Abstract. [Purpose] This study aims to determine the specific proprioceptive control strategy used during postural balance in older patients with low back pain (LBP) and non-LBP (NLBP) and to assess whether this strategy is related to proprioceptive decline and LBP. [Subjects and Methods] Pressure displacement center was determined in 47 older persons with LBP and 64 older persons with NLBP during upright stance on a balance board without vision. Gastrocnemius (GS) and lumbar multifidus muscle (LM) vibratory stimulations of 60 and 240-Hz, respectively, were applied to evaluate the relative contributions of different proprioceptive signals (relative proprioceptive weighting ratio, RPW) used in postural control. Age, height, weight, back muscle strength, L1/2 and L4/5 lumbar multifidus cross section area ratio, skeletal muscle mass index, sagittal vertical axis, and Roland-Morris disability questionnaire (RDQ) were evaluated.[Results] Compared with older patients with NLBP, those with LBP showed a lower RPW 240-Hz, lower L4/5 lumbar multifidus cross-sectional area ratio, and a significantly higher age and RDQ. Logistic regression analysis showed that RPW 240-Hz and age were independently associated with LBP, after controlling for confounding factors.[Conclusion] Older patients with LBP decreased their reliance on GS (RPW 240-Hz) proprioceptive signals during balance control.
[Purpose] The purpose of this study was to examine the relationship between the
paraspinal muscle cross-sectional area and the relative proprioceptive weighting ratio
during local vibratory stimulation of older persons with lumbar spondylosis in an upright
position. [Subjects] In all, 74 older persons hospitalized for lumbar spondylosis were
included. [Methods] We measured the relative proprioceptive weighting ratio of postural
sway using a Wii board while vibratory stimulations of 30, 60, or 240 Hz were applied to
the subjects’ paraspinal or gastrocnemius muscles. Back strength, abdominal muscle
strength, and erector spinae muscle (L1/L2, L4/L5) and lumbar multifidus (L1/L2, L4/L5)
cross-sectional areas were evaluated. [Results] The erector spinae muscle (L1/L2)
cross-sectional area was associated with the relative proprioceptive weighting ratio
during 60Hz stimulation. [Conclusion] These findings show that the relative proprioceptive
weighting ratio compared to the erector spinae muscle (L1/L2) cross-sectional area under
60Hz proprioceptive stimulation might be a good indicator of trunk proprioceptive
sensitivity.
[Purpose] The purpose of this study was to examine the relationship between physical
function and postural sway during local vibratory stimulation of middle-aged subjects in
an upright position. [Subjects] The subjects were 25 healthy community-dwelling
middle-aged people. [Methods] We measured postural sway using a Wii board while vibratory
stimulations of 30, 60, or 240 Hz were applied to the subjects’ lumbar multifidus or
gastrocnemius muscles. Physical function was evaluated by 5-m usual gait speed and grip
strength. [Results] Gait speed was strongly correlated to the anteroposterior body sway in
the upright position during 30 Hz gastrocnemius muscles vibration (GMV). [Conclusion]
Postural sway during 30 Hz GMV was strongly associated with gait speed and showed a
posterior displacement. These findings show that the lower leg’s response to balance
control under 30 Hz proprioceptive stimulation might be a good indicator of declining gait
function.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.