International Journal of Musculoskeletal Pain prevention
Volume:1 Issue: 3, Summer 2016

Mini abstract: This study is an extended follow up of the original trial study (NCT00600197) that has been published in the clinical journal of pain. This trial aimed to explore if the proposed multidisciplinary program could improve quality of life and disability of the patients suffering from chronic low back up to 36 months.
Methods and Material: In this Clinical Randomized trial seventy percent (139 of 197) of the participants who had taken part in the original study including 66 patients in intervention group and 73 patients in control group were followed up to 36 months after intervention. The intervention group continued receiving monthly motivational consultation and booster classes plus oral medication but the other group received just medication. Data on measures of Short Form 36 (SF- 36), Quebec Disability Scale (QDS) and Ronald Morris Disability (RDQ) were collected at 3-,6- 12-, 18- 24-, 30-. and 36 - month follow ups and analyzed through RMANOVA.
The 2 groups were comparable regarding all baseline characteristics (P>0.05), except for education level that was better in intervention group (P = 0.01). Two groups were improved regarding all studied variables over time up to 36 month (P The proposed multidisciplinary program could improve quality of life and disability up to 36 months in chronic low back pain patients.
Key - Words: This study revealed the designed multidisciplinary program compared with medication group could reduce back pain up to 36-months among patients suffering from Chronic Low Back Pain.
This study showed the multidisciplinary program compared with medication group could reduce disability up to 36-months among patients suffering from Chronic Low Back Pain.
In total, the quality of life of patients who took part in multidisciplinary program would be improved better than medication group over 36- month follow up.

In 2014 the global prevalence of diabetes was estimated to be 9% among adults aged 18 years. The concept of self efficacy and Physical self-concept have been shown to be an effective predictor of behavior in many areas of health. This study investigated the relationships between foot-care self-efficacy beliefs, Physical self-concept, self-reported foot-care behavior in people with diabetes.
Material and This is a descriptive-analytical . The participants of this study consisted of 90 People who had been admitted to the Diabetic Clinic of health centers at any time from the years 2015 to 2016 were invited to participate, Mashhad- Iran. The patients were randomly. The demographic questionnaire and To measure foot-care self-efficacy beliefs each participant completed the self-report "Foot Care Confidence Scale" (FCCS) questionnaire and to measure Physical self-concept each participant completed the self-report Marsh “Physical Self-Description Questionnaire” (PSDQ).
SPSS 20.0 was used for the analyses. To determine the relationship of FCCS scores with both preventative and potentially damaging behavior scores the Pearson product-moment coefficient of correlation was determined in each case. For these correlation analyses, an α ninety patients, with a mean age of 51.82 ± 11.3 years. There is the significant association between foot-care and self-efficacy beliefs and higher foot care behavior. (r=0.4,p The results suggested the management of people with diabetes disease problems must take place in a context that includes consideration of psychosocial and behavioral factors in addition to patho physiological factors. However, this study has found that it is unlikely that the evaluation of foot-care self-efficacy beliefs and Physical self-concept were particularly useful in assessing the actual foot-care behavior of people with diabetes and loss of protective sensation in their feet. Detailed Semi-experimental research and educational interventions is now required to definitively determine the relationship between self-efficacy beliefs and Physical self-concept and the incidence of foot-care behavior of people with diabetes.

Osteoarthritis (OA) has been recognized, as the most common inflammatory disease in the world. Adipose Stem Cells (ASCs), as a new feasible source with high numbers of stem cells and proliferative capacity have been used for regenerative medicine. Based immunomodulatory and chondrogenic properties of ASCs, this study aimed to assess intra articular injection of ASC effect on improvement of osteoarthriti.
signs.Osteoarthritis (OA) has been recognized, as the most common inflammatory disease in the world. Adipose Stem Cells (ASCs), as a new feasible source with high numbers of stem cells and proliferative capacity have been used for regenerative medicine. Based immunomodulatory and chondrogenic properties of ASCs, this study aimed to assess intra articular injection of ASC effect on improvement of osteoarthritis signs.
Methods and Materials: Adipose tissue samples were obtained from subcutaneous of abdomen. ASCs were isolated and cultured for at least three passages in culture media containing autologous serum and expanded them to 15-20 ×106 cell. The morphology and proliferative potency of ASCs were determined. Immuno phenotype characteristics of ASCs were analyzed by flow-cytometry. Then cell suspensions were injected into knee articular spaces. After 6 months the function of knee was assessed by WOMAC, KOOS, Lysholm and Lequesne indexes.
The results of this study showed that homogenous spindle-shape ASCs expanded rapidly with low doubling time. The low expression of CD14 and CD45 indicated that ASCs are non hematopoietic cells and expressed high results showed that injected ASCs were effective in improvement of OA by scoring systems for evaluation of pain, joint movements and daily physical activities were significantly changed due to injection of stem cells. Osteoarthritis severity indexes means of WOMAC and Lequesne were decreased from 53 to 12.3 and 15.1 to 2.1 respectively. Also osteoarthritis improvement indexes Lysholm æ KOOS means were significantly increased from 35 to 15.1 and 70 to 126.7 respectively. In six months follow up of intra articular injection of ASCs, we observed no local or systemic side effect. After ASCs injection, walking distance considerably increased. The flexion angle of knee improved by 20-30 degrees compares to before of treatment.
Autologous ASCs injection could be resulted in increasing of knee function, alleviated of pain and quality of life improvement.

low back pain is a common health problem that has many consequences, including disability and absence from work.This study aimed to determine the prevalence of Low Back Pain among women referred to Quds clinic in Tehran, Iran.
Material and This cross-sectional study was conducted on women referred to Quds clinic, in East of Tehran. A total of 100 patients were studied over a period of one month. Two questionnaires were used for this study. The first one contains general information such as age, height, weight, Body Mass Index, education level, smoking and physical activity . Also the participants were asked whether over the past two weeks had LBP or not and if yes their pain severity was measured through Visual Analogue Scale (VAS). The second questionnaire was Roland-Morris Disability Questionnaire (RDQ) that was only available to persons that expressed a report of pain over the past two weeks. Data were analyzed using SPSS.
52 patients (52%) of the samples reported LBP.Alsosignificant relationship between LBP and functional disability was shown (P

and Back injury in nurses is one of the most common healthcare problems. The chronic low back pain leads to several problems including varying degrees of disability, impact on activities of daily life, physical and emotional problems, and serious impact on the quality of life. The purpose of this study was to assess the quality of life of nursing staff with chronic nonspecific low back pain working in hospitals in Yazd.
This study was a descriptive-analytic study. A total of 119 nurses were selected with nonrandom purposive sampling method. Health-related quality of life of the participants was assessed using the 36-item short-form health survey questionnaire (SF-36) and analyzed through SPSS software version 20 by appropriate statistical tests.
Findings and This study showed that there were significant differences between the quality of life of nursing staff with chronic low back pain and Iranian normal population in all aspects (p

The comparison between Voluntary and automatic contraction of deep abdominal muscles in patients with Nonspecific Low Back Pain (nLBP) may justify being the best treat for them. The aim of this case-controlled study was to compare changes in the thickness of the Transverses Abdomin is (TrA) and Internal Oblique (IO) muscles during the Abdominal Drawing-In Maneuver (ADIM) and the Active Straight-Leg Raise (ASLR) test.
This study involved 30 women including 20 women with and 10 women without non-specific low back pain. The abdominal muscle thickness in the supine crook-lying, ASLR, and ADIM exercises were measured. Two-way repeated-measures ANOVA was used to compare the thickness ratio results between the two groups.
There were significant differences between the TrA (p These findings suggest that in both groups the deep abdominal muscles (the TrA and the IO) respond differently according to the variable type of activities such as voluntary or automatic, therefore, in training programs, in addition to a voluntary workout, automatic type of exercises should also be taught.

Preventive measures such as training and awareness and prevention skills for personal protection in the musculoskeletal areas are one of the most important strategies in health care systems. The aim of this study was to investigate the effect of an educational intervention based on Health Belief Model (HBM) on promoting preventive behavior of musculoskeletal problems in female Afghan health workers.
Material and In this study, 60 female employees of Afghanistan health ministry were selected and divided randomly into control and experimental groups (N = 30 women for each one). Data, collected through a questionnaire based on health belief model on preventive behaviors of musculoskeletal problems. The experimental group received the educational intervention for a month, and three months after the program, both groups completed a questionnaire and data were analyzed
The results indicated that before the educational intervention program, there were no significant differences between the experimental and control groups in knowledge, perceived suscept­ibility, severity, benefits and barriers and perform­ance. However, after the intervention, these factors significantly increased in the experimental group compared to the control group and also perceived barriers decreased (all P=0.001).
According to this study, health education program based on Health Belief Model is effective on promoting preventive behaviors of musculoskeletal problems. Therefore, for successful implementation of these programs, control, monitoring and follow-up training is recommended.