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Low back pain and risk of lower extremity injury

Discussion in 'Biomechanics, Sports and Foot orthoses' started by NewsBot, Apr 24, 2015.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
  2. Admin2

    Admin2 Administrator Staff Member

  3. Dananberg

    Dananberg Active Member

    This article assumes that it is muscular core fatigue which affects the mechanics of impact load attenuation during impact at heel strike. Instead, it makes far more sense to look at the weight of the trailing limb (15% of body weight) as it is transitioned from stance to swing. The muscles which act to lift this limb into swing phase originate from the pelvis, lumbar spinal vertebrae, disks and intervertebral septa (iliopsoas). Instead of looking at lower back pain as a primary back issue, examining how stress is applied to the lumbar spine during walking and realizing it is a repetitive strain injury related to subtly improper pre-swing mechanics goes a long way to explain the chronic back pain process. It is also consist with the findings of relatively normal lumbar structures in many back pain patients. It further supports the know high recurrence rate despite fairly effective care applied directly to the lower back. Even in the case of previous disk injury, when swing phase stress is applied unilaterally, the rotational component of the repetitive strain perpetuates the already bulging lumbar disks.

    Howard
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Low Back and Lower Limb Muscle Performance in Male and Female Recreational Runners With Chronic Low Back Pain
    Congcong Cai, MSc, Pui W. Kong, PhD
    J Orthop Sports Phys Ther, Epub 21 Apr 2015. doi:10.2519/jospt.2015.5460
     
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Predicting Subsequent Injury after Being Cleared to Return to Work from Initial Lumbar or Lower Extremity Injury
    Rhon, Daniel I.; Plisky, Phillip J.; Kiesel, Kyle; Greenlee, Tina A.; Bullock, Garrett S.; Shaffer, Scott W.; Goffar, Stephen L.; Teyhen, Deydre S.
    Medicine & Science in Sports & Exercise ():10.1249/MSS.0000000000003257, July 24, 2023. | DOI: 10.1249/MSS.0000000000003257
     
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