Trunk Muscles Activation Pattern During Walking in Subjects With and Without Chronic Low Back Pain: A Systematic Review

Ghamkhar, Leila; Kahlaee, Amir Hossein

doi:10.1016/j.pmrj.2015.01.013

Cited by 91 publications

(57 citation statements)

References 53 publications

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“…A systematic review investigating the activation pattern of trunk muscles during walking in subjects with and without LBP indicated that those with LBP exhibit higher ES activity compared with asymptomatic subjects 20. The magnitude of the decreases in erector spinae activity and the low back extension moment while wearing an ORF is relatively small.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of a trunk orthosis with joints providing resistive force on low back load during level walking in elderly persons

Katsuhira¹,

Matsudaira²,

Oka³

et al. 2016

CIA

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PurposeThe effects of lumbosacral and spinal orthoses on low back pain and gait are not exactly clear. We previously developed a trunk orthosis with joints providing resistive force on low back load to decrease such load, and confirmed its positive effects during level walking in healthy young adults. Therefore, we aimed to determine the efficacy of this trunk orthosis during level walking in healthy elderly subjects.MethodsFifteen community-dwelling elderly subjects performed level walking at a self-selected speed without an orthosis, with our orthosis, and with a lumbosacral orthosis. Kinematic and kinetic data were recorded using a three-dimensional motion analysis system, and erector spinae activity was recorded by electromyography.ResultsWhen comparing the three conditions, our orthosis showed the following effects: it decreased the peak extension moment, increased the peak flexion moment, decreased the lateral bending angle, increased the peak thoracic extension angle, and had significantly lower erector spinae activity and significantly larger peak pelvic forward tilt angles.ConclusionOur orthosis with joints providing resistive force decreased low back load and modified trunk and pelvis alignments during level walking in healthy elderly people.

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Section: Discussionmentioning

confidence: 99%

Efficacy of a trunk orthosis with joints providing resistive force on low back load during level walking in elderly persons

Katsuhira¹,

Matsudaira²,

Oka³

et al. 2016

CIA

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“…Nossos resultados se assemelham a diversos outros estudos que discorrem que pacientes com dores crônicas, como fibromialgia e dor lombar, apresentam também redução na velocidade da marcha e comprimento do passo quando comparados à indivíduos saudáveis [15][16][17][18] . Este padrão alterado de marcha pode contribuir para redução das atividades funcionais diárias do indivíduo 15 , além de predizer possíveis sintomas depressivos e comprometimentos cognitivos [19][20][21] .…”

Section: Discussionunclassified

“…Acredita-se que a influência de fatores psicológicos sobre as disfunções musculares encontradas em indivíduos com dores crônicas ainda não está bem esclarecida 16 , o modelo fear-avoidance traz que a catastrofização e o medo da dor e subsequente evitação de atividades que exacerbam a queixa, acarreta em redução do nível de atividade física e, consequentemente, contribui para as alterações nos parâmetros da marcha 15,23 e nos padrões do sistema motor 15,24 . Embora não tenhamos notado nenhuma correlação entre quaisquer variáveis da marcha com o TAMPA, foi possível observar que o grupo com dor obteve maior escore na escala de cinesiofobia (TAMPA) quando comparadas ao grupo controle.…”

Section: Discussionunclassified

Dor Pélvica Crônica Em Mulheres E Análise Da Marcha

Salata¹,

Santos²,

Rodrigues³

et al. 2017

Rev Pesq Fisio

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INTRODUÇÃO: A dor pélvica crônica (DPC) é uma condição comum, complexa e pouco compreendida. Há evidências de que o sistema musculoesquelético esteja comprometido, embora estudos que avaliem o padrão de movimento deste grupo ainda sejam escassos. OBJETIVO: Avaliar objetivamente a marcha de mulheres com DPC. MÉTODOS: Estudo transversal, incluindo 20 mulheres com DPC e 20 saudáveis. Utilizou-se a análise tridimensional para obtenção dos dados referente a marcha. Foi obtido variáveis espaço-temporais. Além disso foram coletados dados para caracterização da amostra sobre idade, dados antropométricos, cinesiofobia, nível de atividade física, qualidade de vida e estado de humor. O teste não paramétrico de Mann-Whitney comparou as variáveis quantitativas, e a correlação de Spearman comparou as variáveis da marcha com cinesiofobia, dor, ansiedade e depressão. RESULTADOS: Mulheres com DPC apresentaram alterações na marcha quando comparadas às saudáveis. Os movimentos comprometidos foram redução na velocidade da marcha e comprimento do passo. Não notamos ocorrência de correlação entre as variáveis da marcha com dor, cinesiofobia e depressão. CONCLUSÃO: Mulheres com DPC apresentam alterações na marcha quando comparadas a mulheres saudáveis. Estes achados sugerem a necessidade de uma avaliação mais detalhada deste grupo, para que se obtenha melhores diagnósticos e tratamentos mais eficazes.

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“…Low back pain (LBP) is associated with altered motor control and muscle activity. A number of studies have shown a link between LBP and delayed muscle onsets [1], lower level of motor variability [2], reduced muscle activation of the trunk, increased stiffness [3], lower muscle force [4], changes in muscles' voluntary activity [5] and higherordered movement capacities, such as gait [6,7]. Interestingly, although all of these behavioural features have their own underlying physiological changes (e.g.…”

Section: Introductionmentioning

confidence: 99%

Deformations of abdominal muscles under experimentally induced low back pain

et al. 2019

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Purpose Low back pain (LBP) is associated with altered motor control and muscle activity; however, it remains unknown whether these changes predispose humans to injury and pain or are the consequence of ongoing nociceptive processes. In this experimental study, we aimed to use a novel ultrasound imaging technique for the measurement of lateral abdominal wall muscle activity: the tissue deformation index (TDI). Methods Forty-two healthy subjects (22.30 ± 1.49 years of age) were exposed to postural perturbation induced by rapid arm movement. Activity of three muscles, the transversus abdominis (TrA) and the internal and external oblique (EO), was recorded by ultrasound imaging (M-mode) with and without induction of LBP. Pain was induced by electrical stimulation applied bilaterally to the lumbar spine.Results No significant differences in the TDI between right and left sides of the body (p > 0.05) were found. Generally, muscles deformed slower with pain compared to non-painful conditions; however, only EO muscle displayed a statistically significant reduction in deformation velocity (p ≤ 0.00001). TDI for EO decreased from 0.065% per ms ( ± 0.038, 95% CI 0.057-0.074) to 0.053% per ms ( ± 0.035, 95% CI 0.046-0.061). Furthermore, characteristic inter-muscular TDI gradients were observed, directed from inner towards outer muscular layers, with TrA showing the lowest TDI and EO the highest. Conclusion Experimentally induced LBP suppresses deformation of the superficial abdominal muscles and increases the variability of local/deep muscles. Further research is required to confirm these observations. Graphical abstractThese slides can be retrieved under Electronic Supplementary Material.Key points 1. Low back pain (LBP) is associated with altered motor control and muscle activity.2. Tissue deformation index (TDI) was calculated to describe lateral abdominal wall muscle activity under experimentally induced low back pain.

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Trunk Muscles Activation Pattern During Walking in Subjects With and Without Chronic Low Back Pain: A Systematic Review

Cited by 91 publications

References 53 publications

Efficacy of a trunk orthosis with joints providing resistive force on low back load during level walking in elderly persons

Efficacy of a trunk orthosis with joints providing resistive force on low back load during level walking in elderly persons

Dor Pélvica Crônica Em Mulheres E Análise Da Marcha

Deformations of abdominal muscles under experimentally induced low back pain

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