scholarly journals The Relationship between Reactive Balance Control and Back and Hamstring Strength in Physiotherapists with Non-Specific Back Pain: Protocol for a Cross-Sectional Study

2021 ◽  
Vol 18 (11) ◽  
pp. 5578
Author(s):  
Erika Zemková ◽  
Eva Ďurinová ◽  
Andrej Džubera ◽  
Henrieta Horníková ◽  
Juraj Chochol ◽  
...  
Keyword(s):  
Back Pain ◽  
Center Of Pressure ◽  
Balance Control ◽  
Balance Test ◽  
Cross Sectional ◽  
Maximum Voluntary Isometric Contraction ◽  
Postural Responses ◽  
Muscle Groups ◽  
The Relationship ◽  
Reactive Balance

Back pain is one of the most costly disorders among the worldwide working population. Within that population, healthcare workers are at a high risk of back pain. Though they often demonstrate awkward postures and impaired balance in comparison with healthy workers, there is no clear relationship between compensatory postural responses to unpredictable stimuli and the strength of related muscle groups, in particular in individuals with mild to moderate back pain. This paper presents a study protocol that aims to evaluate the relationship between peak anterior to peak posterior displacements of the center of pressure (CoP) and corresponding time from peak anterior to peak posterior displacements of the CoP after sudden external perturbations and peak force during a maximum voluntary isometric contraction of the back and hamstring muscles in physiotherapists with non-specific back pain in its early stages. Participants will complete the Oswestry Disability Questionnaire. Those that rate their back pain on the 0–10 Low Back Pain Scale in the ranges 1–3 (mild pain) and 4–6 (moderate pain) will be considered. They will undergo a perturbation-based balance test and a test of the maximal isometric strength of back muscles and hip extensors. We assume that by adding tests of reactive balance and strength of related muscle groups in the functional testing of physiotherapists, we would be able to identify back problems earlier and more efficiently and therefore address them well before chronic back disorders occur.

scholarly journals The association of reactive balance control and spinal curvature under lumbar muscle fatigue

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11969
Author(s):  
Erika Zemková ◽  
Alena Cepková ◽  
José M. Muyor
Keyword(s):  
Muscle Fatigue ◽  
Fatigue Test ◽  
Balance Control ◽  
Spinal Curvature ◽  
Balance Test ◽  
Spinal Posture ◽  
Additional Load ◽  
Postural Responses ◽  
Lumbar Muscle ◽  
Reactive Balance

Background Although low back fatigue is an important intervening factor for physical functioning among sedentary people, little is known about its possible significance in relation to the spinal posture and compensatory postural responses to unpredictable stimuli. This study investigates the effect of lumbar muscle fatigue on spinal curvature and reactive balance control in response to externally induced perturbations. Methods A group of 38 young sedentary individuals underwent a perturbation-based balance test by applying a 2 kg load release. Sagittal spinal curvature and pelvic tilt was measured in both a normal and Matthiass standing posture both with and without a hand-held 2 kg load, and before and after the Sørensen fatigue test. Results Both the peak anterior and peak posterior center of pressure (CoP) displacements and the corresponding time to peak anterior and peak posterior CoP displacements significantly increased after the Sørensen fatigue test (all at p < 0.001). A lumbar muscle fatigue led to a decrease of the lumbar lordosis in the Matthiass posture while holding a 2 kg load in front of the body when compared to pre-fatigue conditions both without a load (p = 0.011, d = 0.35) and with a 2 kg load (p = 0.000, d = 0.51). Also the sacral inclination in the Matthiass posture with a 2 kg additional load significantly decreased under fatigue when compared to all postures in pre-fatigue conditions (p = 0.01, d = 0.48). Contrary to pre-fatigue conditions, variables of the perturbation-based balance test were closely associated with those of lumbar curvature while standing in the Matthiass posture with a 2 kg additional load after the Sørensen fatigue test (r values in range from −0.520 to −0.631, all at p < 0.05). Conclusion These findings indicate that lumbar muscle fatigue causes changes in the lumbar spinal curvature and this is functionally relevant in explaining the impaired ability to maintain balance after externally induced perturbations. This emphasizes the importance for assessing both spinal posture and reactive balance control under fatigue in order to reveal their interrelations in young sedentary adults and predict any significant deterioration in later years.

scholarly journals The Relationship Between Reported Pain and Depressive Symptoms Among Adolescents

2018 ◽  
Vol 36 (2) ◽  
pp. 87-93 ◽  
Author(s):  
Sofie Borgman ◽  
Ida Ericsson ◽  
Eva K. Clausson ◽  
Pernilla Garmy
Keyword(s):  
Abdominal Pain ◽  
Back Pain ◽  
Depressive Symptoms ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Scale Scores ◽  
Prevalence Of Pain ◽  
The Relationship

Pain and depressive symptoms are common reasons for adolescents to contact the school nurse. The aim was to describe the prevalence of pain (headache, abdominal pain, and back pain) and depressive symptoms among adolescents and to examine whether there is an association between pain and depressive symptoms. This cross-sectional survey included students ( N = 639) in Sweden (median age: 16 years). Over half of the female participants (56%) and one third of male participants (33%) had weekly headaches, abdominal pain, or back pain. Almost every second girl (48%) and one in four boys (25%) had depressive symptoms (as measured by the Center for Epidemiological Studies Depression Scale, scores ≥ 16). There was a significant association between having pain (headache, abdominal pain, or back pain) and having depressive symptoms. It is of great importance for school nurses to adequately identify and treat the cause of pain and other factors contributing to depression.

scholarly journals Applying the Minimal Detectable Change of a Static and Dynamic Balance Test Using a Portable Stabilometric Platform to Individually Assess Patients with Balance Disorders

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 402 ◽  
Author(s):  
Juan De la Torre ◽  
Javier Marin ◽  
Marco Polo ◽  
José J. Marín
Keyword(s):  
Center Of Pressure ◽  
Balance Control ◽  
Dynamic Balance ◽  
Static Balance ◽  
Minimal Detectable Change ◽  
Detectable Change ◽  
Balance Test ◽  
Balance Disorders ◽  
Eyes Closed ◽  
Specialist Physician

Balance disorders have a high prevalence among elderly people in developed countries, and falls resulting from balance disorders involve high healthcare costs. Therefore, tools and indicators are necessary to assess the response to treatments. Therefore, the aim of this study is to detect relevant changes through minimal detectable change (MDC) values in patients with balance disorders, specifically with vertigo. A test-retest of a static and dynamic balance test was conducted on 34 healthy young volunteer subjects using a portable stabilometric platform. Afterwards, in order to show the MDC applicability, eight patients diagnosed with balance disorders characterized by vertigo of vestibular origin performed the balance test before and after a treatment, contrasting the results with the assessment by a specialist physician. The balance test consisted of four tasks from the Romberg test for static balance control, assessing dynamic postural balance through the limits of stability (LOS). The results obtained in the test-retest show the reproducibility of the system as being similar to or better than those found in the literature. Regarding the static balance variables with the lowest MDC value, we highlight the average velocity of the center of pressure (COP) in all tasks and the root mean square (RMS), the area, and the mediolateral displacement in soft surface, with eyes closed. In LOS, all COP limits and the average speed of the COP and RMS were highlighted. Of the eight patients assessed, an agreement between the specialist physician and the balance test results exists in six of them, and for two of the patients, the specialist physician reported no progression, whereas the balance test showed worsening. Patients showed changes that exceeded the MDC values, and these changes were correlated with the results reported by the specialist physician. We conclude that (at least for these eight patients) certain variables were sufficiently sensitive to detect changes linked to balance progression. This is intended to improve decision making and individualized patient monitoring.

scholarly journals Sensory organisation and reactive balance control of amateur rugby players: A cross-sectional study

2016 ◽  
Vol 17 (4) ◽  
pp. 400-406 ◽  
Author(s):  
Gary C. C. Chow ◽  
Joanne W. Y. Chung ◽  
Ada W. W. Ma ◽  
Duncan J. Macfarlane ◽  
Shirley S. M. Fong
Keyword(s):  
Balance Control ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Rugby Players ◽  
Reactive Balance

Effectiveness of clinical and instrumental tools to predict falls In elderly patients neurological hospital

10.12737/7220 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 0-0
Author(s):  
Робинсон ◽  
K. Robinson ◽  
Ахмадуллин ◽  
F. Akhmadullin ◽  
Харисова ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Sagittal Plane ◽  
Center Of Pressure ◽  
Berg Balance Scale ◽  
Timed Up And Go ◽  
Balance Test ◽  
Eyes Closed ◽  
Medical University ◽  
Reactive Balance ◽  
Falls In Elderly

The purpose of this study was evaluation of the most effective clinical and paraclinical methods for prediction of falls in elderly patients of neurology ward. Мaterials and methods: the study included 251 patients (all retired by age) who admitted to neurology ward at the Hospital of Bashkir State Medical University (Ufa, Russia). The following tools were used: “Timed up and Go” (TUG), Berg Balance Scale (B), Duncan test (D), reactive balance test (T) and computerized stabilometric tests on force platform «STABILO-MBN» (Moscow). Results: Mean age of patients was 66.68 years (SD=8.79, median=64 года). The mean results of the clinical tests were the following: TUG=13.42 sec, SD=5.57 (normal reference time is less than 10 sec.), B= 45.90 (SD=7.70), which is interpreted as low risk for falling, D= 26.10 сm (SD=7.77), which is significantly less than normal results, T= 1.50 (SD=0.54), which is also worse than in healthy individuals. The best predictive power for prognosis of falls was calculated for reactive balance test values and root-mean-square deviation of center of pressure in frontal (CPF) or sagittal plane with the eyes closed. The authors present the predictive equations for prognosis of the number of falls. For instance, the predicted number of falls during 12 months =1.476 + 0.122TUG – 1.411T + 0.0161CPF. Conclusion: The tools evaluated in this study, have different effectiveness for prognosis of falls in patients and could be used in clinical practice as a part of predictive mathematical model.

Association of Ankle Kinematics and Performance on the Y-Balance Test With Inclinometer Measurements on the Weight-Bearing-Lunge Test

2015 ◽  
Vol 24 (1) ◽  
pp. 62-67 ◽  
Author(s):  
Min-Hyeok Kang ◽  
Dong-Kyu Lee ◽  
Kyung-Hee Park ◽  
Jae-Seop Oh
Keyword(s):  
Outcome Measures ◽  
Dynamic Balance ◽  
Weight Bearing ◽  
Ankle Dorsiflexion ◽  
Balance Test ◽  
Cross Sectional ◽  
Tape Measure ◽  
Ankle Kinematics ◽  
And Performance ◽  
The Relationship

Context:Ankle-dorsiflexion range of motion has often been measured in the weight-bearing condition in the clinical setting; however, little is known about the relationship between the weight-bearing-lunge test (WBLT) and both ankle kinematics and performance on dynamic postural-control tests.Objective:To examine whether ankle kinematics and performance on the Lower Quarter Y-Balance Test (YBT-LQ) are correlated with results of the WBLT using an inclinometer and tape measure.Design:Cross-sectional.Setting:University motionanalysis laboratory.Participants:30 physically active participants.Interventions:None.Main Outcome Measures:The WBLT was evaluated using an inclinometer and a tape measure. The reach distances in the anterior, posteromedial, and posterolateral directions on the YBT-LQ were normalized by limb length. Ankle dorsiflexion during the YBT-LQ was recorded using a 3-dimensional motion-analysis system. Simple linear regression was used to examine the relationship between the WBLT results and both ankle dorsiflexion and the normalized reach distance in each direction on the YBT-LQ.Results:The WBLT results were significantly correlated with ankle dorsiflexion in all directions on the YBT-LQ (P < .05). A strong correlation was found between the inclinometer measurement of the WBLT and ankle dorsiflexion (r = .74, r2 = .55), whereas the tape-measure results on the WBLT were moderately correlated with ankle dorsiflexion (r = .64, r2 = .40) during the anterior reach on the YBT-LQ. Only the normalized anterior reach distance was significantly correlated with the results for the inclinometer (r = .68, r2 = .46) and the tape measure (r = .64, r2 = .41) on the WBLT.Conclusions:Inclinometer measurements on the WBLT can be an appropriate tool for predicting the amount of ankle dorsiflexion during the YBT-LQ. Furthermore, WBLT should be measured in those who demonstrate poor dynamic balance.

scholarly journals Can We Identify Subgroups of Patients with Chronic Low Back Pain Based on Motor Variability? A Systematic Scoping Review

Biomechanics ◽  
2021 ◽  
Vol 1 (3) ◽  
pp. 358-370
Author(s):  
Lars Dijk ◽  
Marika T. Leving ◽  
Michiel F. Reneman ◽  
Claudine J. C. Lamoth
Keyword(s):  
Low Back Pain ◽  
Motor Control ◽  
Back Pain ◽  
Longitudinal Studies ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Theoretical Frameworks ◽  
Cross Sectional ◽  
Motor Variability ◽  
The Relationship

The identification of homogeneous subgroups of patients with chronic low back pain (CLBP), based on distinct patterns of motor control, could support the tailoring of therapy and improve the effectiveness of rehabilitation. The purpose of this review was (1) to assess if there are differences in motor variability between patients with CLBP and pain-free controls, as well as inter-individually among patients with CLBP, during the performance of functional tasks; and (2) to examine the relationship between motor variability and CLBP across time. A literature search was conducted on the electronic databases Pubmed, EMBASE, and Web of Science, including papers published any time up to September 2021. Two reviewers independently screened the search results, assessed the risk of bias, and extracted the data. Twenty-two cross-sectional and three longitudinal studies investigating motor variability during functional tasks were examined. There are differences in motor variability between patients with CLBP and pain-free controls during the performance of functional tasks, albeit with discrepant results between tasks and among studies. The longitudinal studies revealed the persistence of motor control changes following interventions, but the relationship between changes in motor variability and reduction in pain intensity was inconclusive. Based on the reviewed literature, no stratification of homogeneous subgroups into distinct patterns of motor variability in the CLBP population could be made. Studies diverged in methodologies and theoretical frameworks and in metrics used to assess and interpret motor variability. In the future, more large-sample studies, including longitudinal designs, are needed, with standardized metrics that quantify motor variability to fill the identified evidence gaps.

scholarly journals Posisi Kerja Dengan Keluhan Nyeri Punggung Bawah Pada Penjahit Pakaian

2020 ◽  
Vol 17 (1) ◽  
pp. 5
Author(s):  
Kamariah Kamariah ◽  
Arifin Arifin ◽  
Gunung Setiadi
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Sampling Technique ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Lower Back ◽  
Physical Environmental Factors ◽  
Relationship Of ◽  
The Relationship

Low back pain is one of the musculoskeletal disorders resulting from the wrong ergonomics. Such conditions can occur in the informal work sector, such as clothes tailors at the Martapura Bauntung Batuah Market. The purpose of this study was to determine the relationship of work position with complaints of lower back pain in clothes tailors at the Bauntung Batuah Market Martapura. This study is an analytical study with a cross-sectional approach. The sampling technique uses total sampling with criteria for male sex so that the number of samples is 43 people. Data will be analyzed using the x2 test (Chi-square). The results of the statistical analysis obtained the value of the work position p-value of 0,000 meaning that there is a relationship between the work position and complaints of lower back pain in the clothes tailor at the Martapura Bauntung Batuah Market. For other researchers, further research needs to being done on other factors such as individual factors and physical environmental factors that can cause complaints of lower back pain.

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