PMID- 29909230
OWN - NLM
STAT- MEDLINE
DCOM- 20181026
LR  - 20181026
IS  - 1879-2219 (Electronic)
IS  - 0966-6362 (Linking)
VI  - 64
DP  - 2018 Jul
TI  - Postural stability and trunk muscle responses to the static and perturbed balance 
      tasks in individuals with and without symptomatic degenerative lumbar disease.
PG  - 159-164
LID - S0966-6362(18)30113-9 [pii]
LID - 10.1016/j.gaitpost.2018.06.021 [doi]
AB  - BACKGROUND: Degenerative lumbar diseases (DLDs) are characterized by motor 
      functional deficits and postural instability. In this study, we investigated the 
      differences in the trunk muscle responses to postural control between the 
      presurgical DLD patients and healthy individuals while performing the static and 
      perturbed balance tasks. METHODS: Thirty-five DLD patients (aged 61.1 +/- 8.0 
      years) and thirty-five asymptomatic controls (aged 62.9 +/- 3.7 years) participated 
      in this study. All participants stood on a force plate and performed the quiet 
      standing (QS) and in situ weight-lifting (WL) tasks. The participants' 
      performance in the QS task was tested under the eyes-open, eyes-closed, 
      wide-base, and narrow-base conditions. Center of pressure (CoP) movements and 
      electromyography of the erector spinae (ES) were recorded. The Mann-Whitney U 
      test was applied for statistical analysis. RESULTS: The DLD group showed a 
      significantly greater CoP movements and muscle activations during the QS task. 
      Nevertheless, smaller CoP movements were noted during the WL task in the DLD 
      group. Under the eyes-closed and narrow-base conditions, the DLD group showed 
      even higher muscle activations and CoP movements. SIGNIFICANCE: The DLD patients 
      demonstrated a poor postural control ability and tended to rely on the visual 
      feedback and wide-base standing posture. A rigid and restricted posture was also 
      adopted during the perturbed WL task. A high level of ES activation was required 
      to maintain their postural steadiness. This study reveals an aberrant pattern of 
      postural control and trunk muscle activations in symptomatic DLD patients which 
      potentially contributes to the development of beneficial rehabilitation programs.
CI  - Copyright (c) 2018 Elsevier B.V. All rights reserved.
FAU - Lin, Yun-Chung
AU  - Lin YC
AD  - School of Medicine, Chang Gung University, Taoyuan, Taiwan, ROC.
FAU - Niu, Chi-Chien
AU  - Niu CC
AD  - Bone and Joint Research Center, Chang Gung Memorial Hospital, Linkou, Taoyuan, 
      Taiwan, ROC; Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, 
      Linkou, Taiwan, ROC.
FAU - Nikkhoo, Mohammad
AU  - Nikkhoo M
AD  - Department of Biomedical Engineering, Science and Research Branch, Islamic Azad 
      University, Tehran, Iran.
FAU - Lu, Meng-Ling
AU  - Lu ML
AD  - Bone and Joint Research Center, Chang Gung Memorial Hospital, Linkou, Taoyuan, 
      Taiwan, ROC; Department of Orthopedic Surgery, Chang Gung Memorial Hospital, 
      Kaohsiung, Taiwan, ROC.
FAU - Chen, Wen-Chien
AU  - Chen WC
AD  - Bone and Joint Research Center, Chang Gung Memorial Hospital, Linkou, Taoyuan, 
      Taiwan, ROC; Department of Orthopedic Surgery, Chang Gung Memorial Hospital, 
      Taoyuan, Taiwan, ROC.
FAU - Fu, Chen-Ju
AU  - Fu CJ
AD  - Bone and Joint Research Center, Chang Gung Memorial Hospital, Linkou, Taoyuan, 
      Taiwan, ROC; Division of Emergency and Critical Care Radiology, Chang Gung 
      Memorial Hospital, Linkou, Taiwan, ROC.
FAU - Cheng, Chih-Hsiu
AU  - Cheng CH
AD  - Bone and Joint Research Center, Chang Gung Memorial Hospital, Linkou, Taoyuan, 
      Taiwan, ROC; School of Physical Therapy and Graduate Institute of Rehabilitation 
      Science, College of Medicine, Chang Gung University, Taoyuan, Taiwan, ROC. 
      Electronic address: chcheng@mail.cgu.edu.tw.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20180611
PL  - England
TA  - Gait Posture
JT  - Gait & posture
JID - 9416830
SB  - IM
MH  - Adult
MH  - Electromyography/methods
MH  - Feedback, Sensory/physiology
MH  - Female
MH  - Humans
MH  - Lumbar Vertebrae/physiopathology
MH  - Male
MH  - Middle Aged
MH  - Muscle Contraction/physiology
MH  - Muscle, Skeletal/*physiopathology
MH  - Postural Balance/*physiology
MH  - Posture/*physiology
MH  - Range of Motion, Articular/physiology
MH  - Spinal Diseases/*physiopathology
MH  - Torso/physiopathology
MH  - Visual Analog Scale
MH  - Young Adult
OTO - NOTNLM
OT  - Elderly
OT  - Lumbar degeneration
OT  - Muscle activation
OT  - Postural control
EDAT- 2018/06/18 06:00
MHDA- 2018/10/27 06:00
CRDT- 2018/06/18 06:00
PHST- 2018/03/01 00:00 [received]
PHST- 2018/05/20 00:00 [revised]
PHST- 2018/06/10 00:00 [accepted]
PHST- 2018/06/18 06:00 [pubmed]
PHST- 2018/10/27 06:00 [medline]
PHST- 2018/06/18 06:00 [entrez]
AID - S0966-6362(18)30113-9 [pii]
AID - 10.1016/j.gaitpost.2018.06.021 [doi]
PST - ppublish
SO  - Gait Posture. 2018 Jul;64:159-164. doi: 10.1016/j.gaitpost.2018.06.021. Epub 2018 
      Jun 11.