The Measurement of Lumbar Proprioception in Individuals With and Without Low Back Pain

Gill, KP; Callaghan, Michael J.

doi:10.1097/00007632-199802010-00017

Cited by 286 publications

(202 citation statements)

References 31 publications

Supporting

Mentioning

183

Contrasting

Unclassified

Order By: Relevance

“…There are receptors responsible for this information which could be affected by dysfunction in the lumbar spine [7]. Accordingly, subjects with LBP may have altered postural control and balance deficits as well as reduced proprioception in the spine, which have been reported in several studies [2,3,7,8].…”

Section: Introductionmentioning

confidence: 94%

A kinematic analysis of relative stability of the lower extremities between subjects with and without chronic low back pain

Song²,

Lee³

et al. 2011

Eur Spine J

View full text Add to dashboard Cite

Even though a number of studies have evaluated postural adjustments based on kinematic changes in subjects with low back pain (LBP), kinematic stability has not been examined for abnormal postural responses during the one leg standing test. The purpose of this study was to evaluate the relative kinematic stability of the lower extremities and standing duration in subjects with and without chronic LBP. In total, 54 subjects enrolled in the study, including 28 subjects without LBP and 26 subjects with LBP. The average age of the subjects was 37.8 ± 12.6 years and ranged from 19 to 63 years. The outcome measures included normalized holding duration and relative kinematic stability. All participants were asked to maintain the test position without visual input (standing on one leg with his/her eyes closed and with the contra lateral hip flexed 90°) for 25 s. The age variable was used as a covariate to control confounding effects for the data analyses. The control group demonstrated significantly longer holding duration times (T = -2.78, p = 0.007) than the LBP group (24.6 ± 4.2 s vs. 20.5 ± 6.7 s). For the relative kinematic stability, there was a difference in dominance side (F = 9.91, p = 0.003). There was a group interaction between side and lower extremities (F = 11.79, p = 0.001) as well as an interaction between age and dominance side (F = 7.91, p = 0.007). The relative kinematic stability had a moderate negative relationship with age (r = -0.60, p = 0.007) in subjects without LBP. Clinicians need to understand the effects of age and relative stability, which decreased significantly in the single leg holding test, in subjects with LBP in order to develop effective rehabilitation strategies.

show abstract

Section: Introductionmentioning

confidence: 94%

A kinematic analysis of relative stability of the lower extremities between subjects with and without chronic low back pain

Song²,

Lee³

et al. 2011

Eur Spine J

View full text Add to dashboard Cite

show abstract

“…4,9,10 Low back disorders have also been associated with changes in trunk reposition sense. 7,11,19 Spinal reposition sense is influenced by many factors such as motion, trunk position, and loading. 1,18 It remains unclear how position sense may be altered in flexion and twisting tasks traditionally associated with LBD risk.…”

mentioning

confidence: 99%

Reposition Sense of Lumbar Curvature with Flexed and Asymmetric Lifting Postures

Wilson¹,

Granata²

2003

Spine

View full text Add to dashboard Cite

Study Design.-Reposition sense of lumbar curvature was assessed as a function of trunk flexion, trunk asymmetry, and target lumbar curvature using a repeated-measures design and an active-active proprioception paradigm.Objective.-The objectives of the research were to measure the ability of the subjects to sense and control the lumbar curvature in different lifting postures and to see if error in the lumbar curvature would increase in high-risk postures.Summary of Background Data.-The risk of low back disorders (LBDs) is related to trunk posture, with greater risk reported in flexed and asymmetric trunk positions. Spinal posture, including trunk position and lumbar lordosis, influences spinal stability. Hence, the ability to accurately sense and control spinal curvature may be an important factor in the control of LBD risk.Methods.-Eleven subjects were trained to assume specified lumbar curvatures using visual feedback. The ability of the subjects to reproduce this curvature without feedback was then assessed. This procedure was repeated for different trunk postures, including flexion and asymmetry, and with different target lumbar curvatures.Results.-These measurements demonstrated reposition error was increased in flexed trunk positions but was unchanged with trunk asymmetry. This increase in reposition error with flexion was diminished when the target posture and lumbar curvature were highly flexed and kyphotic.Conclusions.-This research suggests that it may be difficult to control spinal curvature in flexed positions, leading to an increased risk of injury. For jobs in which flexed working postures are unavoidable, therefore, it is important to minimize potentially unstable events such as slipping or shifting loads to avoid injury. Keywordsproprioception; lumbar; posture; lordosis Address reprint requests to K.P. Granata, PhD, Motion Analysis and Motor Performance Laboratory, Kluge Children's Rehabilitation Center, University of Virginia, 2270 Ivy Road, Charlottesville, VA 22903. E-mail: E-mail: kpg8n@virginia.edu.. This work was supported in part by DePuy-Acromed and by grant R01 AR46111-02 from National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) of the National Institutes of Health.Conflict of interest: Corporate/industry and federal funds were received in support of this work. No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this report. NIH Public AccessAuthor Manuscript Spine (Phila Pa 1976 The ability to accurately sense and control spinal curvature is particularly important in the feedback control of spinal stability. Therefore, spinal posture sense may be an important factor contributing to the risk of low back disorders (LBDs) during lifting activities.Poor reposition sense has been shown to be related to risk of musculoskeletal injury in several joints, including the ankle and knee. 4,9,10 Low back disorders have also been associated with changes in trunk reposition sense. 7,11,19 Spinal ...

show abstract

“…Previous studies support the idea that older adults with LBP have reduced proprioceptive sensation on position-reposition accuracy and have a higher prevalence of balance deficits [30][31][32]. Several other studies focusing on typical movement patterns in older adults with LBP identified increased postural sway and decreased lumbar spine motion [33,34].…”

Section: Postural Deficits and Integrated Balance Performancementioning

confidence: 75%

The Quantified Indices for Compensatory Patterns for Low Back Pain and Outcome Measures

Sung¹,

Danial²

2017

Innovations in Spinal Deformities and Postural Disorders

View full text Add to dashboard Cite

The quantification of balance stability is valuable to a number of populations, including older adults with low back pain (LBP). Investigations into postural stability and oneleg standing should be performed to integrate balance performance using kinematic and kinetic indices. The comparison of postural control between older adults with LBP and healthy older adults might contribute to a further understanding of postural adaptations, especially when considering visual condition. The one-leg standing test would highlight the differences in kinematic and kinetic stabilities between groups. Because the eyes-closed condition results in significantly decreased spinal stability, the normalized kinematic and kinetic indices could be utilized to compare postural integration as well as proprioceptive responses. Older adults with LBP demonstrated higher lumbar spine stability in the eyes-open condition, which might be due to a possible pain avoiding strategy from the standing limb. Clinicians need to consider both kinetic and kinematic indices and visual condition when addressing lumbar spine stability. Quantified indices for compensatory patterns might provide further understanding of optimal injury prevention and rehabilitation strategies for individuals with LBP.

show abstract

The Measurement of Lumbar Proprioception in Individuals With and Without Low Back Pain

Abstract: Differences in proprioception do exist between individuals with back pain and those free from back pain. Further research needs to be undertaken on proprioceptive exercise programs and their effect on back pain.

Cited by 286 publications

References 31 publications

A kinematic analysis of relative stability of the lower extremities between subjects with and without chronic low back pain

A kinematic analysis of relative stability of the lower extremities between subjects with and without chronic low back pain

Reposition Sense of Lumbar Curvature with Flexed and Asymmetric Lifting Postures

The Quantified Indices for Compensatory Patterns for Low Back Pain and Outcome Measures

Contact Info

Product

Resources

About