Alteration of movement patterns in low back pain assessed by Statistical Parametric Mapping
File(s)BM-D-19-00850_R2 (1).pdf (5.14 MB)
Accepted version
Author(s)
Papi, Enrica
Bull, Anthony MJ
McGregor, Alison H
Type
Journal Article
Abstract
Changes in movement pattern in low back pain (LBP) groups have been analysed by reporting predefined discrete variables. However, this approach does not consider the full kinematic data waveform and its dynamic information, potentially exposing the analysis to bias. Statistical Parametric Mapping (SPM) has been introduced and applied to 1 dimensional (D) kinematic variables allowing the assessment of data over time. The aims of this study were to assess differences in 3D kinematics patterns in people with and without LBP during functional tasks by using SPM and to investigate if SPM analysis was consistent with standard 3D range of motion (RoM) assessments. 3D joints kinematics of the spine and lower limbs were compared between 20 healthy controls and 20 participants with non-specific LBP during walking, sit-to-stand and lifting. SPM analysis showed significant differences in the 3Dkinematics of the lower thoracic segment, upper and lower lumbar segment and knee joint during walking and lifting mostly observed at the beginning and/or towards the end of the tasks. ROMs differed between groups in the lower thoracic segment (walking/sit-to-stand), upper and lower lumbar segments (walking/sit-to-stand/lifting), hip and knee (sit-to-stand/lifting). Based on these results, the two approaches can yield different data interpretations. SPM analysis allows the identification of differences in movement that occur over time. This adds value to LBP movement analysis as it allows an understanding of the LBP strategies adopted during motion that may not be conveyed by simple discrete parameters such as ROMs.
Date Issued
2020-02-13
Date Acceptance
2019-12-21
Citation
Journal of Biomechanics, 2020, 100, pp.109597-109597
ISSN
0021-9290
Publisher
Elsevier BV
Start Page
109597
End Page
109597
Journal / Book Title
Journal of Biomechanics
Volume
100
Copyright Statement
© 2019 Elsevier Ltd. All rights reserved. This manuscript is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence http://creativecommons.org/licenses/by-nc-nd/4.0/
Sponsor
University Of Southampton
Identifier
https://www.sciencedirect.com/science/article/pii/S0021929019308607?via%3Dihub
Grant Number
514086
Subjects
Science & Technology
Life Sciences & Biomedicine
Technology
Biophysics
Engineering, Biomedical
Engineering
Kinematics
Time series analysis
Range of motion
3D motion analysis
JOINT COORDINATE SYSTEM
SPINAL KINEMATICS
LUMBAR SPINE
PEOPLE
WALKING
MOTION
HIP
ADULTS
FORCE
3D motion analysis
Kinematics
Range of motion
Time series analysis
0903 Biomedical Engineering
0913 Mechanical Engineering
1106 Human Movement and Sports Sciences
Biomedical Engineering
Publication Status
Published
Article Number
ARTN 109597
Date Publish Online
2019-12-24