Decrease in Postural Sway and Trunk Stiffness During Cognitive Dual-Task in Nonspecific Chronic Low Back Pain Patients, Performance Compared to Healthy Control Subjects

Daele, Ulrike Van; Hagman, Friso; Truijen, Steven; Vorlat, Peter; Gheluwe, Bartold Van; Vaes, Peter

doi:10.1097/brs.0b013e3181b4fe4d

Cited by 47 publications

(36 citation statements)

References 33 publications

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“…While most of the included studies investigated the role of sensory feedback on balance performance of patients with LBP, little [43,61] is known about the role of cognition in postural control of LBP. Given the changes in information processing in LBP [40], one may speculate that the influence of a secondary attention demanding task on sway might be different in LBP compared to healthy individuals.…”

Section: Discussionmentioning

confidence: 99%

Low back pain and postural sway during quiet standing with and without sensory manipulation: A systematic review

et al. 2013

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Section: Discussionmentioning

confidence: 99%

Low back pain and postural sway during quiet standing with and without sensory manipulation: A systematic review

et al. 2013

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“…Although unstable sitting methodologies have been effective in differentiating trunk postural control strategies between pathologic or injured populations and healthy individuals [16,17,[22][23][24][25], little is known about the reliability of these methodologies. Reliability refers to the consistency of a measurement [28]; however, a proper interpretation of the test consistency depends on the way it was measured.…”

Section: Introductionmentioning

confidence: 99%

Reliability and Repetition Effect of the Center of Pressure and Kinematics Parameters That Characterize Trunk Postural Control During Unstable Sitting Test

Barbado

Moreside

Vera-García

2016

PM&R

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“…People with persistent (chronic) or recurrent LBP have been variably reported to exhibit movement pattern aberrations such as increased trunk stiffness [9,13], poor proprioception [14], altered patterns of activation of abdominal muscles [10,15], extensor muscles [16-18], and postural dysfunction [19-21]. Different patterns of lumbo-pelvic kinematics during activities such as forward bending and sit-to-stand have been demonstrated in studies comparing people with and without LBP [22-25].…”

Section: Introductionmentioning

confidence: 99%

Modifying patterns of movement in people with low back pain -does it help? A systematic review

Laird

Kent

Keating

2012

BMC Musculoskelet Disord

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BackgroundPhysiotherapy for people with low back pain frequently includes assessment and modification of lumbo-pelvic movement. Interventions commonly aim to restore normal movement and thereby reduce pain and improve activity limitation. The objective of this systematic review was to investigate: (i) the effect of movement-based interventions on movement patterns (muscle activation, lumbo-pelvic kinematics or postural patterns) of people with low back pain (LBP), and (ii) the relationship between changes in movement patterns and subsequent changes in pain and activity limitation.MethodsMEDLINE, Cochrane Central, EMBASE, AMI, CINAHL, Scopus, AMED, ISI Web of Science were searched from inception until January 2012. Randomised controlled trials or controlled clinical trials of people with LBP were eligible for inclusion. The intervention must have been designed to influence (i) muscle activity patterns, (ii) lumbo-pelvic kinematic patterns or (iii) postural patterns, and included measurement of such deficits before and after treatment, to allow determination of the success of the intervention on the lumbo-pelvic movement. Twelve trials (25% of retrieved studies) met the inclusion criteria. Two reviewers independently identified, assessed and extracted data. The PEDro scale was used to assess method quality. Intervention effects were described using standardised differences between group means and 95% confidence intervals.ResultsThe included trials showed inconsistent, mostly small to moderate intervention effects on targeted movement patterns. There was considerable heterogeneity in trial design, intervention type and outcome measures. A relationship between changes to movement patterns and improvements in pain or activity limitation was observed in one of six studies on muscle activation patterns, one of four studies that examined the flexion relaxation response pattern and in two of three studies that assessed lumbo-pelvic kinematics or postural characteristics.ConclusionsMovement-based interventions were infrequently effective for changing observable movement patterns. A relationship between changes in movement patterns and improvement in pain or activity limitation was also infrequently observed. No independent studies confirm any observed relationships. Challenges for future research include defining best methods for measuring (i) movement aberrations, (ii) improvements in movements, and (iii) the relationship between changes in how people move and associated changes in other health indicators such as activity limitation.

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Decrease in Postural Sway and Trunk Stiffness During Cognitive Dual-Task in Nonspecific Chronic Low Back Pain Patients, Performance Compared to Healthy Control Subjects

Abstract: In nonspecific CLBP patients, a cognitive dual-task reduces both postural sway and trunk stiffness due to the distracting effect of the dual-task. This effect is only visible when the balance task is difficult.

Cited by 47 publications

References 33 publications

Low back pain and postural sway during quiet standing with and without sensory manipulation: A systematic review

Low back pain and postural sway during quiet standing with and without sensory manipulation: A systematic review

Reliability and Repetition Effect of the Center of Pressure and Kinematics Parameters That Characterize Trunk Postural Control During Unstable Sitting Test

Modifying patterns of movement in people with low back pain -does it help? A systematic review

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