Lumbar Kinematics Assessment of Patients with Chronic Low Back Pain in Three Bridge Tests Using Miniaturized Sensors

Lumbar muscle atrophy, diminished strength, stamina, and increased fatigability have been associated with chronic nonspecific low back pain (LBP). When evaluating patients with LBP, trunk or core stability, provided by the performance and coordination of trunk muscles, appears to be essential. Sever...

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Main Authors: Athanasios Triantafyllou, Georgios Papagiannis, Sophia Stasi, Panagiotis Gkrilias, Maria Kyriakidou, Effrosyni Kampouroglou, Apostolos-Zacharias Skouras, Charilaos Tsolakis, George Georgoudis, Olga Savvidou, Panayiotis Papagelopoulos, Panagiotis Koulouvaris
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Bioengineering
Subjects:
Online Access:https://www.mdpi.com/2306-5354/10/3/339
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author Athanasios Triantafyllou
Georgios Papagiannis
Sophia Stasi
Panagiotis Gkrilias
Maria Kyriakidou
Effrosyni Kampouroglou
Apostolos-Zacharias Skouras
Charilaos Tsolakis
George Georgoudis
Olga Savvidou
Panayiotis Papagelopoulos
Panagiotis Koulouvaris
author_facet Athanasios Triantafyllou
Georgios Papagiannis
Sophia Stasi
Panagiotis Gkrilias
Maria Kyriakidou
Effrosyni Kampouroglou
Apostolos-Zacharias Skouras
Charilaos Tsolakis
George Georgoudis
Olga Savvidou
Panayiotis Papagelopoulos
Panagiotis Koulouvaris
author_sort Athanasios Triantafyllou
collection DOAJ
description Lumbar muscle atrophy, diminished strength, stamina, and increased fatigability have been associated with chronic nonspecific low back pain (LBP). When evaluating patients with LBP, trunk or core stability, provided by the performance and coordination of trunk muscles, appears to be essential. Several clinical tests have been developed to identify deficiencies in trunk performance, demonstrating high levels of validity and reproducibility. The most frequently prescribed tests for assessing the core body muscles are the prone plank bridge test (PBT), the side bridge test (SBT), and the supine bridge test (SUBT). However, quantitative assessments of the kinematics of the lumbar spine during their execution have not yet been conducted. The purpose of our study was to provide objective biomechanical data for the assessment of LBP patients. The lumbar spine ranges of motion of 22 healthy subjects (Group A) and 25 patients diagnosed with chronic LBP (Group B) were measured using two inertial measurement units during the execution of the PBT, SUBT, and SBT. Statistically significant differences between the two groups were found in all three tests’ kinematic patterns. This quantitative assessment of lumbar spine motion transforms the three bridge tests into an objective biomechanical diagnostic tool for LPBs that may be used to assess the efficacy of applied rehabilitation programs.
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spelling doaj.art-8a70ace3c88747bc96dc8fc7104992f52023-11-17T09:39:54ZengMDPI AGBioengineering2306-53542023-03-0110333910.3390/bioengineering10030339Lumbar Kinematics Assessment of Patients with Chronic Low Back Pain in Three Bridge Tests Using Miniaturized SensorsAthanasios Triantafyllou0Georgios Papagiannis1Sophia Stasi2Panagiotis Gkrilias3Maria Kyriakidou4Effrosyni Kampouroglou5Apostolos-Zacharias Skouras6Charilaos Tsolakis7George Georgoudis8Olga Savvidou9Panayiotis Papagelopoulos10Panagiotis Koulouvaris11Biomechanics Laboratory, Department of Physiotherapy, University of the Peloponnese, 23100 Sparta, GreeceBiomechanics Laboratory, Department of Physiotherapy, University of the Peloponnese, 23100 Sparta, GreeceLaboratory of Neuromuscular and Cardiovascular Study of Motion, Physiotherapy Department, Faculty of Health and Care Science, University of West Attica, 12243 Egaleo, GreeceBiomechanics Laboratory, Department of Physiotherapy, University of the Peloponnese, 23100 Sparta, GreeceBiomechanics Laboratory, Department of Physiotherapy, University of the Peloponnese, 23100 Sparta, Greece2nd Department of Surgery, Aretaieio Hospital, National and Kapodistrian University of Athens, 11528 Athens, GreeceSports Excellence, 1st Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, 12462 Athens, GreeceSports Excellence, 1st Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, 12462 Athens, GreeceDepartment of Physiotherapy, University of West Attica, 12243 Athens, GreeceSports Excellence, 1st Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, 12462 Athens, GreeceSports Excellence, 1st Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, 12462 Athens, GreeceSports Excellence, 1st Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, 12462 Athens, GreeceLumbar muscle atrophy, diminished strength, stamina, and increased fatigability have been associated with chronic nonspecific low back pain (LBP). When evaluating patients with LBP, trunk or core stability, provided by the performance and coordination of trunk muscles, appears to be essential. Several clinical tests have been developed to identify deficiencies in trunk performance, demonstrating high levels of validity and reproducibility. The most frequently prescribed tests for assessing the core body muscles are the prone plank bridge test (PBT), the side bridge test (SBT), and the supine bridge test (SUBT). However, quantitative assessments of the kinematics of the lumbar spine during their execution have not yet been conducted. The purpose of our study was to provide objective biomechanical data for the assessment of LBP patients. The lumbar spine ranges of motion of 22 healthy subjects (Group A) and 25 patients diagnosed with chronic LBP (Group B) were measured using two inertial measurement units during the execution of the PBT, SUBT, and SBT. Statistically significant differences between the two groups were found in all three tests’ kinematic patterns. This quantitative assessment of lumbar spine motion transforms the three bridge tests into an objective biomechanical diagnostic tool for LPBs that may be used to assess the efficacy of applied rehabilitation programs.https://www.mdpi.com/2306-5354/10/3/339lumbar kinematicsbridge testsIMUsminiaturized sensorslow back patients
spellingShingle Athanasios Triantafyllou
Georgios Papagiannis
Sophia Stasi
Panagiotis Gkrilias
Maria Kyriakidou
Effrosyni Kampouroglou
Apostolos-Zacharias Skouras
Charilaos Tsolakis
George Georgoudis
Olga Savvidou
Panayiotis Papagelopoulos
Panagiotis Koulouvaris
Lumbar Kinematics Assessment of Patients with Chronic Low Back Pain in Three Bridge Tests Using Miniaturized Sensors
Bioengineering
lumbar kinematics
bridge tests
IMUs
miniaturized sensors
low back patients
title Lumbar Kinematics Assessment of Patients with Chronic Low Back Pain in Three Bridge Tests Using Miniaturized Sensors
title_full Lumbar Kinematics Assessment of Patients with Chronic Low Back Pain in Three Bridge Tests Using Miniaturized Sensors
title_fullStr Lumbar Kinematics Assessment of Patients with Chronic Low Back Pain in Three Bridge Tests Using Miniaturized Sensors
title_full_unstemmed Lumbar Kinematics Assessment of Patients with Chronic Low Back Pain in Three Bridge Tests Using Miniaturized Sensors
title_short Lumbar Kinematics Assessment of Patients with Chronic Low Back Pain in Three Bridge Tests Using Miniaturized Sensors
title_sort lumbar kinematics assessment of patients with chronic low back pain in three bridge tests using miniaturized sensors
topic lumbar kinematics
bridge tests
IMUs
miniaturized sensors
low back patients
url https://www.mdpi.com/2306-5354/10/3/339
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