The Study of the Variability of Anticipatory Postural Adjustments in Recurrent Non-specific LBP Patients
The study of the variability of the postural strategies
in low back pain patients, as a criterion in evaluation of the
adaptability of this system to the environmental demands is the
purpose of this study. A cross-sectional case-control study was
performed on 21 recurrent non-specific low back pain patients and 21
healthy volunteers. The electromyography activity of Deltoid,
External Oblique (EO), Transverse Abdominis/Internal Oblique
(TrA/IO) and Erector Spine (ES) muscles of each person was
recorded in 75 rapid arm flexion with maximum acceleration.
Standard deviation of trunk muscles onset relative to deltoid muscle
onset were statistically analyzed by MANOVA . The results show
that chronic low back pain patients exhibit less variability in their
anticipatory postural adjustments (APAs) in comparison with the
control group. There is a decrease in variability of postural control
system of recurrent non-specific low back pain patients that can
result in the persistence of pain and chronicity by decreasing the
adaptability to environmental demands.
[1] G.L. Moseley, M.K. Nicholas , P.W.Hodges 'Does anticipation of back
pain predispose to back trouble? "Guarantors of Brain ,vol 127,pp.
2339- 2004 و 47
[2] P.W.Hodges , G.L.Moseley ." Pain and motor control of the lumbo-pelvic
region effect and possible mechanism" Journal of Electromyography and
Kinesiology vol 13,pp. 361-70,2003.
[3] M.A.Riley ,M.T.Turvey, "Variability and determinism in motor behavior.
Journal of Motor Behavior" vol 34,no 2,pp. 99-125,2002.
[4] N.Stergiou " Innovative Analyses of Human Movement", 1 ST ed. Human
Kinetics. 2004,pp34-6.
[5] G.L.Moseley ,P.W. Hodges "Reduced variability of postural strategy
prevents normalization of motor changes induced by back pain: a risk
factor for chronic trouble?" Behavioral Neuroscience ,vol 120,pp. 474-
6,2006.
[6] J.Jacobs , S.Henry ,K. Nagle " People with chronic low back pain exhibit
decrease variability in the timing of their anticipatory postural
adjustments" Behavior Neuroscience vol 123,no2, pp. 455-58,2009.
[7] D.M.Urquhart, P.W. ,Hodges,I.H. Story "Postural activity of the
abdominal muscles varies between regions of these muscles and between
body positions" Gait&Posture,vol 22,no4,pp. 295-301,2005.
[8] S. George ,J. Fritz,D. McNeill" Fear-avoidance belief as measured by the
fear-avoidance belief questionnaire: changes in fear-avoidance belief
questionnaire are predictive of changes in self- report of disability and
pain intensity for patients with acute low back pain" Clinical Journal of
Pain ,vol,2 2,no2,pp 197-203,2006.
[9] P. Marshall , B.Murphy " The validity and reliability of surface EMG to
assess the neuromuscular response of the abdominal muscles to rapid
limb movement" Journal of Electromyography and Kinesiology,vol
13,pp.477-89,2003.
[10] G.Staude ,C. Flachenecker ,M. Daumer, " Onset detection in surface
electromyographic signals: A systematic comparison of methods"
Journal on Applied Signal Processing,vol 2pp. 67-81,2001.
[11] S.Bouisset " Posture, dynamic stability and voluntary movement".
Clinical Neurophysiology ,vol38,pp.345-62,2008.
[12] A.E.Patla ,M.G.Ishac ,D.A.Winter "Anticipatory control of center of
mass and joint stability during voluntary arm movement from a standing
posture: Interplay between active and passive control" Experimental
Brain Research,vol 143pp. 318-27,2002.
[13] N.W.Mok, S.G.Brauer , P.W.Hodges " Failure to use movement in
postural strategies leads to increased spinal displacement in low back
pain" Spine ,vol 32,no19,pp. 537-543,2007.
[14] J.H.Van Dieen , L.P.Selen, J.Cholewicki "Trunk muscle activation in
low - back pain patients, an analysis of the literature" Journal of
Electromyography and Kinesiology,vol 13,pp. 333-51,2003.
[15] G.L.Moseley ,P.W.Hodges "Are changes in postural control associated
with low back pain caused by pain interference? "Clinical Journal of
Pain, vol 21,no 4,pp.323-9,2005.
[16] G.L.Moseley,M.K. Nicholas,P.W. Hodges "Does anticipation of back
pain predispose to back trouble?" Brain ,vol 127,pp. 2339-47,2004.
[17] S.M.Al-Obaidi ,B. Al-Zoabi , N.Al- Shuwaie et al. "The influence of
pain and pain-related fear and disability benefits on walking velocity in
chronic low back pain" International Journal of Rehabilitation Research
vol 26 ,no 2pp .101-8,2003.
[18] C.J.Lamoth , A.Daffertshofer,O.G. Meijer et al. "Effects of
experimentally induced pain and fear of pain on trunk coordination and
back muscle activity during walking' Clinical Biomechanics,vol 19,pp.
551-63,2004.
[19] M.Descarreaux ,C.Lalonde ,M.C.Normand" Isometric force parameters
and trunk muscle recruitment strategies in a population with low back
pain" Journal of Manipulative and Physiological Therapeutics vol
30,no2,pp. 91-7,2006.
[20] G.Crombez , J.W.Vlaeyen,P.W.Hodges " Pain related fear is more
disabling than pain itself: evidence on the role of pain-related fear in
chronic back pain disability" Pain ,vol 80,pp 329-39,1999.
[21] W.Hodges ,A. Richardson " Transversus abdominis and the superficial
abdominal muscles are controlled independently in a postural task"
Neuroscience Letters vol 265,pp91-4,1999.
[1] G.L. Moseley, M.K. Nicholas , P.W.Hodges 'Does anticipation of back
pain predispose to back trouble? "Guarantors of Brain ,vol 127,pp.
2339- 2004 و 47
[2] P.W.Hodges , G.L.Moseley ." Pain and motor control of the lumbo-pelvic
region effect and possible mechanism" Journal of Electromyography and
Kinesiology vol 13,pp. 361-70,2003.
[3] M.A.Riley ,M.T.Turvey, "Variability and determinism in motor behavior.
Journal of Motor Behavior" vol 34,no 2,pp. 99-125,2002.
[4] N.Stergiou " Innovative Analyses of Human Movement", 1 ST ed. Human
Kinetics. 2004,pp34-6.
[5] G.L.Moseley ,P.W. Hodges "Reduced variability of postural strategy
prevents normalization of motor changes induced by back pain: a risk
factor for chronic trouble?" Behavioral Neuroscience ,vol 120,pp. 474-
6,2006.
[6] J.Jacobs , S.Henry ,K. Nagle " People with chronic low back pain exhibit
decrease variability in the timing of their anticipatory postural
adjustments" Behavior Neuroscience vol 123,no2, pp. 455-58,2009.
[7] D.M.Urquhart, P.W. ,Hodges,I.H. Story "Postural activity of the
abdominal muscles varies between regions of these muscles and between
body positions" Gait&Posture,vol 22,no4,pp. 295-301,2005.
[8] S. George ,J. Fritz,D. McNeill" Fear-avoidance belief as measured by the
fear-avoidance belief questionnaire: changes in fear-avoidance belief
questionnaire are predictive of changes in self- report of disability and
pain intensity for patients with acute low back pain" Clinical Journal of
Pain ,vol,2 2,no2,pp 197-203,2006.
[9] P. Marshall , B.Murphy " The validity and reliability of surface EMG to
assess the neuromuscular response of the abdominal muscles to rapid
limb movement" Journal of Electromyography and Kinesiology,vol
13,pp.477-89,2003.
[10] G.Staude ,C. Flachenecker ,M. Daumer, " Onset detection in surface
electromyographic signals: A systematic comparison of methods"
Journal on Applied Signal Processing,vol 2pp. 67-81,2001.
[11] S.Bouisset " Posture, dynamic stability and voluntary movement".
Clinical Neurophysiology ,vol38,pp.345-62,2008.
[12] A.E.Patla ,M.G.Ishac ,D.A.Winter "Anticipatory control of center of
mass and joint stability during voluntary arm movement from a standing
posture: Interplay between active and passive control" Experimental
Brain Research,vol 143pp. 318-27,2002.
[13] N.W.Mok, S.G.Brauer , P.W.Hodges " Failure to use movement in
postural strategies leads to increased spinal displacement in low back
pain" Spine ,vol 32,no19,pp. 537-543,2007.
[14] J.H.Van Dieen , L.P.Selen, J.Cholewicki "Trunk muscle activation in
low - back pain patients, an analysis of the literature" Journal of
Electromyography and Kinesiology,vol 13,pp. 333-51,2003.
[15] G.L.Moseley ,P.W.Hodges "Are changes in postural control associated
with low back pain caused by pain interference? "Clinical Journal of
Pain, vol 21,no 4,pp.323-9,2005.
[16] G.L.Moseley,M.K. Nicholas,P.W. Hodges "Does anticipation of back
pain predispose to back trouble?" Brain ,vol 127,pp. 2339-47,2004.
[17] S.M.Al-Obaidi ,B. Al-Zoabi , N.Al- Shuwaie et al. "The influence of
pain and pain-related fear and disability benefits on walking velocity in
chronic low back pain" International Journal of Rehabilitation Research
vol 26 ,no 2pp .101-8,2003.
[18] C.J.Lamoth , A.Daffertshofer,O.G. Meijer et al. "Effects of
experimentally induced pain and fear of pain on trunk coordination and
back muscle activity during walking' Clinical Biomechanics,vol 19,pp.
551-63,2004.
[19] M.Descarreaux ,C.Lalonde ,M.C.Normand" Isometric force parameters
and trunk muscle recruitment strategies in a population with low back
pain" Journal of Manipulative and Physiological Therapeutics vol
30,no2,pp. 91-7,2006.
[20] G.Crombez , J.W.Vlaeyen,P.W.Hodges " Pain related fear is more
disabling than pain itself: evidence on the role of pain-related fear in
chronic back pain disability" Pain ,vol 80,pp 329-39,1999.
[21] W.Hodges ,A. Richardson " Transversus abdominis and the superficial
abdominal muscles are controlled independently in a postural task"
Neuroscience Letters vol 265,pp91-4,1999.
@article{"International Journal of Medical, Medicine and Health Sciences:52472", author = "Rosita Hedayati and Sedighe Kahrizi and Mohammad Parnianpour and Fariba Bahrami and Anoshirvan Kazemnejad", title = "The Study of the Variability of Anticipatory Postural Adjustments in Recurrent Non-specific LBP Patients", abstract = "The study of the variability of the postural strategies
in low back pain patients, as a criterion in evaluation of the
adaptability of this system to the environmental demands is the
purpose of this study. A cross-sectional case-control study was
performed on 21 recurrent non-specific low back pain patients and 21
healthy volunteers. The electromyography activity of Deltoid,
External Oblique (EO), Transverse Abdominis/Internal Oblique
(TrA/IO) and Erector Spine (ES) muscles of each person was
recorded in 75 rapid arm flexion with maximum acceleration.
Standard deviation of trunk muscles onset relative to deltoid muscle
onset were statistically analyzed by MANOVA . The results show
that chronic low back pain patients exhibit less variability in their
anticipatory postural adjustments (APAs) in comparison with the
control group. There is a decrease in variability of postural control
system of recurrent non-specific low back pain patients that can
result in the persistence of pain and chronicity by decreasing the
adaptability to environmental demands.", keywords = "EMG Onset Latency, Variability, Posture, Non - specific Low Back Pain", volume = "4", number = "9", pages = "417-4", }
