Postural control during prolonged standing in persons with chronic low back pain

Lafond, Danik; Champagne, Annick; Descarreaux, Martin; Dubois, Jacques; Prado, Janina Manzieri; Duarte, Marcos

doi:10.1016/j.gaitpost.2008.10.064

Cited by 123 publications

(104 citation statements)

References 28 publications

(47 reference statements)

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“…This difference was significant in the AP direction [23,26,29]. The general trend towards an increased AP sway in pain sufferers was also present when considering the root mean square (RMS) for anteroposterior sway [30,40], an effect that was found to increase with longer sampling durations [31]. Additionally, a higher COP sway velocity was found in non-specific LBP cases [2,19,20,31,32].…”

Section: Low Back Pain and Postural Swaymentioning

confidence: 74%

“…Compared to healthy controls, participants with NSLBP exhibited a greater sway area [31,32], which varied greatly between 7.11 [32] and 18.5 cm 2 [31]. The NSLBP patients also showed an increased COP mean displacement [23,24,26,28,29].…”

Section: Low Back Pain and Postural Swaymentioning

confidence: 90%

“…At similar VAS scores, the reported results for COP mean velocity vary considerably. While one study reported a 100% increase in sway velocity with increasing pain perception [20], other studies showed no significant difference [19,31].…”

Section: Clinical Application Of Cop Measuresmentioning

confidence: 98%

See 2 more Smart Citations

Center of pressure excursion as a measure of balance performance in patients with non-specific low back pain compared to healthy controls: a systematic review of the literature

2010

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Over the past 20 years, the center of pressure (COP) has been commonly used as an index of postural stability in standing. While many studies investigated COP excursions in low back pain patients and healthy individuals, no comprehensive analysis of the reported differences in postural sway pattern exists. Six online databases were systematically searched followed by a manual search of the retrieved papers. The selection criteria comprised papers comparing COP measures derived from bipedal static task conditions on a force-plate of non-specific low back pain (NSLBP) sufferers to those of healthy controls. Sixteen papers met the inclusion criteria. Heterogeneity in study designs prevented pooling of the data so only a qualitative data analysis was conducted. The majority of the papers (14/16, 88%) concluded that NSLBP patients have increased COP mean velocity and overall excursion as compared to healthy individuals. This was statistically significant in the majority of studies (11/14, 79%). An increased sway in anteroposterior direction was also observed in NSLBP patients. Patients with NSLBP exhibit greater postural instability than healthy controls, signified by greater COP excursions and a higher mean velocity. While the decreased postural stability in NSLBP sufferers further appears to be associated with the presence of pain, it seems unrelated to the exact location and pain duration. No correlation between the pain intensity and the magnitude of COP excursions could be identified.

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Section: Low Back Pain and Postural Swaymentioning

confidence: 74%

Section: Low Back Pain and Postural Swaymentioning

confidence: 90%

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Center of pressure excursion as a measure of balance performance in patients with non-specific low back pain compared to healthy controls: a systematic review of the literature

2010

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“…Duarte and Zatsiorsky 41 showed that when the CP is presented as a temporal series, three patterns can be identified: Shifting (a step): a quick displacement of the mean position of the CP from one region to another; Fidgeting (a pulse): a fast and large displacement of the CP and a return to approximately the same position; and Drifting (a ramp): continuous and slow displacement of the mean CP position. This structural analysis has been applied in studies under different conditions 32 and in different populations, such as elderly individuals 22 and low-back-pain patients 43 , in order to understand the natural posture of these individuals.…”

Section: Structural Analysismentioning

confidence: 99%

Revisão sobre posturografia baseada em plataforma de força para avaliação do equilíbrio

Duarte¹,

Freitas²

2010

Rev. bras. fisioter.

Self Cite

478

163

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“…Entre os fatores de riscos posturais envolvidos na gênese da dor lombar ocupacional está o trabalho em posições desconfortáveis, como a manutenção de posturas estáticas por longos períodos de tempo e a realização frequente de flexão, extensão e rotação de tronco 2 . A associação entre a instabilidade corporal (falta de equilíbrio postural) e a lombalgia é observada com alguma frequência, principalmente em grupos laborais 3,4 . o equilíbrio corporal está relacionado ao estado do corpo, à resistência à aceleração angular ou linear e à capacidade do indivíduo em assumir e manter uma determinada posição, ou seja, o equilíbrio significa a capacidade de neutralizar as forças que alteraram seu estado, requerendo coordenação e controle 5 .…”

Section: Introductionunclassified

A Reeducação Dinâmica Muscular no Equilíbrio Postural e na redução da lombalgia em trabalhadores industriais

Pinto¹,

Silva²,

Knoplich³

et al. 2010

Mundo Saúde

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RESuMo: O objetivo deste estudo foi investigar o efeito da reeducação da dinâmica muscular (RDM®) no equilíbrio postural e na redução da lombalgia de trabalhadores industriais. A amostra foi constituída de operadores industriais, portadores de lombalgia, encaminhados ao setor de Fisioterapia. Após o crivo dos critérios de inclusão e exclusão, foram sorteados 82 indivíduos, divididos, aleatoriamente, em: grupo experimental (GE; n=41, idade=41±4 anos; índice de massa corpórea (IMC) = 26,46±3,25) e grupo controle (GC; n=42, idade=42±5 anos; IMC=26,47±3,34). O GE fez parte do tratamento com RDM. O GC foi constituído de indivíduos que não participaram de nenhum tratamento fisioterapêutico durante a pesquisa. Os procedimentos utilizados para a avaliação foram: lombalgia (escala de Borg) e o equilíbrio postural (Pedana estabilométrica e posturométrica). O procedimento de intervenção pelo RDM teve uma duração de 20 minutos, frequência de duas vezes por semana e se estendeu por 12 semanas, sendo a sistemática de tratamento procedida em 4 momentos. Na comparação intragrupos, o teste t pareado ou de Wilcoxon apresentaram, respectivamente, uma melhora significativa (p<0,05) nas variáveis dor lombar (p=0,0001) e equilíbrio postural (p=0,0001) no GE. O teste de Kruskal Wallis, seguido do intervalo de confiança (IC), revelaram melhoras significativas favoráveis ao GE no pós-teste quando comparadas ao pós-teste do GC (dor lombar: IC: -115,58 / -48,66; equilíbrio postural: IC: -68,81 / -1,89). Além disto, o teste do qui-quadrado demonstrou uma redução significativa na utilização de medicamentos do GE na análise intra-grupos (p=0,0001) e intergrupos (p=0,0001). Dessa forma, pode-se inferir que o tratamento com RDM repercutiu em melhora significativa da dor lombar e do equilíbrio postural de operadores industriais. PALAvRAS-chAvE: Dor lombar. Equilíbrio postural. Reeducação Dinâmica Muscular -trabalhadores industriais.ABStRAct: The objective of this study has been to investigate the effect of the Muscular Dynamic Reeducation in Postural Balance and in lumbar pain reduction for industry workers. The sample has been constituted by lumbago-affected industry operators assisted by the sector of Physiotherapy. Using inclusion and exclusion criteria, 82 individuals randomly included in two groups: experimental group (EG; n = 41, age = 41±4 years; body mass index (BMI) = 26.46±3.25) and control group (CG; n = 42; age = 42±5 years; BMI = 26.47±3.34). EG has participated in a treatment using RDM. GC was constituted by individuals that have not participated in any physiotherapeutic treatment during the research. The procedures used for the evaluation were lumbago (Borg scale) and postural balance (stabilometric and posturometric platform). RDM intervention procedure lasted 20 minutes, twice a week, during 12 weeks, and the treatment was used in 4 different moments. Intragroup comparison, paired t test or Wilcoxon presented, respectively, a significant improvement (p < 0.05) in the variables lumbar pain (p = 0.0001) and postural balance (p = ...

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Postural control during prolonged standing in persons with chronic low back pain

Cited by 123 publications

References 28 publications

Center of pressure excursion as a measure of balance performance in patients with non-specific low back pain compared to healthy controls: a systematic review of the literature

Center of pressure excursion as a measure of balance performance in patients with non-specific low back pain compared to healthy controls: a systematic review of the literature

Revisão sobre posturografia baseada em plataforma de força para avaliação do equilíbrio

A Reeducação Dinâmica Muscular no Equilíbrio Postural e na redução da lombalgia em trabalhadores industriais

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