Trunk–Pelvis Kinematics Variability During Gait and Its Association With Trunk Muscle Endurance in Patients With Chronic Low Back Pain

in Journal of Applied Biomechanics
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  • 1 Semnan University of Medical Sciences
  • 2 Iran University of Medical Sciences
  • 3 Tehran University of Medical Sciences
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The first purpose was to investigate the trunk muscle endurance, the second aim was to evaluate the trunk–pelvis kinematics during gait, and the third was to evaluate the relationship between trunk–pelvis kinematics and the trunk muscle endurance. Thirty participants (15 nonspecific chronic low back pain [NCLBP] and 15 healthy) were included. The authors first assessed trunk muscle endurance on endurance testing protocols. The authors next measured the trunk–pelvis kinematics during gait using a 3-dimensional motion capture system. Angular displacement, waveform pattern (CVp), and offset variability (CVo) were also examined. Statistical analysis revealed a significant difference in (1) the trunk muscle endurance and (2) sagittal, frontal, and transverse planes CVp between groups (P < .05). A significant moderate correlation was found between supine double straight-leg raise and frontal CVp (r = .521, P = .03) and transverse planes CVp (r = .442, P = .05). However, a significant moderate correlation was observed between prone double straight-leg raise and sagittal plane CVp (r = .528, P = .03) and transverse plane CVp (r = .678, P = .001). The relationship between (1) lower trunk extensor endurance with transverse and sagittal planes CVp and (2) lower abdominal muscle endurance with transverse and frontal planes CVp suggests that gait variability in these planes may result because of trunk muscle deconditioning accompanying NCLBP.

Bagheri and Hedayati are with the Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran. Ebrahimi Takamjani, Pourahmadi, Jannati, and Fazeli are with the Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. Akbari is with the Department of Physiotherapy, School of Rehabilitation Sciences, Tehran University of Medical Sciences, Tehran, Iran.

Ebrahimi Takamjani (driebrahimi@yahoo.com) is corresponding author.
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