Jogging kinematics after lumbar paraspinal muscle fatigue.
BACKGROUND
Isolated lumbar paraspinal muscle fatigue causes lower extremity and postural control deficits.


OBJECTIVE
To describe the change in body position during gait after fatiguing lumbar extension exercises in persons with recurrent episodes of low back pain compared with healthy controls.


METHODS
Case-control study.


METHODS
Motion analysis laboratory.


METHODS
Twenty-five recreationally active participants with a history of recurrent episodes of low back pain, matched by sex, height, and mass with 25 healthy controls.


METHODS
We measured 3-dimensional lower extremity and trunk kinematics before and after fatiguing isometric lumbar paraspinal exercise.


METHODS
Measurements were taken while participants jogged on a custom-built treadmill surrounded by a 10-camera motion analysis system.


RESULTS
Group-by-time interactions were observed for lumbar lordosis and trunk angles (P < .05). A reduced lumbar spine extension angle was noted, reflecting a loss of lordosis and an increase in trunk flexion angle, indicating increased forward trunk lean, in healthy controls after fatiguing lumbar extension exercise. In contrast, persons with a history of recurrent low back pain exhibited a slight increase in spine extension, indicating a slightly more lordotic position of the lumbar spine, and a decrease in trunk flexion angles after fatiguing exercise. Regardless of group, participants experienced, on average, greater peak hip extension after lumbar paraspinal fatigue.


CONCLUSIONS
Small differences in response may represent a necessary adaptation used by persons with recurrent low back pain to preserve gait function by stabilizing the spine and preventing inappropriate trunk and lumbar spine positioning.
Hart
Joseph M
JM
University of Virginia, Charlottesville, VA 22908-0159, USA. jmh3zf@virginia.edu
Kerrigan
D Casey
DC
Fritz
Julie M
JM
Ingersoll
Christopher D
CD
D001696:Biomechanical Phenomena; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000503:physiopathology*; D008161:Lumbosacral Region / Q000503:physiopathology*; D008297:Male; D018763:Muscle Fatigue / Q000502:physiology*; D018482:Muscle, Skeletal / Q000503:physiopathology*; D011187:Posture / Q000502:physiology; D012420:Running / Q000502:physiology*; D055815:Young Adult