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http://dx.doi.org/10.13066/kspm.2021.16.4.1

Effects of Flexible and Semirigid Lumbosacral Orthosis on Lower-Limb Joint Angles during Gait in Patients with Chronic Low Back Pain: A Cross-Sectional Study  

Im, Sang-Cheol (Department of Rehabilitation Sciences, Graduate School, Daegu University)
Kim, Kyoung (Department of Physical Therapy, College of Rehabilitation Sciences, Daegu University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.16, no.4, 2021 , pp. 1-11 More about this Journal
Abstract
PURPOSE: Lumbosacral orthosis (LSO) is often used to help manage low back pain because it is economical and effective. This study examined the effects of flexible and semirigid LSOs on the lower-limb joint angles in walking in patients with chronic low back pain. METHODS: The effects of the lumbosacral orthosis during gait on the sagittal, frontal, horizontal planes and the change in lower limb angle were examined in fourteen chronic low back pain patients who walked without wearing a LSO, wearing a flexible LSO, and wearing a semirigid LSO in random order for three-dimensional motion analysis. RESULTS: The flexion of the hip and knee joints decreased more significantly during walking with an LSO than without one. The genu valgum angles were reduced in the stance phase more during walking with an LSO than without one. The external rotation of the knee joints in the stance phase increased more during walking with an LSO than without one. CONCLUSION: The angles of the lower-limb joints of patients with chronic low back pain are affected by walking with an LSO, and the effects increased as the LSO stiffened.
Keywords
Gait; Kinematics; Low back pain; Lumbosacral orthosis; Motion analysis;
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1 Lahiri S, Markkanen P, Levenstein C. The cost effectiveness of occupational health interventions: preventing occupational back pain. Am J Ind Med. 2005;48(6):515-29.   DOI
2 Vogt L, Pfeifer K, Portscher M, et al. Influences of nonspecific low back pain on three-dimensional lumbar spine kinematics in locomotion. Spine. 2001;26(17):1910-9.   DOI
3 Vogt L, Pfeifer K, Banzer W. Neuromuscular control of walking with chronic low-back pain. Man Ther. 2003;8(1):21-8.   DOI
4 Reyna JR Jr., Leggett SH, Kenney K, et al. The effect of lumbar belts on isolated lumbar muscle. Strength and dynamic capacity. Spine. 1995;20(1):68-73.   DOI
5 Newcomer KL, Laskowski ER, Yu B, et al. Differences in repositioning error among patients with low back pain compared with control subjects. Spine. 2000;25(19):2488-93   DOI
6 Boucher JA, Roy N, Preuss R, et al. The effect of two lumbar belt designs on trunk repositioning sense in people with and without low back pain. Ann Phys Rehabil Med. 2017;60(5):306-11.   DOI
7 van Poppel MN, de Looze MP, Koes BW, et al. Mechanisms of action of lumbar supports: a systematic review. Spine. 2000;25(16):2103-13.   DOI
8 Lantz SA, Schultz AB. Lumbar spine orthosis wearing. I. Restriction of gross body motions. Spine. 1986;11(8):834-7.   DOI
9 Feipel V, De Mesmaeker T, Klein P, et al. Three-dimensional kinematics of the lumbar spine during treadmill walking at different speeds. Eur Spine J. 2001;10(1):16-22.   DOI
10 Smeathers JE. Transient vibrations caused by heel strike. Proc Inst Mech Eng H. 1989;203(4):181-6.   DOI
11 Hines MG, Tillin NA, Luo J, et al. Passive elastic contribution of hip extensors to joint moments during walking in people with low back pain. Clin Biomech. 2018;60:134-40.   DOI
12 Perry J, Burnfield JM, Jeong S, et al. Gait analysis: normal and pathological function. Korea. Young Moon. 2012.
13 Lariviere C, Caron JM, Preuss R, et al. The effect of different lumbar belt designs on the lumbopelvic rhythm in healthy subjects. BMC Musculoskelet Disord. 2014;15:307.   DOI
14 Tuong NH, Dansereau J, Maurais G, et al. Three-dimensional evaluation of lumbar orthosis effects on spinal behavior. J Rehabil Res Dev. 1998;35(1):34-42.
15 Konz R, Fatone S, Gard S. Effect of restricted spinal motion on gait. J Rehabil Res Dev. 2006;43(2):161-70.   DOI
16 Lariviere C, Ludvig D, Kearney R, et al. Identification of intrinsic and reflexive contributions to low-back stiffness: medium-term reliability and construct validity. J Biomech. 2015;48(2):254-61.   DOI
17 Grew ND, Deane G. The physical effect of lumbar spinal supports. Prosthet Orthot Int. 1982;6(2):79-87.   DOI
18 Morrisette DC, Cholewicki J, Logan S, et al. A randomized clinical trial comparing extensible and inextensible lumbosacral orthoses and standard care alone in the management of lower back pain. Spine. 2014;39(21):1733-42.   DOI
19 Fidler MW, Plasmans CM. The effect of four types of support on the segmental mobility of the lumbosacral spine. J Bone Joint Surg Am. 1983;65(7):943-7.   DOI
20 Buchalter D, Kahanovitz N, Viola K, et al. Three-dimensional spinal motion measurements. Part 2: A noninvasive assessment of lumbar brace immobilization of the spine. J Spinal Disord. 1988;1(4):284-6.   DOI
21 Wong MS, Cheng CY, Ng BK, et al. The effect of rigid versus flexible spinal orthosis on the gait pattern of patients with adolescent idiopathic scoliosis. Gait Posture. 2008;27(2):189-95.   DOI
22 Cromwell R, Schultz AB, Beck R, et al. Loads on the lumbar trunk during level walking. J Orthop Res. 1989;7(3):371-7.   DOI
23 Hicks GE, Sions JM, Coyle PC, et al. Altered spatiotemporal characteristics of gait in older adults with chronic low back pain. Gait Posture. 2017;55:172-6.   DOI
24 Song HN, Kim YM, Kim K. A kinematic analysis of the lower limb with regard to restricted spinal motion during gait. J Phys Ther Sci. 2017;29(1):81-4.   DOI
25 Cholewicki J, Lee AS, Peter Reeves N, et al. Comparison of trunk stiffness provided by different design characteristics of lumbosacral orthoses. Clin Biomech. 2010;25(2):110-4.   DOI
26 Taylor N, Goldie P, Evans O. Movements of the pelvis and lumbar spine during walking in people with acute low back pain. Physiother Res Int. 2004;9(2):74-84.   DOI
27 O'Sullivan PB, Burnett A, Floyd AN, et al. Lumbar repositioning deficit in a specific low back pain population. Spine. 2003;28(10):1074-9   DOI
28 Kramers-de Quervain IA, Muller R, Stacoff A, et al. Gait analysis in patients with idiopathic scoliosis. Eur Spine J. 2004;13(5):449-56.
29 Punnett L, Pruss-Utun A, Nelson DI, et al. Estimating the global burden of low back pain attributable to combined occupational exposures. Am J Ind Med. 2005;48(6):459-69.   DOI
30 Alexanderson KA, Borg KE, Hensing GK. Sickness absence with low-back, shoulder, or neck diagnoses: an 11-year follow-up regarding gender differences in sickness absence and disability pension. Work (Reading, Mass). 2005;25(2):115-24.
31 Taylor S, Frost H, Taylor A, et al. Reliability and responsiveness of the shuttle walking test in patients with chronic low back pain. Physiother Res Int. 2001;6(3):170-8.   DOI
32 Zoia C, Bongetta D, Alicino C, et al. Usefulness of corset adoption after single-level lumbar discectomy: a randomized controlled trial. J Neurosurg Spine. 2018;28(5):481-5.   DOI
33 Al-Obaidi SM, Al-Zoabi B, Al-Shuwaie N, et al. The influence of pain and pain-related fear and disability beliefs on walking velocity in chronic low back pain. Int J Rehabil Res. 2003;26(2):101-8.   DOI
34 Kim K, Ko JY, Lee SY. A study on the characteristics of gait in patients with chronic low back pain. J Korean Soc Phys Ther. 2009;21(2):79-85.
35 Agabegi SS, Asghar FA, Herkowitz HN. Spinal orthoses. J Am Acad Orthop Surg. 2010;18(11):657-67.   DOI
36 Calmels P, Fayolle-Minon I. An update on orthotic devices for the lumbar spine based on a review of the literature. Rev Rhum Engl Ed. 1996;63(4):285-91.
37 Brumagne S, Cordo P, Lysens R, et al. The role of paraspinal muscle spindles in lumbosacral position sense in individuals with and without low back pain. Spine. 2000;25(8):989-94   DOI
38 Panjabi MM. A hypothesis of chronic back pain: ligament subfailure injuries lead to muscle control dysfunction. Eur Spine J. 2006;15(5):668-76.   DOI