Sensory-motor control of the lower back: implications for rehabilitation.

Abstract:

:Although low back pain (LBP) is a widespread and disabling health problem, there is a lack of evidence based medicine with respect to its treatment and rehabilitation. A major reason for this is the poor understanding of the underlying mechanisms of the LBP syndromes. In an attempt to fill this gap, the present review article provides an overview of the sensory-motor control aspects of trunk stabilization and postural control of the trunk, and how they may relate to the evolution of LBP. In particular, the anatomy and physiology of the sensory-motor control mechanisms of the trunk muscles that contribute to general and segmental stability of the lumbar spine will be elucidated. Furthermore, a brief overview of current theories of postural control will be provided with respect to spinal stabilization. Finally, a concept of the pathophysiological changes within the sensory-motor control mechanisms of the lumbar spine in the presence of muscle injury and pain will be presented. The impact of pain and muscle injury on the muscular support for the lumbar motion segment will be discussed along with the deficits in neuromuscular control in LBP patients with decreased segmental lumbar stability.

journal_name

Med Sci Sports Exerc

authors

Ebenbichler GR,Oddsson LI,Kollmitzer J,Erim Z

doi

10.1097/00005768-200111000-00014

subject

Has Abstract

pub_date

2001-11-01 00:00:00

pages

1889-98

issue

11

eissn

0195-9131

issn

1530-0315

journal_volume

33

pub_type

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