Evaluation of influence of stretching therapy and ergonomic factors on postural control in patients with chronic non-specific low back pain
Piotr Gawda 1, Magdalena Dmoszyńska-Graniczka 2, Halina Pawlak 3, Marek Cybulski 4, Michał Kiełbus 4, Piotr Majcher 1, Agnieszka Buczaj 5, Marcin Buczaj 6 1 - Chair of Rehabilitation, Physiotherapy and Balneotherapy, Medical University of Lublin, Poland 2 - Chair and Department of Biochemistry and Molecular Biology, Medical University of Lublin, Poland 3 - University of Life Sciences in Lublin, Poland 4 - Chair and Department of Biochemistry and Molecular Biology, Medical University of Lublin, Poland 5 - Institute of Rural Health, Lublin, Poland 6 - Institute of Electrical Engineering and Electrotechnologies, Lublin University of Technology, Poland Ann Agric Environ Med 2015; 22 (1): ICID: 1141384 Article type: Original article
Introduction and objectives. The vertical orientation of the body in the upright standing position is maintained by keeping the body’s centre of gravity (COG) upright, above the base of support, by a dynamic interplay of visual, vestibular, and somatosensory control systems. The objectives of this study were: to compare the postural control strategy between people with and without low back pain (LBP), to estimate the influence of the stretching therapy on the postural control strategy, and to discover the relationship between the restriction of spine mobility and occurrence of some ergonomic factors. Materials and methods. The study consisted of 32 patients with LBP and 25 healthy controls. Postural characteristics of the subjects were measured with the use of a computerized force platform. The software programme filters and measures COG sway velocity in different conditions. Additional measurements and tests were conducted in patients after stretching therapy. Based on survey research, all individuals were selected and evaluated from the aspect of ergonomics. Results. The results of the COG sway velocity vary under the testing conditions. From the aspect of ergonomic attitude and influence of the rehabilitation, results varied in the groups. Conclusions. Ergonomic factors are often accompanied by the appearance of LBP. The restrictions within the musculoskeletal system cause disorders in muscle synergies, which is expressed by an increase in the angular velocity of the COG. In patients with chronic back pain syndrome, selected stretching therapy techniques improves the range of motion of the spine and reduces pain.
DOI: 10.5604/12321966.1141384 PMID 25780844 - click here to show this article in PubMed