scholarly journals Changes in Trunk Variability and Stability of Gait in Patients with Chronic Low Back Pain: Impact of Laboratory Versus Daily-living Environments

Author(s):  
Yuki Nishi ◽  
Hayato Shigetoh ◽  
Ren Fujii ◽  
Michihiro Osumi ◽  
Shu Morioka

Abstract This study investigated the impact of environment and pathology in trunk variability and stability of gait among individuals with CLBP. CLBP patients (n = 20) and healthy controls (HC) with no LBP history (n = 20) attached an accelerometer to the low back and performed gait in laboratory and daily-living settings. We calculated stride-to-stride standard deviation (SD) and multiscale sample entropy (MSE) as “gait variability” and maximum Lyapunov exponents (LyE) as “gait stability” in both the anterior-posterior (AP) and medial-lateral (ML) directions. In repeated-measures ANOVA, SD was affected by environment in the AP direction and by group and environment in the ML direction. MSE showed no effect in the AP direction and both effects in the ML direction. LyE showed both effects in the AP direction, but none in the ML direction. These change of trunk motor control by LBP have a relation to pain intensity, fear of movement and/or RMDQ in the daily-living but not laboratory settings. Evaluation of adaptation to environment in CLBP will enhance our understanding of changes in sensory-motor control and contribute to optimal management of such patients.

2021 ◽  
Author(s):  
Yuki Nishi ◽  
Hayato Shigetoh ◽  
Ren Fujii ◽  
Michihiro Osumi ◽  
Shu Morioka

Abstract This study investigated the impact of environment in trunk controls of gait among individuals with CLBP. CLBP patients (n=20) and healthy controls (HC) with no LBP history (n=20) attached an accelerometer to the low back and performed gait in laboratory and daily-living settings. We calculated stride-to-stride standard deviation (SD) and multiscale sample entropy (MSE) as “gait variability” in both the anterior-posterior (AP) and medial-lateral (ML) directions. In repeated-measures ANOVA, SD was affected by environment in the AP direction and by group and environment in the ML direction. MSE showed no effect in the AP direction and both effects in the ML direction. These change of trunk motor control by LBP have a relation to pain intensity, fear of movement and/or RMDQ in the daily-living but not laboratory settings. Evaluation of adaptation to environment in CLBP will enhance our understanding of changes in sensory-motor control and contribute to optimal management of such patients.


2020 ◽  
Vol 9 (11) ◽  
pp. 3687
Author(s):  
Ana F. Pereira-da-Mota ◽  
Jéssica Costa ◽  
Ana Amorim-de-Sousa ◽  
José M. González-Méijome ◽  
António Queirós

This study aimed to evaluate the effects of two months of orthokeratology (OK) treatment in the accommodative response of young adult myopes. Twenty eyes (21.8 ± 1.8 years) were fitted with the Paragon CRT® 100 LENS to treat myopia between −1.00 and −2.00 D. Low- and high-contrast visual acuity (LCDVA and HCDVA), central objective refraction, light disturbance (LD), and objective accommodative response (using the Grand Seiko WAM-5500 open-field autorefractometer coupled with a Badal system) were measured at baseline (BL) before lens wear and after 1, 15, 30, and 60 nights of OK. Refractive error correction was achieved during the first fifty days of OK lens wear, with minimal changes afterwards. LD analysis showed a transient increase followed by a reduction to baseline levels over the first 30 nights of treatment. The accommodative response was lower than expected for all target vergences in all visits (BL: 0.61 D at 1.00 D to 0.96 D at 5.00 D; 60 N: 0.36 D at 1.00 D to 0.79 D at 5.00 D). On average, the accommodative lag decreases over time with OK lens wear. However, these differences were not statistically significant (p > 0.050, repeated-measures ANOVA and Friedman test). This shows that overnight OK treatment does not affect objectively measured the accommodative response of young, low myopic eyes after two months of treatment stabilization.


2021 ◽  
Vol 6 (2) ◽  
pp. 215-228
Author(s):  
Henndy Ginting ◽  
Gérard W. B. Näring ◽  
Eni Sabrine Becker ◽  
Pintoko Tedjokusumo

Many individuals with coronary heart disease (CHD) have maladaptive beliefs which might increase anxiety and depression. This study investigates the impact of using video information to convey facts and correct misconceptions about CHD in individuals. 150 individuals with CHD were assigned to either the control group or one of two experimental groups. The participants completed the York Cardiac Beliefs Questionnaire in the baseline measure immediately after first viewing the video (time 1), and after viewing the video for six times within two weeks (time 2). The Beck Anxiety Inventory and Beck Depression Inventory II were completed in the baseline and at time 2. Multiple repeated measures anova shows that after the intervention, participants’ maladaptive beliefs, anxiety and depression were reduced in both experimental groups. Yet, it did not happen in the control group. It indicates that the video information corrects maladaptive beliefs, and reduces anxiety and depression levels in individuals with CHD.  


1989 ◽  
Vol 5 (3) ◽  
pp. 289-296 ◽  
Author(s):  
Susan J. Hall ◽  
Jane A. Kent ◽  
Vern R. Dickinson

Prolonged trapezing during sailing often results in low back pain among elite sailors. Modifications of the trapeze harness have been proposed as one approach to ameliorating this problem. To evaluate six harnesses incorporating novel features that had tested well during pilot work, myoelectric activity was monitored at C5, T6, and L5 levels of sacrospinalis and at an abdominal site while five elite sailors wore the harnesses. Integrated EMG (IEMG) values were stored by a microcomputer at periodic intervals during each 10-min trial, as each subject maintained a static horizontal trapezing position in the laboratory. Factorial repeated-measures ANOVA indicated no change in IEMG values over time, but significant (p<0.001) differences among harnesses at all four electrode sites. Features of trapeze harness design that appear to minimize muscular tension include heavy, rigid padding throughout the harness, full-length shoulder-to-buttocks support of the trunk, and adjustable leg strap supports as opposed to a crotch strap.


2001 ◽  
Vol 10 (2) ◽  
pp. 79-92 ◽  
Author(s):  
Chris J Durall ◽  
George J Davies ◽  
Thomas W Kernozek ◽  
Mark H Gibson ◽  
Dennis CW Fater ◽  
...  

Context:It has been hypothesized that the fibers of the infraspinatus and subscapularis superior to the glenohumeral axis of rotation contribute directly to arm elevation.Objective:To test this hypothesis by assessing the impact of 5 weeks of concentric isokinetic humeral-rotator training in a modified neutral position on scapular-plane arm-elevation peak torque.Design:Prospective, pretest/posttest with control group.Participants:24 female and 6 male noninjured college students (N = 30).Main Outcome Measures:Scapular-plane-elevation peak torque at 60, 180, and 300°/s.Results:Repeated-measures ANOVA indicated no difference in peak torque between groups at any of the angular velocities tested (P< .05)Conclusions:5 weeks of concentric isokinetic humeral-rotator training did not significantly increase scapular-plane-elevation peak torque.


2003 ◽  
pp. 116-130 ◽  
Author(s):  
Ran Wang ◽  
Bonnie Rubenstein-Montano

Knowledge sharing is currently at the forefront of research in the areas of organizational management and electronic business. Research has focused on aspects of knowledge sharing such as trust, quality of knowledge shared, and task complexity. This chapter builds on past inquiries of trust in knowledge sharing by examining how the benefits obtained from knowledge sharing change as trust levels change. A Repeated Measures ANOVA design is used to test the impact of trust on knowledge sharing. Task completion time, the dependent variable, measures the effect of knowledge sharing. Statistical analysis suggests that the benefit obtained from knowledge sharing increases as trust level increases.


Author(s):  
Ramsey F. Hamade ◽  
Nesreen Ghaddar

In this paper, the authors report on a longitudinal study of the impact of the function that a student assumes in this introductory course on his/her performance in design courses taken later in their engineering studies. The study tracks the performance of 204 students through the curriculum up to and including the final year’s capstone design project. Tracking is accomplished using repeated measures ANOVA (RMANOVA). Potential correlations are statistically examined between the introductory course grades and subgrades of the major deliverables (report and contest) and those from the later design courses after being segregated according to team function. The findings reveal strong impact of team functions on performance in design courses taken by the students up to three years later in the curriculum. Furthermore, it was also found that 64% of all teams formed for the capstone project contained two or more of the team original members formed in ME Tools.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 900-900
Author(s):  
Anna Thompson ◽  
Britney Wardecker

Abstract Research suggests that mental health and well-being improve as we age, and this trend is dubbed “the paradox of aging” (Charles & Carstensen, 2010). However, little is known about whether this trend happens for individuals who may experience lifelong disadvantage, such as those who identify as lesbian, gay, or bisexual. We used data from the Midlife in the United States Study (MIDUS) to examine lesbian/gay, bisexual, and heterosexual adults’ changes in depression from 1995 to 2014. Participants identified as lesbian/gay (n = 46), bisexual (n = 37), and heterosexual (n = 3030) and 45.1% identified as female. Participants’ ages ranged from 20-74 years (M = 45.61, SD = 11.41) in 1995 and 39-93 years (M = 63.64, SD = 11.35) in 2014. We analyzed our data using a repeated measures ANOVA and our results indicate that depression decreased on average from 1995 to 2014 for heterosexual [Wilk’s Lamda = .996, F (1, 3029) = 12.23, p &lt; .001] and lesbian/gay adults [Wilk’s Lamda = .848, F (1, 45) = 8.08, p = .007]. However, bisexual adults did not experience this decrease in depression [Wilk’s Lamda = .990, F (1, 36) = 0.36, p = .550] and their depression remained relatively stable. Our results are consistent with previous studies that indicate bisexuals experience poorer mental health when compared to lesbian/gay and heterosexual adults (Bostwick, Hughes, & Everett, 2015). The current research highlights depression as a condition that may not decrease universally over time. We discuss implications for bisexuals’ health and well-being.


Author(s):  
Nasim Mazreati ◽  
Zahra Rahemi ◽  
Mohammad Aghajani ◽  
Neda Mirbagher Ajorpaz ◽  
Elaheh Mianehsaz

Background & Aim: Chronic low back pain is a common disease among nurses. According to the literature, complementary medicine can reduce low back pain, one of which is craniosacral therapy. This study was designed to investigate the effect of craniosacral therapy on the intensity of chronic back pain of nurses. Methods & Materials: This randomized clinical trial study was conducted on 60 nurses with chronic back pain. The participants were randomly assigned into intervention and control groups. The intervention group’s participants received eight individual sessions of craniosacral therapy. In the control group, a light-touch in the lumbar region was performed as a placebo. The therapist met each participant separately in a private room of the hospital. The two groups completed the McGill Pain Questionnaire at the baseline, immediately after the intervention, and one month after the intervention.  The collected data was analyzed in SPSS (v.16) using descriptive and analytical tests such as t-test, Chi-Square, ANCOVA, and repeated measures ANOVA. Results: The ANCOVA test results showed a significant difference between the two groups’ mean scores of pain intensity and its subscales (P<0.05). The results of repeated measures ANOVA showed that the mean scores of pain intensity and its subscales (sensory, affective, pain evaluation, and miscellaneous) decreased over the three time points in the intervention group (P<0.05). Conclusion: The findings affirmed the positive effects of the craniosacral therapy on the intensity of pain in nurses with chronic back pain. Therefore, it is recommended that this approach be performed as a complementary, effective, non-invasive intervention to decrease chronic back pain.


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