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Chronic Non-specific Low Back Pain and Motor Control During Gait

Koch, Cathrin ; Hänsel, Frank :
Chronic Non-specific Low Back Pain and Motor Control During Gait.
[Online-Edition: https://doi.org/10.3389/fpsyg.2018.02236]
In: Frontiers in Psychology, 9 ISSN 1664-1078
[Artikel] , (2018)

Offizielle URL: https://doi.org/10.3389/fpsyg.2018.02236

Kurzbeschreibung (Abstract)

Background: Chronic non-specific low back pain (LBP) poses a major socioeconomic problem, although the mechanisms are not yet clear. Impaired motor control is one of the mechanisms being discussed. Objectives: The purpose of this review is to provide an overview of motor control parameter differences between individuals with and without non-specific LBP during gait. Methods: A literature search on Medline, SportDiscus, PsychInfo, PsychArticels, EMBASE, and Scopus was performed. Twenty-nine articles comparing healthy adults and adults with chronic non-specific LBP in neuromuscular and/or biomechanical parameters during walking or running were examined. Data extraction and quality assessment were independently performed by two persons. Among others, we extracted population, conditions, outcome measures, and results. Results: The results showed that persons with and without non-specific LBP differed in several parameters of motor control, which was indicated by a lower movement amplitude of the pelvis, more in-phase coordination, lower ground reaction forces, higher stride-to-stride variability and a higher activity in ES in the LBP group. Conclusion: Despite no strong evidence for any of the parameters, a combination of biomechanical and neuromuscular parameters provides a conclusive explanation. Impaired motor control during walking is reflected in higher activity of the erector spinae, which leads to a stiffened lumbar-pelvic region. Different acquisition and processing of data renders making comparisons difficult, whereby standards for future research are necessary.

Typ des Eintrags: Artikel
Erschienen: 2018
Autor(en): Koch, Cathrin ; Hänsel, Frank
Titel: Chronic Non-specific Low Back Pain and Motor Control During Gait
Sprache: Englisch
Kurzbeschreibung (Abstract):

Background: Chronic non-specific low back pain (LBP) poses a major socioeconomic problem, although the mechanisms are not yet clear. Impaired motor control is one of the mechanisms being discussed. Objectives: The purpose of this review is to provide an overview of motor control parameter differences between individuals with and without non-specific LBP during gait. Methods: A literature search on Medline, SportDiscus, PsychInfo, PsychArticels, EMBASE, and Scopus was performed. Twenty-nine articles comparing healthy adults and adults with chronic non-specific LBP in neuromuscular and/or biomechanical parameters during walking or running were examined. Data extraction and quality assessment were independently performed by two persons. Among others, we extracted population, conditions, outcome measures, and results. Results: The results showed that persons with and without non-specific LBP differed in several parameters of motor control, which was indicated by a lower movement amplitude of the pelvis, more in-phase coordination, lower ground reaction forces, higher stride-to-stride variability and a higher activity in ES in the LBP group. Conclusion: Despite no strong evidence for any of the parameters, a combination of biomechanical and neuromuscular parameters provides a conclusive explanation. Impaired motor control during walking is reflected in higher activity of the erector spinae, which leads to a stiffened lumbar-pelvic region. Different acquisition and processing of data renders making comparisons difficult, whereby standards for future research are necessary.

Titel der Zeitschrift, Zeitung oder Schriftenreihe: Frontiers in Psychology
Band: 9
Verlag: Frontiers
Fachbereich(e)/-gebiet(e): 03 Fachbereich Humanwissenschaften
03 Fachbereich Humanwissenschaften > Institut für Sportwissenschaft
Hinterlegungsdatum: 20 Jan 2019 20:55
DOI: 10.3389/fpsyg.2018.02236
Offizielle URL: https://doi.org/10.3389/fpsyg.2018.02236
URN: urn:nbn:de:tuda-tuprints-83720
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