Effect of unstable shoes on trunk posture during standing and gait in chronic low back pain

Q3 Social Sciences

Movement and Sports Sciences - Science et Motricite Pub Date : 2017-01-01 DOI:10.1051/SM/2017017

A. Tabard-Fougère, S. Genevay, Z. Tavcar, N. Vuillerme, S. Armand

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引用次数: 2

Abstract

Chronic low back pain (CLBP) is a common painful condition affecting particularly medical hospital staff. Wearing unstable shoes could be proposed as an alternative treatment as a pain decrease was observed in a recent study. A six-week treatment showed pain decrease that could be linked to a more vertical trunk posture. Therefore, the aim of this study was to evaluate if unstable shoes allow a more vertical posture of the trunk in the sagittal plane explaining this decrease in pain after six weeks of wearing. Forty CLBP hospital employees were randomly distributed in intervention (IG, n = 17) and control group (CG, n = 16) wearing respectively unstable and stable shoes. Gait and orthostatic trunk kinematics were recorded before and after six weeks in barefoot and shoes conditions. IG participants were defined responders (R-IG, n = 8) if a pain reduction ≥ 2 points (difference in values obtained with a visual analogue scale pain scale (VAS) before and after 6 weeks) was observed; otherwise, IG participants were defined non-responders (NR-IG, n = 9) (pain reduction < 2). IG had a tendency to show a trunk more vertical than CG in orthostatic position and R-IG had a tendency to show a trunk more vertical than NR-IG during gait. Due to the small observed differences, it is difficult to conclude on the effect of unstable shoes on trunk posture and gait of CLBP patients after six weeks of wearing.

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不稳定鞋对慢性腰痛患者站立时躯干姿势及步态的影响

慢性腰痛(CLBP)是一种常见的疼痛状况，特别是影响医务人员。最近的一项研究发现，穿不稳定的鞋子可以减轻疼痛，因此可以作为一种替代治疗方法。为期六周的治疗显示，疼痛减轻可能与更垂直的躯干姿势有关。因此，本研究的目的是评估不稳定的鞋子是否能使躯干在矢状面更垂直，从而解释穿了六周后疼痛的减少。40名CLBP医院员工随机分为干预组(IG, n = 17)和对照组(CG, n = 16)，分别穿着不稳定鞋和稳定鞋。在赤脚和穿鞋的条件下，记录步态和直立躯干运动学前后6周。如果观察到疼痛减轻≥2分(6周前后视觉模拟疼痛量表(VAS)获得的数值差异)，IG参与者被定义为反应者(R-IG, n = 8);否则，IG参与者被定义为无反应(NR-IG, n = 9)(疼痛减轻< 2)。直立体位IG比CG更倾向于显示躯干垂直，步态时R-IG比NR-IG更倾向于显示躯干垂直。由于观察到的差异很小，因此很难得出不稳定鞋在穿六周后对CLBP患者躯干姿势和步态的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Movement and Sports Sciences - Science et Motricite Social Sciences-Social Sciences (miscellaneous)

CiteScore

1.00

自引率

0.00%

发文量

期刊介绍： Movement & Sport Sciences - Science & Motricité is a peer-reviewed journal published on behalf of the French Association of Sport and Exercise Sciences (ACAPS). The journal publishes scientific articles related to human movement, physical activity, rehabilitation, sport and performance in a multidisciplinary perspective. All scientific disciplines are represented: physiology, biomecanics, neuroscience, motor control, psychology, sociology, management, history, epistemology. Fundamental, empirical and more applied or technological approaches are welcome.