Postural control measured as the center of pressure excursion in young female gymnasts with low back pain or lower extremity injury

2008 ◽  
Vol 28 (1) ◽  
pp. 38-45 ◽  
Author(s):  
M.L. Harringe ◽  
K. Halvorsen ◽  
P. Renström ◽  
S. Werner
2018 ◽  
Vol 50 (5) ◽  
pp. 987-994 ◽  
Author(s):  
JOSEPH F. SEAY ◽  
TRACIE SHING ◽  
KRISTEN WILBURN ◽  
RICHARD WESTRICK ◽  
JOSEPH R. KARDOUNI

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Daniela Rosa Garcez ◽  
Gizele Cristina da Silva Almeida ◽  
Carlos Felipe Oliveira Silva ◽  
Tainá de Souza Nascimento ◽  
Anselmo de Athayde Costa e Silva ◽  
...  

AbstractChronic low back pain (CLBP) is associated with postural control impairments and is highly prevalent in elderly people. The objective of this study is to verify whether anticipatory postural adjustments (APAs) and compensatory postural adjustments (CPAs) are affected by CLBP in elderly people by assessing their postural control during a self-initiated perturbation paradigm induced by rapid upper arm movement when pointing to a target. The participants’ lower limb muscle onset and center of pressure (COP) displacements were assessed prior to perturbation and throughout the entire movement. T0 moment (i.e., the beginning of the movement) was defined as the anterior deltoid (DEL) onset, and all parameters were calculated with respect to it. The rectus femoris (RT), semitendinosus (ST), and soleous (SOL) showed delayed onset in the CLBP group compared with the control group: RF (control: − 0.094 ± 0.017 s; CLBP: − 0.026 ± 0.012 s, t = 12, p < 0.0001); ST (control: − 0.093 ± 0.013 s; CLBP: − 0.018 ± 0.019 s, t = 12, p < 0.0001); and SOL (control: − 0.086 ± 0.018 s; CLBP: − 0.029 ± 0.015 s, t = 8.98, p < 0.0001). In addition, COP displacement was delayed in the CLBP group (control: − 0.035 ± 0.021 s; CLBP: − 0.015 ± 0.009 s, t = 3; p = 0.003) and presented a smaller amplitude during APA COPAPA [control: 0.444 cm (0.187; 0.648); CLBP: 0.228 cm (0.096; 0.310), U = 53, p = 0.012]. The CLBP group required a longer time to reach the maximum displacement after the perturbation (control: 0.211 ± 0.047 s; CLBP 0.296 ± 0.078 s, t = 3.582, p = 0.0013). This indicates that CLBP elderly patients have impairments to recover their postural control and less efficient anticipatory adjustments during the compensatory phase. Our results suggest that people with CLBP have altered feedforward hip and ankle muscle control, as shown from the SOL, ST, and RT muscle onset. This study is the first study in the field of aging that investigates the postural adjustments of an elderly population with CLBP. Clinical assessment of this population should consider postural stability as part of a rehabilitation program.


2019 ◽  
pp. 3-13
Author(s):  
Alexandru Cîtea ◽  
George-Sebastian Iacob

Posture is commonly perceived as the relationship between the segments of the human body upright. Certain parts of the body such as the cephalic extremity, neck, torso, upper and lower limbs are involved in the final posture of the body. Musculoskeletal instabilities and reduced postural control lead to the installation of nonstructural posture deviations in all 3 anatomical planes. When we talk about the sagittal plane, it was concluded that there are 4 main types of posture deviation: hyperlordotic posture, kyphotic posture, rectitude and "sway-back" posture.Pilates method has become in the last decade a much more popular formof exercise used in rehabilitation. The Pilates method is frequently prescribed to people with low back pain due to their orientation on the stabilizing muscles of the pelvis. Pilates exercise is thus theorized to help reactivate the muscles and, by doingso, increases lumbar support, reduces pain, and improves body alignment.


2011 ◽  
Vol 46 (6) ◽  
pp. 607-614 ◽  
Author(s):  
Kelly L. McMullen ◽  
Nicole L. Cosby ◽  
Jay Hertel ◽  
Christopher D. Ingersoll ◽  
Joseph M. Hart

Context: Fatigue of the gluteus medius (GMed) muscle might be associated with decreases in postural control due to insufficient pelvic stabilization. Men and women might have different muscular recruitment patterns in response to GMed fatigue. Objective: To compare postural control and quality of movement between men and women after a fatiguing hip-abduction exercise. Design: Descriptive laboratory study. Setting: Controlled laboratory. Patients or Other Participants: Eighteen men (age = 22 ± 3.64 years, height = 183.37 ± 8.30 cm, mass = 87.02 ±12.53 kg) and 18 women (age = 22 ± 3.14, height = 167.65 ± 5.80 cm, mass = 66.64 ± 10.49 kg) with no history of low back or lower extremity injury participated in our study. Intervention(s): Participants followed a fatiguing protocol that involved a side-lying hip-abduction exercise performed until a 15% shift in electromyographic median frequency of the GMed was reached. Main Outcome Measure(s): Baseline and postfatigue measurements of single-leg static balance, dynamic balance, and quality of movement assessed with center-of-pressure measurements, the Star Excursion Balance Test, and lateral step-down test, respectively, were recorded for the dominant lower extremity (as identified by the participant). Results: We observed no differences in balance deficits between sexes (P &gt; .05); however, we found main effects for time with all of our postfatigue outcome measures (P ≤ .05). Conclusions: Our findings suggest that postural control and quality of movement were affected negatively after a GMed-fatiguing exercise. At similar levels of local muscle fatigue, men and women had similar measurements of postural control.


2020 ◽  
Vol 29 (4) ◽  
pp. 400-404 ◽  
Author(s):  
Whitney Williams ◽  
Noelle M. Selkow

Context: Decreased hamstring flexibility can lead to a plethora of musculoskeletal injuries, including low back pain, hamstring strains, and patellofemoral pain. Lack of flexibility may be the result of myofascial adhesions. The fascia connected to the hamstrings is part of the superficial back line that runs from the cranium to the plantar aspect of the foot. Any disruption along this chain may limit the flexibility of the hamstring. Objective: To investigate if self-myofascial release (SMR) of the plantar surface of the foot in addition to the hamstring group was more effective at improving the flexibility of the hamstrings when compared with either intervention alone. Design: Cross-over study. Setting: Athletic training facility. Participants: Fifteen college students (5 males and 10 females; age: 20.9 [1.4] y, height: 173.1 [10.3] cm, mass: 80.0 [24.9] kg) who were not older than 30, with no history of low back pain or injury within the past 6 months, no history of leg pain or injury within the past 6 months, no current signs or symptoms of cervical or lumbar radicular pain, no current complaint of numbness or tingling in the lower-extremity, and no history of surgery in the lower-extremity or legs. Interventions: Each participant received each intervention separated by at least 96 hours in a randomized order: hamstring foam rolling, lacrosse ball on the plantar surface of the foot, and a combination of both. Main Outcome Measures: The sit-and-reach test evaluated hamstring flexibility of each participant before and immediately after each intervention. Results: There were no significant differences found among the SMR techniques on sit-and-reach distance (F2,41 = 2.7, P = .08, ). However, at least 20% of participants in each intervention improved sit-and-reach distance by 2.5 cm. Conclusions: SMR may improve sit-and-reach distance, but one technique of SMR does not seem to be superior to another.


2015 ◽  
Vol 22 (1) ◽  
pp. 142-146 ◽  
Author(s):  
Piotr Gawda ◽  
Magdalena Dmoszyńska-Graniczka ◽  
Halina Pawlak ◽  
Marek Cybulski ◽  
Michał Kiełbus ◽  
...  

2021 ◽  
Vol 9 (1) ◽  
pp. 3754-3758
Author(s):  
Akshaya M V ◽  
◽  
Abhilash P V ◽  
Priya S ◽  
◽  
...  

Background: Early identification of the BMI and muscle weakness, can be promoted for developing future rehabilitation by giving proper training in athletes to reduce chance of injuries especially in female athletes. There-for the purpose of this study was to determine the correlation between BMI and hip muscle strength in young female athletes. Materials and Methods: study was conducted among college level female athletes from different colleges of Mangalore, Karnataka, India. 20 college level female athletes between 18-25 years with free from injury and involved at least 2 hrs. per week training session were included in this study. Athletes were excluded if participant had an acute injury during previous six months, had musculoskeletal surgery within the past year. Results: The total number of 20 young female athletes aged between 18- 25 were included in this study. Detailed results enumerated in detail in the results section. Discussion and Conclusion: There was no relationship between BMI and hip muscle strength. Identifying the relationship between BMI and hip muscle strength may help to prevent lower extremity injury risk in female athletes and specific muscle group training can be given as rehabilitation protocol. KEY WORDS: BMI, Hip Muscle Strength, Female Athletes, Lower Extremity Injury.


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