Psychomotor speed and postural control in chronic low back pain patients A controlled follow-up study.

Abstract:

STUDY DESIGN:Psychomotor speed (reaction time) and postural control (center point of force velocity) among healthy control volunteers and patients with chronic low back pain (LBP) were studied at the beginning of an active, functional, restoration back rehabilitation program and 5 months after the program. OBJECTIVES:To study cross-sectionally reaction times and center points of force velocity among control volunteers and patients with low back pain, and to evaluate the effects of the restoration on these measures of motor function in a follow-up examination. SUMMARY OF BACKGROUND DATA:Deficits of motor skills and of coordination have been reported in association with musculoskeletal disorders, but one can only speculate about an association between proprioceptive dysfunction and low back disorders on the basis of the currently available data. METHODS:Sixty-one healthy control volunteers and 99 patients with low back pain-68 of these patients experienced moderate pain; 31 experienced severe pain-participated in the study. Reaction times for upper and lower limbs were tested with a system based on a microcomputer. Postural stability was measured with a vertical force platform. RESULTS:A consistent trend was found in which patients with low back pain had reaction times slower than these of control volunteers. Man with severe low back pain had significantly longer hand reaction times than men in the control group (P = 0.03). Women with severe low back pain also had poorer postural control than women with moderate low back pain (P = 0.02) and women in the control group (P = 0.04). Functional restoration seemed to have an effect on reaction times. The restoration was considered successful if the condition of a patient with a disability that had resulted from low back pain improved during the follow-up examination and unsuccessful if the disability worsened. Patients who experienced these results were identified in groups called "good" and "poor," respectively. Among men, the reaction times improved in the control group and "good" groups, but they became slower in the "poor" group. The difference between "good" and "poor" groups was significant (P = 0.008). Women in the "good" group achieved the most improved reaction times, and the difference between these women and the control women almost reached significance (P = 0.076). CONCLUSION:The results indicate that patients with chronic low back pain have impaired psychomotor speed and, among women, impaired postural control. Psychomotor speed improved during an active, functional, restoration back rehabilitation program.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Luoto S,Taimela S,Hurri H,Aalto H,Pyykkö I,Alaranta H

doi

10.1097/00007632-199611150-00012

subject

Has Abstract

pub_date

1996-11-15 00:00:00

pages

2621-7

issue

22

eissn

0362-2436

issn

1528-1159

journal_volume

21

pub_type

杂志文章

相关文献

SPINE文献大全
  • Pre- and postoperative lower extremity motor power and ambulatory status of patients with spinal cord compression due to a metastatic spinal tumor.

    abstract:STUDY DESIGN:Retrospective review of medical records. OBJECTIVE:To describe pre- and postoperative ambulatory status and lower limb motor power, and compare characteristics of patients with metastatic spinal cord compression (MSCC) who were ambulatory at 48 hours postoperatively with those of patients with MSCC who we...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182927559

    authors: Park JH,Jeon SR

    更新日期:2013-06-01 00:00:00

  • Trunk strength and lumbar paraspinal muscle activity during isometric exercise in chronic low-back pain patients and controls.

    abstract::The purpose of this study was to describe trunk strength and lumbar paraspinal muscle activity across five angles of flexion during isometric exercise and rest in chronic low-back pain patients and control subjects. High muscle tension as measured by surface integrated electromyography is predicted by a muscle spasm m...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199302000-00012

    authors: Cassisi JE,Robinson ME,O'Conner P,MacMillan M

    更新日期:1993-02-01 00:00:00

  • Simplifying outcome measurement: evaluation of instruments for measuring outcome after fusion surgery for chronic low back pain.

    abstract:STUDY DESIGN:A comparative evaluation of outcome instruments and global assessment was performed. OBJECTIVE:To test patient global assessment as a substitute for the use of more comprehensive outcome instruments in treatment trials of chronic low back pain. SUMMARY OF BACKGROUND DATA:Treatment outcome can be measured...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200206010-00014

    authors: Hägg O,Fritzell P,Odén A,Nordwall A,Swedish Lumbar Spine Study Group.

    更新日期:2002-06-01 00:00:00

  • Posterior osteosynthesis of the atlas for nonconsolidated Jefferson fractures: a new surgical technique.

    abstract:STUDY DESIGN:Case report and surgical technique. OBJECTIVE:To describe a new technique to treat atlas burst fractures by selectively reconstructing the atlas from a posterior approach. SUMMARY OF BACKGROUND DATA:The two surgical techniques reported until now for stabilizing atlas burst fractures are associated with s...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318206cf63

    authors: Abeloos L,De Witte O,Walsdorff M,Delpierre I,Bruneau M

    更新日期:2011-09-15 00:00:00

  • Direct application of the TNF-alpha inhibitor, etanercept, does not affect CGRP expression and phenotypic change of DRG neurons following application of nucleus pulposus onto injured sciatic nerves in rats.

    abstract:STUDY DESIGN:Immunohistological and behavioral analysis of the effect of a tumor necrosis factor alpha (TNF-alpha) inhibitor in an injured-nerve model. OBJECTIVE:To examine the effect of direct application of a TNF-alpha inhibitor (etanercept) on injured-nerve pain caused by nucleus pulposus. SUMMARY AND BACKGROUND D...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31818441a2

    authors: Norimoto M,Ohtori S,Yamashita M,Inoue G,Yamauchi K,Koshi T,Suzuki M,Orita S,Eguchi Y,Sugiura A,Ochiai N,Takaso M,Takahashi K

    更新日期:2008-10-15 00:00:00

  • The thoracolumbar and lumbosacral transitional junctions.

    abstract::Correct dermatome identification is essential to reduce nomenclature and surgical errors, to improve neurologic correlation, and to produce accurate statistics regarding low-back problems. The phylogenetic category of the spine must be known and junctional transitional vertebrae within the column properly identified a...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198005000-00003

    authors: Wigh RE

    更新日期:1980-05-01 00:00:00

  • Rheological and dynamic integrity of simulated degenerated disc and consequences after cross-linker augmentation.

    abstract:STUDY DESIGN:An in situ study using whole-organ culture system. OBJECTIVE:To study the effect of disc degeneration at different stages on its rheological and dynamic properties and to investigate the efficacy of exogenous cross-linking therapy. SUMMARY OF BACKGROUND DATA:Disc degeneration can involve protein denatura...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182a3d09d

    authors: Hsu YC,Kuo YW,Chang YC,Nikkhoo M,Wang JL

    更新日期:2013-11-01 00:00:00

  • The effect of soft-tissue restraints after type II odontoid fractures in the elderly: a biomechanical study.

    abstract:STUDY DESIGN:A biomechanical analysis of soft-tissue restraints to passive motion in odontoid fractures. OBJECTIVE:To quantify the role of the C1-C2 facet joint capsules and anterior longitudinal ligaments (ALLs) in the setting of a type II odontoid fracture in the elderly. SUMMARY OF BACKGROUND DATA:The odontoid pro...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31823b4ed0

    authors: McCabe CM,McLachlin SD,Bailey SI,Gurr KR,Bailey CS,Dunning CE

    更新日期:2012-05-20 00:00:00

  • The clinical usefulness of intraoperative spinal stiffness measurements.

    abstract:STUDY DESIGN:Determination of clinical results at least 2 years after lumbar spine surgery during which spinal stiffness measurements were made. OBJECTIVES:To determine whether spine stiffness is predictive of clinical results after lumbar spine surgery for spinal stenosis, disc herniation, or degenerative spondylolis...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007632-200205010-00015

    authors: Brown MD,Wehman KF,Heiner AD

    更新日期:2002-05-01 00:00:00

  • Progressive scoliosis following chest wall resection in children.

    abstract::The effect of partial chest wall resection on subsequent production of spinal deformity was studied in six pediatric patients. The following observations are made: Scoliosis secondary to chest wall resection in the pediatric age group is progressive. The degree of curvature is related to the number of ribs resected. A...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198509000-00005

    authors: DeRosa GP

    更新日期:1985-09-01 00:00:00

  • Complete bilateral agenesis of the ilium in a 7-year-old ambulatory girl: case report.

    abstract:STUDY DESIGN:A 7-year-old ambulatory girl with complete bilateral agenesis of the ilium is reported. OBJECTIVE:To document the clinical evolution and the spino-pelvic balance of a girl with bilateral agenesis of the ilium. SUMMARY OF BACKGROUND DATA:Scapuloiliac dysostosis is a rare focal skeletal dysplasia consistin...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000169448.58989.a1

    authors: Mac-Thiong JM,Leduc S,Labelle H

    更新日期:2005-07-15 00:00:00

  • Augmentation improves human cadaveric vertebral body compression mechanics for lumbar total disc replacement.

    abstract:STUDY DESIGN:Cadaveric biomechanical study. OBJECTIVE:To quantify the effects of vertebral body augmentation on biomechanics under axial compression by a total disc replacement (TDR) implant. SUMMARY OF BACKGROUND DATA:TDR is a surgical alternative to lumbar spinal fusion to treat degenerative disc disease. Osteoporo...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181cf7055

    authors: Yoder JH,Auerbach JD,Maurer PM,Erbe EM,Entrekin D,Balderston RA,Bertagnoli R,Elliott DM

    更新日期:2010-04-20 00:00:00

  • Comparison of the lowest instrumented, stable, and lower end vertebrae in "single overhang" thoracic adolescent idiopathic scoliosis: anterior versus posterior spinal fusion.

    abstract:STUDY DESIGN:A retrospective multicenter study. OBJECTIVE:To investigate the relationship between the lowest instrumented, stable, and lower end vertebrae in patients with "single overhang" thoracic (main thoracic) curves treated with anterior or posterior spinal fusion. SUMMARY OF BACKGROUND DATA:Previous studies ha...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.brs.0000232799.19179.79

    authors: Kuklo TR,O'Brien MF,Lenke LG,Polly DW,Sucato DS,Richards BS,Lubicky J,Ibrahim K,Kawakami N,King A,Spinal Deformity Study Group: AIS Section.

    更新日期:2006-09-01 00:00:00

  • Morphologic characteristics of human cervical pedicles.

    abstract:STUDY DESIGN:Cervical pedicle morphology was investigated using manual and computed tomography measurements. OBJECTIVES:Normal anatomic variations of the cervical pedicles were measured to evaluate their safety as anchors for posterior cervical fixation systems. SUMMARY OF BACKGROUND DATA:There have been no cervical ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199703010-00005

    authors: Karaikovic EE,Daubs MD,Madsen RW,Gaines RW Jr

    更新日期:1997-03-01 00:00:00

  • Treatment of canine intervertebral disc displacement with chondroitinase ABC.

    abstract:STUDY DESIGN:This study demonstrated the therapeutic value of chemonucleolysis with chondroitinase ABC to canine intervertebral disc displacement. OBJECTIVES:To determine the efficacy of Chondroitinase ABC in the management of canine intervertebral disc displacement. SUMMARY OF BACKGROUND DATA:No previous study has a...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199707010-00002

    authors: Takahashi T,Nakayama M,Chimura S,Nakahara K,Morozumi M,Horie K,Fujita Y,Hirose T

    更新日期:1997-07-01 00:00:00

  • Repair of failed transpedicle screw fixation. A biomechanical study comparing polymethylmethacrylate, milled bone, and matchstick bone reconstruction.

    abstract::In a random, controlled laboratory study, pedicle screws placed in human cadaveric vertebrae were axially loaded to failure. Three repair methods were tested. Use of low pressure polymethylmethacrylate yielded 149% of the original pullout strength, milled bone yielded 70% of the initial pullout strength, and matchstic...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199402000-00017

    authors: Pfeifer BA,Krag MH,Johnson C

    更新日期:1994-02-01 00:00:00

  • Do manual therapies help low back pain? A comparative effectiveness meta-analysis.

    abstract:STUDY DESIGN:Meta-analysis methodology was extended to derive comparative effectiveness information on spinal manipulation for low back pain. OBJECTIVE:Determine relative effectiveness of spinal manipulation therapies (SMTs), medical management, physical therapies, and exercise for acute and chronic nonsurgical low ba...

    journal_title:Spine

    pub_type: 杂志文章,meta分析

    doi:10.1097/BRS.0000000000000230

    authors: Menke JM

    更新日期:2014-04-01 00:00:00

  • Spinal cord injury. Review of basic and applied research.

    abstract::This review examines, in a condensed manner, many of the major achievements related to spinal cord injury research during the last quarter century. Most of the advances have been made within the past 10 years. They include such basic and clinical tools as evoked potentials, regional and local spinal blood flows, neuro...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:

    authors: de la Torre JC

    更新日期:1981-07-01 00:00:00

  • In vivo inhibition of bone morphogenetic protein-2 on breast cancer cell growth.

    abstract:STUDY DESIGN:In vitro and in vivo study. OBJECTIVE:To evaluate the role of recombinant human bone morphogenetic protein-2 (rhBMP2) on breast cancer cell (MDA-MB-231 cells) growth. SUMMARY OF BACKGROUND DATA:Bone morphogenetic proteins (BMPs) are expressed in a variety of human carcinoma cell lines and are known to pr...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31827db4c6

    authors: Ye S,Park BH,Song KJ,Kim JR,Jang KY,Park HS,Bae JS,Brochmann EJ,Wang JC,Murray SS,Lee KB

    更新日期:2013-02-01 00:00:00

  • Roentgenographic findings of the cervical spine in asymptomatic people.

    abstract::The purpose of this study was to determine the incidence and severity of degenerative changes seen on lateral roentgenograms in 200 asymptomatic men and women in five age groups with an age range of 20-65 years and to determine the normal values of cervical lordosis and spinal canal sagittal diameters and their relati...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198607000-00003

    authors: Gore DR,Sepic SB,Gardner GM

    更新日期:1986-07-01 00:00:00

  • Goldenhar-associated conditions (hemifacial microsomia) and congenital deformities of the spine.

    abstract:STUDY DESIGN:We performed a retrospective study of 668 consecutive patients with congenital spine deformities. OBJECTIVES:To determine the prevalence of Goldenhar conditions in patients with congenital spine deformities, and describe the types of vertebral abnormalities and their treatment. SUMMARY OF BACKGROUND DATA...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000219876.45640.2a

    authors: Tsirikos AI,McMaster MJ

    更新日期:2006-06-01 00:00:00

  • An outcomes analysis of the treatment of cervical pseudarthrosis with posterior fusion.

    abstract:STUDY DESIGN:A retrospective review of 33 consecutive patients treated with posterior fusion and selective nerve root decompression for the treatment of pseudarthrosis following anterior cervical discectomy and fusion. OBJECTIVES:Use standardized outcome measures to evaluate the results of posterior fusion with select...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000184314.26543.7d

    authors: Kuhns CA,Geck MJ,Wang JC,Delamarter RB

    更新日期:2005-11-01 00:00:00

  • What works best for whom? An exploratory, subgroup analysis in a randomized, controlled trial on the effectiveness of a workplace intervention in low back pain patients on return to work.

    abstract:STUDY DESIGN:Exploratory subgroup analysis in a randomized controlled trial (RCT). OBJECTIVE:To detect possible moderators in the effectiveness of a workplace intervention in a population of workers with sick leave due to sub acute nonspecific low back pain. SUMMARY OF BACKGROUND DATA:In a recently published RCT, a w...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0b013e3181a09631

    authors: Steenstra IA,Knol DL,Bongers PM,Anema JR,van Mechelen W,de Vet HC

    更新日期:2009-05-20 00:00:00

  • A 10-year follow-up of the outcome of lumbar microdiscectomy.

    abstract:STUDY DESIGN:A retrospective analysis of the outcome of lumbar microdiscectomy, with independent assessment of outcome. OBJECTIVES:To explore whether the initial positive outcome after microdiscectomy is maintained at long-term follow-up. SUMMARY OF BACKGROUND DATA:Previous reports on long-term outcome after lumbar d...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199805150-00019

    authors: Findlay GF,Hall BI,Musa BS,Oliveira MD,Fear SC

    更新日期:1998-05-15 00:00:00

  • Painful osteolytic metastasis of the atlas: treatment with percutaneous vertebroplasty.

    abstract:STUDY DESIGN:Technical note. OBJECTIVE:To describe a technique for performing percutaneous vertebroplasty of C1 for treatment of osteolytic metastatic disease involving the lateral portions of the atlas in which precautions are taken to protect the vertebrobasilar arterial supply and a posterior access route is used f...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200211150-00022

    authors: Wetzel SG,Martin JB,Somon T,Wilhelm K,Rufenacht DA

    更新日期:2002-11-15 00:00:00

  • Juvenile idiopathic scoliosis: the effectiveness of part-time bracing.

    abstract:STUDY DESIGN:A retrospective review of 34 patients with juvenile idiopathic scoliosis (JIS) treated with a nighttime bending brace. OBJECTIVE:To determine the effectiveness of part-time bracing in JIS. SUMMARY OF BACKGROUND DATA:Although previous bracing studies have focused on adolescent idiopathic scoliosis, no aut...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31816f6423

    authors: Jarvis J,Garbedian S,Swamy G

    更新日期:2008-05-01 00:00:00

  • Cross-cultural adaptation, reliability, and validity of the Chinese version of the STarT Back Screening Tool in patients with low back pain.

    abstract:STUDY DESIGN:Translation and psychometric testing. OBJECTIVE:The study aims to investigate the reliability and validity of the Chinese version of the STarT Back Screening Tool (STarT) in Chinese-speaking patients with low back pain (LBP) after translation and cultural adaptation. SUMMARY OF BACKGROUND DATA:To date, n...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000413

    authors: Luan S,Min Y,Li G,Lin C,Li X,Wu S,Ma C,Hill JC

    更新日期:2014-07-15 00:00:00

  • The Pennsylvania Plan. An algorithm for the management of lumbar degenerative disc disease.

    abstract::An algorithm for the sequential management of the patient with low-back pain has been formulated from evaluation of treatment outcomes. Patients presenting with back pain complaints and cauda equina syndrome are evaluated with immediate myelography. Without this complication, back pain patients are treated with 6 week...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Holmes HE,Rothman RH

    更新日期:1979-03-01 00:00:00

  • Fat embolism and acute hypotension during vertebroplasty: an experimental study in sheep.

    abstract:STUDY DESIGN:An experimental study of cardiovascular complications that arise during vertebroplasty was conducted. OBJECTIVE:To investigate the sequential occurrence of fat embolism and hypotension during vertebroplasty. SUMMARY OF BACKGROUND DATA:Vertebroplasty, the augmentation of vertebrae with polymethylmethacryl...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200203010-00005

    authors: Aebli N,Krebs J,Davis G,Walton M,Williams MJ,Theis JC

    更新日期:2002-03-01 00:00:00

  • Gender- and region-dependent local facet joint kinematics in rear impact: implications in whiplash injury.

    abstract:STUDY DESIGN:Localized facet joint kinematics resulting from whiplash acceleration were analyzed in the dynamic domain during the time of cervical S-curvature using intact head and neck specimens and a pendulum mini-sled loading apparatus. OBJECTIVES:To determine the effects of gender, impact severity, cervical level,...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000134563.10718.a7

    authors: Stemper BD,Yoganandan N,Pintar FA

    更新日期:2004-08-15 00:00:00