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Titre : | Aberrant Lumbopelvic Movements Predict Prospective Functional Decline in Older Adults with Chronic Low Back Pain (2022) |
Auteurs : | Patrick J. Knox ; Ryan T. Pohlig ; Jenifer M. Pugliese ; Peter C. Coyle ; Jaclyn Megan Sions ; Gregory E. Hicks |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 3, 2022) |
Article en page(s) : | p. 473-480.e1 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.08.014 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Gériatrie ; Lombalgie ; Performance fonctionnelle physique ; Réadaptation |
Résumé : |
Objective
To investigate if clinically observable aberrant lumbopelvic movements are associated with physical function at 12-month follow-up in older adults with chronic low back pain (CLBP), both directly and indirectly through baseline physical function. Design Secondary analysis of a yearlong prospective cohort study. Setting Clinical Research Laboratory. Participants Community-dwelling older adults with CLBP (N=250). Interventions Not applicable. Main Outcome Measures Data from 239 participants were analyzed. Participants were screened at baseline for aberrant lumbopelvic movements during active trunk flexion; total observable aberrant movements were recorded and summed (range 0-4). Latent constructs of physical function were developed from an array of perception-based and performance-based outcome measures at baseline and 12 months, respectively. Structural Equation Modeling was used to assess the direct effect of baseline aberrant movement score on the latent construct of 12-month physical function, and its indirect effect through baseline physical function. Results Aberrant movements were present in most participants (64.7%) and had a significant negative total effect on 12-month physical function (γ= -0.278, P<.001 aberrant movement score direct effect and indirect through baseline functioning were significantly negatively associated with physical function at after adjusting for covariates p=".038;" respectively> Conclusions Aberrant lumbopelvic movements are associated with decreased physical function at 12-month follow-up in older adults with CLBP, independent of baseline physical function and covariates. Future studies should evaluate if screening for aberrant movements may inform prognostic and interventional efforts in this patient population. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321014246#! |