The relationship between abdominal muscle activity and pain, disability and fear of movement during standing postural tasks in females with chronic nonspecific low back pain

Author(s):
Fatemeh EhsaniFatemeh EhsaniFatemeh Ehsani ORCID,*, Amir Masoud ArabAmir Masoud Arab, Elham FatemyElham Fatemy
*Corresponding Author: Email: [email protected]

Koomesh:Vol. 18, issue 2; 250-257
Published online:Dec 28, 2016
Article type:Research Article
Received:Aug 01, 2016
Accepted:Nov 07, 2016
How to Cite:Ehsani F, Arab AM, Fatemy E. The relationship between abdominal muscle activity and pain, disability and fear of movement during standing postural tasks in females with chronic nonspecific low back pain. koomesh. 2016;18(2):e151133. doi:

Abstract

Introduction: It appears that the level of fear of movement changes deep trunk muscle activity in the patients with low back pain (LBP). There is no study to investigate the relationship between deep trunk muscle activity and fear of movement in the patients with LBP. Thus, the purpose of this study was to assess the relationship between abdominal muscle activity and pain, disability and fear of movement during standing postural tasks in females with chronic nonspecific LBP. Materials and Methods: Forty four females participated were asked to maintain their balance during standing on the platform stability levels of Biodex Balance System (BBS). Concurrently, ultrasonography (US) data about abdominal muscles thickness measurement were transferred and saved to process offline. The pain intensity, disability and fear of movement were assessed by valid scales and questionnaire. Results: There was not significant correlation between abdominal muscle thickness changes and pain and disability intensity (P>0.05), while significant and inverse correlation between deep abdominal muscle thickness changes and fear of movement was observed in the patients (P

References

  • 1.
    Mohseni Bandpei MA, Ehsani F, Behtash H, Ghanipour M. Occupational low back pain in primary and high school teachers: prevalence and associated factors. J manipulative physiol Ther 2014; 37: 702-708.
  • 2.
    Mohseni-Bandpei MA, Fakhri M, Bagheri-Nesami, M, Ahmad-Shirvani M, Khalillan AR, Shayesteh-Azar M. Occupational back pain in Iranian nurses: an epidemiological study. Br J Nurs 2006; 15: 914-917.
  • 3.
    Mohseni-Bandpei M, Fakhri M, Ahmad-Shirvani M, Bagheri Nessami M, Khalilian A, Shayesteh-Azar M, et al. Low back pain in 1100 Iranian pregnant women: prevalence and risk factors. Spine 2009; 9: 795-801.
  • 4.
    Ehrlich GE. Low back pain. Bull World Health Organ 2003; 81: 671-672.
  • 5.
    Leigh JP, Markowitz SB, Fahs M, Shin C, Landrigan PJ. Occupational injury and illness in the United States. Estimates of costs, morbidity, and mortality. Arch Inter Med 1997; 157: 1557-1568.
  • 6.
    Panjabi MM. The stabilizing system of the spine. Part 2. Neutral zone and instability hypothesis. Spinal Disord 1992; 5: 390-396.
  • 7.
    Ehsani F, Arab AM, Jaberzadeh S, Salavati M. Ultrasound measurement of deep and superficial abdominal muscles thickness during standing postural tasks in participants with and without chronic low back pain. Man Ther 2016; 23: 98-105.
  • 8.
    Roland M, Fairbank J. The rolandmorris disability questionnaire and the oswestry disability questionnaire. Spine 2000; 25: 3115-3124.
  • 9.
    Vlaeyen JW, Kole-Snijders AM, Boeren RG, van Eek H. Fear of movement/(re) injury in chronic low back pain and its relation to behavioral performance. Pain 1995; 62: 363-372.
  • 10.
    Vlaeyen JW, Seelen HA, Peters M, de Jong P, Aretz E, Beisiegel E, et al. Fear of movement/(re) injury and muscular reactivity in chronic low back pain patients: an experimental investigation. Pain 1999; 82: 297-304.
  • 11.
    Marshall P, Murphy B. Delayed abdominal muscle onsets and self-report measures of pain and disability in chronic low back pain. J Electromyogr Kinesiol 2010; 20: 833-839.
  • 12.
    Ferreira PH, Ferreira ML, Maher CG, Refshauge K, Herbert RD, Hodges PW. Changes in recruitment of transversus abdominis correlate with disability in people with chronic low back pain. Br J Sports Med 2010; 44: 1166-1172.
  • 13.
    Al-Obaidi SM, Al-Zoabi B, Al-Shuwaie N, Al-Zaabie N, Nelson RM. The influence of pain and pain-related fear and disability beliefs on walking velocity in chronic low back pain. Int J Rehabil Res 2003; 26: 101-108.
  • 14.
    Moseley GL, Nicholas MK, Hodges PW. Pain differs from non-painful attention-demanding or stressful tasks in its effect on postural control patterns of trunk muscles. Exp Brain Res 2004; 156: 64-71.
  • 15.
    Rasouli O, Arab AM, Amiri M, Jaberzadeh S. Ultrasound measurement of deep abdominal muscle activity in sitting positions with different stability levels in subjects with and without chronic low back pain. Man Ther 2011; 16: 388-393.
  • 16.
    Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. Chapter 4 European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006; 15: 192-300.
  • 17.
    Peng Q, Jones RC, Constantinou CE. 2D Ultrasound Image Processing in Identifying Responses of Urogenital Structures to Pelvic Floor Muscle Activity. Ann Biomed Eng 2006; 34: 477-493.
  • 18.
    Chou R, Qaseem A, Snow V, Casey D, Cross JT Jr, Shekelle P, et al. Clinical efficacy assessment subcommittee of the American college of physicians; American College of Physicians; American Pain Society low back pain guidelines panel. diagnosis and treatment of low back pain: A joint clinical practice guideline from the American college of physicians and the American pain society. Ann Intern Med 2007; 147: 478-491.
  • 19.
    Koes BW, van Tulder MW, Thomas S. Diagnosis and treatment of low back pain. BMJ 2006; 332: 1430-1434.
  • 20.
    Jensen MP, Chen C, Brugger AM. Interpretation of visual analog scale ratings and change scores: a reanalysis of two clinical trials of postoperative pain. The J Pain 2003; 4: 407-414.
  • 21.
    Mousavi SJ, Parnianpour M, Mehdian H, Montazeri A, Mobini B. The oswestry disability index, the roland-morris disability questionnaire, and the quebec back pain disability scale: translation and validation studies of the Iranian. Spine 2006; 31: E454-E459.
  • 22.
    Jafari H, Ebrahimi I, Salavati M, Kamali M, Fata L. Psychometric Properties of iranian Version of Tampa Scale for Kinesiophobia in Low Back Pain Patients. RJ. 2010; 11:15-22.
  • 23.
    Ehsani F, Arab AM, Salavati M, Hedayati R, Talimkhani I. Effect of exercise therapy in an unstable surface on muscle activity pattern in patients with low back pain: A systematic review. J Koomesh 2015; 16: 495-504. (Persian).
  • 24.
    Kim Y, Shim JK, Son J, Pyeon HY, Yoon B. A neuromuscular strategy to prevent spinal torsion: Backward perturbation alters asymmetry of transversus abdominis muscle thickness into symmetry. Gait Posture 2013; 38: 231-235.
  • 25.
    Bunce SM, Hough AD, Moore AP. Measurement of abdominal muscle thickness using M-mode ultrasound imaging during functional activities. Man Ther 2004; 9: 41-44.
  • 26.
    Ehsani F, Arab AM, Salavati M, Jaberzadeh S, Hajihasani A. Ultrasound measurement of abdominal muscle thickness with and without transducer fixation during standing postural tasks in participants with and without chronic low back pain: intrasession and intersession reliability. PM R 2016; pii: S1934-1482(16) 30147-2.
  • 27.
    Peng Q, Jones R, Shishido K, Constantinou CE. Ultrasound evaluation of dynamic responses of female pelvic floor muscles. Ultrasound Med Biol 2007; 33: 342-352.
  • 28.
    Singla D, Veqar Z. Methods of postural assessment used for sports persons. J Clin Diagn Res 2014; 8:1-4.
  • 29.
    Costa LO, Maher CG, Latimer J, Hodges PW, Shirley D. An investigation of the reproducibility of ultrasound measures of abdominal muscle activation in patients with chronic non-specific low back pain. Eur Spine J 2009; 18: 1059-1065.
  • 30.
    Mosely GL, Hodges PW. Are the changes in postural control associated with low back pain caused by pain interference? Clin J Pain 2005; 21: 323-329.
  • 31.
    Unsgaard-Tondel M, Nilsen TI, Magnussen J, Vasseljen O. Are fear avoidance beliefs associated with abdominal muscle activation outcome for patients with low back pain? Physiother Res Int 2013; 18: 131-139.
  • 32.
    Goubert L, Crombez G, Lysens R. Effects of varied-stimulus exposure on overpredictions of pain and behavioural performance in low back pain patients. Behav Res Ther 2005; 43: 1347-1361.
  • 33.
    de Gier M, Peters ML, Vlaeyen JW. Fear of pain, physical performance, and attentional processes in patients with fibromyalgia. Pain 2003; 104: 121-130##.

Copyright

© 2016, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.

Similar Articles

28
Dec
2015

Stabilization Exercises and their effect on Fear-Avoidance Belief and Disability in Patients with Recurrent Nonspecific Low Back Pain

Sedighe Kahrizi,
mohamad parnianpour,
fariba bahrami,
anushiravan kazem nejad,
bahram mobini,
Rozita Hedayati

Kahrizi S, parnianpour M, bahrami F, kazem nejad A, mobini B, et al. Stabilization Exercises and their effect on Fear-Avoidance Belief and Disability in Patients with Recurrent Nonspecific Low Back Pain. koomesh. 2015;17(1):e150775. doi:

28
Sep
2016

Effects of load and unstable support surface on postural control in patients with chronic low back pain

Vahid Samadi,
Sedighe Kahrizi,
Mahmood Reza Azghani,
Parviz Azadfallah,
Mohammad Gholami Fesharaki

Samadi V, Kahrizi S, Azghani MR, Azadfallah P, Gholami Fesharaki M. Effects of load and unstable support surface on postural control in patients with chronic low back pain. koomesh. 2016;17(3):e151204. doi:

13
May
2014

Effects of stability exercises in water on pain intensity and

mehdi Mahjur

Mahjur M. Effects of stability exercises in water on pain intensity and. Med Surg Nurs J. 2014;3(2):e87912. doi:

10
Nov
2014

An Exploratory Examination of the Association Between Altered Lumbar Motor Control, Joint Mobility and Low Back Pain in Athletes

Marie B. Corkery,
Brittany O’Rourke,
Samantha Viola,
Sheng-Che Yen,
Joseph Rigby,
Kevin Singer
,et al.

Corkery MB, O’Rourke B, Viola S, Yen S, Rigby J, et al. An Exploratory Examination of the Association Between Altered Lumbar Motor Control, Joint Mobility and Low Back Pain in Athletes. Asian J Sports Med. 2014;5(4):e24283. doi: https://doi.org/10.5812/asjsm.24283

17
Mar
2011

Effects of consecutive supervised core stability training on pain and disability in women with nonspecific chronic low back pain

hemmati hemmati,
Reza Rajabi,
Nooroddin Karimi,
Aliakbar Jahandideh

hemmati H, Rajabi R, Karimi N, Jahandideh A. Effects of consecutive supervised core stability training on pain and disability in women with nonspecific chronic low back pain. koomesh. 2011;12(3):e152453. doi:

Download PDF691.82 KB
Share on
Cited by
Metrics

Ordering Reprints

Articles are published under the Creative Commons license stated on each article. No permission or royalty fee is required for uses permitted by that license. CCC handles optional bulk and customized reprint orders. Any quotation covers production and delivery services only, not copyright permission. > Request Reprints from CCC 

Search Relations

Author(s):

Related Articles