Plantar Pressure Distribution During Walking: Comparison of Subjects with and without Chronic Low Back Pain

Lee, Jeon Hyeong; Fell, Dennis W.; Kim, Kyoung

doi:10.1589/jpts.23.923

Cited by 12 publications

(7 citation statements)

References 12 publications

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“…in which no significant differences were found in plantar pressure distribution parameters in patients with low back pain. 5 In the current study, the PWS of LSS group was lower than control group. It's indicated that walking slowly with shorter step length might be the reason of these results in patients with pain.…”

Section: Discussionmentioning

confidence: 40%

“…1 Several investigators reported that patients with LSS may often have decreased walking speed due to the pain. [5][6][7] As such, patients with LSS experience alteration in walking pattern resulting from abnormal transmission of the forces from the upper body to lower body which may cause to alteration in plantar pressure distribution at the foot. 8 Walking is obviously critical for physical activity and performance for everyday life, and thus ambulation limitation is a severe health marker to be monitored.…”

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confidence: 99%

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The Evaluation of Walking Energy Consumption and Plantar Pressure Distribution in Patients with Lumbar Spinal Stenosis: A cross-sectional, case control study

Körlü¹,

Dal²,

Dağ³

et al. 2021

Turkiye Klinikleri J Med Sci

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To evaluate the alterations of walking energy expenditure and plantar pressure distribution of patients with lumbar spinal stenosis. Material and Methods: Twenty-six subjects of both genders were included in the study, 13 patients suffering from lumbar spinal stenosis served as patient group and 13 healthy participants served as a control group. Preferred walking speeds were determined on the over ground. Oxygen consumption was recorded via a metabolic analyzer during walking on a treadmill for 2 km at preferred walking speed that determined on the over ground. Net oxygen consumption and oxygen cost were calculated for obtaining walking energy consumption. Plantar area was subdivided into six zones to measure plantar pressure distribution with a pedobarography device. Results: Compared with control group, patient group had significantly lower preferred walking speed (62.56±13.90 m/minimum and 76.66±10.90 m/minimum, p=0.008) and maximum walking distance [674.6 (105.0-2000.0) m and 2000.0 (2000.0-2000.0) m, p=0.019]. However, there were no statistically significant differences between groups in terms of energy expenditure parameters during walking at preferred walking speed (p>0.05). Similar findings were recorded between right and left foot with regard to weight distribution (%) to forefoot/hindfoot in patient group in the static pedobarographic measurements (p>0.05). Contact area value was significantly different between the affected and unaffected side at lateral forefoot in patient group (22.73±2.97 and 24.90±2.9, p=0.001). Conclusion: Patients with lumbar spinal stenosis do not exhibit more pressure on unaffected side compared to healthy subjects in both static and dynamic condition except contact area of lateral forefoot. Patient group optimized energy expenditure and oxygen cost by reducing their preferred walking speed owing to the pain.

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Section: Discussionmentioning

confidence: 40%

mentioning

confidence: 99%

The Evaluation of Walking Energy Consumption and Plantar Pressure Distribution in Patients with Lumbar Spinal Stenosis: A cross-sectional, case control study

Körlü¹,

Dal²,

Dağ³

et al. 2021

Turkiye Klinikleri J Med Sci

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“…Lee et al 14 ) utilized posturography for the comparison of patients with LBP with a control group of healthy individuals. In their study, they mainly found significant differences in A-P excursion of COF between patients and the control group.…”

Section: Discussionmentioning

confidence: 99%

Specific rehabilitation exercise for the treatment of patients with chronic low back pain

Tomanová¹,

Lippert-Grüner

Lhotska

2015

J Phys Ther Sci

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[Purpose] To evaluate the efficacy of our special rehabilitation method for patients with low back pain (LBP). [Subjects and Methods] All participants (n=33) received at least five individual 30-minute therapy sessions per week using the INFINITY method® and six group therapy sessions per week in a gymnasium and swimming pool, each lasting 30 minutes and including the INFINITY method®. The treatment lasted between four to seven weeks. Plantar function using a graphic method (computer plantography), graphical quantification of postural control during static standing (posturography), and pain were measured and evaluated before and after rehabilitation therapy. The INFINITY method® is a special rehabilitation method for patients with musculoskeletal problems. The method focuses on stabilization and strengthening of the trunk, dorsal and abdominal muscles, including the deep stabilization system which is closely linked with diaphragmatic breathing. It teaches the central nervous system to control muscles more precisely. [Results] Plantar functions, postural control in the upright stance and pain of LBP patients were significantly improved by 4−7 weeks of rehabilitation treatment with the INFINITY method®. There were significant differences in all measured dependent variables of the patients between before and after treatment. [Conclusion] Rehabilitation therapy with the INFINITY method® positively influences body stabilization and pain in patients with problems of the lumbar spine. This method presents a new improved approach (with enhanced effect) to rehabilitation therapy for LBP patients.

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“…Gait is a complex process that involves the nervous and musculoskeletal systems. It is the repetitive and continuous motion which moves the body forward while maintaining a stable state during the stance phase 11 ) , and the physical activities of upright gait connect the lower limb joints and the spine, the central pillar of the trunk, in a kinetic chain, mutually influencing each other 12 ) . The role of the spine is essential in normal gait and spinal deformation affects the normal gait pattern 13 ) , which provides important information for the treatment of patients with walking problem through gait pattern analysis 14 ) .…”

Section: Introductionmentioning

confidence: 99%

Effects of gyrokinesis exercise on the gait pattern of female patients with chronic low back pain

Seo

Park

2016

J Phys Ther Sci

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[Purpose] The purpose of the present study was to use kinematic variables to identify the effects of 8/weeks’ performance of a gyrokinesis exercise on the gait pattern of females with chronic low back pain. [Subjects] The subjects of the present study were females in their late 20s to mid 30s who were chronic back pain patients. [Methods] A 3-D motion analysis system was used to measure the changes in their gait patterns between pre and post-gyrokintic exercise. The SPSS 21.0 statistics program was used to perform the paired t-test, to compare the gait patterns of pre-post-gyrokinesis exercise. [Results] In the gait analysis, pre-post-gyrokinesis exercise gait patterns showed statistically significant differences in right and left step length, stride length, right-left step widths, and stride speed. [Conclusion] Gait pattern analysis revealed increases in step length, stride length, and stride speed along with a decrease in step width after 8 weeks of gyrokinesis exercise, demonstrating it improved gait pattern.

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Plantar Pressure Distribution During Walking: Comparison of Subjects with and without Chronic Low Back Pain

Cited by 12 publications

References 12 publications

The Evaluation of Walking Energy Consumption and Plantar Pressure Distribution in Patients with Lumbar Spinal Stenosis: A cross-sectional, case control study

The Evaluation of Walking Energy Consumption and Plantar Pressure Distribution in Patients with Lumbar Spinal Stenosis: A cross-sectional, case control study

Specific rehabilitation exercise for the treatment of patients with chronic low back pain

Effects of gyrokinesis exercise on the gait pattern of female patients with chronic low back pain

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