Correlations between lumbar neuromuscular function and pain, lumbar disability in patients with nonspecific low back pain

Hu, Hongpu; Wang, Xueqiang; Chen, Binglin; Dong, Yulin; Zhang, Juan; Liu, Xiaochen; Gong, Di

doi:10.1097/md.0000000000007991

Cited by 21 publications

(20 citation statements)

References 25 publications

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“…Decreased lumbar proprioception may lead to higher sports injury risk, an increase in pain intensity, and lumbar disability. A negative correlation between lumbar proprioception and pain was described in our previous study [20].…”

Section: Introductionsupporting

confidence: 53%

“…In our previous cross-sectional study, we found that decreased lumbar muscle strength, endurance, and lumbar proprioception of the lumbar vertebra lead to an increase in pain intensity and lumbar disability [20]. Therefore, we hypothesized that patients with poor proprioceptive sense might have more clinical benefit from performing WBV exercises.…”

Section: Discussionmentioning

confidence: 99%

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Effect of 12-Week Whole-Body Vibration Exercise on Lumbopelvic Proprioception and Pain Control in Young Adults with Nonspecific Low Back Pain

Chen

Wang

et al. 2019

Med Sci Monit

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Background Nonspecific low back pain (NSLBP) accounts for a large proportion of low back pain cases. The present study aimed to investigate the effect of the whole-body vibration (WBV) exercise on lumbar proprioception in NSLBP patients. It was hypothesized that WBV exercise enhances lumbar proprioception. Material/Methods Forty-two patients with NSLBP performed an exercise program 3 times a week for a total of 12 weeks of WBV. The lumbar proprioception was measured by joint position sense. Outcomes were lumbar angle deviation and visual analogue scale (VAS) score. Results After the 12-week WBV exercise, lumbar flexion angle deviation was reduced from 3.65±2.26° to 1.90±1.07° (P=0.0001), and extension angle deviation was reduced from 3.06±1.85° to 1.61±0.75° (P=0.0001), significantly lower than baseline. After participating in the 12-week WBV exercise, a significant pain reduction was observed (P=0.0001). Men in the whole group (n=32) indicated significantly lower angle deviations in flexion and extension, whereas women (n=10) indicated significantly lower flexion angle deviation (P=0.037), and no significant difference was found in extension angle deviation (P=0.052). However, by subdividing the entire group (n=42) into poor and good proprioceptive groups, WBV exercise presented significant enhancement of lumbar proprioceptive ability in the poor flexion proprioception subgroup, poor extension proprioception subgroup, and good extension proprioception subgroup (each P=0.0001), but not in the subgroup with good flexion proprioceptive ability (P=0.165). Conclusions Lumbar flexion and extension proprioception as measured by joint position sense was significantly enhanced and pain was significantly reduced after 12-week WBV exercise in NSLBP patients. However, the patients with good flexion proprioceptive ability had limited proprioceptive enhancement.

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Section: Introductionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Effect of 12-Week Whole-Body Vibration Exercise on Lumbopelvic Proprioception and Pain Control in Young Adults with Nonspecific Low Back Pain

Chen

Wang

et al. 2019

Med Sci Monit

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“…In the current study, proprioception sense was tested within 5 min after the smartphone use, which is a safe testing duration before the recovery of muscle and proprioception following muscle fatigue [28,29]. As pain severity and proprioception deficits are correlated [5], the Changes between baseline and post-task assessment for the tested task duration b…”

Section: Discussionmentioning

confidence: 99%

“…It has a lifetime prevalence of 85.5%, with 3.9 to 10.2% of the patients develop chronic low back pain (CLBP) [1,2]. Patients suffer from pain, impaired proprioception and reduced back mobility and function [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Smartphone usage duration is not associated with increased pain or proprioception deficit in young adults with chronic mechanical low back pain: a cross-sectional study

2020

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Background Smartphone use has been associated with pain in the upper quadrant; however, the relationship between usage duration and low back pain is still unclear. This study investigated the association between continuous smartphone use up to 30-min and back pain severity and proprioception acuity in patients with chronic low back pain. Fifty-eight patients with chronic mechanical LBP played a game for 10- and 30-min. In each session, pain and back repositioning errors were measured at baseline and immediately after task completion. Results Pain significantly but slightly increased following smartphone use, regardless to the duration (after 10 min: mean increase = 0.75 ± 1.17, P value < 0.001, 95% CI 0.44–1.06; after 30 min: mean increase = 0.96 ± 1.93, P value < 0.001, 95% CI 0.44–1.46). However, changes in perceived pain scores were not significantly different between the two tested durations (P value = 0.42). Proprioception repositioning error was not significantly different within the same testing session (mean change = 0.08 ± 1.83, 0.13 ± 1.77, P value = 0.73, 0.58, 95% CI − 0.40–0.56, − 0.60–0.33, for the 10 and 30 min, respectively). The changes in proprioception were not significant between the two-tested durations (P value = 0.56). Further, smartphone addiction did not significantly affect changes in pain and proprioception after game playing, regardless of the duration (P > 0.05). Conclusions These findings show that smartphone use slightly increases back pain immediately after continuous use; with no effect on back proprioception within the duration tested in this study. Changes in pain and proprioception were not influenced by smartphone addiction.

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“…The alterations of the motor control of the deep local muscles of the lumbopelvic region and persistent arthrogenic muscle inhibition of lumbar multifidus result in segmental instability of the lumbar spine and, consequently, in recurrent back pain. [7][8][9][10][11][12] If the alterations in one or more of the spine's stabilising mechanisms do not resolve during the acute period, tissue damage is caused that causes LBP persist. 8 Numerous studies have shown that specific exercises aimed at local lumbar muscles result in improvements in pain and disability, as well as a lower incidence of recurrence and absenteeism in the chronic LBP population.…”

Section: Open Accessmentioning

confidence: 99%

Study protocol randomised controlled trial comparison of cost–utility and cost-effectiveness of a face-to-face rehabilitation programme versus a telemedicine programme in the treatment of patients with chronic low back pain

et al. 2020

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IntroductionChronic lower back pain is a highly prevalent medical condition in Western countries, which that incurs a considerable social and economic burden. Although prescription exercise at home for chronic pain has become a widely used alternative to reduce healthcare costs, the evidence regarding patient adherence and decreased in costs in European countries is scarce and inconclusive. The objective of this study is to examine the cost–utility and cost-effectiveness in patients with chronic lower back pain treated with the McKenzie Method and electroanalgesia via a telemedicine programme versus a face-to-face programme.Methods and analysisThis study reports the protocol for a randomised, two-arm, multicentre, parallel controlled trial. A total of 540 patients with chronic lower back pain (onset time ≥3 months, Roland Morris Disability Questionnaire ≥4) will be recruited in three hospitals in Andalusia. Participants will be assigned to one of two groups (n=270, respectively) to receive electroanalgesia and Mckenzie method exercises through a telemedicine or a face-to-face programme. A total of 24 sessions will be administered three times a week for 8 weeks. Since the study design does not allow participant blinding, the outcome assessor and the statistician will be blinded. Use of helth care resources and costs due to work absenteeism will be captured and analysed. In addition, pain, intensity, fear of movement, quality of life and strength of the core muscle and anteflexion lumbar will be recorded at 2 and 6 months after the start of treatment.Ethics and disseminationHuman Research and Local Ethics Committee of the ‘Hospital Complex Torrecárdenas of Almeria, University Hospital of Granada and Virgen Macarena de Sevilla Hospital—Andalusian Health Service’. Study ﬁndings will be released to the research, clinical and health service through publication in international journals and conferences.Trial registration numberNCT04266366.

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Correlations between lumbar neuromuscular function and pain, lumbar disability in patients with nonspecific low back pain

Cited by 21 publications

References 25 publications

Effect of 12-Week Whole-Body Vibration Exercise on Lumbopelvic Proprioception and Pain Control in Young Adults with Nonspecific Low Back Pain

Effect of 12-Week Whole-Body Vibration Exercise on Lumbopelvic Proprioception and Pain Control in Young Adults with Nonspecific Low Back Pain

Smartphone usage duration is not associated with increased pain or proprioception deficit in young adults with chronic mechanical low back pain: a cross-sectional study

Study protocol randomised controlled trial comparison of cost–utility and cost-effectiveness of a face-to-face rehabilitation programme versus a telemedicine programme in the treatment of patients with chronic low back pain

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