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IS THERE A RELATIONSHIP BETWEEN PAIN, LIMITS OF STABILITY AND SENSORY INTERACTION BALANCE IN PATIENTS WITH LUMBAR DISC HERNIATION? A CROSS-SECTIONAL STUDY

Year 2021, , 329 - 336, 29.12.2021
https://doi.org/10.33457/ijhsrp.942729

Abstract

Objectives: Lumbar Disc Herniation (LDH) is a disorder causing pain and somatosensory loss. Although the association between pain and postural control in chronic low back pain is known, the relationship between pain and sensory problems with postural control is unknown in LDH, which is one of the most serious conditions among diseases. The purpose of the study was to determine the relationship between pain severity, Limits of Stability and Sensory Interaction Balance in patients with LDH.
Methods: A total of 119 LDH patients, 64 of whom were women and 55 were men, were included in this cross-sectional study. Pain severity and postural control of the patients was measured by using Visual Analog Scale and Biodex Balance Device, respectively. Limits of Stability and Clinical Test of Sensory Interaction Balance tests were used for postural control evaluation.
Results: The results of our study indicated that pain and disability were positively correlated with sensory interaction balance (p<0.05) while there was no statistically significant correlation between pain, disability and limits of stability (p>0.05).
Conclusions: In patients with LDH, the sensory interaction balance was negatively affected by the increased pain and disability level, while LOS was not. Therefore, in addition to reducing pain and disability, approaches to increase the balance of sensory interaction should be adopted in physiotherapy programs of these patients.

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References

  • Peterka, R.J., “Sensorimotor integration in human postural control”, Journal of Neurophysiology, 88(3), 1097-1118, 2002. Doi: 10.1152/jn.2002.88.3.1097.
  • Comber, L., Sosnoff, J.J., Galvin, R., Coote, S., “Postural control deficits in people with Multiple Sclerosis: A systematic review and meta-analysis”, Gait & Posture, 61, 445-452, 2018. Doi: 10.1016/j.gaitpost.2018.02.018
  • Jahn, K., Freiberger, E., Eskofier, B.M., Bollheimer, C., Klucken, J., “Balance and mobility in geriatric patients: Assessment and treatment of neurological aspects”, Zeitschrift fur Gerontologie und Geriatrie, 52(4), 316-323, 2019. Doi: 10.1007/s00391-019-01561-z.
  • Goossens, N., Rummens, S., Janssens, L., Caeyenberghs, K., Brumagne, S., “Association between sensorimotor impairments and functional brain changes in patients with low back pain: a critical review”, American Journal of Physical Medicine & Rehabilitation, 97(3), 200-211, 2018. Doi: 10.1097/PHM.0000000000000859.
  • Li, J., Zhang, Y., Song, S., Hou, Y., Hong, Y., Yue, S., Li, K., “Dynamical analysis of standing balance control on sloped surfaces in ındividuals with lumbar disc herniation” Scientific Reports, 10(1), 1676, 2020. Doi: 10.1038/s41598-020-58455-z.
  • Sipko, T., Kuczyński, M., “Intensity of chronic pain modifies postural control in low back patients” European Journal of Pain, 17(4), 612-620, 2013. Doi: 10.1002/j.1532-2149.2012.00226.x.
  • da Silva, R.A., Vieira, E.R., Fernandes, K.B.P., Andraus, R.A., Oliveira, M.R., Sturion, L.A., et al, “People with chronic low back pain have poorer balance than controls in challenging tasks”, Disability & Rehabilitation, 40(11), 1294-1300, 2018. Doi: 10.1080/09638288.2017.1294627.
  • Caffaro, R.R., França, F.J., Burke, T.N., Magalhães, M.O., Ramos, L.A., Marques, A.P., “Postural control in individuals with and without non-specific chronic low back pain: a preliminary case-control study”, European Spine Journal, 23(4), 807-813, 2014. Doi: 10.1007/s00586-014-3243-9.
  • Ringheim, I., Austein, H., Indahl, A., Roeleveld, K., “Postural strategy and trunk muscle activation during prolonged standing in chronic low back pain patients”, Gait & Posture, 42(4), 584-589, 2015. Doi: 10.1016/j.gaitpost.2015.09.008.
  • Johanson, E., Brumagne, S., Janssens, L., Pijnenburg, M., Claeys, K., Pääsuke, M., “The effect of acute back muscle fatigue on postural control strategy in people with and without recurrent low back pain”, European Spine Journal, 20(12), 2152-2159, 2011. Doi: 10.1007/s00586-011-1825-3.
  • Brumagne, S., Janssens, L., Janssens, E., Goddyn, L., “Altered postural control in anticipation of postural instability in persons with recurrent low back pain”, Gait & Posture, 28(4), 657-662, 2008. Doi: 10.1016/j.gaitpost.2008.04.015.
  • Brumagne, S., Janssens, L., Knapen, S., Claeys, K., Suuden-Johanson, E., “Persons with recurrent low back pain exhibit a rigid postural control strategy”, European Spine Journal, 17(9), 1177-1184, 2008. Doi: 10.1007/s00586-008-0709-7.
  • Behennah, J., Conway, R., Fisher, J., Osborne, N., Steele, J., “The relationship between balance performance, lumbar extension strength, trunk extension endurance, and pain in participants with chronic low back pain, and those without”, Clinical Biomechanics (Bristol, Avon), 53, 22-30, 2018. Doi: 10.1016/j.clinbiomech.2018.01.023.
  • Emami, F., Yoosefinejad, A.K., Razeghi, M., “Correlations between core muscle geometry, pain intensity, functional disability and postural balance in patients with nonspecific mechanical low back pain”, Medical Engineering & Physics, 60, 39-46, 2018. Doi: 10.1016/j.medengphy.2018.07.006.
  • Ruhe, A., Fejer, R., Walker, B., “Is there a relationship between pain intensity and postural sway in patients with non-specific low back pain?”, BMC Musculoskeletal Disorders, 12, 162, 2011. Doi: 10.1186/1471-2474-12-162.
  • Rosker, Z.M., Rosker, J., Sarabon, N., “Impairments of postural balance in surgically treated lumbar disc herniation patients”, Journal of Applied Biomechanics, 21, 1-7, 2020. Doi: 10.1123/jab.2019-0341.
  • Bouche, K., Stevens, V., Cambier, D., Caemaert, J., Danneels, L., “Comparison of postural control in unilateral stance between healthy controls and lumbar discectomy patients with and without pain”, European Spine Journal, 15(4), 423-432, 2006. Doi: 10.1007/s00586-005-1013-4.
  • Carlsson, A.M., “Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale”, Pain, 16(1), 87-101, 1983. Doi: 10.1016/0304-3959(83)90088-X.
  • Yakut, E., Düger, T., Öksüz, Ç., Yörükan, S., Üreten, K., Turan, D., Fırat, T., Kiraz, S., Kırdı, N,, Kayıhan, H., Yakut, Y., Güler, C., “Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain”, Spine (Phila Pa 1976), 29(5), 581-585, 2004. Doi: 10.1097/01.brs.0000113869.13209.03.
  • Sherafat, S., Salavati, M., Ebrahimi Takamjani, I., Akhbari, B., Mohammadirad, S., Mazaheri, M., Nagehban, H., “Intrasession and intersession reliability of postural control in participants with and without nonspecific low back pain using the Biodex Balance System”, Journal of Manipulative and Physiological Therapeutics, 36(2), 111-118, 2013. Doi: 10.1016/j.jmpt.2012.12.005.
  • Sullivan, K.M., Dean, A., Soe, M.M., “OpenEpi: a web-based epidemiologic and statistical calculator for public health”, Public Health Reports, 124(3), 471-474, 2009. Doi: 10.1177/003335490912400320.
  • Kawakami, M., Weinstein, J.N., Associated neurogenic and nonneurogenic pain mediators that probably are activated for nociceptive input, in: Low back pain: a scientific and clinical overview, (Ed. JN Weinstein, SL Gordon SL), American Academy of Orthopedic Surgeons, Rosemont, pp. 265-274, 1996.
  • van Dieën, J.H., Reeves, N.P., Kawchuk, G., van Dillen, L.R., Hodges, P.W., “Motor control changes in low back pain: divergence in presentations and mechanisms”, The Journal of Orthopaedic and Sports Physical Therapy, 49(6), 370-379, 2019. Doi: 10.2519/jospt.2019.7917.
  • Truszczyńska, A., Dobrzyńska, M., Trzaskoma, Z., Drzał-Grabiec, J., Tarnowski, A., “Assessment of postural stability in patients with lumbar spine chronic disc disease”, Acta of Bioengineering and Biomechanics, 18(4), 71-77, 2016.
  • Moseley, G.L., Hodges, P.W., “Are the changes in postural control associated with low back pain caused by pain interference?”, The Clinical Journal of Pain, 21(4), 323-329, 2005. Doi: 10.1097/01.ajp.0000131414.84596.99.
  • Della Volpe, R., Popa, T., Ginanneschi, F., Spidalieri, R., Mazzocchio, R., Rossi, A., “Changes in coordination of postural control during dynamic stance in chronic low back pain patients”, Gait & Posture, 24(3), 349-355, 2006. Doi: 10.1016/j.gaitpost.2005.10.009.
  • Brech, G.C., Andrusaitis, S.F., Vitale, G.F., Greve, J.M.D., “Correlation of disability and pain with postural balance among women with chronic low back pain”, Clinics (Sao Paulo, Brazil), 67(8), 959-962, 2012. Doi: 10.6061/clinics/2012(08)17.
Year 2021, , 329 - 336, 29.12.2021
https://doi.org/10.33457/ijhsrp.942729

Abstract

Project Number

-

References

  • Peterka, R.J., “Sensorimotor integration in human postural control”, Journal of Neurophysiology, 88(3), 1097-1118, 2002. Doi: 10.1152/jn.2002.88.3.1097.
  • Comber, L., Sosnoff, J.J., Galvin, R., Coote, S., “Postural control deficits in people with Multiple Sclerosis: A systematic review and meta-analysis”, Gait & Posture, 61, 445-452, 2018. Doi: 10.1016/j.gaitpost.2018.02.018
  • Jahn, K., Freiberger, E., Eskofier, B.M., Bollheimer, C., Klucken, J., “Balance and mobility in geriatric patients: Assessment and treatment of neurological aspects”, Zeitschrift fur Gerontologie und Geriatrie, 52(4), 316-323, 2019. Doi: 10.1007/s00391-019-01561-z.
  • Goossens, N., Rummens, S., Janssens, L., Caeyenberghs, K., Brumagne, S., “Association between sensorimotor impairments and functional brain changes in patients with low back pain: a critical review”, American Journal of Physical Medicine & Rehabilitation, 97(3), 200-211, 2018. Doi: 10.1097/PHM.0000000000000859.
  • Li, J., Zhang, Y., Song, S., Hou, Y., Hong, Y., Yue, S., Li, K., “Dynamical analysis of standing balance control on sloped surfaces in ındividuals with lumbar disc herniation” Scientific Reports, 10(1), 1676, 2020. Doi: 10.1038/s41598-020-58455-z.
  • Sipko, T., Kuczyński, M., “Intensity of chronic pain modifies postural control in low back patients” European Journal of Pain, 17(4), 612-620, 2013. Doi: 10.1002/j.1532-2149.2012.00226.x.
  • da Silva, R.A., Vieira, E.R., Fernandes, K.B.P., Andraus, R.A., Oliveira, M.R., Sturion, L.A., et al, “People with chronic low back pain have poorer balance than controls in challenging tasks”, Disability & Rehabilitation, 40(11), 1294-1300, 2018. Doi: 10.1080/09638288.2017.1294627.
  • Caffaro, R.R., França, F.J., Burke, T.N., Magalhães, M.O., Ramos, L.A., Marques, A.P., “Postural control in individuals with and without non-specific chronic low back pain: a preliminary case-control study”, European Spine Journal, 23(4), 807-813, 2014. Doi: 10.1007/s00586-014-3243-9.
  • Ringheim, I., Austein, H., Indahl, A., Roeleveld, K., “Postural strategy and trunk muscle activation during prolonged standing in chronic low back pain patients”, Gait & Posture, 42(4), 584-589, 2015. Doi: 10.1016/j.gaitpost.2015.09.008.
  • Johanson, E., Brumagne, S., Janssens, L., Pijnenburg, M., Claeys, K., Pääsuke, M., “The effect of acute back muscle fatigue on postural control strategy in people with and without recurrent low back pain”, European Spine Journal, 20(12), 2152-2159, 2011. Doi: 10.1007/s00586-011-1825-3.
  • Brumagne, S., Janssens, L., Janssens, E., Goddyn, L., “Altered postural control in anticipation of postural instability in persons with recurrent low back pain”, Gait & Posture, 28(4), 657-662, 2008. Doi: 10.1016/j.gaitpost.2008.04.015.
  • Brumagne, S., Janssens, L., Knapen, S., Claeys, K., Suuden-Johanson, E., “Persons with recurrent low back pain exhibit a rigid postural control strategy”, European Spine Journal, 17(9), 1177-1184, 2008. Doi: 10.1007/s00586-008-0709-7.
  • Behennah, J., Conway, R., Fisher, J., Osborne, N., Steele, J., “The relationship between balance performance, lumbar extension strength, trunk extension endurance, and pain in participants with chronic low back pain, and those without”, Clinical Biomechanics (Bristol, Avon), 53, 22-30, 2018. Doi: 10.1016/j.clinbiomech.2018.01.023.
  • Emami, F., Yoosefinejad, A.K., Razeghi, M., “Correlations between core muscle geometry, pain intensity, functional disability and postural balance in patients with nonspecific mechanical low back pain”, Medical Engineering & Physics, 60, 39-46, 2018. Doi: 10.1016/j.medengphy.2018.07.006.
  • Ruhe, A., Fejer, R., Walker, B., “Is there a relationship between pain intensity and postural sway in patients with non-specific low back pain?”, BMC Musculoskeletal Disorders, 12, 162, 2011. Doi: 10.1186/1471-2474-12-162.
  • Rosker, Z.M., Rosker, J., Sarabon, N., “Impairments of postural balance in surgically treated lumbar disc herniation patients”, Journal of Applied Biomechanics, 21, 1-7, 2020. Doi: 10.1123/jab.2019-0341.
  • Bouche, K., Stevens, V., Cambier, D., Caemaert, J., Danneels, L., “Comparison of postural control in unilateral stance between healthy controls and lumbar discectomy patients with and without pain”, European Spine Journal, 15(4), 423-432, 2006. Doi: 10.1007/s00586-005-1013-4.
  • Carlsson, A.M., “Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale”, Pain, 16(1), 87-101, 1983. Doi: 10.1016/0304-3959(83)90088-X.
  • Yakut, E., Düger, T., Öksüz, Ç., Yörükan, S., Üreten, K., Turan, D., Fırat, T., Kiraz, S., Kırdı, N,, Kayıhan, H., Yakut, Y., Güler, C., “Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain”, Spine (Phila Pa 1976), 29(5), 581-585, 2004. Doi: 10.1097/01.brs.0000113869.13209.03.
  • Sherafat, S., Salavati, M., Ebrahimi Takamjani, I., Akhbari, B., Mohammadirad, S., Mazaheri, M., Nagehban, H., “Intrasession and intersession reliability of postural control in participants with and without nonspecific low back pain using the Biodex Balance System”, Journal of Manipulative and Physiological Therapeutics, 36(2), 111-118, 2013. Doi: 10.1016/j.jmpt.2012.12.005.
  • Sullivan, K.M., Dean, A., Soe, M.M., “OpenEpi: a web-based epidemiologic and statistical calculator for public health”, Public Health Reports, 124(3), 471-474, 2009. Doi: 10.1177/003335490912400320.
  • Kawakami, M., Weinstein, J.N., Associated neurogenic and nonneurogenic pain mediators that probably are activated for nociceptive input, in: Low back pain: a scientific and clinical overview, (Ed. JN Weinstein, SL Gordon SL), American Academy of Orthopedic Surgeons, Rosemont, pp. 265-274, 1996.
  • van Dieën, J.H., Reeves, N.P., Kawchuk, G., van Dillen, L.R., Hodges, P.W., “Motor control changes in low back pain: divergence in presentations and mechanisms”, The Journal of Orthopaedic and Sports Physical Therapy, 49(6), 370-379, 2019. Doi: 10.2519/jospt.2019.7917.
  • Truszczyńska, A., Dobrzyńska, M., Trzaskoma, Z., Drzał-Grabiec, J., Tarnowski, A., “Assessment of postural stability in patients with lumbar spine chronic disc disease”, Acta of Bioengineering and Biomechanics, 18(4), 71-77, 2016.
  • Moseley, G.L., Hodges, P.W., “Are the changes in postural control associated with low back pain caused by pain interference?”, The Clinical Journal of Pain, 21(4), 323-329, 2005. Doi: 10.1097/01.ajp.0000131414.84596.99.
  • Della Volpe, R., Popa, T., Ginanneschi, F., Spidalieri, R., Mazzocchio, R., Rossi, A., “Changes in coordination of postural control during dynamic stance in chronic low back pain patients”, Gait & Posture, 24(3), 349-355, 2006. Doi: 10.1016/j.gaitpost.2005.10.009.
  • Brech, G.C., Andrusaitis, S.F., Vitale, G.F., Greve, J.M.D., “Correlation of disability and pain with postural balance among women with chronic low back pain”, Clinics (Sao Paulo, Brazil), 67(8), 959-962, 2012. Doi: 10.6061/clinics/2012(08)17.
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Details

Primary Language English
Subjects Health Care Administration
Journal Section Article
Authors

Melda Soysal Tomruk 0000-0003-2773-5536

Alp Tunca Yapıcı 0000-0003-1893-3178

Nihal Gelecek 0000-0003-1780-2520

Orhan Kalemci 0000-0002-8607-6860

Project Number -
Publication Date December 29, 2021
Submission Date May 25, 2021
Acceptance Date December 6, 2021
Published in Issue Year 2021

Cite

IEEE M. Soysal Tomruk, A. T. Yapıcı, N. Gelecek, and O. Kalemci, “IS THERE A RELATIONSHIP BETWEEN PAIN, LIMITS OF STABILITY AND SENSORY INTERACTION BALANCE IN PATIENTS WITH LUMBAR DISC HERNIATION? A CROSS-SECTIONAL STUDY”, IJHSRP, vol. 6, no. 3, pp. 329–336, 2021, doi: 10.33457/ijhsrp.942729.

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