The relationship between lumbar spine kinematics during gait and low-back pain in transfemoral amputees

American Journal of Physical Medicine & Rehabilitation
David C MorgenrothJoseph Czerniecki

Abstract

Low-back pain is an important cause of secondary disability in transfemoral amputees. The primary aim of our study is to assess the differences in lumbar spine kinematics during gait between transfemoral amputees with and without low-back pain. Lumbar spine kinematics in three planes were measured when the subjects walked in a motion analysis laboratory. Nine transfemoral amputees with low-back pain, eight transfemoral amputees without low-back pain, and six healthy, nonamputee subjects participated. The Amputee Pain and Amputee No Pain groups were essentially the same in terms of all demographic and potentially confounding variable measures. Transfemoral amputees with low-back pain showed greater transverse plane rotational excursion in their lumbar spine during walking when compared with transfemoral amputees without low-back pain (P = 0.029; effect size = 1.03). There were no significant differences in sagittal or coronal plane lumbar spine excursions during walking between these two groups. Although our study design does not allow for proving causation, increased transverse plane rotation has been associated with intervertebral disc degeneration, suggesting that increased transverse plane rotation secondary to walking with ...Continue Reading

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Citations

Dec 18, 2013·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Brad D Hendershot, Maury A Nussbaum
Aug 5, 2014·Disability and Rehabilitation·Hemakumar DevanLeigh A Hale
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May 21, 2015·Prosthetics and Orthotics International·Robert NeedhamNachiappan Chockalingam
Feb 1, 2019·PM & R : the Journal of Injury, Function, and Rehabilitation·Marianne LuetmerKenton R Kaufman
Jun 6, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Julia FacioneWafa Skalli
Oct 27, 2015·American Journal of Physical Medicine & Rehabilitation·Stefania FatoneMichael Dillon
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Aug 21, 2018·Prosthetics and Orthotics International·Mary E MatsumotoDavid C Morgenroth
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Mar 9, 2021·Archives of Physical Medicine and Rehabilitation·Jaclyn M SionsMayank Seth
Aug 25, 2021·Journal of Applied Biomechanics·Oladipo EddoNelson Cortes

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