Comparison of postural stability in chronic low back pain and healthy individuals with Biodex stability system

Document Type : Original Article

Authors

1 null

2 physical therapy, rehabilitation, ahvaz jundishapour university of medical science, ahvaz iran

3 physical therapy

4 muscloskeletal rehabilitation

5 physical therapy, rehabilitation, Jundishapur university of medical science, Ahvaz, Iran

6 Department of Statistics and Epidemiology

Abstract

BACKGROUND:Low back pain (LBP) is one of the most common and costly musculoskeletal complaints in today’s societies, affecting up to 80% of the population at least one episode during their lifetime. Balance and postural control is considered as an essential requirement for physical and daily activities.

METHOD: Biodex system is an applicational tool for measurement of dynamic balance and postural stability. In this study twenty _four patients with low back pain (age: 33.42 ± 9.73, BMI: 25.82 ±1.92) matched with twenty _four healthy persons(age: 32.08 ± 8.73years, BMI: 25.16±1.99). postural stability indices(OSI,MLSI,APSI) was measured with biodex system during standing on one leg.
Result: According to the present study results, significant difference was seen only between standard deviation of overall stability and mediolateral stability indexes(p<0.05). Showed that healthy patients had better dynamic balance than patient with chronic nonspecific low back pain.
Conclusion: Differences in balance control in frontal position may be due to activity of hip abductor muscles during standing on one leg of course gluteus medius is powerful stabilizer of pelvic girdle in frontal plane. In other hand according to past researches, weakness of this muscles in patients with chronic nonspecific low back pain is prevalence.May be this weakness is the cause of difference in frontal plane.

Keywords

References

1-Teyhen DS, Flynn TW, Childs JD, Abraham LD. Arthrokinematics in a subgroup of patients likely to benefit from a lumbar stabilization exercise program. Phys Ther. 2007;87(3):313-25.
2-Ahmadi A, Maroufi N, Behtash H, Zekavat H, Parnianpour M. Kinematic analysis of dynamic lumbar motion in patients with lumbar segmental instability using digital videofluoroscopy. Eur Spine J. 2009;18(11):1677-85.
3-Punakallio A. Balance abilities of workers in physically demanding jobs: With special reference to firefighters of different ages: National Emergency Training Center; 2005.
4-Salavati M, Bagheri H, Ebrahimi Takamjani E, Mobini B. Comprative  study of biodex dynamic balance and limit of stability test in normal subject and patient with chronic low back pain. RJMS. 2003; 9 (32) :699-708
5-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.
6-Alexander KM, Kinney LaPier TL. Differences in static balance and weight distribution between normal subjects and subjects with chronic unilateral low back pain. Journal of orthopaedic & sports physical therapy. 1998;28(6):378-83.
7-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. European Spine Journal. 2011;20(3):358-68.
8-Bellew JW, Panwitz BL, Peterson L, Brock MC, Olson KE, Staples WH. Effect of acute fatigue of the hip abductors on control of balance in young and older women. Arch Phys Med Rehabil. 2009;90(7):1170-5.
9-da Silva RA, Vieira ER, Cabrera M, Altimari LR, Aguiar AF, Nowotny AH, et al. Back muscle fatigue of younger and older adults with and without chronic low back pain using two protocols: A case-control study. J Electromyogr Kinesiol. 2015;25(6):928-36.
10-da Silva RA, Arsenault AB, Gravel D, Larivière C, de Oliveira E. Back muscle strength and fatigue in healthy and chronic low back pain subjects: a comparative study of 3 assessment protocols. Arch Phys Med Rehabil. 2005;86(4):722-9.
11-Salavati M, Moghadam M, Ebrahimi I, Arab AM. Changes in postural stability with fatigue of lower extremity frontal and sagittal plane movers. Gait posture. 2007;26(2):214-8.
12-Pereira HM, de Campos TF, Santos MB, Cardoso JR, de Camargo Garcia M, Cohen M. Influence of knee position on the postural stability index registered by the Biodex Stability System. Gait Posture. 2008;28(4):668-72.
13-Negahban H, Etemadi M, Naghibi S, Emrani A, Yazdi MJS, Salehi R, et al. The effects of muscle fatigue on dynamic standing balance in people with and without patellofemoral pain syndrome. Gait posture. 2013;37(3):336-9.
14-Cooper NA, Scavo KM, Strickland KJ, Tipayamongkol N, Nicholson JD, Bewyer DC, et al. Prevalence of gluteus medius weakness in people with chronic low back pain compared to healthy controls. Eur Spine J. 2016;25(4):1258-65.
15-Hwang W, Jang JH, Huh M, Kim YJ, Kim SW, Hong IU, et al. The effect of hip abductor fatigue on static balance and gait parameters. Phys Ther Rehabil Sci. 2016;5(1):34-9.
16-Tak S, Lee Y, Choi W, Lee G. The effects of active release technique on the gluteus medius for pain relief in persons with chronic low back pain. Phys Ther Rehab Sci. 2013;2(1):27-30.
Jundishapur Scientific Medical Journal
Volume 17, Issue 5 - Serial Number 116
January and February 2019
Pages 569-571

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History

  • Receive Date: 19 November 2018
  • Revise Date: 20 January 2019
  • Accept Date: 22 January 2019

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