Lower limb kinematics in individuals with chronic low back pain during walking

Rahimi, Atefeh; Arab, Amir Massoud; Nourbakhsh, Mohammad Reza; Hosseini, Sayed Mohsen; Forghany, Saeed

doi:10.1016/j.jelekin.2020.102404

Cited by 15 publications

(16 citation statements)

References 42 publications

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“…Pooled data available from four of these studies with 128 participants indicated limited evidence for no difference in total sagittal plane hip motion in individuals with LBP (−0.08 [-0.43 to 0.27], I 2 = 0% P = 0.94, effect P = 0.65). In the frontal plane, two studies reported reduced motion[84,85], with a large effect size occurring in a study of obese adults[85] and two reported no difference[53,83]. In the axial plane, two studies reported no difference[53,83] and one reported decreased motion in individuals with LBP[84].…”

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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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%

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

Smith

Stabbert

Bagwell

et al. 2021

Preprint

View full text Add to dashboard Cite

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“…In most people, a right-dominant motor postural pattern is present, which leads to a certain physiological asymmetry. This asymmetry is more prevalent in LBP patients, inducing a unilateral pathological activation of the lumbar musculature [ 12 ]. Wilczyński et al found significant correlations between increased ES neuromuscular activity and the Cobb angle of scoliotic postural change [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

“…Functional leg length discrepancies (fLLD) are suspected to be involved in the development of LBP [ 8 , 9 , 10 , 11 ]. LBP patients show a greater tendency for asymmetry in motor control in the form of pathological muscle activation than healthy individuals [ 12 ]. The TLF, as a central biomechanical part of the pelvic corset system, influences pelvic statics.…”

Section: Introductionmentioning

confidence: 99%

Immediate Effects of Myofascial Release on the Thoracolumbar Fascia and Osteopathic Treatment for Acute Low Back Pain on Spine Shape Parameters: A Randomized, Placebo-Controlled Trial

Brandl

Egner

Schleip

2021

Life

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Background: Spine shape parameters, such as leg length and kyphotic or lordotic angle, are influenced by low back pain. There is also evidence that the thoracolumbar fascia plays a role in such pathologies. This study examined the immediate effects of a myofascial release (MFR) technique on the thoracolumbar fascia and of an osteopathic treatment (OMT) on postural parameters in patients with acute low back pain (aLBP). Methods: This study was a single-blind randomized placebo-controlled trial. Seventy-one subjects (43.8 ± 10.5 years) suffering from aLBP were randomly and blindedly assigned to three groups to be treated with MFR, OMT, or a placebo intervention. Spinal shape parameters (functional leg length discrepancy (fLLD), kyphotic angle, and lordotic angle) were measured before and after the intervention using video raster stereography. Results: Within the MFR group, fLLD reduced by 5.2 mm, p < 0.001 and kyphotic angle by 8.2 degrees, p < 0.001. Within the OMT group, fLLD reduced by 4.5 mm, p < 0.001, and kyphotic angle by 8.4°, p = 0.007. Conclusion: MFR and OMT have an influence on fLLD and the kyphotic angle in aLBP patients. The interventions could have a regulating effect on the impaired neuromotor control of the lumbar muscles.

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“…In most people, a right-dominant motor postural pattern is present, which leads to a certain physiological asymmetry. This asymmetry is more prevalent in LBP patients, inducing a unilateral pathological activation of the lumbar musculature [12]. Wilczyński et al found significant correlations between increased ES neuromuscular activity and the Cobb angle of scoliotic postural change [36].…”

Section: Discussionmentioning

confidence: 99%

“…Functional leg length discrepancy (fLLD), on the other hand, is thought to be involved in the process of LBP development [8][9][10][11]. LBP patients also show a greater tendency for asymmetry of motor control in the form of pathological muscle activation than healthy individuals [12]. The TLF as a central biomechanical part of the pelvic corset system influences pelvic statics.…”

Section: Introductionmentioning

confidence: 99%

Immediate Effects of Myofascial Release on the Thoracolumbar Fascia and Osteopathic Treatment for Acute Low Back Pain on Spine Shape Parameters: A Randomized, Placebo-Controlled Trial

Brandl

Egner

Schleip

2021

Preprint

View full text Add to dashboard Cite

Background: Spine shape parameters, such as leg length, kyphotic or lordotic angle, are influenced by low back pain. There is also evidence that the thoracolumbar fascia plays a role in such pa-thologies. This study examined the immediate effects of a myofascial release technique (MFR) on the thoracolumbar fascia and of an osteopathic treatment (OMT) on postural parameters in pa-tients with acute low back pain (aLBP). Methods: This study was a single-blind randomized pla-cebo-controlled trial. Seventy-one subjects (43.8 ± 10.5 years) suffering from aLBP were randomly and blinded assigned to three groups to be treated with MFR, OMT or a placebo intervention. Spinal shape parameters (functional leg length discrepancy (fLLD), kyphotic angle, lordotic an-gle) were measured before and after the intervention using video raster stereography. Results: Within the MFR group, fLLD reduced by 5.2 mm, p < 0.001 and kyphotic angle by 8.2 degrees, p < 0.001. Within the OMT group, fLLD reduced by 4.5 mm, p < 0.001 and kyphotic angle by 8.4 °, p = 0.007. Conclusion: MFR and OMT have an influence on fLLD and the kyphotic angle in aLBP patients. The interventions could have a regulating effect on the impaired neuromotor control of the lumbar muscles.

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Lower limb kinematics in individuals with chronic low back pain during walking

Cited by 15 publications

References 42 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

Immediate Effects of Myofascial Release on the Thoracolumbar Fascia and Osteopathic Treatment for Acute Low Back Pain on Spine Shape Parameters: A Randomized, Placebo-Controlled Trial

Immediate Effects of Myofascial Release on the Thoracolumbar Fascia and Osteopathic Treatment for Acute Low Back Pain on Spine Shape Parameters: A Randomized, Placebo-Controlled Trial

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