Postural adjustments impairments in elderly people with chronic low back pain
Abstract Chronic low back pain (CLBP) is associated with postural control impairments and is highly prevalent in elderly people. The objective of this study is to verify whether anticipatory postural adjustments (APAs) and compensatory postural adjustments (CPAs) are affected by CLBP in elderly peop...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2021-02-01
|
| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-021-83837-2 |
| _version_ | 1818435800357928960 |
|---|---|
| author | Daniela Rosa Garcez Gizele Cristina da Silva Almeida Carlos Felipe Oliveira Silva Tainá de Souza Nascimento Anselmo de Athayde Costa e Silva Ana Francisca Rozin Kleiner Givago da Silva Souza Elizabeth Sumi Yamada Bianca Callegari |
| author_facet | Daniela Rosa Garcez Gizele Cristina da Silva Almeida Carlos Felipe Oliveira Silva Tainá de Souza Nascimento Anselmo de Athayde Costa e Silva Ana Francisca Rozin Kleiner Givago da Silva Souza Elizabeth Sumi Yamada Bianca Callegari |
| author_sort | Daniela Rosa Garcez |
| collection | DOAJ |
| description | Abstract Chronic low back pain (CLBP) is associated with postural control impairments and is highly prevalent in elderly people. The objective of this study is to verify whether anticipatory postural adjustments (APAs) and compensatory postural adjustments (CPAs) are affected by CLBP in elderly people by assessing their postural control during a self-initiated perturbation paradigm induced by rapid upper arm movement when pointing to a target. The participants’ lower limb muscle onset and center of pressure (COP) displacements were assessed prior to perturbation and throughout the entire movement. T0 moment (i.e., the beginning of the movement) was defined as the anterior deltoid (DEL) onset, and all parameters were calculated with respect to it. The rectus femoris (RT), semitendinosus (ST), and soleous (SOL) showed delayed onset in the CLBP group compared with the control group: RF (control: − 0.094 ± 0.017 s; CLBP: − 0.026 ± 0.012 s, t = 12, p < 0.0001); ST (control: − 0.093 ± 0.013 s; CLBP: − 0.018 ± 0.019 s, t = 12, p < 0.0001); and SOL (control: − 0.086 ± 0.018 s; CLBP: − 0.029 ± 0.015 s, t = 8.98, p < 0.0001). In addition, COP displacement was delayed in the CLBP group (control: − 0.035 ± 0.021 s; CLBP: − 0.015 ± 0.009 s, t = 3; p = 0.003) and presented a smaller amplitude during APA COPAPA [control: 0.444 cm (0.187; 0.648); CLBP: 0.228 cm (0.096; 0.310), U = 53, p = 0.012]. The CLBP group required a longer time to reach the maximum displacement after the perturbation (control: 0.211 ± 0.047 s; CLBP 0.296 ± 0.078 s, t = 3.582, p = 0.0013). This indicates that CLBP elderly patients have impairments to recover their postural control and less efficient anticipatory adjustments during the compensatory phase. Our results suggest that people with CLBP have altered feedforward hip and ankle muscle control, as shown from the SOL, ST, and RT muscle onset. This study is the first study in the field of aging that investigates the postural adjustments of an elderly population with CLBP. Clinical assessment of this population should consider postural stability as part of a rehabilitation program. |
| first_indexed | 2024-12-14T16:58:38Z |
| format | Article |
| id | doaj.art-b71ddc094e5740bc8823eca1a572ec68 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-14T16:58:38Z |
| publishDate | 2021-02-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-b71ddc094e5740bc8823eca1a572ec682022-12-21T22:53:53ZengNature PortfolioScientific Reports2045-23222021-02-0111111110.1038/s41598-021-83837-2Postural adjustments impairments in elderly people with chronic low back painDaniela Rosa Garcez0Gizele Cristina da Silva Almeida1Carlos Felipe Oliveira Silva2Tainá de Souza Nascimento3Anselmo de Athayde Costa e Silva4Ana Francisca Rozin Kleiner5Givago da Silva Souza6Elizabeth Sumi Yamada7Bianca Callegari8University Hospital Bettina Ferro de Souza, Federal University of ParáLaboratory of Human Motricity Sciences, Federal University of ParáLaboratory of Human Motricity Sciences, Federal University of ParáLaboratory of Human Motricity Sciences, Federal University of ParáMaster’s Program in Human Movement Sciences, Federal University of ParáDepartment of Physiotherapy, Federal University of São CarlosNeuroscience and Cell Biology Graduate Program, Federal University of ParáNeuroscience and Cell Biology Graduate Program, Federal University of ParáLaboratory of Human Motricity Sciences, Federal University of ParáAbstract Chronic low back pain (CLBP) is associated with postural control impairments and is highly prevalent in elderly people. The objective of this study is to verify whether anticipatory postural adjustments (APAs) and compensatory postural adjustments (CPAs) are affected by CLBP in elderly people by assessing their postural control during a self-initiated perturbation paradigm induced by rapid upper arm movement when pointing to a target. The participants’ lower limb muscle onset and center of pressure (COP) displacements were assessed prior to perturbation and throughout the entire movement. T0 moment (i.e., the beginning of the movement) was defined as the anterior deltoid (DEL) onset, and all parameters were calculated with respect to it. The rectus femoris (RT), semitendinosus (ST), and soleous (SOL) showed delayed onset in the CLBP group compared with the control group: RF (control: − 0.094 ± 0.017 s; CLBP: − 0.026 ± 0.012 s, t = 12, p < 0.0001); ST (control: − 0.093 ± 0.013 s; CLBP: − 0.018 ± 0.019 s, t = 12, p < 0.0001); and SOL (control: − 0.086 ± 0.018 s; CLBP: − 0.029 ± 0.015 s, t = 8.98, p < 0.0001). In addition, COP displacement was delayed in the CLBP group (control: − 0.035 ± 0.021 s; CLBP: − 0.015 ± 0.009 s, t = 3; p = 0.003) and presented a smaller amplitude during APA COPAPA [control: 0.444 cm (0.187; 0.648); CLBP: 0.228 cm (0.096; 0.310), U = 53, p = 0.012]. The CLBP group required a longer time to reach the maximum displacement after the perturbation (control: 0.211 ± 0.047 s; CLBP 0.296 ± 0.078 s, t = 3.582, p = 0.0013). This indicates that CLBP elderly patients have impairments to recover their postural control and less efficient anticipatory adjustments during the compensatory phase. Our results suggest that people with CLBP have altered feedforward hip and ankle muscle control, as shown from the SOL, ST, and RT muscle onset. This study is the first study in the field of aging that investigates the postural adjustments of an elderly population with CLBP. Clinical assessment of this population should consider postural stability as part of a rehabilitation program.https://doi.org/10.1038/s41598-021-83837-2 |
| spellingShingle | Daniela Rosa Garcez Gizele Cristina da Silva Almeida Carlos Felipe Oliveira Silva Tainá de Souza Nascimento Anselmo de Athayde Costa e Silva Ana Francisca Rozin Kleiner Givago da Silva Souza Elizabeth Sumi Yamada Bianca Callegari Postural adjustments impairments in elderly people with chronic low back pain Scientific Reports |
| title | Postural adjustments impairments in elderly people with chronic low back pain |
| title_full | Postural adjustments impairments in elderly people with chronic low back pain |
| title_fullStr | Postural adjustments impairments in elderly people with chronic low back pain |
| title_full_unstemmed | Postural adjustments impairments in elderly people with chronic low back pain |
| title_short | Postural adjustments impairments in elderly people with chronic low back pain |
| title_sort | postural adjustments impairments in elderly people with chronic low back pain |
| url | https://doi.org/10.1038/s41598-021-83837-2 |
| work_keys_str_mv | AT danielarosagarcez posturaladjustmentsimpairmentsinelderlypeoplewithchroniclowbackpain AT gizelecristinadasilvaalmeida posturaladjustmentsimpairmentsinelderlypeoplewithchroniclowbackpain AT carlosfelipeoliveirasilva posturaladjustmentsimpairmentsinelderlypeoplewithchroniclowbackpain AT tainadesouzanascimento posturaladjustmentsimpairmentsinelderlypeoplewithchroniclowbackpain AT anselmodeathaydecostaesilva posturaladjustmentsimpairmentsinelderlypeoplewithchroniclowbackpain AT anafranciscarozinkleiner posturaladjustmentsimpairmentsinelderlypeoplewithchroniclowbackpain AT givagodasilvasouza posturaladjustmentsimpairmentsinelderlypeoplewithchroniclowbackpain AT elizabethsumiyamada posturaladjustmentsimpairmentsinelderlypeoplewithchroniclowbackpain AT biancacallegari posturaladjustmentsimpairmentsinelderlypeoplewithchroniclowbackpain |