The effect of visual cues at different heights on sit-to-stand movements in people with and without low back pain

IF 2.2 3区 医学 Q1 REHABILITATION
Cathrine H. Feier, Stephen H.M. Brown
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引用次数: 0

Abstract

Background

Investigating movement strategies that can be utilized to avoid pain-provocation could enhance the management of low back pain episodes.

Objective

To assess the effect of visual cues at different heights on the kinematics of sit-to-stand movements, as well as perceived difficulty and pain levels.

Design

Cross-over design comparing individuals with low back pain to healthy controls.

Methods

26 asymptomatic controls and 15 individuals with chronic, recurrent low back pain performed 5 sets of 5 sit-to-stand movements. High, middle, and low visual cues were used during sets 2–4. Spinal sagittal plane range of motion, peak spinal flexion and extension angles, and trunk centre of mass velocity were obtained from kinematic data.

Results

The low cue led to significantly more head and lumbar spine flexion, while the high cue led to significantly more head and thoracic spine extension and increased thoracic spine range of motion. The low back pain group demonstrated a significantly lower vertical trunk centre of mass velocity than the control group during the high cue trials. There was a significant association between higher perceived difficulty scores and lower trunk centre of mass velocity for the low back pain group. Pain scores were not significantly different between cue conditions.

Conclusion

Visual cues can be used to temporarily change the spinal kinematics of sit-to-stand movements in people with and without low back pain. This could be helpful in clinical practice to encourage more, or less, movement in specific spinal regions, and avoid pain provocation to facilitate functional rehabilitation.

不同高度的视觉提示对腰痛患者和无腰痛患者从坐到站动作的影响
背景研究可用于避免疼痛诱发的运动策略可加强对腰背痛发作的管理。目的评估不同高度的视觉提示对坐立运动的运动学以及感知难度和疼痛程度的影响。方法26名无症状对照组和15名慢性复发性腰背痛患者进行了5组5次坐立运动。在第 2-4 组中使用了高、中、低视觉提示。从运动学数据中获得了脊柱矢状面运动范围、脊柱屈伸角度峰值和躯干质心速度。结果低视线提示使头部和腰椎屈曲明显增加,而高视线提示使头部和胸椎伸展明显增加,胸椎运动范围增大。腰痛组在高提示试验中的躯干垂直质心速度明显低于对照组。腰痛组的难度感知评分较高,而躯干质量中心速度较低,两者之间存在明显关联。结论视觉提示可用于暂时改变腰背痛患者和非腰背痛患者从坐到站运动的脊柱运动学。这在临床实践中可能会有所帮助,以鼓励在特定脊柱区域进行更多或更少的运动,并避免引发疼痛,从而促进功能康复。
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来源期刊
Musculoskeletal Science and Practice
Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
4.10
自引率
8.70%
发文量
152
审稿时长
48 days
期刊介绍: Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.
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