The Role of Paraspinal Muscle Spindles in Lumbosacral Position Sense in Individuals With and Without Low Back Pain

Brumagne, Simon; Cordo, Paul; Lysens, Roeland; Verschueren, Sabine; Swinnen, Stephan P.

doi:10.1097/00007632-200004150-00015

Cited by 405 publications

(327 citation statements)

References 44 publications

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“…Although the knowledge surrounding proprioception is relatively limited because it is such a complex function, several studies have found that proprioceptive deficits in individuals with LBP might contribute to a lack of stability [8,33,34]. Another explanation for decreased balance performance in LBP subjects might be altered muscle function.…”

Section: Discussionmentioning

confidence: 99%

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

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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.

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Section: Discussionmentioning

confidence: 99%

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

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“…Clinically, low back pain patients have less lumbar repositioning accuracy (2) and need practice to reach accuracies similar to normal subjects (3). Altered paraspinal muscle spindles and central processing were suggested to be the cause for the less refined position sense in low back pain patients (2). The present study explores the presence of a phenomenon in the lumbar spine that can alter proprioceptive signaling from paraspinal muscle spindles.…”

Section: Introductionmentioning

confidence: 89%

“…For example, a slouched sitting posture alters an individual's ability to accurately reposition their lumbar spine (1). Clinically, low back pain patients have less lumbar repositioning accuracy (2) and need practice to reach accuracies similar to normal subjects (3). Altered paraspinal muscle spindles and central processing were suggested to be the cause for the less refined position sense in low back pain patients (2).…”

Section: Introductionmentioning

confidence: 99%

Time course for the development of muscle history in lumbar paraspinal muscle spindles arising from changes in vertebral position

Ge¹,

Pickar²

2008

The Spine Journal

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Background Context-In neutral spinal postures with low loading moments the lumbar spine is not inherently stable. Small compromises in paraspinal muscle activity may affect lumbar spinal biomechanics. Proprioceptive feedback from muscle spindles is considered important for control of muscle activity. Because skeletal muscle and muscle spindles are thixotropic, their length history changes their physical properties. The present study explores a mechanism that can affect the responsiveness of paraspinal muscle spindles in the lumbar spine.

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“…Injury to the spine structures (e.g., joints, ligaments, disc) can disrupt one or more of the spine stability sub‐systems 19, 63, 64, 65. Induced pain studies in humans confirm that local pain of the spinal column leads to reduction of neural drive to the adjacent MF, apparent on functional MRI 66 and ultrasound 67, 68.…”

Section: Introductionmentioning

confidence: 99%

Muscle Control and Non-specific Chronic Low Back Pain

Russo¹,

Deckers

Eldabe

et al. 2018

Neuromodulation: Technology at the Neural Interface

125

116

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ObjectivesChronic low back pain (CLBP) is the most prevalent of the painful musculoskeletal conditions. CLBP is a heterogeneous condition with many causes and diagnoses, but there are few established therapies with strong evidence of effectiveness (or cost effectiveness). CLBP for which it is not possible to identify any specific cause is often referred to as non‐specific chronic LBP (NSCLBP). One type of NSCLBP is continuing and recurrent primarily nociceptive CLBP due to vertebral joint overload subsequent to functional instability of the lumbar spine. This condition may occur due to disruption of the motor control system to the key stabilizing muscles in the lumbar spine, particularly the lumbar multifidus muscle (MF).MethodsThis review presents the evidence for MF involvement in CLBP, mechanisms of action of disruption of control of the MF, and options for restoring control of the MF as a treatment for NSCLBP.ResultsImaging assessment of motor control dysfunction of the MF in individual patients is fraught with difficulty. MRI or ultrasound imaging techniques, while reliable, have limited diagnostic or predictive utility. For some patients, restoration of motor control to the MF with specific exercises can be effective, but population results are not persuasive since most patients are unable to voluntarily contract the MF and may be inhibited from doing so due to arthrogenic muscle inhibition.ConclusionsTargeting MF control with restorative neurostimulation promises a new treatment option.

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The Role of Paraspinal Muscle Spindles in Lumbosacral Position Sense in Individuals With and Without Low Back Pain

Cited by 405 publications

References 44 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

Time course for the development of muscle history in lumbar paraspinal muscle spindles arising from changes in vertebral position

Muscle Control and Non-specific Chronic Low Back Pain

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