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Williams, Jonathan M.; Haq, I.; Lee, R.Y. (2014)
Publisher: Springer Nature
Journal: BMC Musculoskeletal Disorders
Languages: English
Types: Article
Subjects: Lumbar, R, Research Article, Inertial sensor, Low back pain, Orthopedics and Sports Medicine, Kinematics, Biomechanics, Pain relief
Background Movement alterations are often reported in individuals with back pain. However the mechanisms behind these movement alterations are not well understood. A commonly cited mechanism is pain. The aim of this study was to investigate the effect of pain reduction, from oral analgesia, on lumbar kinematics in individuals with acute and chronic low back pain. Methods A prospective, cross-sectional, experimental repeated-measures design was used. Twenty acute and 20 chronic individuals with low back pain were recruited from General Practitioner and self-referrals to therapy departments for low back pain. Participants complained of movement evoked low back pain. Inertial sensors were attached to the sacrum and lumbar spine and used to measure kinematics. Kinematic variables measured were range of motion, angular velocity and angular acceleration as well as a determining movement irregularity (a measure of deviation from smooth motion). Kinematics were investigated before and after administration of oral analgesia to instigate pain reduction. Results Pain was significantly reduced following oral analgesia. There were no significant effects on the kinematic variables before and after pain reduction from oral analgesia. There was no interaction between the variables group (acute and chronic) and time (pre and post pain reduction). Conclusion The results demonstrate that pain reduction did not alter lumbar range of motion, angular velocity, angular acceleration or movement irregularity questioning the role of pain in lumbar kinematics. Electronic supplementary material The online version of this article (doi:10.1186/1471-2474-15-304) contains supplementary material, which is available to authorized users.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. Frymoyer JW: Back pain and sciatica. N Engl J Med 1988, 318(5):291-300.
    • 2. Marras WS, Wongsam PE: Flexibility and velocity of the normal and impaired lumbar spine. Arch Phys Med Rehabil 1986, 67(4):213-217.
    • 3. Marras WS, Parnianpour M, Ferguson SA, Kim J-Y, Crowell RR, Bose S, Simon SR: The classification of anatomic- and symptom- based low back disorders using motion measure models. Spine 1995, 20(23):2531-2546.
    • 4. Marras WS, Lewis KEK, Ferguson SA, Parnianpour M: Impairment magnification during dynamic trunk motion. Spine 2000, 25(5):587-595.
    • 5. Wong TKT, Lee RYW: Effects of low back pain on the relationship between the movements of the lumbar spine and hip. Hum Mov Sci 2004, 23(1):21-34.
    • 6. Shum GLK, Crosbie J, Lee RYW: Symptomatic and asymptomatic movement coordination of the lumbar spine and hip during an everyday activity. Spine 2005, 30(23):E697-E702.
    • 7. Shum GLK, Crosbie J, Lee RYW: Effect of low back pain on the kinematics and joint coordination of the lumbar spine and hip during sit-to-stand and stand-to-sit. Spine 2005, 30(17):1998-2004.
    • 8. Shum GLK, Crosbie J, Lee RYW: Movement coordination of the lumbar spine and hip during a picking up activity in low back pain subjects. Eur Spine J 2007, 16(6):749-758.
    • 9. Shum GLK, Crosbie J, Lee RYW: Three-dimensional kinetics of the lumbar spine and hips in low back pain patients during sit-to-stand and stand-to-sit. Spine 2007, 32(7):E211-E219.
    • 10. Marras WS, Ferguson SA, Gupta P, Bose S, Parnianpour M, Kim J-Y, Crowell RR: The quantification of low back disorder using motion measures: methodol and validation. Spine 1999, 24(20):2091-2100.
    • 11. Novy DM, Simmonds MJ, Olson SL, Lee CE, Jones SC: Physical performance: differences in men and women with and without low back pain. Arch Phys Med Rehabil 1999, 80(2):195-198.
    • 12. Marras WS, Lavender SA, Leurgans SE, Rajulu SL, Allread WG, Fathallah FA, Ferguson SA: The role of dynamic three-dimensional trunk motion in occupationally-related low back disorders: the effects of workplace factors, trunk position, and trunk motion characteristics on risk of injury. Spine 1993, 18(5):617-628.
    • 13. Ferguson SA, Marras WS: Spine kinematics predict symptom and lost time recurrence: how much recovery is enough? J Occup Rehabil 2013, 23(3):329-335.
    • 14. Ferguson SA, Marras WS, Gupta P: Longitudinal quantitative measures of the natural course of low back pain recovery. Spine 2000, 25(15):1950-1956.
    • 15. Hodges PW, Coppieters MW, MacDonald D, Cholewicki J: New insight into motor adaptation to pain revealed by a combination of modelling and empirical approaches. Eur J Pain 2013, 17(8):1138-1146.
    • 16. Hodges PW, Moseley LG: Pain and motor control of the lumbopelvic region: effect and possible mechanisms. J Electromyogr Kinesiol 2003, 13(4):361-370.
    • 17. Zedka M, Prochazka A, Knight B, Gillard D, Gauthier M: Voluntary and reflex control of human back muscles during induced pain. J Physiol 1999, 520(pt 2):591-604.
    • 18. Moe-Nilssen R, Ljunggren AE, Torebjork E: Dynamic adjustments of walking behaviour dependent on noxious input in experimental low back pain. Pain 1999, 83(3):477-485.
    • 19. Arendt-Nielsen L, Graven-Nielsen T, Svarrer H, Svensson P: The influence of low back pain on muscle activity and coordination during gait: a clinical and experimental study. Pain 1996, 64(2):231-240.
    • 20. Lamoth CJC, Daffertshofer A, Meijer OG, Moseley GL, Wuisman PIJM, Beek PJ: Effects of experimentally induced pain and fear of pain on trunk coordination and back muscle activity during walking. Clin Biomech 2004, 19(6):551-563.
    • 21. Williams J, Haq I, Lee RY: Is pain the cause of altered biomechanical functions in back pain sufferers? Hum Mov Sci 2010, 29(2):311-325.
    • 22. Lilius G, Laasonen E, Myllynen P, Harilainen A, Gronlund G: Lumbar facet joint syndrome. J Bone Joint Surg (Br) 1989, 71(4):681-684.
    • 23. Jarzem PF, Harvey EJ, Arcaro N, Kaczorowski J: Transcutaneous electrical nerve stimulation [TENS] for short-term treatment of low back painRandomised double blind crossover study of sham versus conventional TENS. J Musculoskel Pain 2005, 13(2):11-17.
    • 24. Simmonds M: Measuring and managing pain and performance. Man Ther 2006, 11(3):175-179.
    • 25. Davis KG, Kotowski SE: Preliminary evidence of the short-term effectiveness of alternative treatments of low back pain. Technol Health Care 2005, 13(6):453-462.
    • 26. Mutungi G, Ranatunga K: Temperature-dependent changes in the viscoelasticity of intact resting mammalian (rat) fast- and slow-twitch muscle fibres. J Physiol 1998, 508(1):253-265.
    • 27. Bass C, Planchak C, Salzar R, Lucas S, Rafaels K, Shender B, Paskoff G: The temperature-dependent viscoelasticity of porcine lumbar spine ligaments. Spine 2007, 32(16):E436-E442.
    • 28. Williams JM, Haq I, Lee RY: The effect of pain relief on dynamic changes in curvature. Man Ther 2013, 18(2):149-154.
    • 29. Microstrain Sensing Systems Inertial Sensor Specifications: Microstrain Sensing Systems Inertial Sensor Specifications. 2014. Available at http://www.microstrain.com/inertial/3DM-GX3-25 Accessed 14th Feb.
    • 30. Burnett AF, Barrett C, Marshall R, Elliott B, Day R: Three-dimensional measurement of lumbar spine kinematics for fast bowlers in cricket. Clin Biomech (Bristol, Avon) 1998, 13(8):574-583.
    • 31. McGill SM, Cholewicki J, Peach JP: Methodological considerations for using inductive sensors (3 space isotrak) to monitor 3-D orthopaedic joint motion. Clin Biomech (Bristol, Avon) 1997, 13(3):190-194.
    • 32. Williams J, Haq I, Lee R: A novel approach to the clinical evaluation of differential kinematics of the lumbar spine. Man Ther 2012, 18(2):130-135.
    • 33. Swinkels-Meewisse IE, Roelofs J, Schouten EG, Verbeek AL, Oostendorp RA, Vlaeyen JW: Fear of movement/(re)injury predicting chronic disabling low back pain: a prospective inception cohort study. Spine 2006, 31(6):658-664.
    • 34. Vlaeyen JWS, Kole-Snijders AMJ, Boeren RGB, van Eek H: Fear of movement/ (re)injury in chronic low back pain and its relation to behavioural performance. Pain 1995, 62(3):363-372.
    • 35. Thomas JS, France CR: Pain-related fear is associated with avoidance of spinal motion during recovery from low back pain. Spine 2007, 32(16):E460-E466.
    • 36. Thomas JS, France CR, Lavender SA, Johnson MR: Effects of fear of movement on spine velocity and acceleration after recovery from low back pain. Spine 2008, 33(5):564-570.
    • 37. Trost Z, France CR, Sullivan MJ, Thomas JS: Pain-related fear predicts reduced spinal motion following experimental back injury. Pain 2012, 153(5):1015-1021.
    • 38. Moseley GL, Hodges PW: Are the changes in postural control associated with low back pain caused by pain interference? Clin J Pain 2005, 21(4):323-329.
    • 39. Marras W, Jorgensen M, Davis K: Effect of foot movement and an elastic lumbar back support on spinal loading during free-dynamic symmetric and asymmetric lifting exertions. Ergonomics 2000, 43(5):653-668.
    • 40. Pal P, Milosavljevic S, Sole G, Johnson G: Hip and lumbar continuous motion characteristics during flexion and return in young healthy males. Eur Spine J 2007, 16(6):741-747.
    • 41. Van Herp G, Rowe P, Salter P, Paul JP: Three-dimensional lumbar spine kinematics: a study of range of movement in 100 healthy subjects aged 20 to 60+ years. Rheumatology 2000, 39(12):1337-1340.
    • 42. Ha T-H, Saber-Sheikh K, Moore AP, Jones MP: Measurement of lumbar spine range of movement and coupled motion using inertial sensors - A protocol validity study. Man Ther 2013, 18(1):87-91.
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