Low impact weight-bearing exercise in an upright posture achieves greater lumbopelvic stability than overground walking

Gibbon, Karl; Debuse, Dorothée; Caplan, Nick

doi:10.1016/j.jbmt.2013.02.004

Cited by 8 publications

(23 citation statements)

References 49 publications

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“…In the present study, the computed model activities of lumbo-pelvic muscles during FRED exercise are in line with previous physiological studies [10,14] and reinforce the findings that the combination of lower-limb movement and weight-bearing in a constant and slow motion shows great potential to activate these muscles [7,10,14]. The results from the FRED oneG model indicated that all of the investigated lumbo-pelvic muscles are constantly activated throughout the whole exercise cycle.…”

Section: Model Validation and Fred Onegsupporting

confidence: 91%

“…The modelled data of the terrestrial FRED reinforce the findings of previous FRED investigations [7,10,14] and support the idea that FRED exercise could be used in astronaut rehabilitation and rehabilitation of people on Earth with deficits in spinal stability and postural control, such as people suffering from low back pain [4,20].…”

Section: Model Validation and Fred Onegsupporting

confidence: 81%

“…Previous terrestrial studies with the FRED reported promising results, indicating that it could be a valid tool to be used in people with deficits of deep spinal and 'anti-gravity' muscles [7,10,14]. In the present study, the computed model activities of lumbo-pelvic muscles during FRED exercise are in line with previous physiological studies [10,14] and reinforce the findings that the combination of lower-limb movement and weight-bearing in a constant and slow motion shows great potential to activate these muscles [7,10,14].…”

Section: Model Validation and Fred Onegmentioning

confidence: 99%

“…Recently, a novel exercise device (the Functional Re-adaptive Exercise Device, or the FRED, Figure 1) has been developed [10] that showed promising results to immediately increase lumbopelvic stability during movement in healthy terrestrial individuals, as indicated by a decreased range of hip rotation in the transverse plane [14]. The device is similar in action to an elliptical trainer but requires the user to work against almost no resistance in order to move the feet.…”

Section: Introductionmentioning

confidence: 99%

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A novel approach to activate deep spinal muscles in space—Results of a biomechanical model

et al. 2015

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Cite this article as: Lukas Lindenroth, Nick Caplan, Dorothée Debuse, Sauro Emerick Salomoni, Simon Evetts, Tobias Weber, A novel approach to activate deep spinal muscles in space -results of a biomechanical model, Acta Astronautica, http://dx.doi.org/10. 1016/j.actaastro.2015.07.012 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Abstract:Introduction: Exposure to microgravity has various effects on the human musculoskeletal

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Section: Model Validation and Fred Onegsupporting

confidence: 91%

Section: Model Validation and Fred Onegsupporting

confidence: 81%

Section: Model Validation and Fred Onegmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A novel approach to activate deep spinal muscles in space—Results of a biomechanical model

et al. 2015

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“…It results in LM and TrA activity that is more tonic than walking (Caplan et al, 2014) and increases lumbopelvic stability when compared to over-ground walking (Gibbon et al, 2013). However, the immediate effect of FRED exercise on lumbopelvic kinematics in asymptomatic people or those with LBP has not yet been investigated.…”

Section: Introductionmentioning

confidence: 99%

The immediate effects of exercise using the Functional Re-adaptive Exercise Device on lumbopelvic kinematics in people with and without low back pain

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Debuse

Wilkinson

et al. 2017

Musculoskeletal Science and Practice

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BackgroundDysfunction of the lumbar multifidus (LM) and transversus abdominis (TrA) muscles is associated with low back pain (LBP). The Functional Re-adaptive Exercise Device (FRED) has shown potential as a non-specific LBP intervention by automatically recruiting LM and TrA. Loss or lordosis and altered lumbopelvic positioning has also been linked to LBP and is often trained within LM and TrA interventions. The effect that FRED exercise has on lumbopelvic positioning and lumbar lordosis is unknown. ObjectivesTo assess the effect of FRED exercise on lumbopelvic kinematics and alignment to establish whether FRED exercise promotes a favourable lumbopelvic posture for training LM and TrA. DesignWithin and between-group comparison study MethodOne hundred and thirty participants, 74 experiencing LBP, had lumbopelvic kinematic data measured during over-ground walking and FRED exercise.Magnitude-based inferences were used to compare walking with FRED exercise within participants and between the asymptomatic and LBP groups, to establish the effects of FRED exercise on lumbopelvic kinematics, compared to walking, in each group. ResultsFRED exercise promotes an immediate change in anterior pelvic tilt by 8.7 degrees compared to walking in the no-LBP and LBP groups. Sagittal-plane spinal extension increased during FRED exercise at all spinal levels by 0.9 degrees in the no-LBP group, and by 1.2 degrees in the LBP group. ConclusionsFRED exercise promotes a lumbopelvic position more conducive to LM and TrA training than walking in both asymptomatic people and those with LBP. Highlights A posture conducive to LM and TrA training was promoted. The posture appears to occur automatically in people with and without LBP. Exercise on the FRED may be effective for LM and TrA training.

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Movement amplitude on the Functional Re-adaptive Exercise Device: deep spinal muscle activity and movement control

et al. 2017

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PurposeLumbar multifidus (LM) and transversus abdominis (TrA) show altered motor control, and LM is atrophied, in people with low-back pain (LBP). The Functional Re-adaptive Exercise Device (FRED) involves cyclical lower-limb movement against minimal resistance in an upright posture. It has been shown to recruit LM and TrA automatically, and may have potential as an intervention for non-specific LBP. However, no studies have yet investigated the effects of changes in FRED movement amplitude on the activity of these muscles. This study aimed to assess the effects of different FRED movement amplitudes on LM and TrA muscle thickness and movement variability, to inform an evidence-based exercise prescription.MethodsLumbar multifidus and TrA thickness of eight healthy male volunteers were examined using ultrasound imaging during FRED exercise, normalised to rest at four different movement amplitudes. Movement variability was also measured. Magnitude-based inferences were used to compare each amplitude.ResultsExercise at all amplitudes recruited LM and TrA more than rest, with thickness increases of approximately 5 and 1 mm, respectively. Larger amplitudes also caused increased TrA thickness, LM and TrA muscle thickness variability and movement variability. The data suggests that all amplitudes are useful for recruiting LM and TrA.ConclusionsA progressive training protocol should start in the smallest amplitude, increasing the setting once participants can maintain a consistent movement speed, to continue to challenge the motor control system.Electronic supplementary materialThe online version of this article (doi:10.1007/s00421-017-3648-3) contains supplementary material, which is available to authorized users.

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Low impact weight-bearing exercise in an upright posture achieves greater lumbopelvic stability than overground walking

Cited by 8 publications

References 49 publications

A novel approach to activate deep spinal muscles in space—Results of a biomechanical model

A novel approach to activate deep spinal muscles in space—Results of a biomechanical model

The immediate effects of exercise using the Functional Re-adaptive Exercise Device on lumbopelvic kinematics in people with and without low back pain

Movement amplitude on the Functional Re-adaptive Exercise Device: deep spinal muscle activity and movement control

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