Alteration of Postural Responses Due to Chronic Recurrent Low Back Pain

This study characterized postural responses in subjects with (n=26, 39 ± 13 yrs) and without (n=24, 32 ± 10 yrs) chronic ( >6 months), recurrent low back pain (LBP) in response to support surface translations, randomly delivered in 12 different horizontal directions. Using kinematic, force plate and anthropometric data, the net center of pressure (CP), total body center of mass (CM), and net joint torques (sagittal and frontal planes) at the ankle, knee, hip and trunk were examined to characterize the neuromuscular responses in the two subject groups. LBP subjects exhibited larger anterior and posterior CM displacements compared to NLBP (p = 0.0267) and smaller anterior and posterior CP displacements (p <0.0001). Overall, torque responses in persons with LBP were smaller, delayed and developed more quickly compared to NLBP subjects and the responses were non-directionally specific. These data suggest the automatic postural control of subjects with LBP is altered such that there is an overall stiffening strategy for LBP subjects, which is reflected in the reduced CP displacement and the smaller and delayed torque responses.

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Improvement in Automatic Postural Coordination Following Alexander Technique Lessons in a Person With Low Back Pain

Physical Therapy ◽

10.1093/ptj/85.6.565 ◽

2005 ◽

Vol 85 (6) ◽

pp. 565-578 ◽

Cited By ~ 36

Author(s):

Timothy W Cacciatore ◽

Fay B Horak ◽

Sharon M Henry

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Force Plate ◽

Muscular Activity ◽

Alexander Technique ◽

Low Back ◽

Postural Coordination ◽

Postural Responses ◽

History Of ◽

Automatic Postural Responses

Abstract Background and Purpose. The relationship between abnormal postural coordination and back pain is unclear. The Alexander Technique (AT) aims to improve postural coordination by using conscious processes to alter automatic postural coordination and ongoing muscular activity, and it has been reported to reduce low back pain. This case report describes the use of the AT with a client with low back pain and the observed changes in automatic postural responses and back pain. Case Description. The client was a 49-year-old woman with a 25-year history of left-sided, idiopathic, lumbrosacral back pain. Automatic postural coordination was measured using a force plate during horizontal platform translations and one-legged standing. Outcomes. The client was tested monthly for 4 months before AT lessons and for 3 months after lessons. Before lessons, she consistently had laterally asymmetric automatic postural responses to translations. After AT lessons, the magnitude and asymmetry of her responses and balance improved and her low back pain decreased. Discussion. Further research is warranted to study whether AT lessons improve low back pain-associated abnormalities in automatic postural coordination and whether improving automatic postural coordination helps to reduce low back pain.

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Validity of pressure pain thresholds in female workers with and without recurrent low back pain

European Spine Journal ◽

10.1007/s00586-006-0124-x ◽

2006 ◽

Vol 16 (2) ◽

pp. 267-275 ◽

Cited By ~ 35

Author(s):

Peter Schenk ◽

Thomas Laeubli ◽

Andreas Klipstein

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Low Back ◽

Pain Thresholds ◽

Pressure Pain ◽

Female Workers ◽

Pressure Pain Thresholds ◽

Recurrent Low Back Pain

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Does the diaphragm fatigue more easily in patients with recurrent low back pain?

International Journal of Osteopathic Medicine ◽

10.1016/j.ijosm.2013.10.004 ◽

2013 ◽

Vol 16 (4) ◽

pp. 241-242

Author(s):

Stuart Walker

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Low Back ◽

Recurrent Low Back Pain ◽

Diaphragm Fatigue

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Therapeutic guidelines in chronic low back pain

Pharmacia ◽

10.3897/pharmacia.68.e50297 ◽

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.

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

10.31219/osf.io/qztbp ◽

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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