27646 Spinal Control Impairments During Two Clinical Tests of Lower Limb Movement in People with and without Low Back Pain

Many risk factors have been identified as contributing to the development or persistence of low back pain (LBP). However, the juxtaposition of both high and low levels of physical activity being associated with LBP reflects the complexity of the relationship between a risk factor and LBP. Moreover, not everyone with an identified risk factor, such as a movement pattern of increased lumbopelvic rotation, has LBP.Objective:The purpose of this study was to examine differences in activity level and movement patterns between people with and people without chronic or recurrent LBP who participate in rotation-related sports.Design Case:Case-control study.Setting:University laboratory environment.Participants:52 people with chronic or recurrent LBP and 25 people without LBP who all play a rotation-related sport.Main Outcome Measures:Participants completed self-report measures including the Baecke Habitual Activity Questionnaire and a questionnaire on rotation-related sports. A 3-dimensional motion-capture system was used to collect movement-pattern variables during 2 lower-limb-movement tests.Results:Compared with people without LBP, people with LBP reported a greater difference between the sport subscore and an average work and leisure composite subscore on the Baecke Habitual Activity Questionnaire (F = 6.55, P = .01). There were no differences between groups in either rotation-related-sport participation or movement-pattern variables demonstrated during 2 lower-limb-movement tests (P > .05 for all comparisons).Conclusions:People with and people without LBP who regularly play a rotation-related sport differed in the amount and nature of activity participation but not in movement-pattern variables. An imbalance between level of activity during sport and daily functions may contribute to the development or persistence of LBP in people who play a rotation-related sport.

Download Full-text

Sensorimotor and body perception assessments of nonspecific chronic low back pain: a cross-sectional study

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-04269-7 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

R. Meier ◽

C. Emch ◽

C. Gross-Wolf ◽

F. Pfeiffer ◽

A. Meichtry ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Cross Sectional Study ◽

Sensorimotor System ◽

Healthy Controls ◽

Low Back ◽

Sectional Study ◽

Clinical Tests ◽

Body Perception ◽

Cross Sectional

Abstract Background Low back pain (LBP) is one of the most common musculoskeletal disorders, causing significant personal and social burden. Current research is focused on the processes of the central nervous system (particularly the sensorimotor system) and body perception, with a view to developing new and more efficient ways to treat chronic low back pain (CLBP). Several clinical tests have been suggested that might have the ability to detect alterations in the sensorimotor system. These include back-photo assessment (BPA), two-point discrimination (TPD), and the movement control tests (MCT). The aim of this study was to determine whether the simple clinical tests of BPA, TPD or MCT are able to discriminate between nonspecific CLBP subjects with altered body perception and healthy controls. Methods A cross-sectional study was conducted. At one point in time, 30 subjects with CLBP and 30 healthy controls were investigated through using BPA, TPD and MCT on the lower back. Correlations among the main covariates and odds ratios for group differences were calculated. Results MCT showed an odds ratio for the presence of CLBP of 1.92, with a statistically significant p-value (0.049) and 95%CI. The TPD and BPA tests were unable to determine significant differences between the groups. Conclusions Of the three tests investigated, MCT was found to be the only suitable assessment to discriminate between nonspecific CLBP subjects and healthy controls. The MCT can be recommended as a simple clinical tool to detect alterations in the sensorimotor system of nonspecific CLBP subjects. This could facilitate the development of tailored management strategies for this challenging LBP subgroup. However, further research is necessary to elucidate the potential of all the tests to detect alterations in the sensorimotor system of CLBP subjects. Trial registration No trial registration was needed as the study contains no intervention. The study was approved by the Swiss Ethics Commission of Northwest and Central Switzerland (EKNZ) reference number 2015–243.

Download Full-text

The effects of self-mobilization techniques for the sciatic nerves on physical functions and health of low back pain patients with lower limb radiating pain

Journal of Physical Therapy Science ◽

10.1589/jpts.28.46 ◽

2016 ◽

Vol 28 (1) ◽

pp. 46-50 ◽

Cited By ~ 2

Author(s):

Ui-Cheol Jeong ◽

Cheol-Yong Kim ◽

Young-Han Park ◽

Gak Hwang-Bo ◽

Chan-Woo Nam

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lower Limb ◽

Low Back ◽

Physical Functions ◽

Sciatic Nerves ◽

Pain Patients

Download Full-text

Prevalence of Low Back Pain and Relationship to Mental Health Symptoms and Quality of Life After a Deployment-related Lower Limb Amputation

Spine ◽

10.1097/brs.0000000000003525 ◽

2020 ◽

Vol 45 (19) ◽

pp. 1368-1375

Author(s):

Brittney Mazzone ◽

Shawn Farrokhi ◽

Brad D. Hendershot ◽

Cameron T. McCabe ◽

Jessica R. Watrous

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Low Back Pain ◽

Back Pain ◽

Lower Limb ◽

Lower Limb Amputation ◽

Limb Amputation ◽

Low Back ◽

Health Symptoms

Download Full-text

Trunk Lateral Flexor Endurance and Body Fat: Predictive Risk Factors for Low Back Pain in Child Equestrian Athletes

Children ◽

10.3390/children7100172 ◽

2020 ◽

Vol 7 (10) ◽

pp. 172

Author(s):

Antonio Cejudo ◽

Angélica Ginés-Díaz ◽

Olga Rodríguez-Ferrán ◽

Fernando Santonja-Medina ◽

Pilar Sainz de Baranda

Keyword(s):

Risk Factors ◽

Low Back Pain ◽

Back Pain ◽

Body Fat ◽

Lower Limb ◽

Musculoskeletal Injury ◽

Low Back ◽

Factors Associated ◽

Potential Risk Factors ◽

Predictive Risk

Low back pain (LBP) is the most common overuse musculoskeletal injury suffered by child equestrian athletes (CEA). Despite this, little is known about the risk factors related to LBP in these athletes, and very limited research has been conducted on this topic. This study was designed to investigate predictive risk factors for LBP in CEA. The purposes of this research were to determine whether anthropometric, range of motion (ROM), core endurance and sagittal spinal morphotype measures are risk factors for LBP and to establish a diagnostic cutoff value for those factors associated with LBP. Nineteen CEA between the ages of 12 and 17 years were voluntarily recruited. Potential risk factors evaluated included corporal composition, lower limb ROM, core endurance and sagittal spinal measures. Associations and predictions were calculated between these risk factors and the LBP during the last 12 months. Almost half of the CEA have suffered at least one episode of LBP. Two risk factors and cutoff values were identified as predictors of LBP in CEA: having a high body fat higher than 23% (p = 0.01) and trunk lateral flexor endurance lower to 65 s (p = 0.021), body fat being the strongest predictor.

Download Full-text