Are Lumbar Repositioning Errors Larger Among Patients With Chronic Low Back Pain Compared With Asymptomatic Subjects?

Åsell, Malin; Sjölander, Per; Kerschbaumer, Helmut; Djupsjöbacka, Mats

doi:10.1016/j.apmr.2006.05.020

Cited by 44 publications

(46 citation statements)

References 35 publications

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“…The suggested causes of these deficits were pain [24,25] and impairment of the proprioceptive input in the area of the spine and lower limbs [12,18,34]. Asell et al [2] reported that patients with chronic lower back pain did not differ from controls in terms of the lumbar spine motor performance; other investigations, however, have reported such differences [12,26,27]. According to Sipko et al [33] patients with intervertebral disk disease are characterized by asymmetrical leg loading.…”

Section: Introductionmentioning

confidence: 87%

Postural control in patients with lumbar disc herniation in the early postoperative period

2009

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Chronic spinal disc disease leads to disorders in postural movement coordination. An incorrect asymmetrical movement pattern for the lower limbs loading impairs proprioception and deteriorates postural stability, particularly when the vision is occluded. The standard surgical treatment improves biomechanical conditions in the lumbar spine, reduces pain, yet does it reduce the stability deficit in the upright position? An answer to the latter question would help work out targeted therapy to improve postural stability. We hypothesized that the standard surgical treatment would improve postural stability reflected by decreased sway variability accounting for better use of proprioceptive inputs postoperatively. Thirty-nine patients with lumbar disc herniation participated in the study. Their postural sway was recorded in anterior/posterior and medial/lateral planes with their eyes open or closed (EC) before and after surgery. The variability, range, mean velocity of the recorded time series and the area of the ellipse enclosed by the statokinesiogram were used as measures of postural stability. Preoperatively, EC condition resulted in an increased variability and mean velocity of postural sway, while postoperatively it caused an increase in sway mean velocity and sway area only with no effect on sway variability and range. The comparison of the balance before and after the surgery in the EC condition showed significant decrease in all parameters. In the early postoperative period, the patients recover the ability to control their postural sway in EC within normal limits, however, at the expense of significantly increased frequency of corrective torques. It is probably a transient short-term strategy needed to compensate for the recovery phase when the normal weighting factors for all afferents are being reestablished. We propose that this transient postoperative period may be the best timing of therapeutic intervention targeted at facilitating and reinforcing the acquisition of correct motor patterns.

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Section: Introductionmentioning

confidence: 87%

Postural control in patients with lumbar disc herniation in the early postoperative period

2009

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“…Of these two senses, position sense is the most widely tested sense in people with chronic pain, often involving the reproduction of a remembered posture or limb position (generally, in the absence of visual feedback). While there is evidence of reduced acuity during joint position sense tasks in those with chronic pain (Gill and Callaghan, 1998;Brumagne et al, 2000;Newcomer et al, 2000b;O'Sullivan et al, 2003;Pötzl et al, 2004;Cuomo et al, 2005;Knox et al, 2006;Paulus and Brumagne, 2008;Lewis et al, 2010;Ha et al, 2011;Sheeran et al, 2012), there are also a number of studies that have found no significant differences in limb repositioning acuity between patient and control groups (Lam et al, 1999;Newcomer et al, 2000a;Descarreaux et al, 2005;Asell et al, 2006;Lee et al, 2010;Mörl et al, 2011).…”

Section: Kinaesthetic Awarenessmentioning

confidence: 95%

Sensing the body in chronic pain: A review of psychophysical studies implicating altered body representation

Tsay

Allen²,

Proske

et al. 2015

Neuroscience & Biobehavioral Reviews

127

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“…For example, patients with back pain have difficulty in matching postures on the basis of watching someone else model the posture [17] and in returning to set postures on the basis of proprioceptive feedback [18]. Asell et al [19] present an alternative view.…”

Section: People In Pain Report Distorted Body Imagementioning

confidence: 98%

Role of distorted body image in pain

Lotze¹,

2007

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Body image is the way a person's body feels to them. Growing evidence shows that body image can be distorted in people with pain, particularly chronic pain. Most data relate to people with deafferentation via amputation or neural injury, but deafferentation is neither sufficient nor necessary for distorted body image or pain. In this review, we examine the literature relating to body image distortion in people with pain, and we discuss three themes: 1) evidence of distorted body image in people with pain; 2) evidence of distortion of the neural representations of body image held in primary sensory and primary motor cortex; and 3) clinical findings that correlate with distorted body image, distorted neural representation, or both. We then review the emerging evidence regarding therapeutic approaches to distorted body image in people with painful disease.

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Are Lumbar Repositioning Errors Larger Among Patients With Chronic Low Back Pain Compared With Asymptomatic Subjects?

Cited by 44 publications

References 35 publications

Postural control in patients with lumbar disc herniation in the early postoperative period

Postural control in patients with lumbar disc herniation in the early postoperative period

Sensing the body in chronic pain: A review of psychophysical studies implicating altered body representation

Role of distorted body image in pain

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