Timing and magnitude of lumbar spine contribution to trunk forward bending and backward return in patients with acute low back pain

Iman Shojaei, Milad Vazirian, Elizabeth G. Salt, Linda R. Van Dillen, Babak Bazrgari

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

Alterations in the lumbo-pelvic coordination denote changes in neuromuscular control of trunk motion as well as load sharing between passive and active tissues in the lower back. Differences in timing and magnitude aspects of lumbo-pelvic coordination between patients with chronic low back pain (LBP) and asymptomatic individuals have been reported; yet, the literature on lumbo-pelvic coordination in patients with acute LBP is scant. A case-control study was conducted to explore the differences in timing and magnitude aspects of lumbo-pelvic coordination between females with (n=19) and without (n=19) acute LBP. Participants in each group completed one experimental session wherein they performed trunk forward bending and backward return at preferred and fast paces. The amount of lumbar contribution to trunk motion (as the magnitude aspect) as well as the mean absolute relative phase (MARP) and deviation phase (DP) between thoracic and pelvic rotations (as the timing aspect) of lumbo-pelvic coordination were calculated. The lumbar contribution to trunk motion in the 2nd and the 3rd quarters of both forward bending and backward return phases was significantly smaller in the patient than the control group. The MARP and the DP were smaller in the patient vs. the control group during entire motion. The reduced lumbar contribution to trunk motion as well as the more in-phase and less variable lumbo-pelvic coordination in patients with acute LBP compared to the asymptomatic controls is likely the result of a neuromuscular adaptation to reduce painful deformation and to protect injured lower back tissues.

Original languageEnglish
Pages (from-to)71-77
Number of pages7
JournalJournal of Biomechanics
Volume53
DOIs
StatePublished - Feb 28 2017

Bibliographical note

Funding Information:
This work was supported in part by the National Center for Research Resources [UL1TR000117] and the National Center for Advancing Translational Sciences [UL1TR000117]. Dr. Van Dillen׳s contribution was supported by grant NICHD/NCMRR R01 HD047709. The content of this manuscript is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Health.

Publisher Copyright:
© 2017 Elsevier Ltd

Keywords

  • Acute low back pain
  • Continuous relative phase
  • Lumbo-pelvic coordination
  • Timing and magnitude aspects
  • Trunk forward bending and backward return

ASJC Scopus subject areas

  • Biophysics
  • Orthopedics and Sports Medicine
  • Biomedical Engineering
  • Rehabilitation

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