Chronic low back pain influences trunk neuromuscular control during unstable sitting among persons with lower-limb loss

Butowicz, Courtney M.; Acasio, Julian C.; Silfies, Sheri P.; Nussbaum, Maury A.; Hendershot, Brad D.

doi:10.1016/j.gaitpost.2019.09.019

Cited by 8 publications

(14 citation statements)

References 26 publications

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“…Butowicz et al [ 29 , 30 ] performed two particularly important kinematic investigations. The first analysis looked at how the existence of low back pain influences the joint coordination and balance of the trunk-lower limb during standing.…”

Section: Resultsmentioning

confidence: 99%

“…The second article by Butowicz et al [ 30 ] was carried out on 32 people with traumatic lower limb amputation and the participants were divided into two groups (LBP-19 and non-LBP-13). The participants were told to maintain their arms crossed and their seat level while sitting in an unsteady chair with their eyes open.…”

Section: Resultsmentioning

confidence: 99%

“…Centre of Pressure (COP) measures, EMG, and trunk kinematics were compared between groups. As a result we find that there was no main effect of the group on the set of COP-based measures (Wilks’ Λ = 0.84, F (10,18) = 0.74, p = 0.60, η 2 = 0.16) and there was a significant effect on trunk kinematic (Wilks’ Λ = 0.46, F (6,19) = 3.52, p = 0.02, η 2 = 0.54) and muscle activity (Wilks’ Λ = 0.69, F (4,15) = 3.46, p = 0.03, η 2 = 0.31) [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…Hendershot and Actis [ 22 , 23 , 24 , 28 ] examined activities such as sitting and stepping, proving that for people with LLA those tasks are more demanding for muscle and spine joints. Butowicz [ 30 ] points out that people with LLA and LBP demonstrated impaired postural control of the trunk. The persistence of LBP among amputees may be the result of neuromuscular adaptation in the proximal structures, but further research is needed to determine the reason behind these increases.…”

Section: Discussionmentioning

confidence: 99%

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Exercise Therapy in Nonspecific Low Back Pain among Individuals with Lower-Limb Amputation: A Systematic Review

Wnuk-Scardaccione

Zawojska

Barłowska-Trybulec

et al. 2023

Life

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Low back pain is very common condition that often becomes a long-lasting problem in prostheses users after lower limb amputation. The presented study aims to decide the potential benefits of exercise therapy on low back pain among lower limb amputees by using a systematic review. The PICO technique was used to answer the primary issue of this review: Does exercise treatment lessen the prevalence of low back pain in the population of lower limb amputees? Systematic review was conducted in the following databases: Medline-PubMed, EMBASE, Scopus, and Web of Science. Studies up to September 2010 published in English are included. Aim, target population, development and execution strategies, and treatment suggestions were among the data gathered. The primary outcomes of interest were exercise interventions as a therapy for low back pain but only two articles met including criteria. The search was broadened and 21 studies describing biomechanical changes in gait and pelvic-spine posture were analysed. This review indicates that movement therapy is a potential treatment strategy in low back pain among amputees. The major limitation of the study is the very heterogenous group of subjects in terms of amputation level, baseline activity level and comorbidities. We used a procedure that was registered in PROSPERO (CRD42022345556) to perform this systematic review of systematic reviews. There is a necessity of good quality research for concluding a consensus of exercise intervention.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Exercise Therapy in Nonspecific Low Back Pain among Individuals with Lower-Limb Amputation: A Systematic Review

Wnuk-Scardaccione

Zawojska

Barłowska-Trybulec

et al. 2023

Life

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“…16 studies received a high-quality score of over 67% [3,[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28], while the remaining studies were rated as medium-quality with scores ranging from 33-67% [29,30]. Table 1 provides a summary of quality assessment for all included studies highlighting potential sources of bias.…”

Section: Quality Of Review Studiesmentioning

confidence: 99%

Is abnormal movement in lower limb amputees a predictor of chronic pain? A systematic review

Alsayed,

Ding

2023

Preprint

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Background Lower limb amputation is a life-change disability affecting millions of people worldwide. Chronic pain is a prevalent and distressing consequence of amputation, with varying factors contributing to its complexity. Altered movement patterns in amputees have been hypothesised to play a role in the onset and progression of chronic pain, but the evidence supporting this link remains inconclusive. Methods A systematic review was conducted following the PRISMA guidelines to investigate the potential association between altered movement patterns and chronic pain in individuals with lower limb amputation. Electronic databases, including PubMed, CINAHL, MEDLINE, and SPORT Discus, were searched up to July 2023 to identify relevant studies. Eligibility criteria were applied to select studies that focused on biomechanical studies of daily living activities, utilised spatial-temporal, kinematic, or kinetic data as outcome measures, assessed pain or discomfort using questionnaires, and were published in English peer-reviewed journals. Findings: Out of 223 articles remaining after removing duplicates, 18 studies met the inclusion criteria. The majority of studies focused on transtibial amputees and utilised walking gait as a functional task. Pain severity was the most frequently measured aspect, followed by location, duration, and interference with daily activities. The Visual Analog Scale was the most commonly used pain assessment tool, although the Prosthetic Evaluation Questionnaire emerged as a comprehensive tool capturing various dimensions of pain experience. However, evidence supporting a direct link between altered movement patterns and chronic pain was limited, with only one study indicating an increase in low back pain in transtibial amputees. Interpretations: The review highlights the complexity of the relationship between altered movement patterns and chronic pain in individuals with lower limb amputation. While some studies show pain reduction without significant changes in movement patterns, a comprehensive approach using multidimensional pain assessment tools and standardised modelling techniques is necessary to better understand their interplay.

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Erector Spinae Muscle Activation During Forward Movement in Individuals With or Without Chronic Lower Back Pain: A Systematic Review and Meta-analysis

Taylor

Ugbolue

et al. 2023

Archives of Rehabilitation Research and Clinical Translation

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Chronic low back pain influences trunk neuromuscular control during unstable sitting among persons with lower-limb loss

Cited by 8 publications

References 26 publications

Exercise Therapy in Nonspecific Low Back Pain among Individuals with Lower-Limb Amputation: A Systematic Review

Exercise Therapy in Nonspecific Low Back Pain among Individuals with Lower-Limb Amputation: A Systematic Review

Is abnormal movement in lower limb amputees a predictor of chronic pain? A systematic review

Erector Spinae Muscle Activation During Forward Movement in Individuals With or Without Chronic Lower Back Pain: A Systematic Review and Meta-analysis

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