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study, 65 were found to be acute cases versus 35 which were chronic
cases. 60 patients were discharged home, 25 went to a nursing home,
11 went to medicine, and 4 were transferred to surgery after leaving
the rehab unit. The most common modalities for pain management
were steroids and opioids, specifically, Oxycodone. Out of all the
vertebrae regions that were affected (cervical, lumbar, thoracic,
sacral), the lumbar vertebrae were the most common location of
diskitis in our patient population. Particularly, the L4-L5 vertebrae
were seen to be affected the most. Of our sample population, 12
patients incurred UTI’s during their course of hospital stay, further
complicating their underlying diskitis and requiring antibiotic usage.
The most heavily ordered antibiotic was Rocephin. We had two cases
of sepsis diskitis which was aggressively managed.
Conclusions:
The average FIM score upon admission was 71.82 and
increased to 75 at discharge, patients with low scores at admission are
likely to be discharged to a facility and those with high scores at
admission are likely to be discharged to home. This correlated with our
results as majority of the patient population returned home after
being discharged.
Level of Evidence:
Level II
Poster 119:
Relationships Between Olisthetic Conditions and
Intervertebral Disc Degeneration in the Lumbar Spine
Hyun Haeng Lee (Seoul, South Korea), Keewon Kim, MD,
Jeong-Gil Kim, MD, Jae Hyeon Park, MD, Sun G. Chung, MD, PhD
Disclosures:
Hyun Haeng Lee: I Have No Relevant Financial Relation-
ships To Disclose
Objective:
To determine whether olisthetic conditions associate with
intervertebral disc degeneration in the lumbar spine.
Design:
Case control study, retrospective.
Setting:
Checkup including lumbar spine imaging.
Participants:
The subjects were recruited from the persons who had
visited to Gangnam Health-Care Center, Seoul National University
Hospital for routine checkup from Jan. 2012 to Jun. 2014. We enrolled
the subjects who had lumbosacral magnetic resonance imaging and
lateral standing radiographs conducted consecutively within 1 month.
281 subjects were categorized into olisthesis (n
¼
78) and control
groups (n
¼
203).
Interventions:
Not applicable.
Main Outcome Measures:
Disc degeneration score (DDS), rating
higher scores for severer degeneration, was graded at each interver-
tebral disc level to score segmental DDSs, which were summed up to
obtain a total DDS.
Results:
The olisthesis group comprised 52 patients with spondylolis-
thesis (SPL), 25 with retrolisthesis (RTL) and 1 with both. The olisthesis
group (20.69 8.02 [6 - 43]) showed significantly higher total DDS than
the control group (14.55 6.18 [0 - 39], p
<
.001). Among the olisthesis
group, patients with RTL (23.36 8.43 [9 - 43]) showed severer
degeneration than patients with SPL (19.10 7.23 [6 - 38]), but a
statistical significance was not reached (p
¼
.212). The segmental DDSs
of the intervertebral discs adjacent to the olisthetic vertebrae were
meaningfully higher than the corresponding levels of discs in the
control group especially at L3, L4, and L5 SPL (p
¼
.003, p
¼
.003, and
p
¼
.002) and at L2 and L3 RTL (p
¼
.007, and p
¼
.026).
Conclusions:
Olisthetic conditions have strong relationships with the
degree of disc degeneration in the lumbar spine especially at the discs
adjacent to olisthetic vertebrae.
Level of Evidence:
Level II
Poster 120:
Photomodulation Therapy with Low Level Laser
Therapy (LLLT): Benefits for Pain Control
Vinicius Tieppo Francio, MD/PhD(c) (USAT College of Medicine,
Oklahoma City, OK, United States)
Disclosures:
Vinicius Tieppo Francio: I Have No Relevant Financial
Relationships To Disclose
Objective:
Low-Level-Laser Therapy (LLLT) is a form of light therapy
that triggers biochemical changes within cells, where the photons are
absorbed by cellular photoreceptors and triggers chemical alterations
and potential biochemical benefits to the human body. LLLT has been
used in pain management for years and is also known as cold laser ther-
apy, which uses low-frequency continuous laser of typically 600-1000 nm
wavelengthused for pain reductionand healing stimulation. Many studies
have demonstrated analgesic and anti-inflammatory effects provided by
photobiomodulation in both experimental and clinical trials. Therefore,
the purpose of this research article is to present a summary of the
possible pain management benefits of low-level laser therapy.
Design:
Review of the literature.
Setting:
Theoretical retrospective review of the literature.
Participants:
Non applicable.
Interventions:
Non applicable.
Main Outcome Measures:
Non applicable.
Results:
In cold laser therapy, non-coherent light of wavelength 600-
1000 nm is applied to an area of concern in the hopes of photo-
stimulating the tissues in a way that promotes and accelerates healing.
This is evidenced by the similarity in absorption spectra between
oxidized cytochrome c oxidase and action spectra from biological re-
sponses to light.
Conclusions:
LLLT using the properties of non-coherent light, has been
seen to produce pain relief and fibroblastic regeneration in clinical trials
and laboratory experiments. LLLT has also been seen to significantly
reduce pain in the acute setting; it is proposed that LLLT is able to
reduce pain by reducing the level of biochemical markers, oxidative
stress and the formation of edema and hemorrhage. Many studies have
demonstrated analgesic and anti-inflammatory effects provided by
photobiomodulation in both experimental and clinical trials, and
therefore based on current research the utilization of low level laser
therapy for pain management and osteoarthritic conditions may be a
complementary strategy used in clinical practice to provide symptom
management for patients suffering fromosteoarthritis and chronic pain.
Level of Evidence:
Level V
Poster 121:
Properties of Wrist-Worn Accelerometers in
Individuals with Spinal Cord Injury
Aaron J. Zynda (University of Michigan, Plano, TX, USA),
Susan L. Murphy, ScD OTR/L, Anna L. Kratz, PhD
Disclosures:
Aaron Zynda: I Have No Relevant Financial Relationships
To Disclose
Objective:
Increasing physical activity is an important health goal in
spinal cord injury (SCI) patients, however, validated methods to
measure physical activity are limited. We examined measurement
properties of the Actiwatch-Score, a commonly-used accelerometer,
and PRO-Diary in individuals with and without SCI.
Design:
Validity Study.
Setting:
Participants completed 8 tasks ranging from sedentary to
moderate intensity physical activity in a research setting.
Participants:
Nineteen manual wheelchair users with SCI were
matched based on age and sex to 19 adults without an SCI who
ambulated independently. Mean age was 49.3 years and one third were
female.
Interventions:
Not applicable.
Main Outcome Measures:
To examine construct validity within
groups, we conducted paired t-tests for each task by activity monitor.
Independent sample t-tests were conducted to compare the groups in
terms of activity levels across the tasks. Inter-unit reliability/agree-
ment across tasks was assessed with intra-class correlations and Bland
Altman plots.
Results:
Both monitors demonstrated significantly different,
increasing physical activity levels from sedentary to higher intensity
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Abstracts / PM R 9 (2017) S131-S290