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Lower limb kinematics in individuals with chronic low back pain during walking

机译:在步行期间,在慢性低腰疼痛的个体中降低肢体运动学

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Several investigators have suggested the presence of a link between Chronic Low Back Pain (CLBP) and lower limbs kinematics that can contribute to functional limitations and disability. Moreover, CLBP has been connected to postural and structural asymmetry. Understanding the movement pattern of lower extremities and its asymmetry during walking can provide a basis for examination and rehabilitation in people with CLBP. The present study focuses on lower limbs kinematics in individuals with CLBP during walking. Three-dimensional movements of the pelvic, hip, knee and ankle joints were tracked using a seven-camera Qualysis motion capture system. Functional dada analysis (FDA) was applied for the statistical analysis of pelvic and lower limbs motion patterns in 40 participants (20 CLBP and 20 controls). The CLBP group showed significantly different hip motion pattern in the transvers plane, altered knee and ankle motion pattern in the sagittal plane on the dominant side and different hip motion pattern in the transvers and frontal planes on the non-dominant side in comparison with the control group over the stance phase. In terms of symmetry, in the CLBP group, hip and knee moved through a significantly different motion patterns in the transvers plane on the dominant side in comparison with the non-dominant side. In the control group, knee moved through a significantly different motion pattern in the transvers plane on the dominant side in comparison with the non-dominant side. In conclusion, low back pain lead to altered movement patterns of the main joints of lower limbs especially on the dominant side during stance phase. Therefore, care should be taken to examine dominant lower limb movement pattern in CLBP to make a better clinical decision.
机译:一些调查人员提出了慢性低腰痛(CLBP)和下肢运动学之间存在的联系,这些是可以有助于功能限制和残疾的。此外,CLBP已连接到姿势和结构不对称。理解下肢的运动模式及其不对称在步行过程中可以为CLBP人们进行检查和康复的基础。目前的研究重点介绍在步行期间用CLBP的个体中的下肢运动学。使用七摄像头稳定性运动捕获系统跟踪盆腔,臀部,膝关节和踝关节的三维运动。在40名参与者中施用功能性DADA分析(FDA)用于骨盆和下肢运动模式的统计分析(20 clbp和20个对照)。 CLBP组在与控制相比,在主导侧的显着侧和矢状运动中的矢状平面中的横向平面,膝关节和踝关节运动模式的显着不同的臀部运动图案,与控制相比群体阶段阶段。就对称性而言,在CLBP组中,与非显着侧相比,在主导侧的横向平面上通过横向平面中的显着不同的运动模式移动。在对照组中,与非显着侧相比,膝盖通过主导侧的横向平面中的显着不同的运动模式。总之,低腰部疼痛导致下肢主要关节的运动模式,尤其是在立场相期间的主导侧。因此,应注意在CLBP中检查主导的下肢运动模式,以进行更好的临床决策。

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