Reliability and validity of spinal coordination patterns during treadmill walking in persons with thoracic spine pain – a preliminary study
Identifieur interne : 000C84 ( Main/Exploration ); précédent : 000C83; suivant : 000C85Reliability and validity of spinal coordination patterns during treadmill walking in persons with thoracic spine pain – a preliminary study
Auteurs : Jean Wessel [Canada] ; Michael R. Pierrynowski [Canada] ; Kelly Pennell [Canada] ; Linda J. Woodhouse [Canada]Source :
- BMC Musculoskeletal Disorders [ 1471-2474 ] ; 2013.
Abstract
Persons with low back pain fail to show the same transition as healthy individuals from in-phase to anti-phase rotation of the thorax and pelvis as walking speed increases. The purpose of this study was to determine if the relative phase of the thorax and pelvis during walking was a reliable (within day test-retest) and valid measure for persons with thoracic pain.
The time series motion of the spine over C7, T8 and sacrum were measured at five treadmill walking speeds (0.67, 0.89, 1.12, 1.34, 1.56 m/s) in 19 persons with thoracic spine pain and 19 healthy control subjects. After a 20 minute rest, all tests were repeated. The average relative phases of the transverse plane rotation between C7-T8, C7-sacrum and T8-sacrum during a one-minute walk were calculated. The standard error of measurement (SEM) and the intra-class correlation coefficient (ICC) were used to estimate test-retest reliability. Three-way repeated measures analyses of variance were performed to determine the influence of group, walking speed and session on the relative phases.
The minimum transverse plane motion amplitudes, across all participants and speeds, for the C7-T8, C7-sacrum, and T8-sacrum were 2.9, 5.1 and 2.8 degrees, respectively. The C7-T8 relative phase changed little with speed. The C7-sacrum and T8-sacrum relative phases showed increases as subjects walked faster, but both groups had similar patterns of change. Only the C7-T8 relative phase at 0.67 and 0.89 m/s exhibited good reliability (ICC > 0.80, SEM 4.2-5.7, no significant time effects) for both groups. The C7-T8 and T8-sacrum relative phases demonstrated significant group by speed effects.
The C7-T8 relative phase showed reasonable reliability and some discrimination between groups, but changes in response to walking speed were small. The T8-sacrum relative phase showed some discriminative ability, but reliability was not adequate.
Url:
DOI: 10.1186/1471-2474-14-345
PubMed: 24321275
PubMed Central: 4029448
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Reliability and validity of spinal coordination patterns during treadmill walking in persons with thoracic spine pain – a preliminary study</title><author><name sortKey="Wessel, Jean" sort="Wessel, Jean" uniqKey="Wessel J" first="Jean" last="Wessel">Jean Wessel</name><affiliation wicri:level="4"><nlm:aff id="I1">School of Rehabilitation Science, McMaster University, 1400 Main St. West, Hamilton, ON L8S 1C7, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>School of Rehabilitation Science, McMaster University, 1400 Main St. West, Hamilton, ON L8S 1C7</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Pierrynowski, Michael R" sort="Pierrynowski, Michael R" uniqKey="Pierrynowski M" first="Michael R" last="Pierrynowski">Michael R. Pierrynowski</name><affiliation wicri:level="4"><nlm:aff id="I1">School of Rehabilitation Science, McMaster University, 1400 Main St. West, Hamilton, ON L8S 1C7, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>School of Rehabilitation Science, McMaster University, 1400 Main St. West, Hamilton, ON L8S 1C7</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Pennell, Kelly" sort="Pennell, Kelly" uniqKey="Pennell K" first="Kelly" last="Pennell">Kelly Pennell</name><affiliation wicri:level="1"><nlm:aff id="I2">Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, ON M2H 3 J1, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, ON M2H 3 J1</wicri:regionArea><wicri:noRegion>ON M2H 3 J1</wicri:noRegion></affiliation></author><author><name sortKey="Woodhouse, Linda J" sort="Woodhouse, Linda J" uniqKey="Woodhouse L" first="Linda J" last="Woodhouse">Linda J. Woodhouse</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Physical Therapy, University of Alberta, Edmonton, AB T6G 2G4, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Physical Therapy, University of Alberta, Edmonton, AB T6G 2G4</wicri:regionArea><wicri:noRegion>AB T6G 2G4</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24321275</idno><idno type="pmc">4029448</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4029448</idno><idno type="RBID">PMC:4029448</idno><idno type="doi">10.1186/1471-2474-14-345</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000490</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000490</idno><idno type="wicri:Area/Pmc/Curation">000490</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000490</idno><idno type="wicri:Area/Pmc/Checkpoint">000590</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000590</idno><idno type="wicri:Area/Ncbi/Merge">001641</idno><idno type="wicri:Area/Ncbi/Curation">001641</idno><idno type="wicri:Area/Ncbi/Checkpoint">001641</idno><idno type="wicri:Area/Main/Merge">000C91</idno><idno type="wicri:Area/Main/Curation">000C84</idno><idno type="wicri:Area/Main/Exploration">000C84</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Reliability and validity of spinal coordination patterns during treadmill walking in persons with thoracic spine pain – a preliminary study</title><author><name sortKey="Wessel, Jean" sort="Wessel, Jean" uniqKey="Wessel J" first="Jean" last="Wessel">Jean Wessel</name><affiliation wicri:level="4"><nlm:aff id="I1">School of Rehabilitation Science, McMaster University, 1400 Main St. West, Hamilton, ON L8S 1C7, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>School of Rehabilitation Science, McMaster University, 1400 Main St. West, Hamilton, ON L8S 1C7</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Pierrynowski, Michael R" sort="Pierrynowski, Michael R" uniqKey="Pierrynowski M" first="Michael R" last="Pierrynowski">Michael R. Pierrynowski</name><affiliation wicri:level="4"><nlm:aff id="I1">School of Rehabilitation Science, McMaster University, 1400 Main St. West, Hamilton, ON L8S 1C7, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>School of Rehabilitation Science, McMaster University, 1400 Main St. West, Hamilton, ON L8S 1C7</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Pennell, Kelly" sort="Pennell, Kelly" uniqKey="Pennell K" first="Kelly" last="Pennell">Kelly Pennell</name><affiliation wicri:level="1"><nlm:aff id="I2">Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, ON M2H 3 J1, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, ON M2H 3 J1</wicri:regionArea><wicri:noRegion>ON M2H 3 J1</wicri:noRegion></affiliation></author><author><name sortKey="Woodhouse, Linda J" sort="Woodhouse, Linda J" uniqKey="Woodhouse L" first="Linda J" last="Woodhouse">Linda J. Woodhouse</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Physical Therapy, University of Alberta, Edmonton, AB T6G 2G4, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Physical Therapy, University of Alberta, Edmonton, AB T6G 2G4</wicri:regionArea><wicri:noRegion>AB T6G 2G4</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Musculoskeletal Disorders</title><idno type="eISSN">1471-2474</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Persons with low back pain fail to show the same transition as healthy individuals from in-phase to anti-phase rotation of the thorax and pelvis as walking speed increases. The purpose of this study was to determine if the relative phase of the thorax and pelvis during walking was a reliable (within day test-retest) and valid measure for persons with thoracic pain.</p></sec><sec><title>Methods</title><p>The time series motion of the spine over C7, T8 and sacrum were measured at five treadmill walking speeds (0.67, 0.89, 1.12, 1.34, 1.56 m/s) in 19 persons with thoracic spine pain and 19 healthy control subjects. After a 20 minute rest, all tests were repeated. The average relative phases of the transverse plane rotation between C7-T8, C7-sacrum and T8-sacrum during a one-minute walk were calculated. The standard error of measurement (SEM) and the intra-class correlation coefficient (ICC) were used to estimate test-retest reliability. Three-way repeated measures analyses of variance were performed to determine the influence of group, walking speed and session on the relative phases.</p></sec><sec><title>Results</title><p>The minimum transverse plane motion amplitudes, across all participants and speeds, for the C7-T8, C7-sacrum, and T8-sacrum were 2.9, 5.1 and 2.8 degrees, respectively. The C7-T8 relative phase changed little with speed. The C7-sacrum and T8-sacrum relative phases showed increases as subjects walked faster, but both groups had similar patterns of change. Only the C7-T8 relative phase at 0.67 and 0.89 m/s exhibited good reliability (ICC > 0.80, SEM 4.2-5.7, no significant time effects) for both groups. The C7-T8 and T8-sacrum relative phases demonstrated significant group by speed effects.</p></sec><sec><title>Conclusions</title><p>The C7-T8 relative phase showed reasonable reliability and some discrimination between groups, but changes in response to walking speed were small. 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sortKey="Lamoth, Cj" uniqKey="Lamoth C">CJ Lamoth</name></author><author><name sortKey="Daffertshofer, A" uniqKey="Daffertshofer A">A Daffertshofer</name></author><author><name sortKey="Meijer, Og" uniqKey="Meijer O">OG Meijer</name></author><author><name sortKey="Lorimer, Mg" uniqKey="Lorimer M">MG Lorimer</name></author><author><name sortKey="Wuisman, Pi" uniqKey="Wuisman P">PI Wuisman</name></author><author><name sortKey="Beek, Pj" uniqKey="Beek P">PJ Beek</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wagenaar, Rc" uniqKey="Wagenaar R">RC Wagenaar</name></author><author><name sortKey="Van Emmerik, Re" uniqKey="Van Emmerik R">RE Van Emmerik</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gallo, P" uniqKey="Gallo P">P Gallo</name></author><author><name sortKey="Chuang Stein, C" uniqKey="Chuang Stein C">C Chuang-Stein</name></author><author><name sortKey="Dragalin, V" uniqKey="Dragalin V">V Dragalin</name></author><author><name sortKey="Gaydos, B" uniqKey="Gaydos B">B Gaydos</name></author><author><name sortKey="Krams, M" uniqKey="Krams M">M Krams</name></author><author><name sortKey="Pinheiro, J" uniqKey="Pinheiro J">J Pinheiro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Willems, Jm" uniqKey="Willems J">JM Willems</name></author><author><name sortKey="Jull, Ga" uniqKey="Jull G">GA Jull</name></author><author><name sortKey="Ng, Jk" uniqKey="Ng J">JK Ng</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Canada</li></country><region><li>Ontario</li></region><settlement><li>Hamilton (Ontario)</li></settlement><orgName><li>Université McMaster</li></orgName></list><tree><country name="Canada"><region name="Ontario"><name sortKey="Wessel, Jean" sort="Wessel, Jean" uniqKey="Wessel J" first="Jean" last="Wessel">Jean Wessel</name></region><name sortKey="Pennell, Kelly" sort="Pennell, Kelly" uniqKey="Pennell K" first="Kelly" last="Pennell">Kelly Pennell</name><name sortKey="Pierrynowski, Michael R" sort="Pierrynowski, Michael R" uniqKey="Pierrynowski M" first="Michael R" last="Pierrynowski">Michael R. Pierrynowski</name><name sortKey="Woodhouse, Linda J" sort="Woodhouse, Linda J" uniqKey="Woodhouse L" first="Linda J" last="Woodhouse">Linda J. Woodhouse</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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