Effect of chronic idiopathic low back pain on the kinetic gait characteristics in different foot masks

Yazdani, Shirin; Dizji, Elnaz; Alizadeh, Farzaneh; Hassanlouei, Hamidollah

doi:10.1016/j.jbiomech.2018.08.013

Cited by 10 publications

(9 citation statements)

References 38 publications

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“…Five studies reported kinetic measures in the lower extremities during walking[83,85,86,93,94]. In three studies examining sagittal plane total net joint moments at the hip, there were no differences between individuals with and without LBP[83,86,93].…”

Section: Resultsmentioning

confidence: 99%

“…Five studies with 138 participants investigated ground reaction forces during gait[43,59,62,65,94]. Limited evidence from pooled data with high heterogeneity suggested that there was no difference between groups in peak vertical ground reaction forces during either the first (0.29 [-0.54 to 1.11], I 2 = 82% P < 0.001, effect P = 0.49) or second vertical force peaks (−0.21[-0.86 to 0.46], I 2 = 72% P = 0.01, effect P = 0.56).…”

Section: Resultsmentioning

confidence: 99%

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Do people with low back pain walk differently? A systematic review and meta-analysis

Smith

Stabbert

Bagwell

et al. 2021

Preprint

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Objective To identify differences in biomechanics during gait in individuals with acute and persistent low back pain compared with back-healthy controls. Design Systematic review Data Sources A search was conducted in PubMed, CINAHL, SPORTDiscus, and PsycINFO in June 2019 and was repeated in December 2020. Eligibility criteria Studies were included if they reported biomechanical characteristics of individuals with and without low back pain during steady-state or perturbed walking and running. Biomechanical data included spatiotemporal, kinematic, kinetic, and electromyography variables. The reporting quality and potential for bias of each study was assessed. Data were pooled where possible to compare the standardized mean differences (SMD) between groups. Results Ninety-seven studies were included. Two studies investigated acute pain and the rest investigated persistent pain. Eight studies investigated running gait. 20% of studies had high reporting quality/low risk of bias. In comparison with back-healthy controls, individuals with persistent low back pain walked more slowly (SMD -0.59 [95% CI -0.77 to -0.42]) and with shorter stride length (-0.38 [-0.60 to -0.16]). There were no differences in the amplitude of motion in the thoracic or lumbar spine, pelvis, or hips in individuals with LBP. During walking, coordination of motion between the thorax and the lumbar spine/pelvis was significantly more in-phase in the LBP groups (-0.60 [-0.90 to -0-.30]), and individuals with LBP exhibited greater amplitude of activation in the paraspinal muscles (0.52 [0.23 to 0.80]). Summary/Conclusion There is moderate to strong evidence that individuals with persistent LBP demonstrate impairments in walking gait compared with back-healthy controls.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Do people with low back pain walk differently? A systematic review and meta-analysis

Smith

Stabbert

Bagwell

et al. 2021

Preprint

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“…The assessment and treatment of CLBP is important; the analysis of factors that can improve this syndrome is considered essential to prevent gait adjustments and to promote earlier intervention and reduce sedentary lifestyles. These interventions may include rehabilitation with physical exercise, the implementation of diets to achieve a healthy weight, and controlling foot imbalances that may affect CLBP [ 12 , 15 , 31 , 32 , 33 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

A Case–Control Study of the Effects of Chronic Low Back Pain in Spatiotemporal Gait Parameters

Castro-Méndez

Requelo-Rodríguez²,

Pabón-Carrasco

et al. 2021

Sensors

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Chronic low back pain and biomechanical walking imbalances are closely related. It is relevant to identify if there are alterations in spatiotemporal gait patterns in subjects with CLBP (cases) versus healthy subjects (controls) to plan training interventions of motor control gait patterns, and thus allowing normal physical activity of the individual. This study is intended to identify if spatiotemporal alterations occur in the gait cycle in CLBP subjects (cases) compared with a control group (healthy patients) analyzed with an OptoGait LED sensors gait program. Method: A total of n = 147 participants: n = 75 cases (CLBP) and n = 72 healthy controls subjects were studied with OptoGait gait program. Results: Significant differences were found between the two groups and both feet in foot stride, for the differences of the total stride and contact, for gait cadence and total stride length of the gait cycle (p < 0.05). Conclusions: CLBP may alter some normal gait patterns measured by OptoGait; this finding presents imbalances in gait cycle as an underlying factor. The gait is part of daily life of any individual and it is an important physical activity in relation to the maintenance of an optimal state of health. In addition, future studies are deemed necessary.

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“…Consequently, this situation may affect the sacral angle, pelvic inclination, and lumbar lordosis as a compensatory phenomenon, leading to non-specific chronic low back pain [ 7 , 17 , 18 , 19 , 20 , 34 , 35 ]. This situation may cause musculoskeletal imbalances of the lower limb and the occurrence of injuries, such as CLBP [ 4 , 7 , 10 , 36 , 37 ]. Due to all the compensations that excess pronation causes in the body of the subjects, foot function should be evaluated in clinical practice for patients with lower limb and low back pain [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Custom-Made Foot Orthoses as Non-Specific Chronic Low Back Pain and Pronated Foot Treatment

Castro-Méndez

Palomo-Toucedo

Pabón-Carrasco

et al. 2021

IJERPH

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Excessive foot pronation has been reported as being related to chronic low back pain symptoms and risk factors in sports-specific pathologies. Compensating custom-made foot orthotics treatment has not been entirely explored as an effective therapy for chronic low back pain (CLBP). This study aims to observe the effects of custom-made foot orthoses, in subjects with foot pronation suffering from CLBP. A total of 101 patients with nonspecific CLBP and a pronated foot posture index (FPI) were studied. They were randomized in two groups: an experimental one (n = 53) used custom-made foot orthotics, and the control group (n = 48) were treated with non-biomechanical effect orthoses. The CLBP was measured using the Oswestry Disability Index (ODI) Questionnaire and a visual analogue scale (VAS), both for lower back pain. The symptoms were evaluated twice, at first when the subject was included in the study, and later, after 4 weeks of treatment. The analysis of outcomes showed a significant decrease in CLBP in the custom-made foot orthoses participants group (p < 0.001 ODI; p < 0.001 VAS). These findings suggest that controlling excessive foot pronation by using custom-made foot orthoses may significantly contribute to improving CLBP.

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Effect of chronic idiopathic low back pain on the kinetic gait characteristics in different foot masks

Cited by 10 publications

References 38 publications

Do people with low back pain walk differently? A systematic review and meta-analysis

Do people with low back pain walk differently? A systematic review and meta-analysis

A Case–Control Study of the Effects of Chronic Low Back Pain in Spatiotemporal Gait Parameters

Custom-Made Foot Orthoses as Non-Specific Chronic Low Back Pain and Pronated Foot Treatment

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