scholarly journals A comparison of trunk control in people with no history, standing-induced, and recurrent low back pain during trunk extension

2019 ◽  
Vol 28 (2) ◽  
pp. 94-102
Author(s):  
Daniel Viggiani ◽  
Erika Nelson-Wong ◽  
Bradley S. Davidson ◽  
Jack P. Callaghan
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Trunk Control ◽  
Recurrent Low Back Pain ◽  
Trunk Extension

scholarly journals Individuals with recurrent low back pain exhibit further altered trunk control in remission than when in pain

2020 ◽  
Author(s):  
Hai-Jung Steffi Shih ◽  
Linda Van Dillen ◽  
Jason Kutch ◽  
Kornelia Kulig
Keyword(s):  
Young Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Control Strategy ◽  
Frontal Plane ◽  
Low Back ◽  
Trunk Control ◽  
Co Activation ◽  
Symptom Remission ◽  
Recurrent Low Back Pain

AbstractBackgroundMovement alterations due to low back pain (LBP) could lead to long-term adverse consequences if they do not resolve after symptom subsides. This study aims to determine if altered trunk control associated with recurrent low back pain persists beyond symptom duration.MethodsTwenty young adults with recurrent low back pain were tested once during an LBP episode and once in symptom remission, and twenty matched back-healthy participants served as controls. Participants walked on a treadmill with five prescribed step widths. Motion capture and surface electromyography were used to record frontal plane trunk kinematics and muscle activation. Thorax-pelvis coordination was calculated using vector coding technique, and bilateral longissimus activation and co-activation were analyzed.FindingsYoung adults with recurrent LBP exhibited a “looser” trunk control strategy in the frontal plane during gait that was persistent regardless of pain status across multiple step widths compared to back-healthy controls. This was demonstrated by a greater pelvis-only, less thorax-only coordination pattern, and decreased bilateral longissimus co-activation in individuals with recurrent LBP than controls. The looser trunk control strategy was further amplified when individuals with recurrent LBP were in symptom remission and exhibited greater trunk excursion and reduced in-phase coordination.InterpretationThe amplification of aberrant movement during symptom remission may suggest that movement patterns or anatomical factors existing prior to the tested painful episode underlie the altered trunk control in individuals with recurrent LBP. The symptom remission period of recurrent LBP patients may be a critical window into clinical evaluation and treatment.

scholarly journals Effects of Volitional Spine Stabilization on Trunk Control During Asymmetric Lifting Task in Patients With Recurrent Low Back Pain

2019 ◽  
Vol 10 (8) ◽  
pp. 1006-1014 ◽  
Author(s):  
Ram Haddas ◽  
Yigal Samocha ◽  
James Yang
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Muscle Activity ◽  
Healthy Controls ◽  
Low Back ◽  
Care Providers ◽  
Trunk Control ◽  
Hip Abduction ◽  
Asymmetric Lifting ◽  
Recurrent Low Back Pain

Study Design: Prospective, concurrent-cohort study. Objectives: To determine the effects of volitional preemptive abdominal contraction (VPAC) on trunk control during an asymmetric lift in patients with recurrent low back pain (rLBP) and compare with matched controls. Methods: Thirty-two rLBP patients and 37 healthy controls performed asymmetric lifting with and without VPAC. Trunk, pelvis, and hip biomechanical along with neuromuscular activity parameters were obtained using 3-dimensional motion capture and electromyography system. Hypotheses were tested using analysis of variance. Results: The VPAC resulted in significantly reduced muscle activity across all trunk extensor muscles in both groups (M ± SD, 6.4% ± 8.2% of maximum contraction; P ≤ .005), and reduced trunk side flexion (1.4° ± 5.1° smaller; P ≤ .005) and hip abduction (8.1° ± 21.1° smaller; P ≤ .003). rLBP patients exhibited reduced muscle activity in external oblique (12.3% ± 5.5% of maximum contraction; P ≤ .012), as well as decreased hip flexion (4.7°, P ≤ .008) and hip abduction (5.2°, P ≤ .001) at the final position of lifting in comparison with healthy controls. Conclusions: The results of this study defend the recommendation that the use of a VPAC increase spine stability during an asymmetrical loading task. Our results provide an indication that a VPAC strategy that is achieved during an asymmetric lifting decreases exposure for lumbar spine injury and instability. Spine care providers and ergonomists can use this information when designing neuromuscular control training programs, both for healthy individuals aimed at prevention of injury, as well as those with a history of rLBP, aimed at full functional recovery and protection from future injury.

scholarly journals Characteristics of Trunk Control During Crook-Lying Unilateral Leg Raising in Different Types of Chronic Low Back Pain Patients

Spine ◽  
2015 ◽  
Vol 40 (8) ◽  
pp. 550-559 ◽  
Author(s):  
Atsushi Ohe ◽  
Teiji Kimura ◽  
Ah-Cheng Goh ◽  
Akemi Oba ◽  
Jun Takahashi ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Trunk Control ◽  
Different Types ◽  
Pain Patients

scholarly journals Trunk control during standing reach: A dynamical system analysis of movement strategies in patients with mechanical low back pain

2009 ◽  
Vol 29 (3) ◽  
pp. 370-376 ◽  
Author(s):  
Sheri P. Silfies ◽  
Anand Bhattacharya ◽  
Scott Biely ◽  
Sue S. Smith ◽  
Simon Giszter
Keyword(s):  
Dynamical System ◽  
Low Back Pain ◽  
Back Pain ◽  
System Analysis ◽  
Low Back ◽  
Trunk Control ◽  
Movement Strategies

scholarly journals Therapeutic guidelines in chronic low back pain

Pharmacia ◽  
2021 ◽  
Vol 68 (1) ◽  
pp. 117-120
Author(s):  
Daniela Taneva ◽  
Angelina Kirkova ◽  
Petar Atanasov
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Multidisciplinary Treatment ◽  
Pain Syndrome ◽  
Industrial Society ◽  
Low Back ◽  
Active Recovery ◽  
Therapeutic Guidelines ◽  
Recurrent Low Back Pain

Chronic low back pain is a heterogeneous group of disorders with recurrent low back pain over 3 months. The high incidence of lumbago is an important phenomenon in our industrial society. Patients with chronic low back pain often receive multidisciplinary treatment. The bio approach, the psycho-approach, and the social approach optimally reduce the risk of chronicity by providing rehabilitation for patients with persistent pain after the initial acute phase. Damage to the structures of the spinal cord and the occurrence of low back pain as a result of evolutionary, social and medical causes disrupt the rhythm of life and cause less or greater disability. Recovery of patients with low back pain is not limited only to influencing the pain syndrome but requires the implementation of programs to eliminate the complaints that this pathology generates in personal, family and socio-professional terms. This paper aims to familiarize the audience with the medication used, and the programs for active recovery in patients suffering from chronic low back pain.

scholarly journals Hypervigilance for bodily sensations in the back during a movement task in people with chronic and recurrent low back pain

2019 ◽  
Author(s):  
Amanda Clauwaert ◽  
Stijn Schouppe ◽  
Jessica Van Oosterwijck ◽  
Lieven Danneels ◽  
Stefaan Van Damme
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Catastrophizing ◽  
Event Related Potentials ◽  
Neutral Condition ◽  
Low Back ◽  
Related Potentials ◽  
Bodily Sensations ◽  
Somatosensory Stimuli ◽  
Recurrent Low Back Pain

Objectives. The current study assessed the role of hypervigilance for bodily sensations in the back in long term low back pain (LBP) problems. Methods. People with chronic low back pain (CLBP), recurrent low back pain (RLBP), and no LBP were compared on the extent to which they attended to somatosensory stimuli on the back during a movement task. To measure hypervigilance, somatosensory event-related potentials (SEP) to task-irrelevant tactile stimuli on the back were measured when preparing movements in either a threatening or a neutral condition, indicated by a cue signaling possible pain on the back during movement or not. Results. Results showed stronger attending to stimuli on the back in the threat condition than in the neutral condition, as reflected by increased amplitude of the N96 SEP. However, this effect did not differ between groups. The CLBP group showed a larger P171 SEP than the other groups, but this effect was not dependent upon condition, suggesting a more general state of arousal resulting in increased somatosensory responsiveness. No significant associations were found between somatosensory attending to the back and theorized antecedents such as pain catastrophizing, pain-related fear and pain vigilance. Discussion. The current study confirmed that individuals preparing a movement attended more towards somatosensory stimuli at the lower back when anticipating back pain during the movement, as measured by the N96 SEP. However, no differences were found for this component between participants suffering from CLBP or RLBP, or the healthy controls.

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