Movement Analysis Could Help in the Assessment of Chronic Low Back Pain Patients: Results from a Preliminary Explorative Study
Articolo
Data di Pubblicazione:
2022
Citazione:
Movement Analysis Could Help in the Assessment of Chronic Low Back Pain Patients: Results from a Preliminary Explorative Study / S. Negrini, J. Pollet, G. Ranica, S. Donzelli, M. Vanossi, B. Piovanelli, C. Amici, R. Buraschi. - In: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH. - ISSN 1660-4601. - 19:15(2022), pp. 9033.1-9033.20. [10.3390/ijerph19159033]
Abstract:
This study aimed to assess the reliability of a qualitative scoring system based
on the movement analysis of the spine in different populations and after usual care rehabilitative
intervention. If proven true, the results could further future research development in quantitative
indexes, leading to a possible subclassification of chronic low back pain (cLBP). Methods: This was a
preliminary exploratory observational study. Data of an optoelectronic spine movement analysis from
a pathological population (cLBP population, 5 male, 5 female, age 58 ± 16 years ) were compared to
young healthy participants (5M, 5F, age 22 ± 1) and were analysed via a new qualitative score of the
pattern of movement. Internal consistency was calculated. Two independent assessors (experienced
and inexperienced) assessed the blinded data, and we calculated inter- and intrarater reliability. We
performed an analysis for cLBP pre and post a ten session group rehabilitation program between and
within groups. Results: Internal consistency was good for all movements (α = 0.84–0.88) . Intra-rater
reliability (Intraclass correlation coefficient–ICC) was excellent for overall scores of all movements
(ICC(1,k) = 0.95–0.99), while inter-rater reliability was poor to moderate ( ICC(1,k) = 0.39–0.78 ). We
found a significant difference in the total movement scores between cLBP and healthy participants
(p = 0.001). Within-group comparison (cLBP) showed no significant difference in the total movement
score in pre and post-treatment. Conclusion: The perception of differences between normal and
pathological movements has been confirmed through the proposed scoring system, which proved
to be able to distinguish different populations. This study has many limitations, but these results
show that movement analysis could be a useful tool and open the door to quantifying the identified
parameters through future studies.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
chronic low back pain; spine; movement analysis; patient outcome assessment; movement
Elenco autori:
S. Negrini, J. Pollet, G. Ranica, S. Donzelli, M. Vanossi, B. Piovanelli, C. Amici, R. Buraschi
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