Effects of non-specific low back pain on static balance in emerging adults.

IF 1.6 4区 医学 Q2 REHABILITATION
Physiotherapy Theory and Practice Pub Date : 2025-04-01 Epub Date: 2024-06-10 DOI:10.1080/09593985.2024.2364805
Karen V Lomond, Jennifer K Sansom
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引用次数: 0

Abstract

Background: Postural control impairments in middle-aged or older people with chronic low back pain (CLBP) have been extensively documented. However, little is known about changes in postural control early in the disease process which may underlie compensatory movement strategies.

Objective: Our purpose was to quantify postural sway and sensory weighting in emerging adults with and without CLBP.

Methods: Nineteen emerging adults with CLBP (age = 18-26 years (21.11 ± 1.73)) and 19 matched peers without CLBP (18-27 years (22.20 ± 1.97)) participated in a cross-sectional study. Displacement of the center of mass during Quiet stance (QS), Tandem stance (TS), and Unilateral stance (US) on 2 surfaces (stable, unstable) were used to assess postural sway. Sensory Organization Test (SOT) was used to assess sensory weighting.

Results: Emerging adults with CLBP showed large, significant increases in postural sway during unstable TS (p ≤ .020). Participants with CLBP relied more on somatosensory input, as evidenced by lower equilibrium scores during conditions favoring visual (p = .020) or vestibular (p < .001) input during the SOT.

Conclusion: Emerging adults with CLBP showed postural control impairments related to altered sensory weighting. These findings provide insights into the development of CLBP and its effects on postural control. This information may aid early identification, monitoring, and treatment of individuals in the initial stages of disease development who may have unrecognized postural impairments.

非特异性腰背痛对成年人静态平衡的影响。
背景:慢性腰背痛(CLBP)患者中老年人的姿势控制障碍已被广泛记录。然而,人们对疾病早期姿势控制的变化知之甚少,而这种变化可能是代偿运动策略的基础:我们的目的是量化患有和未患有腰背痛的成年人的姿势摇摆和感觉权重:19名患有CLBP的成年人(年龄为18-26岁(21.11 ± 1.73))和19名不患有CLBP的成年人(年龄为18-27岁(22.20 ± 1.97))参加了横断面研究。研究人员使用静态站姿(QS)、串联站姿(TS)和单侧站姿(US)在两个表面(稳定和不稳定)上的质心位移来评估姿势摇摆。感觉组织测试(SOT)用于评估感觉权重:结果:患有慢性阻塞性脑脊髓膜炎的成年人在不稳定的 TS 条件下姿势摇摆明显增加(p ≤ .020)。CLBP患者更依赖于躯体感觉输入,这从他们在视觉(p = .020)或前庭(p = .020)条件下平衡得分较低可以看出:患有慢性阻塞性脑脊髓膜炎的成年人表现出的姿势控制障碍与感觉权重的改变有关。这些研究结果为我们提供了有关 CLBP 的发展及其对姿势控制影响的见解。这些信息可能有助于早期识别、监测和治疗处于疾病发展初期、可能存在未被发现的姿势障碍的患者。
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来源期刊
CiteScore
3.40
自引率
10.00%
发文量
300
期刊介绍: The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.
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