Rehabilitation of a Young Athlete With Extension-Based Low Back Pain Addressing Motor-Control Impairments and Central Sensitization

Winslow, John; Jackson, Mark; Getzin, Andrew; Costello, Michael

doi:10.4085/1062-6050-238-16

Cited by 13 publications

(8 citation statements)

References 39 publications

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“…However, the current evidence suggests that it is not only a question about muscle characteristics but about motor control 13 , 15 . Motor control means the ability to control movements during functional activities such as jumping, running, squatting, pivoting, etc 42 . This obviously includes the Central Nervous System (CNS) into the game.…”

Section: Discussionmentioning

confidence: 99%

Normative data and correlation between dynamic knee valgus and neuromuscular response among healthy active males: a cross-sectional study

Llurda-Almuzara

Pérez‐Bellmunt

López-de-Celis

et al. 2020

Sci Rep

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The dynamic knee valgus (DKV) during different sport maneuvers has been widely described as risk factor to develop an anterior cruciate ligament injury. Hip and knee muscles seem to have a crucial role to prevent the dynamic knee valgus. This study aimed to give normative and correlational data about DKV and hip and knee neuromuscular response (NMR) among healthy active males. The hypothesis is that DKV could be correlated with hip NMR. A cross-sectional correlational study. Research Anatomy Laboratory. The study was carried out among 50 active, non-injured males. Dynamic Knee-Valgus angle and lower limb posterior chain muscles Neuromuscular Response. DKV was measured using Kinovea software during a Single-Legged Drop Jump test and NMR was measured using tensiomyography and myotonometry for gluteus maximum, biceps femoris, semitendinosus, lateral and medial gastrocnemius. Right and left limbs were both performed and analyzed independently. No significant correlation was observed between DKV and hip and knee muscles NMR. This study shows normative and correlational data about dynamic knee valgus, tensiomyography and myotonometry for healthy and active males. The DKV control seems to be non-correlated with isolated hip and knee muscles NMR so this suggests it is more about Central Nervous System activity than about isolated muscles NMR.

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Section: Discussionmentioning

confidence: 99%

Normative data and correlation between dynamic knee valgus and neuromuscular response among healthy active males: a cross-sectional study

Llurda-Almuzara

Pérez‐Bellmunt

López-de-Celis

et al. 2020

Sci Rep

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“…Various factors, such as fear of pain and a history of pain during extension, in addition to weak lumbar extension muscles can affect the patient's movement. Moreover, structural, neurophysiological and behavioral changes in the lumbar spine may lead to a decrease in the deep sense and awareness of the patient's lumbar movements, especially during extension [31].…”

Section: Direction Effectmentioning

confidence: 99%

A Practical Sensor-Based Methodology for the Quantitative Assessment and Classification of Chronic Non Specific Low Back Patients (NSLBP) in Clinical Settings

Davoudi

Shokouhyan

Abedi

et al. 2020

Sensors

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The successful clinical application of patient-specific personalized medicine for the management of low back patients remains elusive. This study aimed to classify chronic nonspecific low back pain (NSLBP) patients using our previously developed and validated wearable inertial sensor (SHARIF-HMIS) for the assessment of trunk kinematic parameters. One hundred NSLBP patients consented to perform repetitive flexural movements in five different planes of motion (PLM): 0° in the sagittal plane, as well as 15° and 30° lateral rotation to the right and left, respectively. They were divided into three subgroups based on the STarT Back Screening Tool. The sensor was placed on the trunk of each patient. An ANOVA mixed model was conducted on the maximum and average angular velocity, linear acceleration and maximum jerk, respectively. The effect of the three-way interaction of Subgroup by direction by PLM on the mean trunk acceleration was significant. Subgrouping by STarT had no main effect on the kinematic indices in the sagittal plane, although significant effects were observed in the asymmetric directions. A significant difference was also identified during pre-rotation in the transverse plane, where the velocity and acceleration decreased while the jerk increased with increasing asymmetry. The acceleration during trunk flexion was significantly higher than that during extension, in contrast to the velocity, which was higher in extension. A Linear Discriminant Analysis, utilized for classification purposes, demonstrated that 51% of the total performance classifying the three STarT subgroups (65% for high risk) occurred at a position of 15° of rotation to the right during extension. Greater discrimination (67%) was obtained in the classification of the high risk vs. low-medium risk. This study provided a smart “sensor-based” practical methodology for quantitatively assessing and classifying NSLBP patients in clinical settings. The outcomes may also be utilized by leveraging cost-effective inertial sensors, already available in today’s smartphones, as objective tools for various health applications towards personalized precision medicine.

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“…Esta información se puede relacionar con la de otros estudios que también muestran datos respecto al porcentaje de gimnastas de GR que manifiestan haber padecido LBP en algún momento de su carrera deportiva. Según Hutchinson (1999) y Winslow et al (2018), el 86% de las gimnastas de GR entrevistadas manifestaron sufrir LBP. En el estudio de Kums et al (2007), el 50% de las gimnastas de GR padecían LBP.…”

Section: Discussionunclassified

Prevención de hiperlordosis lumbar y patologías asociadas en gimnastas de gimnasia rítmica

Galán

Rosa

2021

RIMCAFD

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Se analizó el efecto de un programa de flexibilización y fortalecimiento muscular de 12 semanas de duración para prevenir la Hiperlordosis Lumbar (HLL) y sus patologías asociadas: el dolor lumbar (LBP) en un grupo de 30 jóvenes gimnastas de Gimnasia Rítmica (GR) (8,37 ± 1,81 años) de nivel no élite. El grupo control continuó con su entrenamiento habitual de GR. La curva lumbar fue evaluada mediante el Test de Flechas Sagitales antes y después de la intervención. Asimismo, se entrevistó a las gimnastas sobre su incidencia de LBP. Tras la intervención, la curva lumbar se redujo significativamente (p < 0,05) y la incidencia de LBP disminuyó en un 33,3%. No se encontró relación entre el nivel de HLL y la incidencia de LBP. El Tamaño del Efecto (TE) del programa aplicado resultó ser de magnitud pequeña. Se anima a seguir aplicando este tipo de iniciativas en el entrenamiento de GR.

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Rehabilitation of a Young Athlete With Extension-Based Low Back Pain Addressing Motor-Control Impairments and Central Sensitization

Cited by 13 publications

References 39 publications

Normative data and correlation between dynamic knee valgus and neuromuscular response among healthy active males: a cross-sectional study

Normative data and correlation between dynamic knee valgus and neuromuscular response among healthy active males: a cross-sectional study

A Practical Sensor-Based Methodology for the Quantitative Assessment and Classification of Chronic Non Specific Low Back Patients (NSLBP) in Clinical Settings

Prevención de hiperlordosis lumbar y patologías asociadas en gimnastas de gimnasia rítmica

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