Continuous lumbar spine rhythms during level walking, stair climbing and trunk flexion in people with and without lumbar disc herniation

Kuai, Shengzheng; Guan, Xinyu; Zhang, Rui; Ji, Run; Liao, Zhenhua; Guo, Dan; Liu, Weiqiang; Wang, Daping

doi:10.1016/j.gaitpost.2018.05.006

Cited by 13 publications

(25 citation statements)

References 25 publications

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“…Fourteen of the studies recruited subgroups of individuals with LBP based on pathoanatomical diagnoses. Among these articles, 32 participants were diagnosed with lumbar disc herniation[50–54]. One hundred and eight participants were described as having spinal stenosis[55–58].…”

Section: Resultsmentioning

confidence: 99%

Do people with low back pain walk differently? A systematic review and meta-analysis

Smith

Stabbert

Bagwell

et al. 2021

Preprint

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Objective To identify differences in biomechanics during gait in individuals with acute and persistent low back pain compared with back-healthy controls. Design Systematic review Data Sources A search was conducted in PubMed, CINAHL, SPORTDiscus, and PsycINFO in June 2019 and was repeated in December 2020. Eligibility criteria Studies were included if they reported biomechanical characteristics of individuals with and without low back pain during steady-state or perturbed walking and running. Biomechanical data included spatiotemporal, kinematic, kinetic, and electromyography variables. The reporting quality and potential for bias of each study was assessed. Data were pooled where possible to compare the standardized mean differences (SMD) between groups. Results Ninety-seven studies were included. Two studies investigated acute pain and the rest investigated persistent pain. Eight studies investigated running gait. 20% of studies had high reporting quality/low risk of bias. In comparison with back-healthy controls, individuals with persistent low back pain walked more slowly (SMD -0.59 [95% CI -0.77 to -0.42]) and with shorter stride length (-0.38 [-0.60 to -0.16]). There were no differences in the amplitude of motion in the thoracic or lumbar spine, pelvis, or hips in individuals with LBP. During walking, coordination of motion between the thorax and the lumbar spine/pelvis was significantly more in-phase in the LBP groups (-0.60 [-0.90 to -0-.30]), and individuals with LBP exhibited greater amplitude of activation in the paraspinal muscles (0.52 [0.23 to 0.80]). Summary/Conclusion There is moderate to strong evidence that individuals with persistent LBP demonstrate impairments in walking gait compared with back-healthy controls.

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Section: Resultsmentioning

confidence: 99%

Do people with low back pain walk differently? A systematic review and meta-analysis

Smith

Stabbert

Bagwell

et al. 2021

Preprint

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“…Of those, 12 studies (12,13,45,46,14,(38)(39)(40)(41)(42)(43)(44) were found to be of high quality. Sixty studies (24,27,(54)(55)(56)(57)(58)(59)(60)(61)(62)(63)31,(64)(65)(66)(67)(68)(69)(70)(71)(72)(73)47,(74)(75)(76)(77)(78)(79)(80)(81)(82)(83)48,(84)(85)(86)(87)(88)…”

Section: Quality Assessmentmentioning

confidence: 99%

“…Fifteen studies evaluated the accuracy of their marker setups (27,45,75,79,81,87,89,92,51,57,60,61,63,66,70,74). The soft tissue artefact associated with the motion was quanti ed using imaging techniques in 3 studies (60,70,87).…”

Section: Accuracymentioning

confidence: 99%

Stereophotogrammetric Approaches to Multi-Segmental Kinematics of the Thoracolumbar Spine: A Systematic Review

Fayad

Éltes

Lazáry

et al. 2022

Preprint

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Background: Spine disorders are becoming more prevalent in today’s ageing society. Motion abnormalities have been linked to the prevalence and recurrence of these disorders. Various protocols exist to measure thoracolumbar spine motion, but a standard multi-segmental approach is still missing. This study aims to systematically evaluate the literature on stereophotogrammetric motion analysis approaches to quantify thoracolumbar spine kinematics in terms of measurement reliability, suitability of protocols for clinical application and clinical significance of the resulting functional assessment. Methods: Electronic databases (PubMed, Scopus and ScienceDirect) were searched until February 2022. Studies published in English, investigating the intersegmental kinematics of the thoracolumbar spine using stereophotogrammetric motion analysis were identified. All information relating to measurement reliability; measurement suitability and clinical significance was extracted from the studies identified. Results: Seventy-four studies met the inclusion criteria. 33% of the studies reported on the repeatability of their measurement. In terms of suitability, only 35% of protocols were deemed suitable for clinical application. The spinous processes of C7, T3, T6, T12, L1, L3 and L5 were the most widely used landmarks. The spine segment definitions were, however, found to be inconsistent among studies. Activities of daily living were the main tasks performed. Comparable results between protocols are however still missing. Conclusion: The literature to date offers various stereophotogrammetric protocols to quantify the multi-segmental motion of the thoracolumbar spine, without a standard guideline being followed. From a clinical point of view, the approaches are still limited. Further research is needed to define a precise motion analysis protocol in terms of segment definition and clinical relevance.

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“…In this study, the spinal and pelvic movements were captured by placing the optical markers on the bony landmarks. e bony landmarks included the spinous processes of the third and seventh thoracic vertebra (T3 and T7) and of the first, third, and fifth lumbar vertebra (L1, L3, and L5) and left and right posterior superior iliac spine (LPSIS and RPSIS) and the iliac crest (IC) [23,24]. Before trials, one surgeon helped to find these landmarks and place the optical markers.…”

Section: Experimental Protocolmentioning

confidence: 99%

“…In the AnyBody model system, the default spine rhythm was constant without consideration of the individual difference. In this study, every subject's spine model was driven by the individual spine rhythm which was determined by captured marker coordinates [23]. e features of default, control group, and patient group's spine rhythms during level walking and stair climbing were represented by the average across the gait cycle and are shown in Figure 1.…”

Section: E Spine Rhythm and Simulationmentioning

confidence: 99%

Prediction of the Spinal Musculoskeletal Loadings during Level Walking and Stair Climbing after Two Types of Simulated Interventions in Patients with Lumbar Disc Herniation

Kuai

Guan

Liu

et al. 2019

Journal of Healthcare Engineering

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Background. Low back pain (LBP) continues to be a severe global healthy problem, and a lot of patients would undergo conservative or surgical treatments. However, the improving capacity of spinal load sharing during activities of daily living (ADLs) after interventions is largely unknown. The objective of this study was to quantitatively predict the improvement of spinal musculoskeletal loadings during level walking and stair climbing after two simulated interventions. Material and Methods. Twenty-six healthy adults and seven lumbar disc herniation patients performed level walking and stair climbing in sequence. The spinal movement was recorded using a motion capture system. The experimental data were applied to drive a musculoskeletal model to calculate all the lumbar joint resultant forces and muscle activities of seventeen main trunk muscle groups. Rehabilitation and reconstruction were selected as the representative of conservative and surgical treatment, respectively. The spinal load sharing after rehabilitation and reconstruction was predicted by replacing the patients’ spine rhythm with healthy subjects’ spine rhythm and altering the center of rotation at the L5S1 level, respectively. Results. During both level walking and stair climbing, the joint resultant forces of the lower lumbar intervertebral discs were predicted to reduce after the two simulated inventions. In addition, the maximum muscle activities of the most trunk muscle groups decreased after simulated rehabilitation and conversely increased after simulated reconstruction. Conclusion. The predictions revealed the different compensatory responses on the spinal load sharing after two simulated interventions, severing as guidance for making preoperative planning and rehabilitation planning.

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Continuous lumbar spine rhythms during level walking, stair climbing and trunk flexion in people with and without lumbar disc herniation

Cited by 13 publications

References 25 publications

Do people with low back pain walk differently? A systematic review and meta-analysis

Do people with low back pain walk differently? A systematic review and meta-analysis

Stereophotogrammetric Approaches to Multi-Segmental Kinematics of the Thoracolumbar Spine: A Systematic Review

Prediction of the Spinal Musculoskeletal Loadings during Level Walking and Stair Climbing after Two Types of Simulated Interventions in Patients with Lumbar Disc Herniation

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