Jan Sture Skouen

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STUDY DESIGN A subgroup of 195 patients with chronic low back pain, being part of a larger study of other musculoskeletal patients, were included in a randomized controlled prospective clinical study. OBJECTIVES To evaluate the outcome in terms of return to work and cost-effectiveness of a light multidisciplinary treatment program with an extensive(More)
In general, randomized controlled studies concerning return to work have failed to demonstrate significant treatment effects for long-lasting musculoskeletal pain, and most treatments examined have not been economically beneficial. Individuals (n=654) sick-listed for at least 8 weeks with musculoskeletal pain, selected from the Norwegian mandatory sickness(More)
The protein concentration in the cerebrospinal fluid (CSF) is often increased in patients with sciatica, probably due to leaking of plasma proteins through the blood-nerve root barrier into CSF. Positive straight leg raising test, paresis, altered sensibility, reduced reflexes, and type of treatment were related to the CSF protein concentrations in 180(More)
In a randomized controlled study multimodal cognitive behavioral treatment (MMCBT), including physical treatment, cognitive behavioral modification, education, and examination of the work situation for each patient, was given to patients sick-listed for musculoskeletal pain (n = 469). Patients were recruited through the National Insurance System. After a(More)
This article reports the case of a man who developed a pure motor paraplegia following epidural anesthesia with a pattern of slow recovery over subsequent months. Reviewing the available literature on post-epidural paraplegia we noted a number of potential etiologies and analyzed their role in its causation. On the basis of this analysis we have identified(More)
Patients with sciatica caused by lumbar disc herniation were studied to identify biochemical changes in the cerebrospinal fluid related to myelographic findings and clinical observations. One hundred forty-three patients were evaluated by myelography with regard to involvement of the dural sac and the nerve root. A medial group (20 patients) with evidence(More)
OBJECTIVE To identify core elements of what patients with chronic low back pain perceive as good clinical communication and interaction with a specialist ("The Good Back-Consultation"). DESIGN Qualitative study including observation of consultations and a subsequent patient interview. Quantitative data were also recorded. SUBJECTS Thirty-five patients(More)
STUDY DESIGN Measurement of changes in cerebrospinal fluid concentrations of nerve tissue markers, total proteins, and immunoglobulin after compression of nerve root or application of nucleus pulposus in a pig model. OBJECTIVES To assess whether compression or application of nucleus pulposus to spinal nerve roots may cause increased levels of(More)
OBJECTIVE To compare the effect of exercise regimes with focus on either motor control training or endurance/strength training for patients with whiplash-associated disorders in subacute phase. DESIGN Randomized controlled trial. SETTING An outpatient spine clinic in Norway. PARTICIPANTS Twenty-five subjects with a whiplash-associated disorder still(More)
OBJECTIVE To investigate the outcome of a brief vocational-oriented intervention aiming to motivate disability pensioners with back pain to return to work, and to evaluate prognostic factors for having entered a return to work process during the following year. DESIGN A randomized controlled trial was conducted. SUBJECTS Participants (n = 89) (mean age(More)