Injury and Proprioception in the Lower Back

Parkhurst, Thomas M.; Burnett, Carolyn N.

doi:10.2519/jospt.1994.19.5.282

Cited by 122 publications

(82 citation statements)

References 29 publications

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“…Impaired motor control may promote chronicity or recurrent LBP and even be a risk factor for LBP [37,38]. From this perspective, it has been suggested that people with mild deficits of the central nervous system [21], such as an imbalance in recruitment of agonist and antagonist trunk muscles [28,36], slow reaction times [49] or poor proprioception [39], are at risk of developing musculoskeletal disorders. The motor functioning of individuals with LBP is complicated further by the fact that, whereas walking more quickly with impaired coordination may enhance the mechanical instability of the spine, walking more slowly may have considerable disadvantages.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, amplitudes of both L2 and L4 ES were significantly larger during the swing phase in the LBP than in the control group (P<0.05). On average, mean LES activity increased by 8,21,25,39,45,32 and 48% for velocities from 1.4 to 7.0 km/h, respectively. The velocity by health status interactions were not significant.…”

Section: Effect Of Walking Velocity and Health Status (Lbp)mentioning

confidence: 97%

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Effects of chronic low back pain on trunk coordination and back muscle activity during walking: changes in motor control

et al. 2005

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Low back pain (LBP) is often accompanied by changes in gait, such as a decreased (preferred) walking velocity. Previous studies have shown that LBP diminishes the normal velocity-induced transverse counter-rotation between thorax and pelvis, and that it globally affects mean erector spinae (ES) activity. The exact nature and causation of these effects, however, are not well understood. The aim of the present study was to examine in detail the effect of walking velocity on global trunk coordination and ES activity as well as their variability to gain further insights into the effects of non-specific LBP on gait. The study included 19 individuals with non-specific LBP and 14 healthy controls. Gait kinematics and ES activity were recorded during treadmill walking at (1) a self-selected (comfortable) velocity, and (2) sequentially increased velocities from 1.4 up to maximally 7.0 km/h. Pain intensity, fear of movement and disability were measured before the experiment. The angular movements of thorax, lumbar and pelvis were recorded in three dimensions. ES activity was recorded with pairs of surface electrodes. Trunk-pelvis coordination and mean amplitude of ES activity were analyzed. In addition, invariant and variant properties of trunk kinematics and ES activity were studied using principal component analysis (PCA). Comfortable walking velocity was significantly lower in the LBP participants. In the transverse plane, the normal velocity-induced change in pelvis-thorax coordination from more in-phase to more antiphase was diminished in the LBP participants, while lumbar and pelvis rotations were more in-phase compared to the control group. In the frontal plane, intersegmental timing was more variable in the LBP than in the control participants, with additional irregular movements of the thorax. Rotational amplitudes were not significantly different between the LBP and control participants. In the LBP participants, the pattern of ES activity was affected in terms of increased (residual) variability, timing deficits, amplitude modifications and frequency changes. The gait of the LBP participants was characterized by a more rigid and less variable kinematic coordination in the transverse plane, and a less tight and more variable coordination in the frontal plane, accompanied by poorly coordinated activity of the lumbar ES. Pain intensity, fear of movement and disability were all unrelated to the observed changes in coordination, suggesting that the observed changes in trunk coordination and ES activ- Eur Spine J (2006) 15: 23-40

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Section: Discussionmentioning

confidence: 99%

Section: Effect Of Walking Velocity and Health Status (Lbp)mentioning

confidence: 97%

Effects of chronic low back pain on trunk coordination and back muscle activity during walking: changes in motor control

et al. 2005

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“…31 Taping helps in pain reduction by modulation of the pain fibers and altering the sensory input and facilitation or inhibition of the muscle activity 20 . Taping help to stimulate the neuromuscular pathway via increased afferent feedback from cutaneous receptors and can facilitate neuromuscular response 21,22 . Taping stabilizes the joint act as splint and alters the length-tension relationship to create the required posture or movement pattern 21,23,24 .…”

Section: Discussionmentioning

confidence: 99%

“…Taping help to stimulate the neuromuscular pathway via increased afferent feedback from cutaneous receptors and can facilitate neuromuscular response 21,22 . Taping stabilizes the joint act as splint and alters the length-tension relationship to create the required posture or movement pattern 21,23,24 .…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of Myofascial Release Therapy with Shoulder Taping on Subacromial Impingement Syndrome in Collegiate Basket Ball Players -A Quasi experimental Pilot study

Gandhi

Arun

Kumar

2016

Bangladesh J Med Sci

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Abstract:Background: Shoulder complex dysfunction can arise when any of its components goes for malfunction. Overhead athletes cause impingement in the shoulder due to subacromial impingement or anterior instability. Myofascial tightness is found to be the common causative mechanism for the shoulder pain, though the literatures were not detailed in considering the myofascial tightness and the management. Aims & Objective: The aim of the study was to find out the effect of myofascial release therapy with shoulder taping on subacromial impingement syndrome in collegiate basket ball players. Quasi experimental pilot study with 38 collegiate basket ball players who participated in the university tournaments were selected for the study. 19 players in control group who under myofascial therapy whereas 19 players in experimental group who underwent shoulder taping and myofascial release therapy. Result: The outcome measures were pain and functional ability. Pain was assessed using numerical pain rating scale, and functional ability was assessed using SPADI. Unrelated 't' test was done to evaluate the effect of the treatment for pain value between groups is 13.9 with the p value <0.05% and SPADI scale was 13.8 at the p value <0.05%. The result shows that the myofascial release therapy with shoulder taping shows more significant improvement than myofascial release therapy only. Conclusion: Study concludes that shoulder taping and myofascial release therapy helps in reducing pain and improvement of functional disability.

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