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Lumbar position sense and the risk of low back injuries in college athletes: a prospective cohort study

BACKGROUND: Impaired proprioception in the lumbar spine has often been reported in people with low back pain. However, no prospective studies exist to assert the cause and effect of this association. We hypothesized that athletes with a history of low back injury (LBI) would demonstrate poorer lumba...

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Autores principales: Silfies, Sheri P, Cholewicki, Jacek, Reeves, N Peter, Greene, Hunter S
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2259335/
https://www.ncbi.nlm.nih.gov/pubmed/18166132
http://dx.doi.org/10.1186/1471-2474-8-129
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author Silfies, Sheri P
Cholewicki, Jacek
Reeves, N Peter
Greene, Hunter S
author_facet Silfies, Sheri P
Cholewicki, Jacek
Reeves, N Peter
Greene, Hunter S
author_sort Silfies, Sheri P
collection PubMed
description BACKGROUND: Impaired proprioception in the lumbar spine has often been reported in people with low back pain. However, no prospective studies exist to assert the cause and effect of this association. We hypothesized that athletes with a history of low back injury (LBI) would demonstrate poorer lumbar position sense (PS) than athletes without a history of LBI, and that this deficit would be a risk factor for future LBI. METHODS: This was a prospective cohort study with 2–3 year follow-up. Lumbar spine PS in the transverse plane was evaluated in 292 athletes using three tests: 1) passive and 2) active trunk repositioning, and 3) motion perception threshold. Mean absolute (accuracy) and variable (precision) errors were computed. RESULTS: There were no significant differences in the repositioning errors or motion perception threshold between athletes with and without a history of LBI or between those who did and did not get injured during the follow-up. Active trunk repositioning resulted in smaller errors than passive repositioning (1.6°± 0.8°) versus 2.1°± 1.0°) and 1.7°± 0.8°) versus 2.3°± 1.1°) for the absolute and relative errors, respectively). CONCLUSION: Poor trunk PS in transverse plane is not associated with LBI in athletes, nor does it appear that poor trunk PS predisposes athletes to LBI.
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spelling pubmed-22593352008-03-04 Lumbar position sense and the risk of low back injuries in college athletes: a prospective cohort study Silfies, Sheri P Cholewicki, Jacek Reeves, N Peter Greene, Hunter S BMC Musculoskelet Disord Research Article BACKGROUND: Impaired proprioception in the lumbar spine has often been reported in people with low back pain. However, no prospective studies exist to assert the cause and effect of this association. We hypothesized that athletes with a history of low back injury (LBI) would demonstrate poorer lumbar position sense (PS) than athletes without a history of LBI, and that this deficit would be a risk factor for future LBI. METHODS: This was a prospective cohort study with 2–3 year follow-up. Lumbar spine PS in the transverse plane was evaluated in 292 athletes using three tests: 1) passive and 2) active trunk repositioning, and 3) motion perception threshold. Mean absolute (accuracy) and variable (precision) errors were computed. RESULTS: There were no significant differences in the repositioning errors or motion perception threshold between athletes with and without a history of LBI or between those who did and did not get injured during the follow-up. Active trunk repositioning resulted in smaller errors than passive repositioning (1.6°± 0.8°) versus 2.1°± 1.0°) and 1.7°± 0.8°) versus 2.3°± 1.1°) for the absolute and relative errors, respectively). CONCLUSION: Poor trunk PS in transverse plane is not associated with LBI in athletes, nor does it appear that poor trunk PS predisposes athletes to LBI. BioMed Central 2007-12-31 /pmc/articles/PMC2259335/ /pubmed/18166132 http://dx.doi.org/10.1186/1471-2474-8-129 Text en Copyright © 2007 Silfies et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Silfies, Sheri P
Cholewicki, Jacek
Reeves, N Peter
Greene, Hunter S
Lumbar position sense and the risk of low back injuries in college athletes: a prospective cohort study
title Lumbar position sense and the risk of low back injuries in college athletes: a prospective cohort study
title_full Lumbar position sense and the risk of low back injuries in college athletes: a prospective cohort study
title_fullStr Lumbar position sense and the risk of low back injuries in college athletes: a prospective cohort study
title_full_unstemmed Lumbar position sense and the risk of low back injuries in college athletes: a prospective cohort study
title_short Lumbar position sense and the risk of low back injuries in college athletes: a prospective cohort study
title_sort lumbar position sense and the risk of low back injuries in college athletes: a prospective cohort study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2259335/
https://www.ncbi.nlm.nih.gov/pubmed/18166132
http://dx.doi.org/10.1186/1471-2474-8-129
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