Effects of proprioceptive disruption on lumbar spine repositioning error in a trunk forward bending task

Hidalgo, Benjamin; Gobert, François; Bragard, Dominique; Detrembleur, Christine

doi:10.3233/bmr-130396

Cited by 29 publications

(38 citation statements)

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“…Repositioning error (RE) was found to be limited around 30°of trunk flexion in patients with LBP, as reported by Hidalgo et al 33 and Georgy. 28 The importance of studying proprioceptive response to different manual therapies seems to be of great importance; however; Gong was the first to study the change in RE in response to manual therapies (Gong mobilization).…”

Section: Introductionsupporting

confidence: 49%

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Effect of Mulligan Concept Lumbar SNAG on Chronic Nonspecific Low Back Pain

Hussien

Abdel-Raoof

Kattabei

et al. 2017

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to investigate the outcomes of adding lumbar sustained natural apophyseal glide (SNAG) to a conventional therapy program for chronic nonspecific low back pain (LBP). Methods: Forty-two participants with chronic nonspecific LBP were randomly divided into 2 groups. The study group (aged 27.1 ± 8.3, 20 men, 3 women) received a conventional physical therapy program consisted of stretching and strengthening exercises plus SNAG (based on the Mulligan concept) on the affected lumbar levels, and the control group (aged 28.9 ± 7.7, 13 men, 6 women) received the same conventional program without SNAG 3 times per week for 1 month. Outcome measures were repositioning error (the primary outcome), pain, and function measured by an isokinetic dynamometer, visual analog scale, and the Oswestry Disability Index. Measurements were recorded before and after the end of the treatment period. Results: The comparison between pretreatment and posttreatment test scores indicated that both study and control groups had significant improvement in all dependent variables (P N .001). However, adding SNAG to the conventional program resulted in higher improvement in terms of repositioning error, pain, and function (P = .02, .002, .008) respectively. Conclusions: This preliminary study indicated improvement in both groups. Adding SNAG to conventional programs in the treatment of chronic nonspecific LBP may result in greater improvement of repositioning error, pain reduction, and improved function. (J Chiropr Med 2017;16:94-102)

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Section: Introductionsupporting

confidence: 49%

“…This angle was used previously to study the proprioception in the lumbar spine by Hidalgo et al 33 and Georgy. 28 Dysfunction in the RE around this angle was evident in both occasions.…”

Section: Methodsmentioning

confidence: 99%

Effect of Mulligan Concept Lumbar SNAG on Chronic Nonspecific Low Back Pain

Hussien

Abdel-Raoof

Kattabei

et al. 2017

Journal of Chiropractic Medicine

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“…1 It is also the most important cause of disability and absenteeism with increasing prevalence leading to a major socioeconomic impact on society. [2][3][4] These facts highlight the importance of finding effective and validated treatments for this disabling condition.…”

mentioning

confidence: 96%

Short-Term Effects of Mulligan Mobilization With Movement on Pain, Disability, and Kinematic Spinal Movements in Patients With Nonspecific Low Back Pain: A Randomized Placebo-Controlled Trial

Hidalgo¹,

Pitance²,

Hall

et al. 2015

Journal of Manipulative and Physiological Therapeutics

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“…Thus, diagnosis of non-specific LBP is based mainly on subjective and physical clinical examination criteria (1)(2)(3)(6)(7)(8)(9). Kinematic analysis of trunk motion appears promising in the diagnosis and discrimination of people with non-specific LBP (1,(9)(10)(11)(12). Some of these features may also enable differentiation into treatment specific sub-groups, which may have value in the management of LBP (13).…”

Section: Introductionmentioning

confidence: 99%

“…For example, there is a poor correlation between features seen on spinal imaging and symptoms of low back pain (LBP) (1,3,5). Thus, diagnosis of non-specific LBP is based mainly on subjective and physical clinical examination criteria (1)(2)(3)(6)(7)(8)(9). Kinematic analysis of trunk motion appears promising in the diagnosis and discrimination of people with non-specific LBP (1,(9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

Use of kinematic algorithms to distinguish people with chronic non-specific low back pain from asymptomatic subjects: A validation study.

Hidalgo¹,

Nielens²,

Gilliaux³

et al. 2014

J Rehabil Med

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Objective: To determine whether kinematic algorithms can distinguish subjects with chronic non-specific low back pain from asymptomatic subjects and subjects simulating low back pain, during trunk motion tasks. Design: Comparative cohort study. Subjects: A total of 90 subjects composed 3 groups; 45 chronic non-specific low back pain patients in the CLBP group; 45 asymptomatic controls people in the asymptomatic controls group. 20/45 subjects from the asymptomatic controls group composed the CLBP simulators group as well. Method: During performance of 7 standardized trunk motion tasks 6 spinal segments from the kinematic spine model were recorded by 8 infrared cameras. Two logit scores, for range of motion and speed, were used to investigate differences between the groups. Group allocation based on logit scores was also calculated, allowing the assessment of sensitivity and specificity of the algorithms. Results: For the 90 subjects (pooled data), the logit scores for range of motion and speed demonstrated highly significant differences between groups (p < 0.001). The logit score means and standard deviation (SD) values in the asymptomatic group (n = 45) and chronic non-specific low back pain group (n = 45), respectively, were -1.6 (SD 2.6) and 2.8 (SD 2.8) for range of motion and -2.6 (SD 2.5) and 1.2 (SD 1.9) for speed. The sensitivity and specificity (n = 90) for logit score for range of motion were 0.80/0.82 and for logit score for speed were 0.80/0.87, respectively. Conclusion: These results support the validity of using 2 movement algorithms, range of motion and speed, to discriminate asymptomatic subjects from those with low back pain. However, people simulating low back pain cannot be distinguished from those with real low back pain using this method.

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Effects of proprioceptive disruption on lumbar spine repositioning error in a trunk forward bending task

Abstract: Proprioceptive disturbances had the most significant effect in increasing repositioning-error among healthy subjects. The between-groups analysis confirmed evidence consistent with the literature of greater repositioning-error in people with NS-CLBP than healthy subjects.

Cited by 29 publications

References 0 publications

Effect of Mulligan Concept Lumbar SNAG on Chronic Nonspecific Low Back Pain

Effect of Mulligan Concept Lumbar SNAG on Chronic Nonspecific Low Back Pain

Short-Term Effects of Mulligan Mobilization With Movement on Pain, Disability, and Kinematic Spinal Movements in Patients With Nonspecific Low Back Pain: A Randomized Placebo-Controlled Trial

Use of kinematic algorithms to distinguish people with chronic non-specific low back pain from asymptomatic subjects: A validation study.

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