Pain-Related Fear, Lumbar Flexion, and Dynamic EMG Among Persons With Chronic Musculoskeletal Low Back Pain

2004 ◽  
Vol 20 (2) ◽  
pp. 61-69 ◽  
Author(s):  
Michael E. Geisser ◽  
Andrew J. Haig ◽  
Agnes S. Wallbom ◽  
Elizabeth A. Wiggert
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Lumbar Flexion

scholarly journals Low Back Pain in Athletes Is Associated with General and Sport Specific Risk Factors: A Comprehensive Review of Longitudinal Studies

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Vahideh Moradi ◽  
Amir-Hossein Memari ◽  
Monir ShayestehFar ◽  
Ramin Kordi
Keyword(s):  
Risk Factors ◽  
Body Weight ◽  
Low Back Pain ◽  
Back Pain ◽  
Longitudinal Studies ◽  
Methodological Quality ◽  
Low Back ◽  
Lumbar Flexion ◽  
High Body

We aimed to examine systematically the available evidence on risk factors of low back pain (LBP) in athletes. We performed search without language restriction in PubMed, Ovid, Google Scholar, Scopus, and CINAHL. Longitudinal studies that examined possible risk factors of LBP in athletes were included in this systematic review. Based on methodological quality of studies, a best-evidence synthesis was conducted. Seven longitudinal studies were included, four of which had high methodological quality. Results showed that previous LBP, decreased lumbar flexion, and decreased lumbar extension are positively associated with LBP. There was moderate evidence for hip flexor tightness and high body weight as a risk factor. We found insufficient evidence for association between forward bending, previous injury, and amount of training per week, active years, age, and sex with LBP. In conclusion this study would provide a list of risk factors for LBP in athletes, though it showed a strong evidence for only a few including decrease lumbar flexion or extension, previous LBP, and high body weight. This review indicated a high heterogeneity of study characteristics including assessed risk factors and statistical techniques might limit the quality of evidence.

Lumbar Flexion and Dynamic EMG Among Persons with Single Level Disk Herniation Pre- and Postsurgery with Radicular Low-Back Pain

2009 ◽  
Vol 88 (4) ◽  
pp. 302-307 ◽  
Author(s):  
Agnes S. Wallbom ◽  
Michael E. Geisser ◽  
John Koch ◽  
Andrew J. Haig ◽  
Catherine Guido ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Disk Herniation ◽  
Single Level ◽  
Lumbar Flexion

scholarly journals Nyeri Punggung Bawah Akibat Posisi Duduk yang Salah Pada Pesepeda

2020 ◽  
Vol 5 (2) ◽  
pp. 71-88
Author(s):  
Zahra Salsabila Hafid ◽  
Ummy Aisyah N ◽  
Parmono Dwi Putro
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lower Back Pain ◽  
Pelvic Tilt ◽  
Research Articles ◽  
Sitting Position ◽  
Low Back ◽  
Lumbar Flexion ◽  
Lower Back ◽  
Anterior Pelvic Tilt

Background: Lower back pain still occurs in many cyclists. The sitting position is considered to be one of the factors causing complaints of low back pain. This study was conducted to determine the correlation between sitting position and complaints of low back pain in cyclists. Methods: This study employed the narrative review method by collecting ten research articles from the Google Scholar and PubMed databases, identifying keywords using the PEOs format, so that the keywords "Cyclist", "Sitting Position", "Lower Back Pain", and "All Study Design" were used. Results: All articles used were articles published starting in 2010. Seven articles stated that lower back pain occurred more frequently in a sitting position with large lumbar flexion. Six articles stated that the sitting position of a cyclist was affected by the position of the handlebars. Five articles stated that sitting with the lower handlebars resulted in greater lumbar flexion and anterior pelvic tilt. Five articles stated that prolonged lumbar flexion and anterior pelvic tilt resulted in a lower crossed syndrome. Four articles found that lower crossed syndrome contributes to lower back pain. Conclusion: There is a correlation between sitting position and complaints of low back pain in cyclists. However, there are limitations to the article which states that the statistical closeness of the correlation between sitting position and complaints of low back pain in cyclists.

Lumbar Flexion During Driving: Establishing a Methodology for Characterising Real-Time Posture Data Collected by Innovative Technology

2021 ◽  
pp. 001872082110583
Author(s):  
Sarah Tinitali ◽  
Terry Haines ◽  
Kelly-Ann Bowles
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Standard Deviation ◽  
Real Time ◽  
Low Back ◽  
Retest Reliability ◽  
Lumbar Flexion ◽  
Measurement Tools ◽  
Driving Posture ◽  
Test Retest Reliability

Objective To determine a methodology for the analysis of real-time driving posture data in the low back pain population. Background The strength of the relationship between driving posture and low back pain is yet to be defined due to the lack of studies in the field using validated and repeatable posture measurement tools. Reliable and validated real-time measurement tools are now available, yet reliable methods of analysis of these data are yet to be established. Method Ten occupational drivers completed a typical work shift while wearing an inertial motion sensor system (dorsaVi ViMove). Real-time lumbar flexion data were extracted, with test–retest reliability of mean lumbar flexion, peak lumbar flexion, and standard deviation of lumbar flexion analysed at different times across a work shift, and in different sections within a drive. Results Mean lumbar flexion was highly repeatable over numerous drives in one day, with greater test–retest reliability if the first five minutes of driving data were excluded. Peak lumbar flexion had acceptable test-retest reliability over numerous drives in one day, while standard deviation of lumbar flexion was not a repeatable measure. Conclusion Mean lumbar flexion was a reliable outcome for characterising driving posture in drivers with low back pain. Peak lumbar flexion may be used if appropriate to the individual study. Standard deviation of lumbar flexion is not a reliable posture outcome. Application This paper provides a reliable methodology for analysis of real-time driving posture data in occupational drivers with low back pain.

The Reduction of Chronic Nonspecific Low Back Pain Through the Control of Early Morning Lumbar Flexion

Spine ◽  
1998 ◽  
Vol 23 (23) ◽  
pp. 2601-2607 ◽  
Author(s):  
Stover H. Snook ◽  
Barbara S. Webster ◽  
Raymond W. McGorry ◽  
Maxwell T. Fogleman ◽  
Kathleen B. McCann
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Early Morning ◽  
Low Back ◽  
Lumbar Flexion

scholarly journals A randomised controlled trial of ‘clockwise’ ultrasound for low back pain

2016 ◽  
Vol 72 (1) ◽  
Author(s):  
Adriaan Louw ◽  
Kory Zimney ◽  
Merrill R. Landers ◽  
Mark Luttrell ◽  
Bob Clair ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Controlled Trial ◽  
Numeric Rating Scale ◽  
Leg Pain ◽  
Control Group ◽  
Low Back ◽  
Lumbar Flexion ◽  
Experimental Group

Aims: To examine how the choice of words explaining ultrasound (US) may influence the outcome of physiotherapy treatment for low back pain (LBP).Methods: Sixty-seven patients with LBP < 3 months were randomly allocated to one of three groups – traditional education about US (control group [CG]), inflated education about US (experimental group [EG]) or extra-inflated education about US (extra-experimental group [EEG]). Each patient received the exact same application of US that has shown clinical efficacy for LBP (1.5 Watts/cm2 for 10 minutes at 1 Megahertz, pulsed 20% over a 20 cm2 area), but received different explanations (CG, EG or EEG). Before and immediately after US,measurements of LBP and leg pain (numeric rating scale), lumbar flexion (distance to floor) and straight leg raise (SLR) (inclinometer) were taken. Statistical analysis consisted of mixed-factorial analyses of variance and chi-square analyses to measure differences between the three groups, as well as meeting or exceeding minimal detectable changes (MDCs) for pain, lumbar flexion and SLR.Results: Both EG and EEG groups showed a statistically significant improvement for SLR (p < 0.0001), while the CG did not. The EEG group participants were 4.4 times (95% confidence interval: 1.1 to 17.5) more likely to improve beyond the MDC than the CG. No significant differences were found between the groups for LBP, leg pain or lumbar flexion.Conclusion: The choice of words when applying a treatment in physiotherapy can alter the efficacy of the treatment.

scholarly journals Myofascial release versus Mulligan sustained natural apophyseal glides’ immediate and short-term effects on pain, function, and mobility in non-specific low back pain

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e10706
Author(s):  
Vignesh Bhat P ◽  
Vivek Dineshbhai Patel ◽  
Charu Eapen ◽  
Manisha Shenoy ◽  
Steve Milanese
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Manual Therapy ◽  
Patient Specific ◽  
Low Back ◽  
Short Term ◽  
Myofascial Release ◽  
Lumbar Flexion ◽  
Significant Difference ◽  
Strengthening Exercises

Background Myofascial release (MFR) and Mulligan Sustained Natural Apophyseal Glides (SNAGs) are manual therapy techniques routinely practiced in the management of non-specific low back pain (NSLBP). As a solo intervention or along with other therapies, both methods have reported positive results for individuals with NSLBP. However, which technique improves NSLBP-related pain, restricted range of motion (ROM) and disability, warrants further research. Objective To study the comparative effects of MFR and SNAGs on pain, disability, functional ability, and lumbar ROM in NSLBP. Method A parallel-group study was conducted at tertiary care hospitals. Sixty-five Sub-acute or chronic NSLBP patients were allocated to receive strengthening exercises along with either MFR (n = 33) or SNAGs (n = 32) for six treatment sessions over one week. An independent assessor evaluated outcome measures such as the Visual Analog Scale (VAS), Patient-Specific Function Scale (PSFS), and ROM at baseline, immediate (after 1st treatment), and short-term (post-sixth day of the intervention). The Modified Oswestry disability index (MODI) was assessed at baseline and short-term. Results Within-group analysis found clinically and statistically significant (p < 0.05) changes for VAS and PSFS at immediate and short-term for both the groups. The lumbar extension also showed improvement immediately and in the short-term. Improvement in Lumbar flexion was seen only in the SNAGs group over the short-term. A statistically significant improvement was seen for MODI in both the groups but was not clinically significant in the MFR group. The analysis observed no statistically significant difference (p < 0.05) between the groups at both the immediate and short-term. Conclusions Pain and restricted function associated with NSLBP can be improved using SNAGs or MFR, along with strengthening exercises. For limited lumbar flexion ROM, Mulligan SNAGs have a better outcome than MFR over the short-term. Hence, both manual therapy techniques can be incorporated along with exercises for immediate and short-term management of sub-acute to chronic NSLBP. Clinical Trial Registration. CTRI/2018/12/016787 (http://ctri.nic.in/Clinicaltrials/).

scholarly journals Lumbar flexion relaxation phenomenon in the patients with acute and subacute mechanical low back pain and normal subjects

2017 ◽  
Vol 5 (3) ◽  
pp. 1011 ◽  
Author(s):  
Hetal Sanjay Desai ◽  
Rahul Singh Bisen
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Normal Subjects ◽  
Erector Spinae ◽  
Low Back ◽  
Myoelectrical Activity ◽  
Lumbar Flexion ◽  
Erector Spinae Muscle ◽  
Flexion Relaxation Phenomenon ◽  
Flexion Relaxation

Background: The purpose is to examine the myoelectrical activity of erector spinae muscle in patients with acute and sub-acute mechanical low back pain (MLBP) and normal subjects.Methods: A total of 30 patients 15 with MLBP and 15 normal subjects of both genders participated in the study with convenient sampling; all were aged between 20-50 years. The participants were asked to perform movement which was paced by computer running a program and the myoelectrical activity of erector spinae muscle in patients with acute and sub-acute mechanical low back pain and normal subjects were examined.Results: This study stated that patients with MLBP has increased or over activity of erector spinae muscle during complete lumbar flexion when the muscle should be electrically silent. This was observed with help of EMG graph where increase in activity was observed with increase in amplitude, duration and time in graph.Conclusions: There is increase in the amplitude, duration and time in flexion relaxation phenomenon (FRP) in mechanical low back pain patients when compared to normal subjects.

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