Evaluation of trunk acceleration in healthy individuals and those with low back pain...includes commentary by Wilson I

Aims: The aim of this study was to investigate trunk acceleration as a measure of performance in both healthy individuals and those with low back pain (LBP). The study explored the difference in behaviour of trunk acceleration during flexion-extension movements between these two groups. This study i...

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Publicado en:International Journal of Therapy & Rehabilitation Vol. 18; no. 1; pp. 18 - 26
Autores principales: Aluko A, DeSouza L, Peacock J, Wilson I
Formato: commentary pictorial research tables/charts Journal Article
Publicado: Mark Allen Holdings Limited Jan2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2011
      vid: 18
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      pub: Mark Allen Holdings Limited
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        atl: Evaluation of trunk acceleration in healthy individuals and those with low back pain...includes commentary by Wilson I
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          Aluko A
          DeSouza L
          Peacock J
          Wilson I
        affil: Lecturer in Physiotherapy and PhD student, School of Health Sciences and Social Care, Brunel University
      sug:
        subj:
          Low Back Pain Physiopathology
          Acceleration
          Torso
          Human
          Intraclass Correlation Coefficient
          Comparative Studies
          Flexion
          Extension
          Equipment Reliability
          Test-Retest Reliability
          Repeated Measures
          Confidence Intervals
          Kinematics
          Adult
          Middle Age
          Female
          Male
          Sampling Methods
          Pain Measurement
          Visual Analog Scaling
          Scales
          Motion Analysis Systems Equipment and Supplies
          Signal Processing, Computer Assisted
          Data Analysis Software
          Clinical Assessment Tools
          Questionnaires
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Aims: The aim of this study was to investigate trunk acceleration as a measure of performance in both healthy individuals and those with low back pain (LBP). The study explored the difference in behaviour of trunk acceleration during flexion-extension movements between these two groups. This study investigated the test-retest reliability of the Lumbar Motion Monitor (LMM) using a single task protocol. Methods: Trunk acceleration of a group of healthy participants (M = 5, F = 5) and a group of participants with LBP (M = 4, F = 6) was evaluated using the LMM. Two sets of measurements were obtained from participants performing trunk flexion-extension movements for 8 seconds. Each participant had a 10 minute rest period between measures. Data were analysed using a two-way mixed model for an intra-class correlation (ICC) analysis to investigate the reliability of the measure, and a Bland-Altman graph was used to demonstrate the levels of agreement between those repeated measures. Results: The LBP group of participants demonstrated a slower three dimensional performance than the healthy group. The ICC for average sagittal acceleration (0.96, 95% confidence interval (CI) 0.90-0.98) and peak sagittal acceleration (0.89, 95% CI 0.75-0.96) with a 95% limit of agreement for the repeated measures of between -100.64 and +59.84 degreesis demonstrates the reliability of the measure. The higher ICC and its narrow confidence interval suggest that average rather than peak acceleration is more reliable. Within group measures for both the healthy and LBP groups demonstrated similar reliability for average acceleration (ICC 0.98, 95% CI 0.92-0.99) and for peak acceleration (healthy group ICC 0.94, CI 0.76-0.99; LBP group ICC 0.92, 95% CI 0.67-0.98). Conclusions: Low back pain may reduce trunk acceleration. The LMM may be used to measure trunk acceleration as a descriptor of trunk performance in response to an onset of LBP. However, the Bland- Altman limits suggest that its reliability is dependent upon the harness upon which the LMM is secured remaining in a fixed position.
      pubtype: Academic Journal
      doctype:
        commentary
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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