•Decreased ankle proprioception in older adults with LBP compared with healthy peers.•Older adults with LBP underestimate the extent of ankle inversion.•Impaired central proprioceptive processing in ...older people with LBP.
For people above 65 years old, low-back pain (LBP) is associated with balance problems and falls. Down-weighting of proprioception due to ageing and LBP may cause such balance problems. While lumbar proprioceptive deficits have been shown in LBP and indications for more generalized deficits have been found, ankle proprioception, which is crucial for balance control, has not been studied in people with LBP.
Is there any difference in ankle proprioceptive acuity between community-dwelling older adults with and without LBP? We hypothesized that ankle proprioception was impaired in community-dwelling older adults with LBP compared to those without LBP.
Thirty participants over 65 years old volunteered. Fifteen had LBP (M/F = 2/13, age = 72.0 (4.6) years), fifteen were healthy controls without back pain (control group) (M/F = 2/13, age = 72.1 (4.8) years). Ankle proprioception was measured in normal weight-bearing conditions, using the Active Movement Extent Discrimination Apparatus (AMEDA). Accuracy on the ankle proprioceptive test was expressed as absolute error (AE), constant error (CE) and variable error (VE).
AE was significantly larger (P = 0.029, 95 % CI = 0.00, 0.90) in the LBP group, CE was also significantly larger (P = 0.046, 95 % CI = -0.91, −0.01), indicating an underestimation of ankle inversion in participants with LBP compared to controls. VE was not different between the two groups (P = 0.520, 95 % CI = -0.20, 0.59). No significant correlation was found between pain intensity and AE, CE or VE (P > 0.05).
Ankle proprioception decreased in older people with LBP compared to healthy peers, suggesting impaired central proprioceptive processing. Older people with LBP underestimate the extent of ankle inversion, which may increase fall risk. Thus, evaluation and training of ankle proprioception may be useful in older people with LBP.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
Chronic non-specific low back pain (CNLBP) is a complex condition characterized by pain, dysfunction, disturbed sleep, anxiety, and depression, all of which impair the quality of life. Previous ...studies showed that practicing Tai Chi had effects on chronic low back pain. However, there is a lack of evidence on its impact on sleep. The trial will evaluate the use of Tai Chi as a treatment for insomnia in elderly people with CNLBP.
The study design will be a randomized, controlled, open-label trial. Participants (
= 106) will be recruited from the Hospital of Chengdu University of Traditional Chinese Medicine, Qing Yang District University for the Elderly, and Ci Tang Street Community. Participants will be randomly assigned to the Tai Chi group (
= 53) and the control group (
= 53). The Tai Chi group will undergo a Yang-style 24-form Tai Chi program for 8 weeks. The control group will have a waiting period of 8 weeks, followed by 8 weeks of Tai Chi practice. The primary outcomes of this study will be changes in sleep quality and pain intensity. Secondary outcomes of interest will include changes in the quality of pain, range of motion, physical performance, social support, and overall quality of life. Any adverse events and attendance rates will also be reported in this study.
ChiCTR2200064977.
One of the most controversial scopes in clinical studies is chronic low back pain (CLBP), especially chronic non-specific low back pain (CNSLBP). In addition to tissue changes, functional changes, ...and brain connections have been proven in studies after the onset of chronic low back pain. In the studies conducted in this field, many interventions have been compared in clinical (pain, limited range of motion, disability, and other related symptoms) and paraclinical (imaging and laboratory findings) results. One of the causes of low back pain is the involvement of the thoracolumbar fascia and, as a result, the disruption of the fascial receptors. on the other hand, myofascial release techniques are considered as a manual treatment with a specific transient effect on fascia receptors that can lead to changes in clinical outcomes. In recent years, the recording of brain parameters through electroencephalography (EEG) and functional magnetic resonance imaging (fMRI) has been used to evaluate the effectiveness of therapeutic interventions in musculoskeletal disorders. Therefore, the following hypothesis was proposed that the myofascial release technique may modulate/regulate brain activities and connections in patients with CNSLBP.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
Objective To evaluate clinical efficacy of chiropractic combined with core muscle strength training in patients with chronic non-specific low back pain. Methods One hundred and twenty patients with ...chronic non-specific low back pain were randomly divided into chiropractic group （n = 40），combined group （n=39） and conventional group （n=41）. Patients in each group were treated with short wave and ultrasound. Chiropractic therapy was added in chiropractic group，and chiropractic combined with core muscle strength training was supplemented in combined group. The changes of numerical rating scale （NRS） score，Oswestry disability index （ODI），Roland-Morris Disability Questionnaire （RMDQ） of low back pain and temperature difference between two sides of spinous process before and after corresponding treatment were compared among three groups. Results After treatment，NRS score，ODI index，RMDQ evaluation of low back pain and temperature difference in combined group were improved up to 2.06±0.63，13.00±3.53 and 6.25±1.20，sign
Patients with chronic non-specific low back pain (CNSLBP) were found with impaired postural control in previous studies. Since the trunk muscle take important efforts on core stability, the study ...aimed to examine the relationships of postural control during stance tasks and the contractility of trunk muscle in young adults with CNSLBP and without.
Healthy individuals (n = 25) and individuals with CNSLBP (n = 30) were included. The thickness of the bilateral transversus abdominis (TrA) and lumbar multifidus (MF) was measured during rest and maximal voluntary contraction, and the change percentages (TrA%, MF%) were calculated. Regarding postural control, COP path length and sway area during the stance tasks were measured thrice in each group.
The bilateral TrA% of the CNSLBP group was less than that of the HC group (p < 0.05). The bilateral TrA% of the CNSLBP group was less than that of the HC group (p < 0.05). The bilateral MF% showed no significantly different(p > 0.05) between the two groups. Compared with healthy controls, CNSLBP patients resulted larger path length and sway area of COP during most of static stance tasks. During the EO task in the CNSLBP group, TrA% was found correlate to COP path length (p < 0.05); the right MF% was correlated with COP sway area (p < 0.05). No significant correlations appeared in the healthy controls (p > 0.05).
Compared with healthy individuals, impaired postural control during static stance with eyes open in patients with CNSLBP was likely to be related to the poor contraction ability of bilateral transversus abdominis and correlated to the normal contraction ability of right lumbar multifidus.
•Young adults with CNSLBP have larger displacement of COP than health subjects.•The decreased change percentage of TrA correlated to impaired postural control.•This study offered a basic evidence for improving the impaired postural control.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
According to the current recommendations on the management of chronic non-specific low back pain (CNLBP), the intervention in this group of patients should include a programme of exercises. Pilates ...is a system of exercises widely used in patients with low back pain. The practices based on this method have promoted the restoration of the function of muscles involved in lumbopelvic stabilisation, that is, transversus abdominis, multifidus, diaphragm and pelvic floor muscles. During each exercise, specific principles of this method should be followed to restore or sustain the motor control of the lumbar spine and proper body posture. The aim of this study is to present the current state of knowledge concerning the application of Pilates method in the management of CNLBP as well as to define factors (eg, duration, frequency, exercises performed on a mat or specific equipment) influencing the effectiveness of Pilates in these individuals.
Background The traditional core stability rehabilitation training has been proven to be effective in improving the rehabilitation in patients with chronic non-specific low back pain (CNSLBP) , but ...with poor long-term compliance. We independently developed a new core stabilization rehabilitation training program (NO.2021107165452) for CNSLBP patients, but the intervention effects of which are still unclear. Objective To explore the intervention effect of a novel core stabilization rehabilitation training program in CNSLBP patients. Methods Twenty-one male CNSLBP patients were recruited from Guangxi Normal University and Guilin College from December 2021 to January 2022, and randomly divided into an experimental group (n=11) and a control group (n=10) , receiving a six-week intervention using the core stabilization rehabilitation training program independently developed by our research group, and traditional core stability rehabilitation training, respectively. The visual analogue scale (VAS) was used to evalua
Purpose: Low back pain is humans’ most common musculoskeletal complication. The prevalence of this disorder is reported at 80% during the lifetime. This study aims to investigate the relationship ...between functional tests and low back pain in active women and men. Methods: This was a cross-sectional correlational research. A total of 80 active men and women with non-specific chronic low back pain in the age range of 20 to 35 years were selected based on the inclusion and exclusion criteria. The level of pain was measured using the visual analogue scale test and after a 10-min warm-up, the performance was measured using the functional movement screen, +9, and Y balance functional tests. We used the SPSS software, version 21 to analyze the data at a significance level of 0.95. Results: The results of the Spearman correlation coefficient test showed a significantly negative relationship between low back pain and functional tests of functional movement screen and +9 (r=-0.66, P=0.001; r=-0.71, P=0.001, respectively). In addition, a significantly negative correlation was observed between the Y balance test and the amount of low back pain in active women and men (r=0.71, P=0.001). Conclusion: By increasing the participants’ performance, their low back pain is likely to decrease, and specialists, coaches, and occupational therapists can probably reduce the low back pain in individuals with non-specific chronic low back pain by improving motor function.
Objectives: Using an exercise intervention to improve lumbopelvic control (LPC) can enhance the pain severity and disability of participants with non-specific low back pain (NSLBP). The present study ...aimed to compare dynamic neuromuscular stabilization (DNS) exercises and common aquatic exercises (AEs) in terms of improving the pain, disability, LPC, and spinal posture of patients with non-specific low back pain (NSLBP). Methods: This single-blind controlled clinical trial was conducted on 45 subjects who were randomly divided into three groups, such as DNS (n=15), AEs (n=15), and control (n=15). LPC, spinal posture, pain severity, and disability were assessed in pretest and six weeks after the intervention by pressure biofeedback, a spinal mouse device, the visual analog scale (VAS), and the Oswestry disability questionnaire, respectively. No intervention was implemented for the control group. Results: No significant differences were observed between the study groups regarding the impact of the interventions on improving pain and disability (P>0.05). In addition, no significant difference was observed between the AEs and DNS groups regarding the improvement of LPC disorders (P>0.05). The spinal inclination angle (P=0.03) and inclination of range of motion (P=0.05) were significantly improved only by the AEs. Discussion: According to the results, the DNS exercises and AEs had no significant differences in terms of impact on the improvement of pain, disability, and LPC. Therefore, proper alternatives can be used to enhance such dysfunctions in case of a lack of access to pools and hydrotherapy pools.
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