Isokinetic Strength of Trunk Flexors and Extensors Muscles in Adult Men with and without Nonspecific Back Pain: A Comparative Study — Oak Academic Publishing
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Isokinetic Strength of Trunk Flexors and Extensors Muscles in Adult Men with and without Nonspecific Back Pain: A Comparative Study
Neurology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
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Physical Therapy Department for Musculoskeletal Disorders and Its Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
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Internal Medicine Department, Faculty of Medicine, Tiabah University, Al-Madinah Al-Munawarah, KSA
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Faculty of Medical Rehabilitation Sciences, Taibah University, Al-Madinah Al-Munawarah, KSA
1 Neurology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
2 Physical Therapy Department for Musculoskeletal Disorders and Its Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
3 Internal Medicine Department, Faculty of Medicine, Tiabah University, Al-Madinah Al-Munawarah, KSA
4 Faculty of Medical Rehabilitation Sciences, Taibah University, Al-Madinah Al-Munawarah, KSA
Background: There is no proven relationship between back pain and trunk muscle strength, researches in this field yielded conflicting results: some found significant weakness of trunk muscles in back pain patients compared with healthy subjects, however many researches did not show any relationship. Objectives: The focus of this study is to assess the trunk muscles strength using isokinetic dynamometer then tries to find a relation between back pain and trunk muscles strength. Materials and Methods: Fifty patients with back pain (BP) and 50 healthy subjects were recruited in this study. The flexors and extensors of the trunk muscles were evaluated by Isokinetic dynamometer and compared with control groups. Results: Patients with acute back pain show a significant reduction of the trunk muscles strengths at 120°/s velocities (p value < 0.05) with reversed flexor/extensor ration in comparison with sound subjects. Such a relationship does not show in subacute or chronic back pain patients. Conclusions: Acute back pain associated with decreased the strength of the trunk flexors and extensors at 120°/s. The trunk muscle reinforcement programs must be considered in-patients with acute back pain.
Hoy, D., Bain, C., Williams, G., March, L., Brooks, P., Blyth, F., et al. (2012) A Systematic Review of the Global Prevalence of Low Back Pain. Arthritis & Rheumatology, 64, 2028-2037. https://doi.org/10.1002/art.34347
Volinn, E. (1997) The Epidemiology of Low Back Pain in the Rest of the World. Spine, 22, 1798. https://doi.org/10.1097/00007632-199708010-00023
Airaksinen, O., Brox, J.I., Cedraschi, C., Hildebrandt, J., Klaber-Moffett, J., Kovacs, F., et al. (2006) Chapter 4 European Guidelines for the Management of Chronic Non-Specific Low Back Pain. European Spine Journal, 15, s192-s300. https://doi.org/10.1007/s00586-006-1072-1
Omokhodion, F.O. and Sanya, A.O. (2003) Risk Factors for Low Back Pain among Office Workers in Ibadan, Southwest Nigeria. Occupational Medicine, 53, 287-289. https://doi.org/10.1093/occmed/kqg063
Balague, F., Mannion, A.F., Pellise, F. and Cedraschi, C. (2012) Non-Specific Low Back Pain. The Lancet, 379, 482-491. https://doi.org/10.1016/S0140-6736(11)60610-7
Kent, P.M. and Keating, J.L. (2005) The Epidemiology of Low Back Pain in Primary Care. Chiropractic & Osteopathy, 13, Article No. 13. https://doi.org/10.1186/1746-1340-13-13
O’Sullivan, P. (2005) Diagnosis and Classification of Chronic Low Back Pain Disorders: Maladaptive Movement and Motor Control Impairments as Underlying Mechanism. Manual Therapy, 10, 242-255. https://doi.org/10.1016/j.math.2005.07.001
McCarberg, B.H., Ruoff, G.E., Tenzer-Iglesias, P. and Weil, A.J. (2011) Diagnosis and Treatment of Low-Back Pain Because of Paraspinous Muscle Spasm: A Physician Roundtable. Pain Medicine, 12, S119-S127. https://doi.org/10.1111/j.1526-4637.2011.01253.x
Suzuki, H., Kanchiku, T., Imajo, Y., Yoshida, Y., Nishida, N. and Taguchi, T. (2016) Diagnosis and Characters of Non-Specific Low Back Pain in Japan: The Yamaguchi Low Back Pain Study. PLoS ONE, 11, e0160454. https://doi.org/10.1371/journal.pone.0160454
Maher, C., Underwood, M. and Buchbinder, R. (2017) Non-Specific Low Back Pain. The Lancet, 389, 736-747. https://doi.org/10.1016/S0140-6736(16)30970-9
Qaseem, A., Wilt, T.J., McLean, R.M. and Forciea, M. (2017) Non-Invasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline from the American College of Physicians. Annals of Internal Medicine, 166, 514-530. https://doi.org/10.7326/M16-2367
Bayramoglu, M., Akman, M.N., Kilinc, S., Cetin, N., Yavuz, N. and Ozker, R. (2001) Isokinetic Measurement of Trunk Muscle Strength in Women with Chronic Low-Back Pain. American Journal of Physical Medicine & Rehabilitation, 80, 650-655. https://doi.org/10.1097/00002060-200109000-00004
Grosdent, S., Demoulin, C., Souchet, M., Tomasella, M., Crielaard, J.M. and Vanderthommen, M. (2015) Trunk Muscle Profile in Elite Tennis Players with and without Low Back Pain. The Journal of Sports Medicine and Physical Fitness, 55, 1354-1362.
Lee, J.H., Hoshino, Y., Nakamura, K., Kariya, Y., Saita, K. and Ito, K. (1999) Trunk Muscle Weakness as a Risk Factor for Low Back Pain. A 5-Year Prospective Study. Spine, 24, 54-57. https://doi.org/10.1097/00007632-199901010-00013
Adams, M.A. and Dolan, P. (1991) A Technique for Quantifying the Bending Moment Acting on the Lumbar Spine in Vivo. Journal of Biomechanics, 24, 117-126. https://doi.org/10.1016/0021-9290(91)90356-R
Victora Ruas, C. and Vieira, A. (2017) Do Muscle Strength Imbalances and Low Flexibility Levels Lead to Low Back Pain? A Brief Review. Journal of Functional Morphology and Kinesiology, 2, 29. https://doi.org/10.3390/jfmk2030029
Salminen, J.J., Oksanen, A., Maki, P., Pentti, J. and Kujala, U.M. (1993) Leisure Time Physical Activity in the Young. Correlation with Low-Back Pain, Spinal Mobility and Trunk Muscle Strength in 15-Year-Old School Children. International Journal of Sports Medicine, 14, 406-410. https://doi.org/10.1055/s-2007-1021200
Sjolie, A.N. and Ljunggren, A.E. (2001) The Significance of High Lumbar Mobility and Low Lumbar Strength for Current and Future Low Back Pain in Adolescents. Spine, 26, 2629-2636. https://doi.org/10.1097/00007632-200112010-00019
Bo, A.L., Wedderkopp, N. and Leboeuf-Yde, C. (2006) Association between Back Pain and Physical Fitness in Adolescents. Spine, 31, 1740-1744. https://doi.org/10.1097/01.brs.0000224186.68017.e0
Jones, M.A., Stratton, G., Reilly, T. and Unnithan, V.B. (2005) Biological Risk Indicators for Recurrent Non-Specific Low Back Pain in Adolescents. British Journal of Sports Medicine, 39, 137. https://doi.org/10.1136/bjsm.2003.009951
Balagu, F., Damidot, P., Nordin, M., Parnianpour, M. and Waldburger, M. (1993) Cross-Sectional Study of the Isokinetic Muscle Trunk Strength among School Children. Spine, 18, 1199-1205. https://doi.org/10.1097/00007632-199307000-00013
Calmels, P., Jacob, J.F., Fayolle-Minon, I., Charles, C., Bouchet, J.P., Rimaud, D., et al. (2004) Use of Isokinetic Techniques vs Standard Physiotherapy in Patients with Chronic Low Back Pain. Preliminary Results. Annales de Réadaptation et de Médecine Physique, 47, 20-27. https://doi.org/10.1016/j.annrmp.2003.07.001
Kannus, P. (1994) Isokinetic Evaluation of Muscular Performance: Implications for Muscle Testing and Rehabilitation. International Journal of Sports Medicine, 15, S11-S18. https://doi.org/10.1055/s-2007-1021104
Gleeson, N.P. and Mercer, T.H. (1996) The Utility of Isokinetic Dynamometry in the Assessment of Human Muscle Function. Sports Medicine, 21, 18-34. https://doi.org/10.2165/00007256-199621010-00003
Bindra, S., Sinha, A.G. and Benjamin, A.I. (2013) Questionnaire for Low Back Pain in the Garment Industry Workers. Indian Journal of Occupational and Environmental Medicine, 17, 48-57. https://doi.org/10.4103/0019-5278.123162
Fritz, J.M. and Irrgang, J.J. (2001) A Comparison of a Modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale. Physical Therapy, 81, 776-788. https://doi.org/10.1093/ptj/81.2.776
Karatas, G.K., Ggs, F. and Meray, J. (2002) Reliability of Isokinetic Trunk Muscle Strength Measurement. American Journal of Physical Medicine & Rehabilitation, 81, 79-85. https://doi.org/10.1097/00002060-200202000-00001
Thistle, H.G., Hislop, H.J., Moffroid, M. and Lowman, E.W. (1967) Isokinetic Contraction: A New Concept of Resistive Exercise. Archives of Physical Medicine and Rehabilitation, 48, 279-282.
Ripamonti, M., Colin, D., Schmidt, D., Ritz, M. and Rahmani, A. (2009) Isokinetic Evaluation of Trunk Muscles in Healthy and Low Back Pain Subjects. Computer Methods in Biomechanics and Biomedical Engineering, 12, 215-216. https://doi.org/10.1080/10255840903093482
Jensen, M.P., Smith, D.G., Ehde, D.M. and Robinsin, L.R. (2001) Pain Site and the Effects of Amputation Pain: Further Clarification of the Meaning of Mild, Moderate, and Severe Pain. Pain, 91, 317-322. https://doi.org/10.1016/S0304-3959(00)00459-0
Ikeda, Y., Kawai, S., Oda, H., Nomura, K., Fuchigami, Y., Toyoda, K., et al. (1994) Isokinetic Evaluation of Trunk Muscles Using Kin-Corn 3 in Normal Subjects and Patients with Lumbar Spine Disease. Orthopedics & Traumatology, 43, 1243-1246. https://doi.org/10.5035/nishiseisai.43.1243
Rossi, D.M., Morcelli, M.H., Cardozo, A.C., Denadai, B.S., Gonalves, M. and Navega, M.T. (2017) Rate of Force Development and Muscle Activation of Trunk Muscles in Women with and without Low Back Pain: A Case-Control Study. Physical Therapy in Sport, 26, 41-48. https://doi.org/10.1016/j.ptsp.2016.12.007
Cho, K.H., Beom, J.W., Lee, T.S., Lim, J.H., Lee, T.H. and Yuk, J.H. (2014) Trunk Muscles Strength as a Risk Factor for Nonspecific Low Back Pain: A Pilot Study. Annals of Rehabilitation Medicine, 38, 234-240. https://doi.org/10.5535/arm.2014.38.2.234
Bernard, J.C., Pujol, A., Boudokhane, S., Deceuninck, J. and Chaleat-Valayer, E. (2012) Isokinetic Trunk Strength in the Teenagers with and without Low-Back Pain: A Comparative Study. Scoliosis, 7, O38. https://doi.org/10.1186/1748-7161-7-S1-O38
Merati, G., Negrini, S., Carabalona, R., Margonato, V. and Veicsteinas, A. (2004) Trunk Muscular Strength in Pre-Pubertal Children with and without Back Pain. Pediatric Rehabilitation, 7, 97-103. https://doi.org/10.1080/13638490310001654754
Pope, M.H., Bevins, T., Wilder, D.G. and Frymoyer, J.W. (1985) The Relationship between Anthropometric, Postural, Muscular, and Mobility Characteristics of Males Ages 18-55. Spine, 10, 644-648. https://doi.org/10.1097/00007632-198509000-00009
Mayer, T.G., Smith, S.S., Keeley, J. and Mooney, V. (1985) Quantification of Lumbar Function. Part 2: Sagittal Plane Trunk Strength in Chronic Low-Back Pain Patients. Spine, 10, 765-772. https://doi.org/10.1097/00007632-198510000-00012
Croisier, J.L., Forthomme, B., Namurois, M.H., Vanderthommen, M. and Crielaard, J.M. (2002) Hamstring Muscle Strain Recurrence and Strength Performance Disorders. The American Journal of Sports Medicine, 30, 199-203. https://doi.org/10.1177/03635465020300020901
Croisier, J.L., Ganteaume, S., Binet, J., Genty, M. and Ferret, J.M. (2008) Strength Imbalances and Prevention of Hamstring Injury in Professional Soccer Players: A Prospective Study. The American Journal of Sports Medicine, 36, 1469-1475. https://doi.org/10.1177/0363546508316764
Ruas, C.V., Minozzo, F., Pinto, M.D., Brown, L.E. and Pinto, R.S. (2015) Lower- Extremity Strength Ratios of Professional Soccer Players According to Field Position. The Journal of Strength & Conditioning Research, 29, 1220-1226. https://doi.org/10.1519/JSC.0000000000000766
Ruas, C.V., Brown, L.E., Lima, C.D., Costa, P.B. and Pinto, R.S. (2018) Effect of Three Different Muscle Action Training Protocols on Knee Strength Ratios and Performance. The Journal of Strength & Conditioning Research, 32, 2154-2165. https://doi.org/10.1519/JSC.0000000000002134
Shirado, O., Ito, T., Kaneda, K. and Strax, T.E. (1995) Concentric and Eccentric Strength of Trunk Muscles: Influence of Test Postures on Strength and Characteristics of Patients with Chronic Low-Back Pain. Archives of Physical Medicine and Rehabilitation, 76, 604-611. https://doi.org/10.1016/S0003-9993(95)80628-8
Suzuki, N. and Endo, S. (1983) A Quantitative Study of Trunk Muscle Strength and Fatigability in the Low-Back-Pain Syndrome. Spine, 8, 69-74. https://doi.org/10.1097/00007632-198301000-00012