infiltration: a protocol for a prospective, longitudinal, cohort study
title_fullStr Prognostic factors in low back pain individuals undergoing steroid and anaesthetic intra-articular facet joint infiltration: a protocol for a prospective, longitudinal, cohort study
title_full_unstemmed Prognostic factors in low back pain individuals undergoing steroid and anaesthetic intra-articular facet joint infiltration: a protocol for a prospective, longitudinal, cohort study
title_short Prognostic factors in low back pain individuals undergoing steroid and anaesthetic intra-articular facet joint infiltration: a protocol for a prospective, longitudinal, cohort study
title_sort prognostic factors in low back pain individuals undergoing steroid and anaesthetic intra-articular facet joint infiltration: a protocol for a prospective, longitudinal, cohort study
topic Radiology and Imaging
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6624116/
https://www.ncbi.nlm.nih.gov/pubmed/31292177
http://dx.doi.org/10.1136/bmjopen-2018-026903
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