The Effect of Local Vibration of Low Back Area on Postural Control in People with Non-specific Chronic Low Back Pain

Document Type : Original Article

Authors

1 Department of Physical Therapy, Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

2 Department of Physical Therapy,Rehabilitation Center, Iran University of Medical Sciences, Tehran, Iran.

Abstract

Background and Objective:  Postural control in people with non- specific low back pain (NSLBP) is disturbed. To investigate this disturbance, an external mechanical perturbation can be applied. The effect of local mechanical vibration on postural control through external perturbation in people with NSLBP has been less studied, so the purpose of this study was to investigate the ability to maintain postural stability in this patients following local mechanical vibration under external perturbation.
Subjects and Methods: Thirty participants (15 with NSLBP and 15 healthy controls) were recruited. First while standing on a force plate with sampling frequency of 500 HZ, the load was released unexpectedly on a tray which was on the participant’s hands. Then, following experiencing a local vibration on lumbar area for 5 minutes, the similar perturbation, was applied. To investigate the effects of vibration on postural control parameters including mean displacement and mean velocity of center of pressure (COP), in Medio-Lateral and Antro-Posterior directions, paired T-test was used.
Results: No difference was found in postural control parameters in sagital and frontal planes before and after vibration between two groups and within each group.
Conclusion: Local, medium frequency mechanical vibrations for 5 minutes on low back area had no significant effects on postural control in people with low back pain and did not decrease their postural robustness.
 

Keywords

References

-Pradhan BB. Evidence-informed management of chronic low back pain with watchful waiting. Spine J 2008;8(1):253-7.
2-Tasleem RA, Buth BA, Koul PA, Kadri SM. Chronic low back pain- comparative analysis of treatment response to drugs and different physical modalities. Dep of physical therapy 2003;10(3):201-4.
3-O'Sullivan P. Diagnosis and classification of chronic low back pain disorders: maladaptive movement and motor control impairments as underlying mechanism. Man Ther 2005;10(4):242-55.
4-Dilindham T. Evaluation and management of low back pain: and overview. State Art Reviews 1995;9(3):559-74.
5- Della Volpe R, Popa T, Ginanneschi F, Spidalieri R, Mazzocchio R, Rossi A. Changes in coordination of postural control during dynamic stance in chronic low back pain patients. Gait Posture 2006;24(3):349-55.
6-Preuss R, Fung J. Can acute low back pain result from segmental spinal buckling during sub-maximal activities? A review of the current literature. Man Ther 2005;10(1):14-20.
7-Sung PS, Park HS. Gender differences in ground reaction force following perturbations in subjects with low back pain. Gait Posture 2009;29(2):290-5.
8-Cholewicki J, Polzhofer GK, Radebold A. Postural control of trunk during unstable sitting. J Biomech 2003;33(12):1733-7.
9-Nies N, Sinnott PL. Variations in balance and body sway in middle-aged adults. Subjects with healthy backs compared with subjects with low-back dysfunction. Spine 1991;16(3):325-30.
10-Takala EP, Korhonen I, Viikari-Juntura E. Postural sway and stepping response among working population: reproducibility, long-term stability, and associations with symptoms of the low back. Clin Biomech 1997;12(7-8):429-37.
11-Mientjes MI, Frank JS. Balance in chronic low back pain patients compared to healthy people under various conditions in upright standing. Clinical Biomech 1999;14(10):710-6.
12-Luoto S, Aalto H, Taimela S, Hurri H, Pyykko I, Alaranta H. One-footed and externally disturbed two-footed postural control in patients with chronic low back pain and healthy control subjects. A controlled study with follow-up. Spine 1998;23(19):2081-9.   
13-Henry SM, Hitt JR, Jones SL, Bunn JY. Decreased limits of stability in response to postural perturbations in subjects with low back pain. Clin Biomech 2006;21(9):881-92.
14-Ruhe A, Fejer R, Walker B. Center of pressure excursion as a measure of balance performance in patients with non-specific low back pain compared to healthy controls: a systematic review of the literature. Eur Spine J 2011;20(3):358-68.
15-Claeys K, Brumagne S, Dankaerts W, Kiers H, Janssens L. Decreased variability in postural control strategies in young people with non-specific low back pain is associated with altered properioceptive reweighting. Eur J Appl Physiol 2011;111(1):115-23.
16-Rittweger J. Vibration as an exercise modality: how it may work, and what its potential might be. Eur J Appl Physiol  2010;108(5):877-904.
17-Filippi GM, Brunetti B, Botti FM, Panichi R, Roscini M, Camerota F, et al. Improvement of stance control and muscle performance induced by focal muscle vibration in young-elderly women: a randomized control trial. Arch Phys Med Rehabil 2009;90(12):2019-25.
18-Brumagne S, Lysens R, Swinnen S, Verschueren S. Effect of paraspinal muscle vibration on position sense of the lumbosacral spine. Spine 1999;24(13):1328-31.
19-Newcomer KL, Laskowski ER, Yu B, Johnson JC, An KN. Differences in repositioning error among patients with low back pain compared with control subjects. Spine 2000;25(19):2488-93.
20-Lafond D, Champagne A, Descarreaux M, Dubois J-D, Prado JM, Duarte M. Postural control during prolonged standing in persons with chronic low back pain. Gait Posture 2009;29(3):421-7.
21-Chow DH, Cheng AC, Holmes AD, Evans JH. The effects of release height on center of pressure and trunk muscle response following sudden release of stoop lifting tasks. Appl Ergon 2003;34(6):611-9.
22-Gill KP, Callaghan MJ. The measurement of lumbar properioception in individuals with and without low back pain. Spine 1998;23(3):371-7.
23-Gadner-Morse M, Stokes IA, Laible JP. Role of muscles in lumbar spine stability in maximum extension efforts. J Orthop Res 1995;13(5):802-21.
24-Nault ML, Allard P, Hinse S, Le Blanc R, Caron O, Labelle H, et al. Relations between standing stability and body posture parameters in adolescent idiopathic scoliosis. Spine 2002;27(17):1911-7.
25-O'Sullivan P, Twomey L, Allison G, Sinclair J, Miller K. Altered patterns of abdominal muscle activation in patients with chronic low back pain. Aust J Physiother 1997;43(2):91-8.
26-Jones SL, Henry SM, Raasch CC, Hitt JR, Bunn JY. Individuals with non-spesific low back pain use a trunk stiffening strategy to maintain upright posture. J Electromyogr Kinesiol 2012;22(1):13-20.
27-della Volpe R, Popa T, Ginanneschi F, Spidalieri R, Mazzocchio R, Rossi A. Changes in coordination of postural control during dynamic stance in chronic low back pain patients. Gait  Posture 2006;24(3):349-55.
28-Mazaheri M, Coenen P, Parnianpour M, Kiers H, van Dieen JH. Low back pain and postural sway during quiet standing with and without sensory manipulation: a systematic review. Gait Posture 2013;37(1):12-22.
 
 
 
 
 
 
 
 
Jundishapur Scientific Medical Journal
Volume 13, Issue 1 - Serial Number 88
March and April 2014
Pages 90-99

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History

  • Receive Date: 02 March 2013
  • Revise Date: 26 October 2013
  • Accept Date: 11 December 2013

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