A comparison of functional movement patterns between female low back pain developers and non-pain developers

Work ◽  
2021 ◽  
pp. 1-8
Author(s):  
Fatemeh Khoshroo ◽  
Foad Seidi ◽  
Reza Rajabi ◽  
Abbey Thomas

BACKGROUND: Distinctive features of low back pain-developers (LBPDs) as pre-clinical low back pain (LBP) population have been evidenced in three areas of alignment, muscle activation, and movement patterns. To clarify whether the reported altered functional movement patterns in chronic LBP patients result from or result in LBP disorders, LBPDs’ functional movement patterns should be investigated. OBJECTIVES: This study aimed to compare female LBPDs’ functional movement patterns with non-pain developers’ (NPDs). METHODS: Sixty female LBPDs and NPDs were recruited based on the research requirements. The Functional Movement Screen (FMS) was used to investigate movement quality. Data were compared between groups via Mann-Whitney U tests and correlation analyses examined association between pain intensity and onset during prolonged standing and the FMS score. Receiver Operating Characteristic Curves and Chi Squares were conducted to find the best cutoff points. An alpha level of p≤0.05 was used to establish statistical significance. RESULTS: LBPDs scored significantly lower, or rather worse than NPDs in the FMS composite score (12.06±1.33 vs. 16.43±1.59, U = 3, P <  0.001). Moreover, the optimal cutoff scores of≤14 on the FMS, 2 on the push-up, and 1 on the deep squat discriminated between female LBPDs and NPDs. The FMS composite score was correlated negatively with LBP intensity (r (60) = –0.724, p <  0.001) and positively with LBP onset (r (60) = 0.277, p = 0.032) during prolonged standing. Finally, the results indicated that female LBPDs presented with at least one bilateral asymmetry on the FMS had 10 times (95%CI, 2.941–34.008) and with at least two bilateral asymmetries on the FMS had 15.5 times (95%CI, 3.814–63.359) higher odds of developing LBP during prolonged standing than NPDs. CONCLUSIONS: Female LBPDs, who are at higher risk for developing LBP in the future, have significantly lower quality of functional movement patterns compared to NPDs. Moreover, the FMS appears to show promise for predicting individuals who are at risk for LBP development during prolonged standing.

2015 ◽  
Vol 42 ◽  
pp. S48-S49 ◽  
Author(s):  
I. Ringheim ◽  
I. Ringheim ◽  
H. Austein ◽  
H. Austein ◽  
A. Indahl ◽  
...  

2015 ◽  
Vol 42 (4) ◽  
pp. 584-589 ◽  
Author(s):  
Inge Ringheim ◽  
Helene Austein ◽  
Aage Indahl ◽  
Karin Roeleveld

2020 ◽  
Vol 14 ◽  
Author(s):  
Vitória De Barros Siqueira ◽  
Aislany Warlla Nunes Luna ◽  
Danielly Coelho De Melo ◽  
Lana Quele Pereira Da Silva ◽  
Mariana Pereira Gama ◽  
...  

Objetivo: verificar a prevalência de dor e adoecimento relacionados à atividade laboral e referidos pela equipe de enfermagem. Método: trata-se de um estudo quantitativo, analítico, de corte transversal realizado com 202 técnicos de enfermagem e enfermeiros assistenciais. Coletaram-se os dados por meio de questionário semiestruturado auto aplicado. Realizou-se a análise bivariada dos dados. Avaliou-se a significância estatística por meio do IC 95% e do teste Qui-quadrado. Resultados: identificou-se prevalência de 69,3% de relato de dor e de 34,2% de adoecimento relacionado à atividade laboral, destacando-se a lombalgia crônica e as varizes; houve prevalência de 19,3% de ansiedade entre os entrevistados e estes apresentaram 20 vezes mais chances de relatar dores. Conclusão: conclui-se que dor e adoecimento são muito prevalentes nos profissionais de enfermagem e parecem ser inerentes às características da atividade exercida e do processo de trabalho, e a discussão desses problemas é de grande relevância para a Enfermagem e para os gestores de serviços de saúde. Descritores: Equipe de Enfermagem; Saúde do Trabalhador; Morbidade; Ansiedade; Prevalência; Dor Lombar.AbstractObjective: to verify the prevalence of pain and illness related to work activity and referred by the nursing team. Method: this is a quantitative, analytical, cross-sectional study conducted with 202 nursing technicians and nursing assistants. Data was collected using a self-administered semi-structured questionnaire. Bivariate data analysis was performed. Statistical significance was assessed using the 95% CI and the chi-square test. Results: a prevalence of 69.3% of reports of pain and 34.2% of illness related to work activity was identified, with emphasis on chronic low back pain and varicose veins; there was a 19.3% prevalence of anxiety among the interviewees and they were 20 times more likely to report pain. Conclusion: it is concluded that pain and illness are very prevalent in Nursing professionals and seem to be inherent to the characteristics of the activity performed and the work process, and the discussion of these problems is of great relevance for Nursing and healthcare service managers. Descriptors: Nursing, Team; Ocupational Health; Morbidity; Anxiety; Prevalence; Low Back Pain.                                                                                           ResumenObjetivo: verificar la prevalencia de dolor y enfermedad relacionados con la actividad laboral y referidos por el equipo de enfermería. Método: se trata de un estudio cuantitativo, analítico, transversal realizado con 202 técnicos de enfermería y auxiliares de enfermería. Los datos fueron recolectados usando un cuestionario semiestructurado autoadministrado. Se realizó un análisis de datos bivariados. La significación estadística se evaluó utilizando el IC del 95% y la prueba de chi-cuadrado. Resultados: se identificó una prevalencia del 69,3% de los informes de dolor y del 34,2% de enfermedades relacionadas con la actividad laboral, con énfasis en el dolor lumbar crónico y las venas varicosas; hubo una prevalencia de ansiedad del 19,3% entre los entrevistados y tenían 20 veces más probabilidades de informar el dolor. Conclusión: se concluye que el dolor y la enfermedad son muy frecuentes en los profesionales de enfermería y parecen ser inherentes a las características de la actividad realizada y el proceso de trabajo, y la discusión de estos problemas es de gran relevancia para la enfermería y los gerentes de servicios de salud. Descriptores: Grupo de Enfermeira; Salud Laboral; Morbilidad; Ansiedad; Prevalencia; Dor de la Región Lumbar.


2019 ◽  
Vol 32 (6) ◽  
pp. 885-895 ◽  
Author(s):  
Evan Ingerson ◽  
Christopher Renfrow ◽  
Erin Aragon ◽  
Nathan Ferger ◽  
Britta Olson ◽  
...  

2019 ◽  
Vol 5 (1) ◽  
pp. e000556
Author(s):  
Ulrike H Mitchell ◽  
A Wayne Johnson ◽  
Patrick J Owen ◽  
Timo Rantalainen ◽  
Daniel Belavy

ObjectiveThe transversus abdominis muscle (TrA) is active during running as a secondary respiratory muscle and acts, together with the multifidus, as trunk stabiliser. The purpose of this study was to determine size and symmetry of TrA and multifidus muscles at rest and with contraction in endurance runners without low back pain.DesignCross-sectional study.SettingA medical imaging centre in Melbourne, Australia.ParticipantsThirty middle-aged (43years±7) endurance-trained male (n=18) and female (n=12) runners without current or history of low back pain.Outcome measuresMRI at rest and with the core engaged. The TrA and multifidus muscles were measured for thickness and length (TrA) and anteroposterior and mediolateral thickness (multifidus). Muscle activation was extrapolated from rest to contraction and compared with the same and contralateral side. Paired t-tests were performed to compare sides and contraction status.ResultsLeft and right TrA and multifidus demonstrated similar parameters at rest (p>0.05). However, with contraction, the right TrA and multifidus (in mediolateral direction) were 9.2% (p=0.038) and 42% (p<0.001) thicker, respectively, than their counterparts on the left. There was no TrA thickness side difference with contraction in left-handed participants (p=0.985). When stratified by sex, the contracted TrA on the right side remained 8.4% thicker, but it was no longer statistically significant (p=0.134). The side difference with contraction of the TrA became less with increasing training age.ConclusionsRight-handed long-term runners without low back pain exhibit a greater right side core muscle activation when performing an isometric contraction. This activation preference diminishes with increasing training age.


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