Gait adaptations in low back pain patients with lumbar disc herniation: Trunk coordination and arm swing

Y. Huang, S.M. Bruijn, J. Lin, O.G. Meijer, W.H. Wu, H. Abbassi Bafghi, X. Lin, J.H. van Dieen

    Research output: Contribution to JournalArticleAcademicpeer-review

    Abstract

    Patients with chronic non-specific low back pain (LBP) walk with more synchronous (in-phase) horizontal pelvis and thorax rotations than controls. Low thorax-pelvis relative phase in these patients appears to result from in-phase motion of the thorax with the legs, which was hypothesized to affect arm swing. In the present study, gait kinematics were compared between LBP patients with lumbar disc herniation and healthy controls during treadmill walking at different speeds and with different step lengths. Movements of legs, arms, and trunk were recorded. The patients walked with larger pelvis rotations than healthy controls, and with lower relative phase between pelvis and thorax horizontal rotations, specifically when taking large steps. They did so by rotating the thorax more in-phase with the pendular movements of the legs, thereby limiting the amplitudes of spine rotation. In the patients, arm swing was out-of phase with the leg, as in controls. Consequently, the phase relationship between thorax rotations and arm swing was altered in the patients. © The Author(s) 2010.
    Original languageEnglish
    Pages (from-to)491-499
    JournalEuropean Spine Journal
    Volume20
    DOIs
    Publication statusPublished - 2011

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    Low Back Pain
    Gait
    Arm
    Thorax
    Pelvis
    Leg
    Biomechanical Phenomena
    Walking
    Spine

    Cite this

    @article{6940a62f85e047828a17811fdb24814f,
    title = "Gait adaptations in low back pain patients with lumbar disc herniation: Trunk coordination and arm swing",
    abstract = "Patients with chronic non-specific low back pain (LBP) walk with more synchronous (in-phase) horizontal pelvis and thorax rotations than controls. Low thorax-pelvis relative phase in these patients appears to result from in-phase motion of the thorax with the legs, which was hypothesized to affect arm swing. In the present study, gait kinematics were compared between LBP patients with lumbar disc herniation and healthy controls during treadmill walking at different speeds and with different step lengths. Movements of legs, arms, and trunk were recorded. The patients walked with larger pelvis rotations than healthy controls, and with lower relative phase between pelvis and thorax horizontal rotations, specifically when taking large steps. They did so by rotating the thorax more in-phase with the pendular movements of the legs, thereby limiting the amplitudes of spine rotation. In the patients, arm swing was out-of phase with the leg, as in controls. Consequently, the phase relationship between thorax rotations and arm swing was altered in the patients. {\circledC} The Author(s) 2010.",
    author = "Y. Huang and S.M. Bruijn and J. Lin and O.G. Meijer and W.H. Wu and {Abbassi Bafghi}, H. and X. Lin and {van Dieen}, J.H.",
    year = "2011",
    doi = "10.1007/s00586-010-1639-8",
    language = "English",
    volume = "20",
    pages = "491--499",
    journal = "European Spine Journal",
    issn = "0940-6719",
    publisher = "Springer Verlag",

    }

    Gait adaptations in low back pain patients with lumbar disc herniation: Trunk coordination and arm swing. / Huang, Y.; Bruijn, S.M.; Lin, J.; Meijer, O.G.; Wu, W.H.; Abbassi Bafghi, H.; Lin, X.; van Dieen, J.H.

    In: European Spine Journal, Vol. 20, 2011, p. 491-499.

    Research output: Contribution to JournalArticleAcademicpeer-review

    TY - JOUR

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    AU - Huang, Y.

    AU - Bruijn, S.M.

    AU - Lin, J.

    AU - Meijer, O.G.

    AU - Wu, W.H.

    AU - Abbassi Bafghi, H.

    AU - Lin, X.

    AU - van Dieen, J.H.

    PY - 2011

    Y1 - 2011

    N2 - Patients with chronic non-specific low back pain (LBP) walk with more synchronous (in-phase) horizontal pelvis and thorax rotations than controls. Low thorax-pelvis relative phase in these patients appears to result from in-phase motion of the thorax with the legs, which was hypothesized to affect arm swing. In the present study, gait kinematics were compared between LBP patients with lumbar disc herniation and healthy controls during treadmill walking at different speeds and with different step lengths. Movements of legs, arms, and trunk were recorded. The patients walked with larger pelvis rotations than healthy controls, and with lower relative phase between pelvis and thorax horizontal rotations, specifically when taking large steps. They did so by rotating the thorax more in-phase with the pendular movements of the legs, thereby limiting the amplitudes of spine rotation. In the patients, arm swing was out-of phase with the leg, as in controls. Consequently, the phase relationship between thorax rotations and arm swing was altered in the patients. © The Author(s) 2010.

    AB - Patients with chronic non-specific low back pain (LBP) walk with more synchronous (in-phase) horizontal pelvis and thorax rotations than controls. Low thorax-pelvis relative phase in these patients appears to result from in-phase motion of the thorax with the legs, which was hypothesized to affect arm swing. In the present study, gait kinematics were compared between LBP patients with lumbar disc herniation and healthy controls during treadmill walking at different speeds and with different step lengths. Movements of legs, arms, and trunk were recorded. The patients walked with larger pelvis rotations than healthy controls, and with lower relative phase between pelvis and thorax horizontal rotations, specifically when taking large steps. They did so by rotating the thorax more in-phase with the pendular movements of the legs, thereby limiting the amplitudes of spine rotation. In the patients, arm swing was out-of phase with the leg, as in controls. Consequently, the phase relationship between thorax rotations and arm swing was altered in the patients. © The Author(s) 2010.

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