@article{Christe:7536,
      recid = {7536},
      author = {Christe, Guillaume and Kade, François and Jolles, Brigitte  M. and Favre, Julien},
      title = {Chronic low back pain patients walk with locally altered  spinal kinematics},
      journal = {Journal of biomechanics},
      address = {2017-07},
      number = {ARTICLE},
      pages = {8 p.},
      abstract = {Various studies have reported alterations of spinal  kinematics in patients with chronic low back pain (CLBP)  during gait. However, while recent findings stressed the  importance of multi-segment analysis, most of prior gait  studies modelled the lumbar spine as one segment, when it  was not the entire trunk that was considered as a single  segment. Therefore, there is a need for comprehensive  multi-segment research that could improve our understanding  of CLBP pathomechanism and thus possibly contribute to  better care for CLBP. This study aimed at characterizing  the angle patterns at the lower lumbar (LLS), upper lumbar  (ULS), lower thoracic (LTS) and upper thoracic (UTS) joints  in the three anatomical planes and at comparing CLBP  patients and asymptomatic subjects. Spinal kinematics of 11  CLBP patients and 11 controls was measured using a  marker-based motion capture system and described according  to a previously proposed multi-segment biomechanical model.  Characteristic patterns were observed at the UTS, LTS and  ULS joints in the transverse plane and at the UTS, ULS and  LLS joints in the frontal plane. CLBP patients walked with  smaller frontal-plane LLS range of motion than controls.  The results also suggested that patients had more  asymmetrical LTS motion in the transverse plane. In  conclusion, this work extended prior literature by showing  specific CLBP-related alterations in multi-segment spinal  kinematics during gait. Further research is necessary to  understand the factors influencing kinematics alterations  and how treatment strategies might improve motor behaviour  in CLBP patients.},
      url = {http://arodes.hes-so.ch/record/7536},
      doi = {https://doi.org/10.1016/j.jbiomech.2017.06.042},
}