Lumbar passive tissue elongation is a potential risk factor for the development of low back pain. In this study, we explored the effect of lumbar passive tissue elongation on lumbar-pelvic coordination pattern during trunk flexion/extension task. Thirteen participants performed 5 trials of trunk flexion/extension task both before and after a lumbar passive tissue elongation protocol. Trunk kinematics were recorded to calculate lumbar–pelvic continuous relative phase (CRP) and CRP variability. Results showed that passive tissue elongation significantly decreased the mean lumbar-pelvic CRP and CRP variability. Our results indicate that prolonged experienced lumbar passive tissue elongation should be avoided in an occupational environment.
Get full access to this article
View all access options for this article.
References
1.
AdamsM.A.DolanP.1996. Time-dependent changes in the lumbar spine’s resistance to bending. Clinical Biomechanics11: 194-200.
2.
AnderssonG.B.1999. Epidemiological Features of Chronic Low-back Pain. Lancet254: 581-585.
3.
BazrgariB.HendershotB.MuslimK.ToosizadehN.NussbaumM.A.MadiganM.L.2011. Disturbance and recovery of trunk mechanical and neuromuscular behaviours following prolonged trunk flexion: influences of duration and external load on creep-induced effects.
4.
BoschmanJ.S.van der MolenH.F.SluiterJ.K.Frings-DresenH.W.F.2011. Occupational Demands and Health Effects for Bricklayers and Construction Supervisors: A Systematic Review. American Journal of Industrial Medicine54: 55-77.
5.
Bureau of Labor Statistics. 2011. Nonfatal occupational injuries and illnesses requiring days away from work [online]. Available from: www.bls.gov/iif/oshcdnew.htm.
6.
Burgess-LimerickR.AbernethyB.NealR.J.1993. Relative Phase Quantifies Interjoint Coordination. Journal of Biomechanics26: 91-94.
7.
Centers for Disease Control and Prevention, 2009. Prevalence and Most Common Causes of Disability Among Adults-United States, 2005. MMWR58: 421-426.
8.
DingwellJ.B.MarinL.C.2006. Kinematic variability and local dynamic stability of upper body motions when walking at different speeds. Journal of Biomechanics39: 444-452.
9.
FathallahF.A.2010. Musculoskeletal disorders in labor-intensive agriculture. Applied Ergonomics41: 738–743.
10.
GallagherS., 2008. Reducing low back pain and disability in mining. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health (NIOSH), Pittsburgh Research Laboratory, PA.
11.
GranataK.P.SanfordA.H.2000. Lumbar-Pelvic Coordination Is Influenced by Lifting Task Parameters. Spine25: 1413-1418.
12.
HeiderscheitB.C.HamillJ.Van EmmerikR.E.A.2002. Variability of stride characteristics and joint coordination among individuals with unilateral patella femoral pain. Journal of Applied Biomechanics18: 110-121.
13.
HendershotB.BazrgariB.MuslimK.ToosizadehN.NussbaumM.A.MadiganM.L.2011. Disturbance and recovery of trunk stiffness and reflexive muscle responses following prolonged trunk flexion: Influences of flexion angle and duration. Clinical Biome-chanics26: 250-256.
14.
HoogendoornW.E.BongersP.M.de VetH.C.W.DouwesM.KoesB.W.MiedemaM.C.AriensG.A.M.BouterL.M.2000. Flexion and Rotation of the Trunk and Lifting at Work Are Risk Factors for Low Back Pain: Results of a Prospective Cohort Study. Spine25: 3087-3092.
15.
HuB.NingX.NimbarteA.2013. The changes of lumbar muscle flexion-relaxation response due to laterally slanted ground surfaces. Ergonomics55: 1295-1303.
16.
HuB.NingX.2015. The influence of lumbar extensor muscle fatigue on lumbar-pelvic coordination during weightlifting. Ergonomics58: 1424-1432.
17.
HuB.ShanX.ZhouJ.NingX.2014. The effects of stance width and foot posture on lumbar muscle flexion-relaxation phenomenon. Clinical Biomechanics29: 311-316.
18.
KurzM.J.StergiouN.2002. Effect of normalization and phase angle calculations on continuous relative phase. Journal of Biomechanics35: 369-374.
19.
LamothC.J.C.MeijerO.G.WuismanJ.M.Van DieenJ.H.LevinM.F.BeekP.J.2002. Pelvis-Thorax Coordination in the Transverse Plane During Walking in Persons With Nonspecific Low Back Pain. Spine27: 92-99.
20.
LiL., 2000. Statility landscapes of walking and running near gait transition speed. Journal of Applied Biomechanics16: 428-435.
21.
McGorryR.HsiangM.1999. The Effect of Industrial Back Belts and Breathing Technique on Trunk and Pelvic Coordination During a Lifting Task. Spine24: 1124-1130.
22.
MillerR.H.MeardonS.A.DerrickT.R.GilletteJ.C.2008. Continuous Relative Phase Variability During an Exhaustive Run in Runners With a History of Iliotibial Band Syndrome. Journal of Applied Biomechanics24: 262-270.
23.
MontgomeryD. C.2012. Design and Analysis of Experiments. 8th ed.New York: John Wiley and Sons.
24.
NingX.JinS.MirkaG.A.2012. Describing the active region boundary of EMG-assisted biomechanical models of the low back. Clinical Biomechanics27: 422-427.
25.
PanjabiM.M.1992a. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. Journal of Spinal Disorders5: 383-389.
26.
PanjabiM.M.1992b. The stabilizing system of the spine. Part ii. Neutral zone and instability hypothesis. Journal of Spinal Disorders5: 390-396.
27.
PetersB.T.HaddadJ.M.HeiderscheitB.C.Van EmmerikR.E.HamillJ.2003. Limitations in the use and interpretation of continuous relative phase. Journal of Biomechanics36: 271–274.
28.
ScholzJ.P.1990. Dynamic pattern theory-some implications for therapeutics. Physical Therapy70: 827–843.
29.
SchonerG.JiangW.Y.KelsoJ.A.S.1990. A synergetic theory of quadrupedal gaits and gait transitions. Journal of Theoretical Biology142: 359–391.
30.
SeayJ.F.Van EmmerikR.E.A.HamillJ.2011. Low back pain status affects pelvis-trunk coordination and variability during walking and running. Clinical Biomechanics26: 572-578.
31.
SellesR.W.WagenaarR.C.SmitT.H.WuismanP.I.J.M.2001. Disorders in trunk rotation during walking in patients with low back pain: a dynamical systems approach. Clinical Biomechanics16: 175-181.
32.
SolomonowM.BarattaR.V.BanksA.FreudenbergerC.ZhouB.2003a. Flexion-relaxation response to static lumbar flexion in males and females. Clinical Biomechanics18: 273-279.
33.
SolomonowM.BarattaR.V.ZhouB.BurgerE.ZZieskeA.GedaliaA.2003b. Muscular dysfunction elicited by creep of lumbar viscoelastic tissue. Journal of Electromyography and Kinesiology13: 381-396.
34.
StewartW.F.RicciJ.A.MorgansteinD.LiptonR.2003. Lost Productive Time and Cost Due to Common Pain Conditions in the US Workforce. The Journal of the American Medical Association290: 2443-2454.
35.
Van EmmerikR.E.A.WagenaarR.C.1996. Effects of walking velocity on relative phase dynamics in the trunk in human walking. Journal of Biomechanics29: 1175-1184.
