Objective To investigate the position sense in chronic non-specific low back pain (CNLBP) patients, and the correlation to pain and endurance of psoas muscles. Methods From January, 2014 to May, 2015, 30 patients with CNLBP and other 30 healthy subjects were measured spine flexion and extension position sense absolute error (AE) and psoas endurance with Biodex System 3 synchronously, and the patients were self-assessed the pain in lumbar with Numerical Rating Scale (NRS). The Pearson correlation coefficient of AE to psoas endurance and NRS was calculated. Results AE of flexion and extension was both more in the patients than in the healthy (t>; 1.862, P<; 0.05), and the psoas muscle endurance was less (t=2.307, P<; 0.05). AE of flexion (r=-0.71) and extension (r=-0.47) negatively correlated with the psoas muscle endurance in the patients, and positively correlated with NRS score (r=0.78 for flexion, and r=0.49 for extension). AE mildly negative correlated with the psoas muscle endurance (r=-0.38 for flexion, and r=-0.29 for extension). Conclusion Spine sensation has been impaired in CNLBP patients, and may associate with pain and psoas muscles endurance loss.
WANG Xin
,
SHU Shi
,
FANG Fan-fu
,
GU Wei
. Correlation of Lumbar Vertebrae Position Perception to Psoas Muscles Endurance and Pain in Chronic Non-specific Low Back Pain Patients[J]. Chinese Journal of Rehabilitation Theory and Practice, 2017
, 23(7)
: 820
-823
.
DOI: 10.3969/j.issn.1006-9771.2017.07.018
[1] 王聪,郭险峰. 悬吊训练治疗慢性非特异性腰痛的疗效观察[J]. 中国康复医学杂志, 2012, 27(8): 760-762.
[2] Sherafat S, Salavati M, Takamjani IE, et al. Effect of dual-tasking on dynamic postural control in individuals with and without nonspecific low back pain [J]. J Manipulative Physiol Ther, 2014, 37(3): 170-179.
[3] Janssens L, McConnell AK, Pijnenburg M, et al. Inspiratory muscle training affects proprioceptive use and low back pain [J]. Med Sci Sports Exerc, 2015, 47(1): 12-19.
[4] O'Leary CB, Cahill CR, Robinson AW, et al. A systematic review: the effects of podiatrical deviations on nonspecific chronic low back pain [J]. J Back Musculoskelet Rehabil, 2013, 26(2): 117-123.
[5] Roosink M, McFadyen BJ, Hebert LJ, et al. Assessing the perception of trunk movements in military personnel with chronic non-specific low back pain using a virtual mirror [J]. PLoS One, 2015, 10(3): e120251.
[6] Mazaheri M, Heidari E, Mostamand J, et al. Competing effects of pain and fear of pain on postural control in low back pain? [J]. Spine (Phila Pa 1976), 2014, 39(25): E1518-E1523.
[7] Li R, Wang N, Yan X, et al. Comparison of postural control between healthy subjects and individuals with nonspecific low back pain during exposure to visual stimulus [J]. Chin Med J(Engl), 2014, 127(7): 1229-1234.
[8] 郭险峰,张大成,陶莉. 216例慢性非特异性腰痛患者的康复疗效观察[J]. 中国康复理论与实践, 2010, 16(6): 556-559.
[9] 王银霞. 慢性非特异性下腰痛患者躯干等速运动时屈伸肌力学特征的研究[D]. 苏州:苏州大学, 2011.
[10] 余秋华,王于领,王楚怀. 本体感觉与慢性腰痛的康复治疗[J]. 中国康复医学杂志, 2007, 22(10): 947-950.
[11] Del PB, Mocholi MH, Del PJ, et al. Reliability and validity of lumbar and abdominal trunk muscle endurance tests in office workers with nonspecific subacute low back pain [J]. J Back Musculoskelet Rehabil, 2014, 27(4): 399-408.
[12] Le Cara EC, Marcus RL, Dempsey AR, et al. Morphology versus function: the relationship between lumbar multifidus intramuscular adipose tissue and muscle function among patients with low back pain [J]. Arch Phys Med Rehabil, 2014, 95(10): 1846-1852.
[13] Jiang H, Greidanus N, Moreau M, et al. A comparison of the innervation characteristics of the lateral spinal ligaments between normal subjects and patients with adolescent idiopathic scoliosis [J]. Acta Anat (Basel), 1997, 160(3): 200-207.
[14] Hidalgo B, Gobert F, Bragard D, et al. Effects of proprioceptive disruption on lumbar spine repositioning error in a trunk forward bending task [J]. J Back Musculoskelet Rehabil, 2013, 26(4): 381-387.
[15] Liebetrau A, Puta C, Anders C, et al. Influence of delayed muscle reflexes on spinal stability: model-based predictions allow alternative interpretations of experimental data [J]. Hum Mov Sci, 2013, 32(5): 954-970.
[16] 陈炳霖,邹军,李欣,等. 腰椎本体感觉测试研究现状及展望[J]. 中国康复理论与实践, 2015, 21(10): 1182-1186.
[17] Willigenburg NW, Kingma I, Hoozemans MJ, et al. Precision control of trunk movement in low back pain patients [J]. Hum Mov Sci, 2013, 32(1): 228-239.
[18] Lee AS, Cholewicki J, Reeves NP, et al. Comparison of trunk proprioception between patients with low back pain and healthy controls [J]. Arch Phys Med Rehabil, 2010, 91(9): 1327-1331.
[19] Gong W. The influence of lumbar joint mobilization on joint position sense in normal adults [J]. J Phys Ther Sci, 2014, 26(12): 1985-1987.
[20] Rossi DM, Morcelli MH, Cardozo AC, et al. Discriminant analysis of neuromuscular variables in chronic low back pain [J]. J Back Musculoskelet Rehabil, 2015, 28(2): 239-246.
[21] Freddolini M, Strike S, Lee RY. The role of trunk muscles in sitting balance control in people with low back pain [J]. J Electromyogr Kinesiol, 2014, 24(6): 947-953.
[22] Alvarez-Alvarez S, Jose FG, Rodriguez-Fernandez AL, et al. Effects of Kinesio(R) Tape in low back muscle fatigue: randomized, controlled, doubled-blinded clinical trial on healthy subjects [J]. J Back Musculoskelet Rehabil, 2014, 27(2): 203-212.
[23] Sung W, Abraham M, Plastaras C, et al. Trunk motor control deficits in acute and subacute low back pain are not associated with pain or fear of movement [J]. Spine J, 2015, 15(8): 1772-1782.
[24] Sipko T, Kuczynski M. Intensity of chronic pain modifies postural control in low back patients [J]. Eur J Pain, 2013, 17(4): 612-620.
[25] Schinkel-Ivy A, Nairn BC, Drake JD. Investigation of trunk muscle co-contraction and its association with low back pain development during prolonged sitting [J]. J Electromyogr Kinesiol, 2013, 23(4): 778-786.
