The Effect of Chronic Pain Intensity on Sit-to-Stand Strategy in Patients With Herniated Lumbar Disks

Sipko, Tomasz; Glibowski, Edmund; Barczyk-Pawelec, Katarzyna; Kuczyński, Michał

doi:10.1016/j.jmpt.2016.02.014

Cited by 11 publications

(9 citation statements)

References 32 publications

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“…These proved that their pelvis kinematics are less efficient due to poor proprioception and probably pain-avoiding mechanisms. That background was confirmed in a different study where we observed that chronic pain intensity played an important role in decreasing ground reaction peak force and increasing time to peak in the sit-to-stand task in LBP patients [38]. This study suggested three main directions for rehabilitation programs: pain reduction, postural improvement, and the coordination of the sit-to-stand strategy.…”

Section: Discussionsupporting

confidence: 74%

Lumbopelvic Biomechanics in Patients with Lumbar Disc Herniation—Prospective Cohort Study

Kuligowski

Sipko

2021

Symmetry

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Low back pain (LBP) is the most frequent cause of adult disability. One of the main reasons can be a herniated disc (lumbar disc herniation—LDH), potentially disturbing spinal movement patterns. Its influence on gait and lumbopelvic biomechanics still remains unclear. Little to no evidence was found on lumbopelvic kinematics and gait in young LDH adults. The purpose of this study was to analyze the lumbopelvic biomechanics in young adult individuals with lumbar disc herniation diagnosed by MRI. Forty-three participants (18–35 years) were divided into two groups: an LDH group (n = 19) and a control group (n = 24). All participants underwent dynamic lumbopelvic and gait measures by a G-Walk wearable device in a 6-m walking test (6MWT). The Oswestry Disability Index (ODI) questionnaire was used for subjective disability assessment. The LDH group showed higher speed (p = 0.02), lower symmetry of pelvis tilt (p = 0.01), and lower pelvis rotation (p = 0.04) compared to the healthy controls. Correlation calculations showed significance between pelvis obliquity and pelvis rotation (r = 0.53) but only in healthy controls. The lumbopelvic biomechanics shows differences in pelvis tilt and symmetry index of rotation parameters between LDH and healthy controls. In conclusion, LDH affects the gait kinematics, causing three-dimensional disorders and lack of synergy. This is probably due to pain avoidance behaviors and the compensation mechanisms of the adjacent body region.

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Section: Discussionsupporting

confidence: 74%

Lumbopelvic Biomechanics in Patients with Lumbar Disc Herniation—Prospective Cohort Study

Kuligowski

Sipko

2021

Symmetry

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“…It was assumed that the extension pattern of STS could be used in decreasing the VGRF in the general pain population patients. Avoidance behavior in STS execution was presented in CLBP patients, in high pain individuals only, indicating that chronic pain intensity was a significant factor in decreasing ground reaction peak force and increasing time to peak force [11].…”

Section: Discussionmentioning

confidence: 93%

“…The intraclass correlation coefficients (ICC 2,1 ) indicated that the measurements of VGRF and events times in STS had high and good reproducibility [11]. The Shapiro-Wilk test indicated that the results concerning the forces and the event times were normally distributed.…”

Section: Discussionmentioning

confidence: 98%

The impact of flexion or extension movement transfer pattern on the performance of sit-to-stand task in asymptomatic young subjects

Sipko¹,

Stefanik²,

Glibowski³

et al. 2018

Physiother Quart.

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Introduction. To assess the mode of sit-to-stand (STS) task performed in a habitual manner or with flexion or extension pattern transfer in asymptomatic young subjects. It was hypothesized that different initial movements of the lumbar-pelvic region would modify the performance of the STS task: coordination of STS in time and level of vertical ground reaction forces (VGRF). Methods. A convenience sample of 30 young asymptomatic volunteers, both genders, was recruited. The STS task was performed in a habitual manner or with a flexion or extension pattern. A Kistler platform was used to measure the VGRF and time of STS phases.Results. ANOVAs analysis revealed the main effect in the total time and in maximum VGRF during the STS manoeuvre in three STS tasks (F(2, 58) = 21.67-30.74; p < 0.00001). In the post-hoc analysis, there was no difference in the total time between flexion and extension pattern of STS (p > 0.05), there was no difference between the flexion and extension pattern in minimum VGRF (p > 0.05), but the latter task was the longest in preparation time (p < 0.001). The lowest maximum VGRF was bound with the extension pattern of STS (p < 0.01). Conclusions.The extension or flexion movement pattern modified STS performance and displayed different coordination in time and level of VGRF. Young asymptomatic participants performed the STS task longer with flexion or extension pattern than in the habitual pattern. The extension pattern of STS had the capacity to produce the lowest VGRF. Key words: ground reaction force, coordination, transfer, sit-to-stand, mobility Citation: Sipko T, Stefanik M, Glibowski E, Paluszak A, Kuczyńsk M. The impact of flexion or extension movement transfer pattern on the performance of sit-to-stand task in asymptomatic young subjects.

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“…As part of our aim to distinguish elderly from younger participants, the procedure divided the raising phase into two parts: the first one lasting from initiation until peak vGRF (T1), and the second one from peak vGRF until rebound (T2). Sipko et al proposed a similar approach using the vGRF to identify the subsequent events in their study about patients with chronic low back pain [30]. -Stabilization phase: the period between rebound (upright posture) and the achievement of the SS.…”

Section: Ground Reaction Forcementioning

confidence: 99%

Raising and stabilization phase of the sit-to-stand movement better discriminate healthy elderly adults from young subjects: a pilot cross-sectional study

Piano

Geri²,

Testa³

2020

Arch Physiother

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Background:The sit-to-stand (STS) test is usually included in the clinical assessment of balance and its instrumented analysis may support clinicians in objectively assessing the risk of falling. The aim of the present study was to assess if kinetic parameters of STS collected using a force platform, with particular focus on the raising and stabilization phase, could discriminate between young and older adults. Methods: Twenty-four adults (age ranging from 18 to 65 years old) and 28 elderly adults (older than 65 years old) performed STS on a force platform. Data on ground reaction forces, sway, displacement and velocity of the center of pressure were gathered during the raising and the stabilization phases. Results: elderly subjects showed significant greater global sway (146.97 vs 119.85; p < 0.05) and a higher velocity (vs 40.03 vs 34.35 mm/s; p < 0.05) of execution of STS. Between-group comparisons highlighted a greater postural sway in the raising phase (21.63 vs 13.58; p < 0.001) and a doubled sway during the stabilization phase (12.38 vs 4.98; p < 0.001).Conclusions: The analysis of STS performed on a force platform provides further information about the age-specific pattern of STS execution. The stabilization phase of STS seems to be the more challenging for functional independent older adults and should be considered during balance assessment. Further studies are needed to confirm findings and improve generalizability of this study.

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The Effect of Chronic Pain Intensity on Sit-to-Stand Strategy in Patients With Herniated Lumbar Disks

Cited by 11 publications

References 32 publications

Lumbopelvic Biomechanics in Patients with Lumbar Disc Herniation—Prospective Cohort Study

Lumbopelvic Biomechanics in Patients with Lumbar Disc Herniation—Prospective Cohort Study

The impact of flexion or extension movement transfer pattern on the performance of sit-to-stand task in asymptomatic young subjects

Raising and stabilization phase of the sit-to-stand movement better discriminate healthy elderly adults from young subjects: a pilot cross-sectional study

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