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2014년 5월 10일 토요일

Dynamic stability of the trunk during unstable sitting in people with low back pain

Brief review


spine저널에서 이번 달에 출판된 논문 입니다.


*Title: Dynamic stability of the trunk during unstable sitting in people with low back pain

*Authors: Freddolini Marco, Strike Siobhan, Lee Raymond


STUDY DESIGN
Cross-sectional study


OBJECTIVE
To evaluate the dynamic stability and kinematics of the trunk during unstable sitting.
To determine the differences in these biomechanical parameters between healthy participants and participants with low back pain (LBP).


SUMMARY OF BACKGROUND DATA
Patients with LBP exhibited alterations in trunk kinematics while performing different dynamic tasks and in static posture as a result of pain. It is not clear if changing in trunk motion may reduce postural control and the ability to perform a balancing task.


METHODS
Group1: 23 participants with LBP
Group2: 31 healthy participants

*Protocol:
1) participants were sitted on a custom-made swinging chair
2) To regain the balance after tilting the chair backward for 10° and 20°
-Lumbar spine, pelvis, and chair motions were recorded using FASTRAK sensors.
-The thoracolumbar curvature of all participants was also evaluated in the standing position.
-The angular displacement of the chair was fitted in an equation describing the underdamped second-order response to a step input.
































RESULTS
Kinematic analysis showed that the hip range of motion increased whereas spine range of motion angle decreased in participants with LBP for both tilt angles (P < 0.05). There were no significant differences between the 2 subject groups in the time required to regain balance, and the natural frequency and damping ratio of the kinematic equation. Lumbar lordosis significantly decreased in LBP group.




CONCLUSION
Participants with LBP showed trunk postural and movement adaptations that seems to be compensatory strategies to decrease the risk of further injuries and aggravation of the symptoms, but their ability to regain the balance was not affected by LBP. Clinicians should encourage patients with LBP to remain active while they are experiencing pain.