Thoracolumbar fascia deformation during deadlifting and trunk extension in individuals with and without back pain
BackgroundAlterations in posture, lumbopelvic kinematics, and movement patterns are commonly seen in patients with low back pain. Therefore, strengthening the posterior muscle chain has been shown to result in significant improvement in pain and disability status. Recent studies suggest that thoraco...
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2023.1177146/full |
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| author | Andreas Brandl Andreas Brandl Andreas Brandl Jan Wilke Christoph Egner Rüdiger Reer Tobias Schmidt Tobias Schmidt Robert Schleip Robert Schleip |
| author_facet | Andreas Brandl Andreas Brandl Andreas Brandl Jan Wilke Christoph Egner Rüdiger Reer Tobias Schmidt Tobias Schmidt Robert Schleip Robert Schleip |
| author_sort | Andreas Brandl |
| collection | DOAJ |
| description | BackgroundAlterations in posture, lumbopelvic kinematics, and movement patterns are commonly seen in patients with low back pain. Therefore, strengthening the posterior muscle chain has been shown to result in significant improvement in pain and disability status. Recent studies suggest that thoracolumbar fascia (TLF) has a major impact on the maintenance of spinal stability and paraspinal muscle activity, and thus is likely to have an equal impact on deadlift performance.ObjectiveAim of the study was to evaluate the role of thoracolumbar fascia deformation (TFLD) during spinal movement in track and field athletes (TF) as well as individuals with and without acute low back pain (aLBP).MethodsA case–control study was performed with n = 16 aLBP patients (cases) and two control groups: untrained healthy individuals (UH, n = 16) and TF (n = 16). Participants performed a trunk extension task (TET) and a deadlift, being assessed for erector spinae muscle thickness (EST) and TLFD using high-resolution ultrasound imaging. Mean deadlift velocity (VEL) and deviation of barbell path (DEV) were measured by means of a three-axis gyroscope. Group differences for TLFD during the TET were examined using ANOVA. Partial Spearman rank correlations were calculated between TLFD and VEL adjusting for baseline covariates, EST, and DEV. TLFD during deadlifting was compared between groups using ANCOVA adjusting for EST, DEV, and VEL.ResultsTLFD during the TET differed significantly between groups. TF had the largest TLFD (−37.6%), followed by UH (−26.4%), while aLBP patients had almost no TLFD (−2.7%). There was a strong negative correlation between TLFD and deadlift VEL in all groups (r = −0.65 to −0.89) which was highest for TF (r = −0.89). TLFD during deadlift, corrected for VEL, also differed significantly between groups. TF exhibited the smallest TLFD (−11.9%), followed by aLBP patients (−21.4%), and UH (−31.9%).ConclusionTFLD maybe a suitable parameter to distinguish LBP patients and healthy individuals during lifting tasks. The cause-effect triangle between spinal movement, TFLD and movement velocity needs to be further clarified.Clinical trial registrationhttps://drks.de/register/de/trial/DRKS00027074/, German Clinical Trials Register DRKS00027074. |
| first_indexed | 2024-03-13T07:17:32Z |
| format | Article |
| id | doaj.art-ddffeca563394d61a7c518d223b5ae3f |
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| language | English |
| last_indexed | 2024-03-13T07:17:32Z |
| publishDate | 2023-06-01 |
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| spelling | doaj.art-ddffeca563394d61a7c518d223b5ae3f2023-06-05T04:57:11ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-06-011010.3389/fmed.2023.11771461177146Thoracolumbar fascia deformation during deadlifting and trunk extension in individuals with and without back painAndreas Brandl0Andreas Brandl1Andreas Brandl2Jan Wilke3Christoph Egner4Rüdiger Reer5Tobias Schmidt6Tobias Schmidt7Robert Schleip8Robert Schleip9Department of Sports Medicine, Institute for Human Movement Science, Faculty for Psychology and Human Movement Science, University of Hamburg, Hamburg, GermanyDepartment for Medical Professions, Diploma Hochschule, Bad Sooden-Allendorf, GermanyOsteopathic Research Institute, Osteopathie Schule Deutschland, Hamburg, GermanyDepartment of Movement Sciences, University of Klagenfurt, Klagenfurt, AustriaDepartment for Medical Professions, Diploma Hochschule, Bad Sooden-Allendorf, GermanyDepartment of Sports Medicine, Institute for Human Movement Science, Faculty for Psychology and Human Movement Science, University of Hamburg, Hamburg, GermanyOsteopathic Research Institute, Osteopathie Schule Deutschland, Hamburg, GermanyInstitute of Interdisciplinary Exercise Science and Sports Medicine, Medical School Hamburg (MSH), Hamburg, GermanyDepartment for Medical Professions, Diploma Hochschule, Bad Sooden-Allendorf, GermanyDepartment of Sport and Health Sciences, Conservative and Rehabilitative Orthopedics, Technical University of Munich, Munich, GermanyBackgroundAlterations in posture, lumbopelvic kinematics, and movement patterns are commonly seen in patients with low back pain. Therefore, strengthening the posterior muscle chain has been shown to result in significant improvement in pain and disability status. Recent studies suggest that thoracolumbar fascia (TLF) has a major impact on the maintenance of spinal stability and paraspinal muscle activity, and thus is likely to have an equal impact on deadlift performance.ObjectiveAim of the study was to evaluate the role of thoracolumbar fascia deformation (TFLD) during spinal movement in track and field athletes (TF) as well as individuals with and without acute low back pain (aLBP).MethodsA case–control study was performed with n = 16 aLBP patients (cases) and two control groups: untrained healthy individuals (UH, n = 16) and TF (n = 16). Participants performed a trunk extension task (TET) and a deadlift, being assessed for erector spinae muscle thickness (EST) and TLFD using high-resolution ultrasound imaging. Mean deadlift velocity (VEL) and deviation of barbell path (DEV) were measured by means of a three-axis gyroscope. Group differences for TLFD during the TET were examined using ANOVA. Partial Spearman rank correlations were calculated between TLFD and VEL adjusting for baseline covariates, EST, and DEV. TLFD during deadlifting was compared between groups using ANCOVA adjusting for EST, DEV, and VEL.ResultsTLFD during the TET differed significantly between groups. TF had the largest TLFD (−37.6%), followed by UH (−26.4%), while aLBP patients had almost no TLFD (−2.7%). There was a strong negative correlation between TLFD and deadlift VEL in all groups (r = −0.65 to −0.89) which was highest for TF (r = −0.89). TLFD during deadlift, corrected for VEL, also differed significantly between groups. TF exhibited the smallest TLFD (−11.9%), followed by aLBP patients (−21.4%), and UH (−31.9%).ConclusionTFLD maybe a suitable parameter to distinguish LBP patients and healthy individuals during lifting tasks. The cause-effect triangle between spinal movement, TFLD and movement velocity needs to be further clarified.Clinical trial registrationhttps://drks.de/register/de/trial/DRKS00027074/, German Clinical Trials Register DRKS00027074.https://www.frontiersin.org/articles/10.3389/fmed.2023.1177146/fullthoracolumbar fascia deformationtrack and field athletesacute low back paindeadlift velocitytrunk extensioncorrelation |
| spellingShingle | Andreas Brandl Andreas Brandl Andreas Brandl Jan Wilke Christoph Egner Rüdiger Reer Tobias Schmidt Tobias Schmidt Robert Schleip Robert Schleip Thoracolumbar fascia deformation during deadlifting and trunk extension in individuals with and without back pain Frontiers in Medicine thoracolumbar fascia deformation track and field athletes acute low back pain deadlift velocity trunk extension correlation |
| title | Thoracolumbar fascia deformation during deadlifting and trunk extension in individuals with and without back pain |
| title_full | Thoracolumbar fascia deformation during deadlifting and trunk extension in individuals with and without back pain |
| title_fullStr | Thoracolumbar fascia deformation during deadlifting and trunk extension in individuals with and without back pain |
| title_full_unstemmed | Thoracolumbar fascia deformation during deadlifting and trunk extension in individuals with and without back pain |
| title_short | Thoracolumbar fascia deformation during deadlifting and trunk extension in individuals with and without back pain |
| title_sort | thoracolumbar fascia deformation during deadlifting and trunk extension in individuals with and without back pain |
| topic | thoracolumbar fascia deformation track and field athletes acute low back pain deadlift velocity trunk extension correlation |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2023.1177146/full |
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