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

Koch, Cathrin and 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
[Article] , (2018)

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

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.

Item Type: Article
Erschienen: 2018
Creators: Koch, Cathrin and Hänsel, Frank
Title: Chronic Non-specific Low Back Pain and Motor Control During Gait
Language: English
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.

Journal or Publication Title: Frontiers in Psychology
Volume: 9
Publisher: Frontiers
Divisions: 03 Department Human Sciences
03 Department Human Sciences > Institut für Sportwissenschaft
Date Deposited: 20 Jan 2019 20:55
DOI: 10.3389/fpsyg.2018.02236
Official URL: https://doi.org/10.3389/fpsyg.2018.02236
URN: urn:nbn:de:tuda-tuprints-83720
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