TY  - GEN
AB  - 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.
AD  - HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland ; Swiss BioMotion Lab, Department of Musculoskeletal Medicine, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland
AD  - Swiss BioMotion Lab, Department of Musculoskeletal Medicine, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland
AD  - Swiss BioMotion Lab, Department of Musculoskeletal Medicine, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland ; Institute of Microengineering, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
AD  - Swiss BioMotion Lab, Department of Musculoskeletal Medicine, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland
AU  - Christe, Guillaume
AU  - Kade, François
AU  - Jolles, Brigitte M.
AU  - Favre, Julien
DA  - 2017-07
DO  - 10.1016/j.jbiomech.2017.06.042
DO  - DOI
ID  - 7536
JF  - Journal of biomechanics
KW  - Santé
KW  - functional activity
KW  - gait
KW  - low back pain
KW  - multi-segment
KW  - thoracic spine
KW  - upper and lower lumbar spine
L1  - https://arodes.hes-so.ch/record/7536/files/Published%20version.pdf
L2  - https://arodes.hes-so.ch/record/7536/files/Published%20version.pdf
L4  - https://arodes.hes-so.ch/record/7536/files/Published%20version.pdf
LA  - eng
LK  - https://arodes.hes-so.ch/record/7536/files/Published%20version.pdf
N2  - 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.
PY  - 2017-07
SN  - 00219290
T1  - Chronic low back pain patients walk with locally altered spinal kinematics
TI  - Chronic low back pain patients walk with locally altered spinal kinematics
UR  - https://arodes.hes-so.ch/record/7536/files/Published%20version.pdf
VL  - 2017, vol. 60, pp. 211–218
Y1  - 2017-07
ER  -