Comparison of lumbopelvic movement pattern in people with and without low back pain during stair descending task

Neda Namnik, Reza Salehi, Mohammad jafar Shaterzadeh-Yazdi, Fatemeh Esfandiarpour, Mohammad Mehravar, Neda Orakifar

Abstract


Background: Decreased lumbar spine control may be associated with early and/
or excessive lumbopelvic motion with trunk and lower extremity movements
during functional and daily activities. This study investigated differences in
lumbopelvic movement patterns in people with and without low back pain
(LBP) during a stair descending (SD) task.
Methods: A total of 36 subjects, 18 females with non-specific chronic low back
pain (NSCLBP) and 18 healthy females, participated in this study. A threedimensional
motion capture system was used to record kinematics during the
SD task.
Results: The results showed that in the LBP group, the start-time of the lumbar
muscles occurred early in the movement (P=0.015). Additionally, subjects with
LBP showed excessive lumbar spine and pelvic movement during the SD task
(P<0.05).
Conclusion: LBP patients make early and excessive lumbopelvic movements
during a SD task, and this can be an important factor contributing to the
development or persistence of their LBP problem. This finding should be
considered by clinicians when evaluating functional tasks as part of movementbased
examinations and rehabilitation programs for people with LBP.


Keywords


Low back pain, Lumbopelvic movement, Kinematics; Stair descending

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