How do people with chronic low back pain pick a pencil off the floor?

Picking objects off the floor is provocative for people with chronic low back pain (CLBP). There are no clinically applicable methods evaluating movement strategies for this task. The relationship between strategy and multidimensional profiles is unknown. Develop a movement evaluation tool (MET) to...

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Publicado en:Physiotherapy Theory & Practice Vol. 40; no. 3; pp. 576 - 594
Autores principales: Kendell, Michelle, Smith, Anne, O'Sullivan, Peter, Beales, Darren, Chan, Jonathan, Li, Kun Man, McMullan, Matthew, Smith, Kelby, Rabey, Martin
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Mar2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2024
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      pub: Taylor & Francis Ltd
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        atl: How do people with chronic low back pain pick a pencil off the floor?
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        au:
          Kendell, Michelle
          Smith, Anne
          O'Sullivan, Peter
          Beales, Darren
          Chan, Jonathan
          Li, Kun Man
          McMullan, Matthew
          Smith, Kelby
          Rabey, Martin
        affil: Curtin enAble Institute, Curtin University, Perth, Western Australia, Australia
      sug:
        subj:
          Low Back Pain
          Chronic Pain
          Bending
          Lifting
          Human
          Descriptive Statistics
          Structural Equation Modeling
          Analysis of Variance
          Kruskal-Wallis Test
          Chi Square Test
          Nonexperimental Studies
          Scales
          Questionnaires
          Adult
          Middle Age
          Male
          Female
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Picking objects off the floor is provocative for people with chronic low back pain (CLBP). There are no clinically applicable methods evaluating movement strategies for this task. The relationship between strategy and multidimensional profiles is unknown. Develop a movement evaluation tool (MET) to examine movement strategies in people with CLBP (n = 289) picking a pencil off the floor. Describe those movement strategies, and determine reliability of the MET. Explore differences across multidimensional profiles and movement strategies. An MET was developed using literature and iterative processes, and its inter-rater agreement determined. Latent class analysis (LCA) derived classes demonstrating different strategies using six movement parameters as indicator variables. Differences between classes across multidimensional profiles were investigated using analysis of variance, Kruskal-Wallis, or chi-squared tests. Six movement parameters were evaluated. There was substantial inter-rater agreement (Cohen's Kappa = 0.39–0.79) across parameters. LCA derived three classes with different strategies: Class 1 (71.8%) intermediate trunk inclination/knee flexion; Class 2 (24.5%) greater forward trunk inclination, lower knee flexion; Class 3 (3.7%) lower forward trunk inclination, greater knee flexion. Pain duration differed across all classes (p ≤.001). Time taken to complete forward bends differed between Class 3 and other classes (p =.024). Movement strategies can be reliably assessed using the MET. Three strategies for picking lightweight objects off the floor were derived, which differed across pain duration and speed of movement.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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