RESEARCH PAPER
Evaluation of influence of stretching therapy and ergonomic factors on postural control in patients with chronic non-specific low back pain
 
More details
Hide details
1
Chair of Rehabilitation, Physiotherapy and Balneotherapy, Medical University of Lublin, Poland
 
2
Chair and Department of Biochemistry and Molecular Biology, Medical University of Lublin, Poland
 
3
University of Life Sciences in Lublin, Poland
 
4
Institute of Rural Health, Lublin, Poland
 
5
Institute of Electrical Engineering and Electrotechnologies, Lublin University of Technology, Poland
 
 
Corresponding author
Piotr Gawda   

Chair of Rehabilitation, Physiotherapy and Balneotherapy, Medical University of Lublin, Poland
 
 
Ann Agric Environ Med. 2015;22(1):142-146
 
KEYWORDS
ABSTRACT
Introduction:
The vertical orientation of the body in the upright standing position is maintained by keeping the body’s centre of gravity (COG) upright, above the base of support, by a dynamic interplay of visual, vestibular, and somatosensory control systems. The objectives of this study were: to compare the postural control strategy between people with and without low back pain (LBP), to estimate the influence of the stretching therapy on the postural control strategy, and to discover the relationship between the restriction of spine mobility and occurrence of some ergonomic factors.

Material and Methods:
The study consisted of 32 patients with LBP and 25 healthy controls. Postural characteristics of the subjects were measured with the use of a computerized force platform. The software programme filters and measures COG sway velocity in different conditions. Additional measurements and tests were conducted in patients after stretching therapy. Based on survey research, all individuals were selected and evaluated from the aspect of ergonomics.

Results:
The results of the COG sway velocity vary under the testing conditions. From the aspect of ergonomic attitude and influence of the rehabilitation, results varied in the groups.

Conclusions:
Ergonomic factors are often accompanied by the appearance of LBP. The restrictions within the musculoskeletal system cause disorders in muscle synergies, which is expressed by an increase in the angular velocity of the COG. In patients with chronic back pain syndrome, selected stretching therapy techniques improves the range of motion of the spine and reduces pain.

 
REFERENCES (25)
1.
Deyo RA, Mirza SK, Martin BI. Back pain prevalence and visit rates: estimates from U.S. national surveys, 2002. Spine 2006; 31: 2724–2727.
 
2.
Chou R, Qaseem A, Snow V, Casey D, Cross JT Jr, Shekelle P, Owens DK for the Clinical Efficacy Assessment Subcommittee of the American College of Physicians; American College of Physicians; American Pain Society Low Back Pain Guidelines Panel. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med. 2007; 147: 478–491.
 
3.
Katz JN. Lumbar disc disorders and low-back pain: socioeconomic factors and consequences. J Bone Joint Surg Am. 2006; 88(Suppl 2): 21–24.
 
4.
Świerkot J. Bóle krzyża – etiologia, diagnostyka i leczenie. Przew Lek. 2006; 2: 86–98 (in Polish).
 
5.
Van Middelkoop M, Rubinstein SM, Verhagen AP, Ostelo RW, Koes BW, van Tulder MW. Exercise therapy for chronic nonspecific low-back pain. Best Pract Res Clin Rheumatol. 2010; 24: 193–204.
 
6.
Van Tulder M, Koes B, Bombardier C. Low back pain. Best Pract Res Clin Rheumatol. 2002; 16: 761–775.
 
7.
Haldeman S, Dagenais S. What have we learned about the evidence-informed management of chronic low back pain? Spine J. 2008; 8: 266–277.
 
8.
Hayden JA, van Tulder MW, Malmivaara AV, Koes BW. Meta-analysis: exercise therapy for nonspecific low back pain. Ann Intern Med. 2005; 142: 765–775.
 
9.
Hayden JA, van Tulder MW, Tomlinson G. Systematic review: strategies for using exercise therapy to improve outcomes in chronic low back pain. Ann Intern Med. 2005; 142: 776–785.
 
10.
Sherman KJ, Cherkin DC, Wellman RD, Cook AJ, Hawkes RJ, Delaney K, Deyo RA. A randomized trial comparing yoga, stretching, and a self-care book for chronic low back pain. Arch Intern Med. 2011; 171: 2019–2026.
 
11.
Renkawitz T, Boluki D, Grifka J . The association of low back pain, neuromuscular imbalance, and trunk extension strength in athletes. Spine J. 2006; 6: 673–683.
 
12.
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: 657–662.
 
13.
Lee DC, Ham YW, Sung PS. Effect of visual input on normalized standing stability in subjects with recurrent low back pain. Gait Posture 2012; 36: 580–585.
 
14.
Lim KB, Lee HJ. Computerized posturographic measurement in elderly women with unilateral knee osteoarthritis. Ann Rehabil Med. 2012; 36: 618–626.
 
15.
Lackner JR, DiZio P. Vestibular, proprioceptive, and haptic contributions to spatial orientation. Annu Rev Psychol. 2005; 56: 115–147.
 
16.
Runge CF, Shupert CL, Horak FB, Zajac FE. Ankle and hip postural strategies defined by joint torques. Gait Posture 1999; 10: 161–170.
 
17.
Mazaheri M, Coenen P, Parnianpour M, Kiers H, van Dieën JH. Low back pain and postural sway during quiet standing with and without sensory manipulation: a systematic review. Gait Posture 2013; 37: 12–22.
 
18.
Mok NW, Brauer SG, Hodges PW. Hip strategy for balance control in quiet standing is reduced in people with low back pain. Spine 2004; 29: E107-E112.
 
19.
Bouche K, Stevens V, Cambier D, 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.
 
20.
Fathallah FA, Miller BJ, Miles JA. Low back disorders in agriculture and the role of stooped work: scope, potential interventions, and research needs. J Agric Saf Health. 2008; 14: 221–245.
 
21.
Alperovitch-Najenson D, Santo Y, Masharawi Y, Katz-Leurer M, Ushvaev D, Kalichman L. Low back pain among professional bus drivers: ergonomic and occupational-psychosocial risk factors. Isr Med Assoc J. 2010; 12: 26–31.
 
22.
Lis AM, Black KM, Korn H, Nordin M. Association between sitting and occupational LBP. Eur Spine J. 2007; 16: 283–298.
 
23.
Hildebrandt VH, Bongers PM, Dul J, van Dijk FJ, Kemper HC. The relationship between leisure time, physical activities and musculoskeletal symptoms and disability in worker populations. Int Arch Occup Environ Health. 2000; 73: 507–518.
 
24.
Videman T, Sarna S, Battié MC, Koskinen S, Gill K, Paananen H, Gibbons L. The long-term effects of physical loading and exercise lifestyles on back-related symptoms, disability, and spinal pathology among men. Spine 1995; 20: 699–709.
 
25.
Toroptsova NV, Benevolenskaya LI, Karyakin AN, Sergeev IL, Erdesz S. “Cross-sectional” study of low back pain among workers at an industrial enterprise in Russia. Spine 1995; 20: 328–332.
 
eISSN:1898-2263
ISSN:1232-1966
Journals System - logo
Scroll to top