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An Exploratory Examination of the Association Between Altered Lumbar Motor Control, Joint Mobility and Low Back Pain in Athletes

BACKGROUND: Low back pain (LBP) is a common cause of lost playing time and can be a challenging clinical condition in competitive athletes. LBP in athletes may be associated with joint and ligamentous hypermobility and impairments in activation and coordination of the trunk musculature, however ther...

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Autores principales: Corkery, Marie B., O’Rourke, Brittany, Viola, Samantha, Yen, Sheng-Che, Rigby, Joseph, Singer, Kevin, Thomas, Adam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4335479/
https://www.ncbi.nlm.nih.gov/pubmed/25741418
http://dx.doi.org/10.5812/asjsm.24283
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author Corkery, Marie B.
O’Rourke, Brittany
Viola, Samantha
Yen, Sheng-Che
Rigby, Joseph
Singer, Kevin
Thomas, Adam
author_facet Corkery, Marie B.
O’Rourke, Brittany
Viola, Samantha
Yen, Sheng-Che
Rigby, Joseph
Singer, Kevin
Thomas, Adam
author_sort Corkery, Marie B.
collection PubMed
description BACKGROUND: Low back pain (LBP) is a common cause of lost playing time and can be a challenging clinical condition in competitive athletes. LBP in athletes may be associated with joint and ligamentous hypermobility and impairments in activation and coordination of the trunk musculature, however there is limited research in this area. OBJECTIVES: To determine if there is an association between altered lumbar motor control, joint mobility and low back pain (LBP) in a sample of athletes. MATERIALS AND METHODS: Fifteen athletes with LBP were matched by age, gender and body mass index (BMI) with controls without LBP. Athletes completed a questionnaire with questions pertaining to demographics, activity level, medical history, need to self-manipulate their spine, pain intensity and location. Flexibility and lumbar motor control were assessed using: active and passive straight leg raise, lumbar range of motion (ROM), hip internal rotation ROM (HIR), Beighton ligamentous laxity scale, prone instability test (PIT), observation of lumbar aberrant movements, double leg lowering and Trendelenburg tests. Descriptive statistics were compiled and the chi square test was used to analyze results. RESULTS: Descriptive statistics showed that 40% of athletes with LBP exhibited aberrant movements (AM), compared to 6% without LBP. 66% of athletes with LBP reported frequently self-manipulating their spine compared to 40% without LBP. No significant differences in motor control tests were found between groups. Athletes with LBP tended to have less lumbar flexion (63 ± 11°) compared to those without LBP (66 ± 13°). Chi-Square tests revealed that the AM were more likely to be present in athletes with LBP than those without (X2 = 4.66, P = 0.03). CONCLUSIONS: The presence of aberrant movement patterns is a significant clinical finding and associated with LBP in athletes.
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spelling pubmed-43354792015-03-04 An Exploratory Examination of the Association Between Altered Lumbar Motor Control, Joint Mobility and Low Back Pain in Athletes Corkery, Marie B. O’Rourke, Brittany Viola, Samantha Yen, Sheng-Che Rigby, Joseph Singer, Kevin Thomas, Adam Asian J Sports Med Research Article BACKGROUND: Low back pain (LBP) is a common cause of lost playing time and can be a challenging clinical condition in competitive athletes. LBP in athletes may be associated with joint and ligamentous hypermobility and impairments in activation and coordination of the trunk musculature, however there is limited research in this area. OBJECTIVES: To determine if there is an association between altered lumbar motor control, joint mobility and low back pain (LBP) in a sample of athletes. MATERIALS AND METHODS: Fifteen athletes with LBP were matched by age, gender and body mass index (BMI) with controls without LBP. Athletes completed a questionnaire with questions pertaining to demographics, activity level, medical history, need to self-manipulate their spine, pain intensity and location. Flexibility and lumbar motor control were assessed using: active and passive straight leg raise, lumbar range of motion (ROM), hip internal rotation ROM (HIR), Beighton ligamentous laxity scale, prone instability test (PIT), observation of lumbar aberrant movements, double leg lowering and Trendelenburg tests. Descriptive statistics were compiled and the chi square test was used to analyze results. RESULTS: Descriptive statistics showed that 40% of athletes with LBP exhibited aberrant movements (AM), compared to 6% without LBP. 66% of athletes with LBP reported frequently self-manipulating their spine compared to 40% without LBP. No significant differences in motor control tests were found between groups. Athletes with LBP tended to have less lumbar flexion (63 ± 11°) compared to those without LBP (66 ± 13°). Chi-Square tests revealed that the AM were more likely to be present in athletes with LBP than those without (X2 = 4.66, P = 0.03). CONCLUSIONS: The presence of aberrant movement patterns is a significant clinical finding and associated with LBP in athletes. Kowsar 2014-11-10 2014-12 /pmc/articles/PMC4335479/ /pubmed/25741418 http://dx.doi.org/10.5812/asjsm.24283 Text en Copyright © 2014, Kowsar Corp.; Published by Kowsar. http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
spellingShingle Research Article
Corkery, Marie B.
O’Rourke, Brittany
Viola, Samantha
Yen, Sheng-Che
Rigby, Joseph
Singer, Kevin
Thomas, Adam
An Exploratory Examination of the Association Between Altered Lumbar Motor Control, Joint Mobility and Low Back Pain in Athletes
title An Exploratory Examination of the Association Between Altered Lumbar Motor Control, Joint Mobility and Low Back Pain in Athletes
title_full An Exploratory Examination of the Association Between Altered Lumbar Motor Control, Joint Mobility and Low Back Pain in Athletes
title_fullStr An Exploratory Examination of the Association Between Altered Lumbar Motor Control, Joint Mobility and Low Back Pain in Athletes
title_full_unstemmed An Exploratory Examination of the Association Between Altered Lumbar Motor Control, Joint Mobility and Low Back Pain in Athletes
title_short An Exploratory Examination of the Association Between Altered Lumbar Motor Control, Joint Mobility and Low Back Pain in Athletes
title_sort exploratory examination of the association between altered lumbar motor control, joint mobility and low back pain in athletes
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4335479/
https://www.ncbi.nlm.nih.gov/pubmed/25741418
http://dx.doi.org/10.5812/asjsm.24283
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