Biomechanical comparison of walking with a new, wearable rehabilitation training device to Nordic walking and regular walking in people with chronic low back pain

Sommer, Bettina; Pauli, Carole; McCaskey, Michael; Behrendt, Frank; Schuster-Amft, Corina; Graf, Eveline

doi:10.1080/10400435.2022.2138634

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-26297

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Biomechanical comparison of walking with a new, wearable rehabilitation training device to Nordic walking and regular walking in people with chronic low back pain
Authors:	Sommer, Bettina Pauli, Carole McCaskey, Michael Behrendt, Frank Schuster-Amft, Corina Graf, Eveline
et. al:	No
DOI:	10.1080/10400435.2022.2138634 10.21256/zhaw-26297
Published in:	Assistive Technology
Issue Date:	8-Nov-2022
Publisher / Ed. Institution:	Taylor & Francis
ISSN:	1040-0435 1949-3614
Language:	English
Subjects:	Wearable training device; Low back pain; Unstable walking
Subject (DDC):	616.7: Diseases of musculoskeletal system and orthopaedics
Abstract:	Physical activity, particularly walking, is commonly used for the treatment of diseases such as low back pain. In this study, the effects of walking wearing the new ToneFit Reha training belt (TFR) were compared to both Nordic walking and regular walking. The TFR is intended to intensify the effects of walking through the integration of two adjustable resistance handles. Ten patients with low back pain performed regular walking, Nordic walking and walking with the TFR in a movement laboratory. The kinematics of the trunk, upper extremities and lower extremities were measured, and the activity of the trunk and upper extremity muscles recorded. Data were analysed by repeated-measures ANOVA and paired t-test. Kinematics indicated that walking with the TFR introduces instability that was mitigated by a delayed peak trunk rotation (peak at 63.3% gait cycle, vs. 52.8% in walking (p=0.001) and 51.0% in NW (p=0.007)). Upper extremity kinematics (constrained elbow flexion, high peak shoulder abduction) showed movement patterns that need to be considered when training over a longer period. Increased muscle activity was observed especially for upper extremity muscles, when training with TFR. Overall, walking with the TFR was found to be a suitable therapy for use in a rehabilitation setting.
URI:	https://digitalcollection.zhaw.ch/handle/11475/26297
Fulltext version:	Accepted version
License (according to publishing contract):	Licence according to publishing contract
Restricted until:	2023-11-08
Departement:	School of Health Sciences
Organisational Unit:	Institute of Physiotherapy (IPT)
Published as part of the ZHAW project:	Tonefit Reha
Appears in collections:	Publikationen Gesundheit

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Sommer, B., Pauli, C., McCaskey, M., Behrendt, F., Schuster-Amft, C., & Graf, E. (2022). Biomechanical comparison of walking with a new, wearable rehabilitation training device to Nordic walking and regular walking in people with chronic low back pain. Assistive Technology. https://doi.org/10.1080/10400435.2022.2138634

Sommer, B. et al. (2022) ‘Biomechanical comparison of walking with a new, wearable rehabilitation training device to Nordic walking and regular walking in people with chronic low back pain’, Assistive Technology [Preprint]. Available at: https://doi.org/10.1080/10400435.2022.2138634.

B. Sommer, C. Pauli, M. McCaskey, F. Behrendt, C. Schuster-Amft, and E. Graf, “Biomechanical comparison of walking with a new, wearable rehabilitation training device to Nordic walking and regular walking in people with chronic low back pain,” Assistive Technology, Nov. 2022, doi: 10.1080/10400435.2022.2138634.

SOMMER, Bettina, Carole PAULI, Michael MCCASKEY, Frank BEHRENDT, Corina SCHUSTER-AMFT und Eveline GRAF, 2022. Biomechanical comparison of walking with a new, wearable rehabilitation training device to Nordic walking and regular walking in people with chronic low back pain. Assistive Technology. 8 November 2022. DOI 10.1080/10400435.2022.2138634

Sommer, Bettina, Carole Pauli, Michael McCaskey, Frank Behrendt, Corina Schuster-Amft, and Eveline Graf. 2022. “Biomechanical Comparison of Walking with a New, Wearable Rehabilitation Training Device to Nordic Walking and Regular Walking in People with Chronic Low Back Pain.” Assistive Technology, November. https://doi.org/10.1080/10400435.2022.2138634.

Sommer, Bettina, et al. “Biomechanical Comparison of Walking with a New, Wearable Rehabilitation Training Device to Nordic Walking and Regular Walking in People with Chronic Low Back Pain.” Assistive Technology, Nov. 2022, https://doi.org/10.1080/10400435.2022.2138634.