Patients with chronic non-specific low back pain who reported reduction in pain and improvement in function also demonstrated an improvement in gait pattern

Purpose To assess the changes in gait pattern and clinical symptoms of patients with chronic non-specific low back pain (CNSLBP) following a home-based biomechanical treatment (HBBT). Methods This was a retrospective analysis of 60 CNSLBP patients. All patients underwent a gait evaluation and comple...

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Bibliographic Details
Published in:European spine journal 2016-09, Vol.25 (9), p.2761-2766
Main Authors: Barzilay, Yair, Segal, Ganit, Lotan, Raphael, Regev, Gilad, Beer, Yiftah, Lonner, Baron S., Mor, Amit, Elbaz, Avi
Format: Article
Language:English
Subjects:
Adult
Aged
Chronic Pain - physiopathology
Chronic Pain - therapy
Female
Gait - physiology
Humans
Low Back Pain - physiopathology
Low Back Pain - therapy
Male
Medicine
Medicine & Public Health
Middle Aged
Neurosurgery
Original Article
Pain Management
Quality of Life
Retrospective Studies
Surgical Orthopedics
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Summary:Purpose To assess the changes in gait pattern and clinical symptoms of patients with chronic non-specific low back pain (CNSLBP) following a home-based biomechanical treatment (HBBT). Methods This was a retrospective analysis of 60 CNSLBP patients. All patients underwent a gait evaluation and completed self-assessment questionnaires at pre-treatment and after 3 and 6 months of a HBBT (AposTherapy). Twenty-four healthy, aged-matched individuals served as a reference group. Results Significant differences were found in all gait parameters and clinical symptoms between patients with CNSLBP and healthy people before treatment. Significant improvements were found in all gait parameters and clinical measures following 6 months of therapy including an increase in gait velocity (10.6 %), step length (5.6 %), cadence (5 %), and quality of life and a decrease in pain (13.3 %). There were no significant differences between groups in the gait parameters following 6 months of treatment. Conclusions Significant differences exist between patients with CNSLBP and healthy controls in terms of gait pattern and self-assessed health status. The examined HBBT led to significant improvements in gait pattern, reduction in pain, improved function and increased quality of life. However, future studies should validate these results while comparing this treatment to other treatment modalities.
ISSN:0940-6719
1432-0932
DOI:10.1007/s00586-015-4004-0