Chronic low back pain patients walk with locally altered spinal kinematics

Christe, Guillaume; Kade, François; Jolles, Brigitte M.; Favre, Julien

doi:10.1016/j.jbiomech.2017.06.042

Cited by 38 publications

(88 citation statements)

References 54 publications

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“…We found seven out of 13 studies (Selles et al, 2001 ; Lamoth et al, 2002 , 2006a , b ; Lee et al, 2007 ; van den Hoorn et al, 2012 ; Müller et al, 2015 ) reporting a lower walking speed in LBP group compared to the control group. On the other hand, there are also six studies that did not find any differences in walking velocity between groups (Newell and van der Laan, 2010 ; Hanada et al, 2011 ; Seay et al, 2011a ; Zahraee et al, 2014 ; Christe et al, 2017 ; Ebrahimi et al, 2017 ). Two of these studies not finding a difference had high quality (Zahraee et al, 2014 ; Ebrahimi et al, 2017 ).…”

Section: Resultsmentioning

confidence: 99%

“…However, confounders gait conditions—like participants' age and chronicity of pain—do not explain different results. Out of the six studies showing a difference, four found a difference in pelvis rotational amplitude (Seay et al, 2011a ; van den Hoorn et al, 2012 ; Crosbie et al, 2013 ; Müller et al, 2015 ) and two in the rotational amplitude of the lumbar spine (Gombatto et al, 2015 ; Christe et al, 2017 ). Out of the four articles reporting no difference, three investigated pelvis rotational amplitude (Lamoth et al, 2002 , 2006b ; Prins et al, 2016 ) and one hip rotation (Vogt et al, 2003 ).…”

Section: Resultsmentioning

confidence: 99%

“…A further three studies are of high quality with a score of eight (Vogt et al, 2003 ; Zahraee et al, 2014 ; Gombatto et al, 2015 ). Another twelve articles (Selles et al, 2001 ; Vogt et al, 2001 ; Lamoth et al, 2006a , b ; Lee et al, 2007 ; Newell and van der Laan, 2010 ; Poosapadi Arjunan et al, 2010 ; Seay et al, 2011a ; Pakzad et al, 2016 ; Prins et al, 2016 ; Christe et al, 2017 ; Kim et al, 2017 ) scored seven or six points. Ten papers (Lamoth et al, 2002 ; Hanada et al, 2011 ; Seay et al, 2011b , 2014 ; van den Hoorn et al, 2012 ; Crosbie et al, 2013 ; Hamacher et al, 2014 , 2016 ; Müller et al, 2015 ; Manciopi et al, 2017 ) showed limitations in quality since they did not use a matched group design or clearly define their sample.…”

Section: Resultsmentioning

confidence: 99%

“…Looking at kinematics, there are ten studies considering rotational amplitudes during gait. Six articles found lower rotational amplitudes of the pelvis, the hip or the lumbar spine (Seay et al, 2011a ; van den Hoorn et al, 2012 ; Crosbie et al, 2013 ; Gombatto et al, 2015 ; Müller et al, 2015 ; Christe et al, 2017 ) during walking among persons with LBP. Four other articles (Lamoth et al, 2002 , 2006b ; Vogt et al, 2003 ; Prins et al, 2016 ) did not report any differences.…”

Section: Resultsmentioning

confidence: 99%

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Chronic Non-specific Low Back Pain and Motor Control During Gait

Koch

Hänsel

2018

Front. Psychol.

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Background: Chronic non-specific low back pain (LBP) poses a major socioeconomic problem, although the mechanisms are not yet clear. Impaired motor control is one of the mechanisms being discussed.Objectives: The purpose of this review is to provide an overview of motor control parameter differences between individuals with and without non-specific LBP during gait.Methods: A literature search on Medline, SportDiscus, PsychInfo, PsychArticels, EMBASE, and Scopus was performed. Twenty-nine articles comparing healthy adults and adults with chronic non-specific LBP in neuromuscular and/or biomechanical parameters during walking or running were examined. Data extraction and quality assessment were independently performed by two persons. Among others, we extracted population, conditions, outcome measures, and results.Results: The results showed that persons with and without non-specific LBP differed in several parameters of motor control, which was indicated by a lower movement amplitude of the pelvis, more in-phase coordination, lower ground reaction forces, higher stride-to-stride variability and a higher activity in ES in the LBP group.Conclusion: Despite no strong evidence for any of the parameters, a combination of biomechanical and neuromuscular parameters provides a conclusive explanation. Impaired motor control during walking is reflected in higher activity of the erector spinae, which leads to a stiffened lumbar-pelvic region. Different acquisition and processing of data renders making comparisons difficult, whereby standards for future research are necessary.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Chronic Non-specific Low Back Pain and Motor Control During Gait

Koch

Hänsel

2018

Front. Psychol.

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“…Although the motion tasks were different, their results suggested a relative increase in spinal rotation, consistent with the results of present study. Another study [ 22 ] showed asymmetry pattern in spine motion in CLBP patients during walking, therefore these findings suggested that CLBP patients had uncoordinated movement patterns during walking as well as during trunk rotation.…”

Section: Discussionmentioning

confidence: 98%

Relative mobility of the pelvis and spine during trunk axial rotation in chronic low back pain patients: A case-control study

et al. 2017

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Changes in spinal motor behaviour are associated with reduction in disability in chronic low back pain: A longitudinal cohort study with 1‐year follow‐up

Christe,

Benaim,

Jolles

et al. 2024

European Journal of Pain

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BackgroundThe need to improve spinal motor behaviour in chronic low back pain (CLBP) rehabilitation remains unclear. The objective of this study was to test if changes in spinal motor behaviour were associated with changes in disability after an interdisciplinary rehabilitation program (IRP) in patients with CLBP.MethodsSeventy‐one patients with CLBP participating in an IRP were included. Spinal motor behaviour was assessed with biomechanical (lumbar angular amplitude and velocity, erector spinae muscle activity and duration of the task), cognitive‐emotional (task‐specific fear [PRF]) and pain‐related (movement‐evoked pain [MEP]) measures during a lifting task before and after the IRP. Disability was measured before and after the IRP, and at 3‐month and 1‐year follow‐ups.ResultsAfter adjusting for confounders, changes in disability were significantly associated with MEP changes (β adj. = 0.49, p < 0.001) and PRF changes (β adj. = 0.36, p = 0.008), but not with changes in any of the biomechanical measures. MEP at the end of IRP was also associated with disability at 3 months (β adj. = 0.37, p = 0.001) and 1 year (β adj. = 0.42, p = 0.01). Biomechanical measures at the end of the IRP were not associated with disability, except for the duration of the task that was significantly associated with reduction of disability at 3 months (β non‐adj = 0.5, p < 0.001).ConclusionsPain‐related and cognitive‐emotional measures of spinal motor behaviour were associated with reduction in disability following an IRP. Future research is needed to further investigate causal relationships between spinal motor behaviour and disability.Significance statementThis study supports a multidimensional understanding and analysis of spinal motor behaviour, integrating the cognitive‐emotional, pain‐related and biomechanical domains. It also supports the consideration of spinal motor behaviour as a potentially important treatment target in chronic low back pain management. Moreover, it suggests that reducing movement‐evoked pain and task‐specific fear may have more influence on disability than changing lumbar amplitude, lumbar angular velocity or erector muscle activity, which may have important implications for rehabilitation.

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Chronic low back pain patients walk with locally altered spinal kinematics

Cited by 38 publications

References 54 publications

Chronic Non-specific Low Back Pain and Motor Control During Gait

Chronic Non-specific Low Back Pain and Motor Control During Gait

Relative mobility of the pelvis and spine during trunk axial rotation in chronic low back pain patients: A case-control study

Changes in spinal motor behaviour are associated with reduction in disability in chronic low back pain: A longitudinal cohort study with 1‐year follow‐up

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