Pain intensity attenuates movement control of the lumbar spine in low back pain

Bauer, Christoph; Rast, Fabian; Ernst, Markus; Oetiker, Sarah; Meichtry, André; Kool, Jan; Rissanen, Saara M.; Suni, Jaana H.; Kankaanpää, Markku

doi:10.21256/zhaw-2707

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-2707

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Pain intensity attenuates movement control of the lumbar spine in low back pain
Authors:	Bauer, Christoph Rast, Fabian Ernst, Markus Oetiker, Sarah Meichtry, André Kool, Jan Rissanen, Saara M. Suni, Jaana H. Kankaanpää, Markku
DOI:	10.21256/zhaw-2707 10.1016/j.jelekin.2015.10.004
Published in:	Journal of Electromyography and Kinesiology
Volume(Issue):	25
Issue:	6
Page(s):	919
Pages to:	927
Issue Date:	2015
Publisher / Ed. Institution:	Elsevier
ISSN:	1050-6411 1873-5711
Language:	English
Subjects:	Biomechanical phenomena; Movement disorders; Recurrence quantification analysis; Adult; Aged; Biomechanical Phenomena; Female; Humans; Low Back Pain; Lumbar Vertebrae; Male; Middle Aged; Muscle, Skeletal; Range of Motion, Articular; Movement; Postural Balance
Subject (DDC):	617.5: Orthopaedic surgery
Abstract:	Pain intensity attenuates muscular activity, proprioception, and tactile acuity, with consequent changes of joint kinematics. People suffering from low back pain (LBP) frequently show movement control impairments of the lumbar spine in sagittal plane. This cross-sectional, observational study investigated if the intensity of LBP attenuates lumbar movement control. The hypothesis was that lumbar movement control becomes more limited with increased pain intensity. Methods: The effect of LBP intensity, measured with a numeric rating scale (NRS), on lumbar movement control was tested using three movement control tests. The lumbar range of motion (ROM), the ratio of lumbar and hip ROM as indicators of direction specific movement control, and the recurrence and determinism of repetitive lumbar movement patterns were assessed in ninety-four persons suffering from LBP of different intensity and measured with an inertial measurement unit system. Generalized linear models were fitted for each outcome. Results: Lumbar ROM (+0.03°, p = 0.24) and ratio of lumbar and hip ROM (0.01, p = 0.84) were unaffected by LBP intensity. Each one point increase on the NRS resulted in a decrease of recurrence and determinism of lumbar movement patterns (-3.11 to −0.06, p ⩽ 0.05). Discussion: Our results indicate changes in movement control in people suffering from LBP. Whether decreased recurrence and determinism of lumbar movement patterns are intensifiers of LBP intensity or a consequence thereof should be addressed in a future prospective study.
URI:	https://digitalcollection.zhaw.ch/handle/11475/8894
Fulltext version:	Accepted version
License (according to publishing contract):	CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International
Departement:	School of Health Sciences
Published as part of the ZHAW project:	„Valedo Movement Lab“: Das portable Bewegungslabor misst Bewegungs-Qualität bei unteren Rückenschmerzen
Appears in collections:	Publikationen Gesundheit

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Bauer, C., Rast, F., Ernst, M., Oetiker, S., Meichtry, A., Kool, J., Rissanen, S. M., Suni, J. H., & Kankaanpää, M. (2015). Pain intensity attenuates movement control of the lumbar spine in low back pain. Journal of Electromyography and Kinesiology, 25(6), 919–927. https://doi.org/10.21256/zhaw-2707

Bauer, C. et al. (2015) ‘Pain intensity attenuates movement control of the lumbar spine in low back pain’, Journal of Electromyography and Kinesiology, 25(6), pp. 919–927. Available at: https://doi.org/10.21256/zhaw-2707.

C. Bauer et al., “Pain intensity attenuates movement control of the lumbar spine in low back pain,” Journal of Electromyography and Kinesiology, vol. 25, no. 6, pp. 919–927, 2015, doi: 10.21256/zhaw-2707.

BAUER, Christoph, Fabian RAST, Markus ERNST, Sarah OETIKER, André MEICHTRY, Jan KOOL, Saara M. RISSANEN, Jaana H. SUNI und Markku KANKAANPÄÄ, 2015. Pain intensity attenuates movement control of the lumbar spine in low back pain. Journal of Electromyography and Kinesiology. 2015. Bd. 25, Nr. 6, S. 919–927. DOI 10.21256/zhaw-2707

Bauer, Christoph, Fabian Rast, Markus Ernst, Sarah Oetiker, André Meichtry, Jan Kool, Saara M. Rissanen, Jaana H. Suni, and Markku Kankaanpää. 2015. “Pain Intensity Attenuates Movement Control of the Lumbar Spine in Low Back Pain.” Journal of Electromyography and Kinesiology 25 (6): 919–27. https://doi.org/10.21256/zhaw-2707.

Bauer, Christoph, et al. “Pain Intensity Attenuates Movement Control of the Lumbar Spine in Low Back Pain.” Journal of Electromyography and Kinesiology, vol. 25, no. 6, 2015, pp. 919–27, https://doi.org/10.21256/zhaw-2707.