Year 2023,
, 279 - 285, 31.12.2023
Murat Tomruk
,
Melda Soysal Tomruk
,
Orhan Kalemci
References
- Andersson, G. B., 1999. Epidemiological features of chronic low-back pain. Lancet 354(9178), 581-585.
- Cai, C., Kong, P. W., 2015. Low back and lower-limb muscle performance in male and female recreational runners with chronic low back pain. Journal of Orthopaedic & Sports Physical Therapy 45(6), 436-443
- Childs, J. D., Piva, S. R., Fritz, J. M., 2005. Responsiveness of the numeric pain rating scale in patients with low back pain. Spine 30(11), 1331-1334.
- de Sousa, C. S., de Jesus, F. L. A., Machado, M. B., Ferreira, G., Ayres, I. G. T., de Aquino, L. M., Fukuda, T. Y., Gomes-Neto, M., 2019. Lower limb muscle strength in patients with low back pain: a systematic review and meta-analysis. Journal of Musculoskeletal & Neuronal Interactions 19(1), 69-78.
- Fujii, T., Matsudaira, K., 2013. Prevalence of low back pain and factors associated with chronic disabling back pain in Japan. European Spine Journal 22(2), 432-438.
- GBD, 2016. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet 388(10053), 1545-1602.
- Helmhout, P. H., Witjes, M., Nijhuis, van der Sanden, R. W., Bron, C., van Aalst, M., Staal, J. B., 2017. The effects of lumbar extensor strength on disability and mobility in patients with persistent low back pain. The Journal of Sports Medicine and Physical Fitness 57(4), 411-417.
- Hu, H., Zheng, Y., Wang, X., Chen, B., Dong, Y., Zhang, J., Liu, X., Gong, D., 2017. Correlations between lumbar neuromuscular function and pain, lumbar disability in patients with nonspecific low back pain: A cross-sectional study. Medicine (Baltimore) 96(36), e7991.
- Iwai, K., Nakazato, K., Irie, K., Fujimoto, H., Nakajima, H., 2004. Trunk muscle strength and disability level of low back pain in collegiate wrestlers. Medicine & Science in Sports & Exercise 36(8), 1296-1300.
- Jaric, S., Radosavljevic-Jaric, S., Johansson, H., 2002. Muscle force and muscle torque in humans require different methods when adjusting for differences in body size. European Journal of Applied Physiology 87(3), 304-307.
- Kato, S., Demura, S., Shinmura, K., Yokogawa, N., Kabata, T., Matsubara, H., Kajino, Y., Igarashi, K., Inoue, D., Kurokawa, Y., Oku, N., Tsuchiya, H., 2021. Association of low back pain with muscle weakness, decreased mobility function, and malnutrition in older women: A cross-sectional study. PLoS One 16(1), e0245879.
- Kimura, M., Ogata, Y., Akebi, T., Ochi, M., Hachisuka, K., Saeki, S., 2018. Development and reliability of a hand-held dynamometer device to measure the ankle dorsiflexor muscle strength. Journal of Rehabilitation and Assistive Technologies Engineering, 5, 2055668318802558.
- Mentiplay, B. F., Perraton, L. G., Bower, K. J., Adair, B., Pua, Y. H., Williams, G. P., McGaw, R., Clark, R. A., 2015. Assessment of Lower Limb Muscle Strength and Power Using Hand-Held and Fixed Dynamometry: A Reliability and Validity Study. PLoS One 10(10), e0140822.
- Öncü, J., Ilişer, R., Kuran, B., 2016. Cross-cultural adaptation of the Orebro Musculoskeletal Pain Questionnaire among Turkish workers with low back pain. Journal of Back & Musculoskeletal Rehabilitation 29(1), 135-143.
- Popescu, A., Lee, H., 2020. Neck Pain and Lower Back Pain. Medical Clinics of North America 104(2), 279-292.
- Pranata, A., Perraton, L., El-Ansary, D., Clark, R., Fortin, K., Dettmann, T., Brandham, R., Bryant, A., 2017. Lumbar extensor muscle force control is associated with disability in people with chronic low back pain. Clinical Biomechanics (Bristol, Avon) 46, 46-51.
- Shin, D., 2020. Correlation between non-specific chronic low back pain and physical factors of lumbar and hip joint in office workers. Medicak Hypotheses 144, 110304.
- Steele, J., Bruce-Low, S., Smith, D., Jessop, D., Osborne, N., 2020. Isolated lumbar extension resistance training improves strength, pain, and disability, but not spinal height or shrinkage ("creep") in participants with chronic low back pain. Cartilage 11(2), 160-168.
- Steele, J., Fisher, J., Perrin, C., Conway, R., Bruce-Low, S., Smith, D., 2019. Does change in isolated lumbar extensor muscle function correlate with good clinical outcome? A secondary analysis of data on change in isolated lumbar extension strength, pain, and disability in chronic low back pain. Disability & Rehabilitation 41(11), 1287-1295.
- Streiner, D. L., Norman, G. R., Cairney, J., 2014. Health measurement scales: a practical guide to their development and use: Oxford university press, USA, 2014.
- Verbrugghe, J., Agten, A., Stevens, S., Eijnde, B. O., Vandenabeele, F., Roussel, N., De Baets, L., Timmermans, A., 2020. Disability, kinesiophobia, perceived stress, and pain are not associated with trunk muscle strength or aerobic capacity in chronic nonspecific low back pain. Physical Therapy in Sport 43, 77-83.
- Yakut, E., Düger, T., Oksüz, C., Yörükan, S., Ureten, K., Turan, D., Frat, T., Kiraz, S., Krd, N., Kayhan, H., Yakut, Y., Güler, C., 2004. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine (Phila Pa 1976) 29(5), 581-585.
Lower limb muscle strength is associated with disability in non-specific chronic low back pain
Year 2023,
, 279 - 285, 31.12.2023
Murat Tomruk
,
Melda Soysal Tomruk
,
Orhan Kalemci
Abstract
Low back pain is one of the most common health problems that affects daily living activities of most people at some time in their lifetime. Non-specific chronic low back pain (NS-CLBP) can be seen in 85-95% of the population. Although it is known that disability and lower limb muscle strength are affected in patients with NS-CLBP, no study investigated the relationship between these variables. The aim of this study was to identify association between disability and lower limb muscle strength in these patients. 79 patients with NS-CLBP were enrolled. The strength of knee extensor and ankle dorsiflexor muscles were measured using a hand-held dynamometer. The disability was assessed using Oswestry Disability Index. Spearman correlation analysis revealed that there were negative significant correlations between Oswestry Disability Index score and right knee extensor muscle strength, left knee extensor muscle strength and left ankle dorsiflexor muscle strength (r=-0.290, p=0.009; r=-0.408, p<0.001; r=-0.285, p=0.011, respectively). This study showed that lower limb muscle strength was associated with disability in patients with NS-CLBP. Physiotherapy interventions such as resistance training to increase the strength of knee extensor and ankle dorsiflexor muscles may be beneficial in improving disability in patients with NS-CLBP.
References
- Andersson, G. B., 1999. Epidemiological features of chronic low-back pain. Lancet 354(9178), 581-585.
- Cai, C., Kong, P. W., 2015. Low back and lower-limb muscle performance in male and female recreational runners with chronic low back pain. Journal of Orthopaedic & Sports Physical Therapy 45(6), 436-443
- Childs, J. D., Piva, S. R., Fritz, J. M., 2005. Responsiveness of the numeric pain rating scale in patients with low back pain. Spine 30(11), 1331-1334.
- de Sousa, C. S., de Jesus, F. L. A., Machado, M. B., Ferreira, G., Ayres, I. G. T., de Aquino, L. M., Fukuda, T. Y., Gomes-Neto, M., 2019. Lower limb muscle strength in patients with low back pain: a systematic review and meta-analysis. Journal of Musculoskeletal & Neuronal Interactions 19(1), 69-78.
- Fujii, T., Matsudaira, K., 2013. Prevalence of low back pain and factors associated with chronic disabling back pain in Japan. European Spine Journal 22(2), 432-438.
- GBD, 2016. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet 388(10053), 1545-1602.
- Helmhout, P. H., Witjes, M., Nijhuis, van der Sanden, R. W., Bron, C., van Aalst, M., Staal, J. B., 2017. The effects of lumbar extensor strength on disability and mobility in patients with persistent low back pain. The Journal of Sports Medicine and Physical Fitness 57(4), 411-417.
- Hu, H., Zheng, Y., Wang, X., Chen, B., Dong, Y., Zhang, J., Liu, X., Gong, D., 2017. Correlations between lumbar neuromuscular function and pain, lumbar disability in patients with nonspecific low back pain: A cross-sectional study. Medicine (Baltimore) 96(36), e7991.
- Iwai, K., Nakazato, K., Irie, K., Fujimoto, H., Nakajima, H., 2004. Trunk muscle strength and disability level of low back pain in collegiate wrestlers. Medicine & Science in Sports & Exercise 36(8), 1296-1300.
- Jaric, S., Radosavljevic-Jaric, S., Johansson, H., 2002. Muscle force and muscle torque in humans require different methods when adjusting for differences in body size. European Journal of Applied Physiology 87(3), 304-307.
- Kato, S., Demura, S., Shinmura, K., Yokogawa, N., Kabata, T., Matsubara, H., Kajino, Y., Igarashi, K., Inoue, D., Kurokawa, Y., Oku, N., Tsuchiya, H., 2021. Association of low back pain with muscle weakness, decreased mobility function, and malnutrition in older women: A cross-sectional study. PLoS One 16(1), e0245879.
- Kimura, M., Ogata, Y., Akebi, T., Ochi, M., Hachisuka, K., Saeki, S., 2018. Development and reliability of a hand-held dynamometer device to measure the ankle dorsiflexor muscle strength. Journal of Rehabilitation and Assistive Technologies Engineering, 5, 2055668318802558.
- Mentiplay, B. F., Perraton, L. G., Bower, K. J., Adair, B., Pua, Y. H., Williams, G. P., McGaw, R., Clark, R. A., 2015. Assessment of Lower Limb Muscle Strength and Power Using Hand-Held and Fixed Dynamometry: A Reliability and Validity Study. PLoS One 10(10), e0140822.
- Öncü, J., Ilişer, R., Kuran, B., 2016. Cross-cultural adaptation of the Orebro Musculoskeletal Pain Questionnaire among Turkish workers with low back pain. Journal of Back & Musculoskeletal Rehabilitation 29(1), 135-143.
- Popescu, A., Lee, H., 2020. Neck Pain and Lower Back Pain. Medical Clinics of North America 104(2), 279-292.
- Pranata, A., Perraton, L., El-Ansary, D., Clark, R., Fortin, K., Dettmann, T., Brandham, R., Bryant, A., 2017. Lumbar extensor muscle force control is associated with disability in people with chronic low back pain. Clinical Biomechanics (Bristol, Avon) 46, 46-51.
- Shin, D., 2020. Correlation between non-specific chronic low back pain and physical factors of lumbar and hip joint in office workers. Medicak Hypotheses 144, 110304.
- Steele, J., Bruce-Low, S., Smith, D., Jessop, D., Osborne, N., 2020. Isolated lumbar extension resistance training improves strength, pain, and disability, but not spinal height or shrinkage ("creep") in participants with chronic low back pain. Cartilage 11(2), 160-168.
- Steele, J., Fisher, J., Perrin, C., Conway, R., Bruce-Low, S., Smith, D., 2019. Does change in isolated lumbar extensor muscle function correlate with good clinical outcome? A secondary analysis of data on change in isolated lumbar extension strength, pain, and disability in chronic low back pain. Disability & Rehabilitation 41(11), 1287-1295.
- Streiner, D. L., Norman, G. R., Cairney, J., 2014. Health measurement scales: a practical guide to their development and use: Oxford university press, USA, 2014.
- Verbrugghe, J., Agten, A., Stevens, S., Eijnde, B. O., Vandenabeele, F., Roussel, N., De Baets, L., Timmermans, A., 2020. Disability, kinesiophobia, perceived stress, and pain are not associated with trunk muscle strength or aerobic capacity in chronic nonspecific low back pain. Physical Therapy in Sport 43, 77-83.
- Yakut, E., Düger, T., Oksüz, C., Yörükan, S., Ureten, K., Turan, D., Frat, T., Kiraz, S., Krd, N., Kayhan, H., Yakut, Y., Güler, C., 2004. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine (Phila Pa 1976) 29(5), 581-585.