A Study on the Characteristics of Gait in Patients with Chronic Low Back Pain

만성요통환자의 보행특성에 관한 연구

  • Kim, Kyoung (Department of Physical Therapy, College of Rehabilitation Sciences, Daegu University) ;
  • Ko, Joo-Yeon (Department of Physical Therapy, Bundang CHA General Hospital) ;
  • Lee, Sung-Young (Department of Physical Therapy, Seoul Veterans Hospital)
  • 김경 (대구대학교 재활과학대학 물리치료학과) ;
  • 고주연 (분당차병원 물리치료실) ;
  • 이성용 (보훈병원 물리치료실)
  • Received : 2009.02.16
  • Accepted : 2009.06.04
  • Published : 2009.06.25

Abstract

Purpose: This study examined the characteristics of gait in patients with chronic low back pain. Methods: The subjects were out-patients suffering from chronic low back pain at the department of physical therapy, B hospital in Seoul. Gait analysis was performed by dividing the subjects into two groups. The study and control group comprised 15 chronic low back pain patients and 14 healthy people, respectively. Gait analysis was performed using a VICON 512 Motion Analysis System to obtain the spatio-temporal and kinematic parameters. Results: First, there was a significant difference in the spatio-temporal parameters between the two groups (p<0.05). Second, the study group showed significant differences in the kinematic parameters during the stance phase (p<0.05). Third, there were significant differences in kinematic parameters in the study group during the swing phase (p<0.05). Conclusion: The gait pattern of patients with chronic low back pain is characterized by more rigid patterns. Compared to the control group, there was a decrease in the spatio-temporal parameters and kinematic parameters in patients with chronic low back pain. These findings are expected to play a role as basic data and to form a rehabilitation program for low back pain patients.

Keywords

References

  1. Miranda H, Viikari-Juntra E, Punnett L et al. Occupational loading, health behavior and sleep disturbance as predictors of low-back pain. Scand J Work Environ Health. 2008;34(6):411-9. https://doi.org/10.5271/sjweh.1290
  2. 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. https://doi.org/10.1002/ajim.20232
  3. 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. https://doi.org/10.1002/ajim.20193
  4. Alexanderson KA, Borg KE, Hensing GK. Sickness absence with low-back, shoulder, or neck diagnoses: an 11-year followup regarding gender differences in sickness absence and disability pension. Work. 2005;25(2):115-24.
  5. Ko JK. Comparing the effects of drug therapy, physical therapy, and exercise on pain, disability, and depression in patients with chronic back pain. J Korean Acad Nurs. 2007;37(5):645-54.
  6. Frank AO, De Souza LH. Conservative management of low back pain. Int J Clin Pract. 2001;55(1):21-31.
  7. Cromwell R, Schultz AB, Beck R et al. Loads on the lumbar trunk during level walking. J Orthop Res. 1989;7(3):371-7. https://doi.org/10.1002/jor.1100070309
  8. Park JY. Diagnosis and management of chronic low back pain. J Korean Acad Farm Med. 2001;22(9):1349-62.
  9. Perry J. Gait analysis. New Jersey, SLACK, 1992:55-60,185-208.
  10. Rainville J, Hartigan C, Martinez E et al. Exercise as a treatment for chronic low back pain. Spine J. 2004;4(1):106-15. https://doi.org/10.1016/S1529-9430(03)00174-8
  11. 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. https://doi.org/10.1002/pri.225
  12. Spenkelink CD, Hutten MM, Hermens HJ et al. Assessment of activities of daily living with an ambulatory monitoring system: a comparative study in patients with chronic low back pain and nonsymptomatic controls. Clin Rehabil. 2002;16(1):16-26. https://doi.org/10.1191/0269215502cr463oa
  13. Lamoth CJC, Meijer OG, Wuisman PIJM et al. Pelvic-thorax coordination in the transverse plane during walking in persons with nonspecific low back pain. Spine. 2002;27(4):E92-9. https://doi.org/10.1097/00007632-200202150-00016
  14. Lamoth CJ, Meijer OG, Daffertshofer A, Wuisman PI, Beek PJ. Effects of chronic low back pain on trunk coordination and back muscle activity during walking: changes in motor control. Eur Spine J. 2006;15(1):23-40. https://doi.org/10.1007/s00586-004-0825-y
  15. Vogt L, Pfeifer K, Portscher And M et al. Influences of nonspecific low back pain on three-dimensional lumbar spine kinematics in locomotion. Spine. 2001;26(17):1910-9. https://doi.org/10.1097/00007632-200109010-00019
  16. 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. https://doi.org/10.1097/00004356-200306000-00004
  17. Ryu CH, Lee SH, Yang HS et al. Gait analysis related to the level of lumbosacral radiculopathy in patients with chronic low back pain. J Korean Acad Rehab Med. 2004;28(6):586-91.
  18. Kim HR, Kim YS. The effects of spinal stabilization exercise using gravity on patients with degenerative disc disease. J Kor Soc Phys Ther. 2008;20(1):23-31. https://doi.org/10.1589/jpts.20.23
  19. Yi SJ. Oswestry low back pain disability index and related factors in patients with low back pain. J Kor Soc Phys Ther. 2008;20(4):21-8.
  20. Vlaeyen JW, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain. 2000;85(3):317-32. https://doi.org/10.1016/S0304-3959(99)00242-0
  21. Brumagne S, Janssens L, Knapen S et al. Persons with recurrent low back pain exhibit a rigid postural control strategy. Eur Spine J. 2008;17(9):1177-84. https://doi.org/10.1007/s00586-008-0709-7
  22. Giesecke T, Gracely RH, Clauw DJ et al. Central pain processing in chronic low back pain: Evidence for reduced pain inhibition. Schmerz. 2006;20(5):411-7. https://doi.org/10.1007/s00482-006-0473-8
  23. 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. https://doi.org/10.1002/pri.304