Altered spatiotemporal characteristics of gait in older adults with chronic low back pain

Hicks, Gregory E.; Sions, Jaclyn Megan; Coyle, Peter C; Pohlig, Ryan T.

doi:10.1016/j.gaitpost.2017.04.027

Cited by 47 publications

(43 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Data are presented for each patient; horizontal bar represents median with 95% confidence intervals Gait is an important indicator of health and can be influenced by many variables [16,[22][23][24]. Older adults with chronic low back pain exhibit significantly different gait patterns compared to age-and sex-matched adults without chronic low back pain [25]. In the current study, it was demonstrated that only two of all measured gait parameters improved and returned to "healthy" levels after 6 months of conservative treatment (self-selected gait speed and stride time at 1 m/s).…”

Section: Discussionmentioning

confidence: 99%

Gait in patients with symptomatic osteoporotic vertebral compression fractures over 6 months of recovery

et al. 2019

View full text Add to dashboard Cite

Background One factor related to disability in people with spinal deformity is decreased postural control and increased risk of falling. However, little is known about the effect of osteoporotic vertebral compression fractures (OVCFs) and their recovery on gait and stability. Walking characteristics of older adults with and without vertebral fractures have not yet been compared. Aims The purpose of the current study was to examine the spatiotemporal gait parameters and their variability in patients with an OVCF and healthy participants during treadmill walking at baseline and after 6 months of recovery. Methods Twelve female patients suffering a symptomatic OVCF were compared to 11 matched controls. Gait analysis was performed with a dual-belt instrumented treadmill with a 180° projection screen providing a virtual environment (computerassisted rehabilitation environment). Results of patients with an OVCF and healthy participants were compared. Furthermore, spatiotemporal gait parameters were assessed over 6 months following the fracture. Results Patients suffering from an OVCF appeared to walk with significantly shorter, faster and wider strides compared to their healthy counterparts. Although stride time and length improved over time, the majority of the parameters analysed remained unchanged after 6 months of conservative treatment. Discussion Since patients do not fully recover to their previous level of mobility after 6 months of conservative treatment for OVCF, it appears of high clinical importance to add balance and gait training to the treatment algorithm of OVCFs. Conclusions Patients suffering from an OVCF walk with shorter, faster and wider strides compared to their healthy counterparts adopt a less stable body configuration in the anterior direction, potentially increasing their risk of forward falls if perturbed. Although stride time and stride length improve over time even reaching healthy levels again, patients significantly deviate from normal gait patterns (e.g. in stability and step width) after 6 months of conservative treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

Gait in patients with symptomatic osteoporotic vertebral compression fractures over 6 months of recovery

et al. 2019

View full text Add to dashboard Cite

show abstract

“…A review of existing publications indicates that around 20% of patients experience progression of the symptoms, 19 the morbidity and mortality rates increase with age, and complications are more common in elderly patients. [20][21][22] This condition is not sex-dependent. The most affected age ranges in our study were from 46 to 65 years of age, which agrees with those reported by previous studies.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological Panorama of Orthopedic Spine Pathology in Mexico

et al. 2018

View full text Add to dashboard Cite

Objective: To determine the epidemiology of orthopedic spine pathology in a national reference hospital in Mexico. Methods: Retrospective, observational and cross-sectional study, using the database and hospitalization census of the orthopedic spine service from January 2009 to December 2016. The data analysis was performed with SPSS version 22 measuring the central frequency and percentages. The demographic variables age and sex, and those related to the diagnosis, type of pathology, affected segment and degrees of affection were obtained. The sampling technique was non-probabilistic sampling by convenience of consecutive cases. Results: We analyzed 7,771 cases: 50.34% males, with a mean age of 53.51 years. The prevalence of the most frequent diseases in hospitalized patients was stenosis of the lumbar canal with 25.85% (1,834 patients), followed by lumbar disc herniation (23.12%), spondylolisthesis (22.63%), cervical spondylotic myelopathy (8.76%), lumbar pain and lumbosciatalgia (4.10%), cervical disc herniation (3.96%), primary infection (3.80%), loosening of material (3.16%), spinal tumors (2.53%) and cervical instability (2.04%). Conclusions: This is the largest series of cases of spinal pathology treated in a hospital in Latin America. The most frequent condition was the stenosis of the lumbar canal, the most affected segment was the lumbar, and the most affected age group was 51 to 60 years. The estimate is an increase in the incidence of spinal diseases, so it is necessary to identify the risk factors and the behavior of each disease for its prevention.

show abstract

“…Following the title andabstract screening, 35 fulltext articles were retrieved. The full-text review was completed to determine nal inclusion; 17 articles (13 case-control studies [20][21][22][23][24][25][26][27][28][29][30][31][32] , four RCTs [33][34][35][36] ) met the inclusion criteria. Only the 13 case-control studies were included in the meta-analysis.…”

Section: Study Selectionmentioning

confidence: 99%

“…------TUG One-leg stance Walking speed Hicks(2018) [30] case-control 69. 3 Silva(2016) [31] case-control 70.0 8 10 73.0 (7)…”

mentioning

confidence: 99%

Effects of Low Back Pain on Balance Performance in Older People: A Systematic Review and Meta-analysis

Wang²,

Zhou

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Research suggests that individuals with low back pain (LBP) may have poorer motor control compared to their healthy counterparts; however, the sample population of almost 90% of related articles are young and middle-aged people. There is still a lack of a systematicreview about the balance performance of elderly people with low back pain. This study aimed to conduct a systematic review and meta-analysis to understand the effects of LBP on balance performance in elderly people.Methods: This systematic review and meta-analysis included a comprehensive search of PubMed, Embase, and Cochrane Library databases for full-text articles published before January 2020. Two independent reviewers screened the relevant articles, and disagreements were resolved by a third reviewer.Results: Thirteen case-control studies comparing balance performance parameters between LBP and healthy subjects and four randomised controlled studies on physical therapy to improve thebalance performance of elderly people with LBP were included. The experimental group (LBP group) was associated with significantly larger area of centre of pressure movement (P < 0.001), higher velocity of centre of pressure sway in the anteroposterior and mediolateral directions(P= 0.01 and P = 0.02, respectively), longer path length in the anteroposterior direction (P < 0.001), slower walking speed (P = 0.05), and longer timed up and go test time (P = 0.004) than the control group.Conclusion: The results showed that balance performance was impaired in elderly people with LBP. We should pay more attention to the balance control of elderly people with LBP.

show abstract

Altered spatiotemporal characteristics of gait in older adults with chronic low back pain

Cited by 47 publications

References 32 publications

Gait in patients with symptomatic osteoporotic vertebral compression fractures over 6 months of recovery

Gait in patients with symptomatic osteoporotic vertebral compression fractures over 6 months of recovery

Epidemiological Panorama of Orthopedic Spine Pathology in Mexico

Effects of Low Back Pain on Balance Performance in Older People: A Systematic Review and Meta-analysis

Contact Info

Product

Resources

About