Home Page
pISSN 1907-3062 | eISSN 2407-2230 | Universa Medicina content is searchable on DOAJ, Google Scholar, and OAI

Musculoskeletal pain and posture decrease step length in young adults

Maria Regina Rachmawati, Diana Samara, Purnamawati Tjhin, Magdalena Wartono, Yefta Bastian
Submission date: Monday, 29 February 2016
Published date: Monday, 29 February 2016
DOI: http://dx.doi.org/10.18051/UnivMed.2009.v28.92-99

Article Metrics

Abstract viewed: 260 times

Abstract


Pain of the musculoskeletal system, especially low back pain, is one of the most frequent problems with a high risk of disability. The aim of this research study was to determine the existence of an association between low back pain on one hand,  posture and step length on the other. This cross-sectional study was conducted on 77 healthy young adult subjects. Step length was measured with the Biodex Gait Trainer 2 (230 VAC). The study results indicate that 62.3% of the young adult subjects had suffered from low back pain. There was no significant association between gender and pain. In male subjects no significant association was found between pain on one hand and mean difference in step length and posture on the other. However, in female subjects with abnormal posture, there was a highly significant difference in left step length between subjects with back pain and those without (p=0.007).  The results of a multiple regression analysis indicate that posture has the greatest influence on left step length (B=4.135; 95% Confidence Interval 0.292-7.977). It is recommended that in the examination of low back pain an assessment be made of posture, step length and difference in step lengths.

Keywords


Musculoskeletal pain; posture; step length; young adults

Full Text:

PDF

References


Ehrlich GE. Low back pain. Bull World Health Organ 2003;81:671-6.

Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bull World Health Organ 2003;81:646-56.

Mitchell T, O’Sullivan PB, Burnett AF, Straker L, Smith A. Regional differences in lumbar spinal posture and the influence of low back pain. BMC Musculoskelet Disord 2008;9:152.

Scannell J, McGill S. Lumbar posture – should it, and can it, be modified? A study of passive tissue stiffness and lumbar position during activities of daily living. Phys Ther 2003;83:907-17.

Smith A, O’Sullivan P, Straker L. Classification of sagittal thoraco-lumbo-pelvic alignment of the adolescent spine in standing and its relationship to low back pain. Spine 2008;33:2101-7.

Cholewicki J, VanVliet JJ. Relative contribution of trunk muscles to the stability of the lumbar spine during isometric exertions. Clin Biomech 2002;17: 99-105.

Al-Obaidi S, Wall JC, Al-Yaqoub A, Al-Ghanim M. Basic gait parameters: a comparison of reference data for normal subjects 20 to 29 years of age from Kuwait and Scandinavia. J Rehabilit Res Develop 2003;40:361–6.

Weiner DK, Sakamoto S, Perera S, Breuer P. Chronic low back pain in older adults: prevalence, reliability, and validity of physical examination findings. J Am Geriatr Soc 2006;54:11–20.

Sweeting K, Mock M. Gait and posture : assessment in general practice. Aust Fam Physician 2007;36: 398-405.

Adam MA, Dolan P. Spine biomechanics. J Biomech 2005;38:1972-83.

Curran SA, Dananberg HJ. Future of gait analysis: a podiatric medical perspective. J Am Pediatr Med Assoc 2005;95:130–42.

Mok NW, Brauer SG, Hodges PW. Hip strategy for balance control in quiet standing is reduced in people with low back pain. Spine 2008;29:107–12.

Lafond D, Champagne A, Descarreaux M, Dubois JD, Prado JM, Duarte M. Postural control during prolonged standing in persons with chronic low back pain. Gait & Posture 2009;29:421-7.

Löfvander M, Taloyan M. Pain intensity and severe pain in young immigrant patients with long-standing back pain. Eur Spine J 2008;17:89–96.

Hestbaek L, Leboeuf-Y C, Kyvik KO. Are lifestyle-factors in adolescence predictors for adult low back pain? A cross-sectional and prospective study of young twins. BMC Musculoskelet Disord 2006;7: 27-34.

Mattila, VM, Sahi T, Jormanainen V, Pihlajamäki H. Low back pain and its risk indicators: a survey of 7,040 Finnish male conscripts. Eur Spine J 2008; 17:64-9.

Power C, Frank J, Hertzman C, Schierhout G, Li L. Predictors of low back pain onset in a prospective British study. Am J Public Health 2001;91:1671-8.

Louw QA, Morris LD, Grimmer-Somers KA. The prevalence of low back pain in Africa: a systematic review. BMC Musculoskelet Disord 2007;8:105.

Bakker EW, Verhagen AP, Lucas C, Koning HJ, Koes BW. Spinal mechanical load: a predictor of persistent low back pain? A prospective cohort study. Eur Spine J 2007;16:933-41.

El-Metwally A, Salminen JJ, Auvinen A, Macfarlane G, Mikkelsson M. Risk factors for development of non-specific musculoskeletal pain in preteens and early adolescents: a prospective 1-year follow-up study. BMC Musculoskelet Disord 2007;8:46.

Hodges PW. The role of the motor system in spinal pain: implications for rehabilitation of the athlete following lower back pain. J Sci Med Sport 2000; 3:243–53.

Newcomer KL, Jacobson TD, Gabriel DA. Muscle activation patterns in subjects with and without low back pain. Arch Phys Med Rehabil 2002;83:816–21.

Marras WS, Davis KG, Ferguson SA. Spine loading characteristics of patients with low back pain compared with asymptomatic individuals. Spine 2001;26:2566–74.

Rachmawati MR, Tjhin P, Wartono P. Musculoskeletal pain and its relationship with functional physical ability in the elderly. Univ Med 2006;25:179-86.


Refbacks

  • There are currently no refbacks.


Copyright (c) 2016 Maria Regina Rachmawati, Diana Samara, Purnamawati Tjhin, Magdalena Wartono, Yefta Bastian

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Creative Commons License
Universa Medicina by Faculty of Medicine, Trisakti University is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Based on a work at https://univmed.org/ejurnal/index.php/medicina/. 


                Scilit