Differences in brain processing of proprioception related to postural control in patients with recurrent non-specific low back pain and healthy controls

Patients with non-specific low back pain (NSLBP) show an impaired postural control during standing and a slower performance of sit-to-stand-to-sit (STSTS) movements. Research suggests that these impairments could be due to an altered use of ankle compared to back proprioception. However, the neural...

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Main Authors: Nina Goossens, Lotte Janssens, Karen Caeyenberghs, Geneviève Albouy, Simon Brumagne
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:NeuroImage: Clinical
Online Access:http://www.sciencedirect.com/science/article/pii/S2213158219302311
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author Nina Goossens
Lotte Janssens
Karen Caeyenberghs
Geneviève Albouy
Simon Brumagne
author_facet Nina Goossens
Lotte Janssens
Karen Caeyenberghs
Geneviève Albouy
Simon Brumagne
author_sort Nina Goossens
collection DOAJ
description Patients with non-specific low back pain (NSLBP) show an impaired postural control during standing and a slower performance of sit-to-stand-to-sit (STSTS) movements. Research suggests that these impairments could be due to an altered use of ankle compared to back proprioception. However, the neural correlates of these postural control impairments in NSLBP remain unclear. Therefore, we investigated brain activity during ankle and back proprioceptive processing by applying local muscle vibration during functional magnetic resonance imaging in 20 patients with NSLBP and 20 controls. Correlations between brain activity during proprioceptive processing and (Airaksinen et al., 2006) proprioceptive use during postural control, evaluated by using muscle vibration tasks during standing, and (Altmann et al., 2007) STSTS performance were examined across and between groups. Moreover, fear of movement was assessed. Results revealed that the NSLBP group performed worse on the STSTS task, and reported more fear compared to healthy controls. Unexpectedly, no group differences in proprioceptive use during postural control were found. However, the relationship between brain activity during proprioceptive processing and behavioral indices of proprioceptive use differed significantly between NSLBP and healthy control groups. Activity in the right amygdala during ankle proprioceptive processing correlated with an impaired proprioceptive use in the patients with NSLBP, but not in healthy controls. Moreover, while activity in the left superior parietal lobule, a sensory processing region, during back proprioceptive processing correlated with a better use of proprioception in the NSLBP group, it was associated with a less optimal use of proprioception in the control group. These findings suggest that functional brain changes during proprioceptive processing in patients with NSLBP may contribute to their postural control impairments. Keywords: Low back pain, Postural control, Proprioception, Functional magnetic resonance imaging, Fear
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spelling doaj.art-669b8e8267a4441e991b5727a01847182022-12-21T17:31:56ZengElsevierNeuroImage: Clinical2213-15822019-01-0123Differences in brain processing of proprioception related to postural control in patients with recurrent non-specific low back pain and healthy controlsNina Goossens0Lotte Janssens1Karen Caeyenberghs2Geneviève Albouy3Simon Brumagne4Department of Rehabilitation Sciences, KU Leuven, Tervuursevest 101, box 1501, Leuven 3001, Belgium; Corresponding author at: Department of Rehabilitation Sciences, Musculoskeletal Rehabilitation Research Group, KU Leuven, Tervuursevest 101, box 1501, Leuven 3001, Belgium.Department of Rehabilitation Sciences, KU Leuven, Tervuursevest 101, box 1501, Leuven 3001, Belgium; REVAL Rehabilitation Research Center, Hasselt University, Agoralaan A, Diepenbeek 3590, BelgiumSchool of Psychology, Faculty of Health Sciences, Australian Catholic University, Melbourne Campus (St Patrick), Locked Bag 4115, Fitzroy, VIC 3065, AustraliaDepartment of Movement Sciences, KU Leuven, Tervuursevest 101, box 1501, Leuven 3001, BelgiumDepartment of Rehabilitation Sciences, KU Leuven, Tervuursevest 101, box 1501, Leuven 3001, BelgiumPatients with non-specific low back pain (NSLBP) show an impaired postural control during standing and a slower performance of sit-to-stand-to-sit (STSTS) movements. Research suggests that these impairments could be due to an altered use of ankle compared to back proprioception. However, the neural correlates of these postural control impairments in NSLBP remain unclear. Therefore, we investigated brain activity during ankle and back proprioceptive processing by applying local muscle vibration during functional magnetic resonance imaging in 20 patients with NSLBP and 20 controls. Correlations between brain activity during proprioceptive processing and (Airaksinen et al., 2006) proprioceptive use during postural control, evaluated by using muscle vibration tasks during standing, and (Altmann et al., 2007) STSTS performance were examined across and between groups. Moreover, fear of movement was assessed. Results revealed that the NSLBP group performed worse on the STSTS task, and reported more fear compared to healthy controls. Unexpectedly, no group differences in proprioceptive use during postural control were found. However, the relationship between brain activity during proprioceptive processing and behavioral indices of proprioceptive use differed significantly between NSLBP and healthy control groups. Activity in the right amygdala during ankle proprioceptive processing correlated with an impaired proprioceptive use in the patients with NSLBP, but not in healthy controls. Moreover, while activity in the left superior parietal lobule, a sensory processing region, during back proprioceptive processing correlated with a better use of proprioception in the NSLBP group, it was associated with a less optimal use of proprioception in the control group. These findings suggest that functional brain changes during proprioceptive processing in patients with NSLBP may contribute to their postural control impairments. Keywords: Low back pain, Postural control, Proprioception, Functional magnetic resonance imaging, Fearhttp://www.sciencedirect.com/science/article/pii/S2213158219302311
spellingShingle Nina Goossens
Lotte Janssens
Karen Caeyenberghs
Geneviève Albouy
Simon Brumagne
Differences in brain processing of proprioception related to postural control in patients with recurrent non-specific low back pain and healthy controls
NeuroImage: Clinical
title Differences in brain processing of proprioception related to postural control in patients with recurrent non-specific low back pain and healthy controls
title_full Differences in brain processing of proprioception related to postural control in patients with recurrent non-specific low back pain and healthy controls
title_fullStr Differences in brain processing of proprioception related to postural control in patients with recurrent non-specific low back pain and healthy controls
title_full_unstemmed Differences in brain processing of proprioception related to postural control in patients with recurrent non-specific low back pain and healthy controls
title_short Differences in brain processing of proprioception related to postural control in patients with recurrent non-specific low back pain and healthy controls
title_sort differences in brain processing of proprioception related to postural control in patients with recurrent non specific low back pain and healthy controls
url http://www.sciencedirect.com/science/article/pii/S2213158219302311
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