Gait adaptations in low back pain patients with lumbar disc herniation: trunk coordination and arm swing

被引:0
作者
Yun Peng Huang
Sjoerd M. Bruijn
Jian Hua Lin
Onno G. Meijer
Wen Hua Wu
Hamid Abbasi-Bafghi
Xiao Cong Lin
Jaap H. van Dieën
机构
[1] Research Institute MOVE,Department of Orthopaedics
[2] Faculty of Human Movement Sciences,Orthopaedic Biomechanic Laboratory
[3] VU University,Department of Physical Education and Sports Science
[4] First Affiliated Hospital of Fujian Medical University,undefined
[5] Second Affiliated Hospital of Fujian Medical University,undefined
[6] Fujian Medical University,undefined
[7] Yazd University,undefined
来源
European Spine Journal | 2011年 / 20卷
关键词
Gait coordination; Trunk movements; Relative phase; Low back pain; Arm swing;
D O I
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中图分类号
学科分类号
摘要
Patients with chronic non-specific low back pain (LBP) walk with more synchronous (in-phase) horizontal pelvis and thorax rotations than controls. Low thorax–pelvis relative phase in these patients appears to result from in-phase motion of the thorax with the legs, which was hypothesized to affect arm swing. In the present study, gait kinematics were compared between LBP patients with lumbar disc herniation and healthy controls during treadmill walking at different speeds and with different step lengths. Movements of legs, arms, and trunk were recorded. The patients walked with larger pelvis rotations than healthy controls, and with lower relative phase between pelvis and thorax horizontal rotations, specifically when taking large steps. They did so by rotating the thorax more in-phase with the pendular movements of the legs, thereby limiting the amplitudes of spine rotation. In the patients, arm swing was out-of phase with the leg, as in controls. Consequently, the phase relationship between thorax rotations and arm swing was altered in the patients.
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页码:491 / 499
页数:8
相关论文
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