Postural adjustments impairments in elderly people with chronic low back pain
| Autor: | Givago da Silva Souza, Gizele Cristina da Silva Almeida, Bianca Callegari, Carlos Felipe Oliveira Silva, Ana Francisca Rozin Kleiner, Tainá de Souza Nascimento, Anselmo de Athayde Costa e Silva, Daniela Rosa Garcez, Elizabeth Sumi Yamada |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Science Population Article 03 medical and health sciences 0302 clinical medicine Lower limb muscle Physical medicine and rehabilitation medicine Elderly people education education.field_of_study Multidisciplinary Rehabilitation business.industry Motility 030229 sport sciences humanities Chronic low back pain medicine.anatomical_structure Geriatrics Muscle contraction Postural stability Medicine Ankle business human activities 030217 neurology & neurosurgery Center of pressure (fluid mechanics) |
| Zdroj: | Scientific Reports Scientific Reports, Vol 11, Iss 1, Pp 1-11 (2021) |
| ISSN: | 2045-2322 |
| Popis: | Chronic low back pain (CLBP) is associated with postural control impairments and is highly prevalent in elderly people. The objective of this study is to verify whether anticipatory postural adjustments (APAs) and compensatory postural adjustments (CPAs) are affected by CLBP in elderly people by assessing their postural control during a self-initiated perturbation paradigm induced by rapid upper arm movement when pointing to a target. The participants’ lower limb muscle onset and center of pressure (COP) displacements were assessed prior to perturbation and throughout the entire movement. T0 moment (i.e., the beginning of the movement) was defined as the anterior deltoid (DEL) onset, and all parameters were calculated with respect to it. The rectus femoris (RT), semitendinosus (ST), and soleous (SOL) showed delayed onset in the CLBP group compared with the control group: RF (control: − 0.094 ± 0.017 s; CLBP: − 0.026 ± 0.012 s, t = 12, p APA [control: 0.444 cm (0.187; 0.648); CLBP: 0.228 cm (0.096; 0.310), U = 53, p = 0.012]. The CLBP group required a longer time to reach the maximum displacement after the perturbation (control: 0.211 ± 0.047 s; CLBP 0.296 ± 0.078 s, t = 3.582, p = 0.0013). This indicates that CLBP elderly patients have impairments to recover their postural control and less efficient anticipatory adjustments. Our results suggest that people with CLBP have altered feedforward hip and ankle muscle control, as shown from the SOL, ST, and RT muscle onset. This study is the first study in the field of aging that investigates the postural adjustments of an elderly population with CLBP. Clinical assessment of this population should consider postural stability as part of a rehabilitation program. |
| Databáze: | OpenAIRE |
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