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Purpose: The pain, motor and sensory deficits are common symptoms of the lumbar disc disorder, and they can significantly affect human postural control. The aim of this study was to assess postural stability in patients with severe symptoms of lumbar spine disc disease qualifying them for surgical treatment and to compare them with a control group. Methods The study involved 103 subjects: 54 patients and 49 healthy subjects. Patient’s mean age was 46.4 ± 11.3 years, mean body height 172.2 ± 10.3 cm, mean body mass was 83.1 ± 18.9 kg and mean body mass index (BMI) was 27.9 ± 5.2 kg m-2. The mean time of their recent pain episode was 9.7 ± 8.5 month. Results: We found statistically significant differences between postural stability in patients with lumbar spine disc disease and the control group. The measurements taken with eyes closed, as compared with the clinical control group, revealed higher and statistically significant values of the mean amplitude of COP, mean amplitude of COP on sagittal plane, and maximal sway in sagittal plane parameters. The analysis of pressure value differences between the right and left lower limbs in both groups revealed statistical significance. In the study population the difference was significantly greater in comparison to the control group. The patients has significantly greater asymmetry of lower limb load. Conclusions: 1. Patients with lumbar spine discogenic pain had decreased postural control. 2. The patients had significant asymmetry in foot pressure, resultant from pain radiating to a lower limb.
Czasopismo
Rocznik
Tom
Strony
71--77
Opis fizyczny
Bibliogr. 26 poz., tab.
Twórcy
autor
- Faculty of Rehabilitation, Józef Piłsudski University of Physical Education in Warsaw
autor
- Faculty of Rehabilitation, Józef Piłsudski University of Physical Education in Warsaw
autor
- Faculty of Rehabilitation, Józef Piłsudski University of Physical Education in Warsaw
autor
- Institute of Physiotherapy, University of Rzeszów, Poland
autor
- Psychology Department, Warsaw University
Bibliografia
- [1] BOUCHE K., STEVENS V., CAEMAERT J., DANNEELS L., Comparison of postural control in unilateral stance between healthy controls and lumbar discectomy patients with and without pain, Eur. Spine J., 2006, 15, 423–432.
- [2] BRAGA A.B., RODRIGUES A.C., DE LIMA G.V., DE MELO L.R., DE CARVALHO A.R., BERTOLINI G.R., Comparison of static postural balance between healthy subjects and those with low back pain, Acta Ortop. Bras., 2012, 20(4), 210–212.
- [3] BRUMAGNE S., JANSSENS L., JANSSENS E., GODDYN L., Altered postural control in anticipation of postural instability in persons with recurrent low back pain, Gait Posture, 2008, 28(4), 652–657.
- [4] DARIO A.B., FERREIRA M.L., REFSHAUGE K.M., LIMA T.S., ORDOÑANA J.R., FERREIRA P.H., The relationship between obesity, low back pain and lumbar disc degeneration when genetics and the environment are considered: a systematic review of twin studies, Spine J., 2015, 15(5), 1106–1117.
- [5] DRZAŁ-GRABIEC J., RACHWAŁ M., PODGÓRSKA-BEDNARZ J., RYKAŁA J., SNELA S., TRUSZCZYŃSKA A., TRZASKOMA Z., The effect of spinal curvature on the photogrammetric assessment on static balance in elderly women, BMC Musculoskelet Disord., 2014, 29, 15, 186. DOI: 10.1186/1471-2474-15-186.
- [6] DRZAL-GRABIEC J., RACHWAŁ M., TRZASKOMA Z., RYKAŁA J., PODGÓRSKA-BEDNARZ J., CICHOCKA I., TRUSZCZYŃSKA A., RĄPAŁA K., The foot deformity versus postural control in females aged over 65 years, Acta Bioeng. Biomech., 2014, 16(4), 75–82.
- [7] ETEMADI Y., ARAB A.M., SALAVATI M., Balance recovery reactions in recurrent non-specific low back pain patients, Iran Rehabil. J., 2014, 12(19), 38–42.
- [8] FROST R.L., BIJMAN M., STRZAŁKOWSKI N.D.J., BENT L.R., BROWN S.H.M., Deficits in foot skin sensation are related to alterations in balance control in chronic low back patients experiencing clinical signs of lumbar nerve root impingement, Gait Posture, 2015, 41(4), 923–928.
- [9] HEUCH I., HEUCH I., HAGEN K., ZWART J.A., Body Mass Index as a Risk Factor for Developing Chronic Low Back Pain: A Follow-up in the Nord-Trøndelag Health Study, Spine (Phila Pa 1976). 2013, 15, 38(2), 133–139.
- [10] HOY D., BROOKS P., BLYTH F., BUCHBINDER R., The epidemiology of low back pain, Best Pract. Res. Clin. Rheumatol., 2010, 24(6), 769–781.
- [11] HUE O., SIMONEAU M., MARCOTTE J., BERRIGAN F., DORÉ J., MARCEAU P., MARCEAU S., TREMBLAY A., TEASDALE N., Body weight is a strong predictor of postural stability, Gait Posture, 2007, 26(1), 32–38.
- [12] JANSSENS L., BRUMAGNE S., POLSPOEL K., TROOSTERS T., MCCONELL A., The Effect of Inspiratory Muscles Fatigue on Postural Control in People With and Without Recurrent Low Back Pain, Spine, 2010, 35(10), 1088–1094.
- [13] KOLAR P., SULC J., KYNCL M., SANDA J., CAKRT O., ANDEL R., KUMAGAI K., KOBESOVA A., Postural function of the diaphragm in persons with and without chronic low back pain, J. Orthop. Sports Phys. Ther., 2012, 42(4), 352–362.
- [14] KUMAR M., GARG G., SINGH L.R., SINGH T., TYAGI L.K., Epidemiology, pathophysiology and symptomatic treatment of sciatica: a review, Int. J. Pharm. Biol. Sci. Arch., 2011, 2(4), 1050–1061.
- [15] LAFOND D., CHAMPAGNE A., DESCARREAUX M., DUBOIS J.D., PRADO M., DUARTE M., Postural control during prolonged standing in persons with chronic low back pain, Gait Posture, 2009, 29(3), 421–427.
- [16] LEINONEN V., KANKAANPÄÄ M., LUUKKONEN M., KANSANEN M., HÄNNINEN O., AIRAKSINEN O., TAIMELA S., Lumbar paraspinal muscle function, perception of lumbar position, and postural control in disc herniation-related back pain, Spine, 2003, 28(8), 842–848.
- [17] MANN L., KLEINPAUL J.F., PEREIRA MORO A.R., MOTA C.B., CARPES F.P., Effect of low back pain on postural stability in younger women: influence of visual deprivation, J. Body Mov. Ther., 2010, 14(4), 361–366.
- [18] PALMIERI R.M., INGERSOLL C.D., STONE M.B., KRAUSE B.A., Center-of-pressure parameters used in the assessment of postural control, J. Sport Rehabil., 2002, 11, 51–66.
- [19] SIPKO T., CHANTSOULIS M., KUCZYŃSKI M., Postural control in patients with lumbar disc herniation in the early postoperative period, Eur. Spine J., 2010, 19, 409–14.
- [20] SIPKO T., CHANTSOULIS-SUPIŃSKA M., ŻMUDA M., ZWOLIŃSKI J., Postural balance in the early post-operative period in patients with intervertebral disk disease following surgery, Ortop. Traumatol. Rehabil., 2008, 10(3), 226–247.
- [21] SIPKO T., KUCZYŃSKI M., The effect of chronic pain intensity on the stability limits in patients with low back pain, J. Manipulative Physiol. Ther., 2013, 36(9), 612–618.
- [22] SOHN M.K., LEE S.S., SONG H.T., Effects of acute low back pain on postural control, Ann. Rehabil. Med., 2013, 37(1), 17–25.
- [23] TRUSZCZYŃSKA A., DRZAŁ-GRABIEC J., RĄPAŁA K., GMITRZYKOWSKA E., Stabilność posturalna chorych ze zmianami zwyrodnieniowymi stawu biodrowego. Doniesienie wstępne, Ortop. Traumatol. Rehab., 2013, 15(6), 567–573.
- [24] TRUSZCZYŃSKA A., DRZAŁ-GRABIEC J., TRZASKOMA Z., RĄPAŁA K., TARNOWSKI A., GÓRNIAK K., A comparative analysis of static balance between patients with lumbar spinal canal stenosis and asymptomatic participants, J. Manipulative Physiol. Ther., 2014, 37(9), 696–701.
- [25] TRUSZCZYŃSKA A., RĄPAŁA K., GMITRZYKOWSKA E., TRZASKOMA Z., DRZAŁ-GRABIEC J., Postural stability disorders in patients with osteoarthritis of the hip, Acta Bioeng. Biomech., 2014, 1, 45–50.
- [26] VALAT J.P., GENEVAY S., MARTY M., ROZENBERG S., KOES B., Sciatica, Best Pract. Res. Clin. Rheumatol., 2010, 24, 241–252.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-0afabf96-6e57-45f1-80cb-9c70d517431c