Microstructural Integrity of the Superior Cerebellar Peduncle Is Associated with an Impaired Proprioceptive Weighting Capacity in Individuals with Non-Specific Low Back Pain
Identifieur interne : 003081 ( Ncbi/Checkpoint ); précédent : 003080; suivant : 003082Microstructural Integrity of the Superior Cerebellar Peduncle Is Associated with an Impaired Proprioceptive Weighting Capacity in Individuals with Non-Specific Low Back Pain
Auteurs : Madelon Pijnenburg [Belgique] ; Karen Caeyenberghs [Belgique] ; Lotte Janssens [Belgique] ; Nina Goossens [Belgique] ; Stephan P. Swinnen [Belgique] ; Stefan Sunaert [Belgique] ; Simon Brumagne [Belgique]Source :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
Postural control is a complex sensorimotor task that requires an intact network of white matter connections. The ability to weight proprioceptive signals is crucial for postural control. However, research into central processing of proprioceptive signals for postural control is lacking. This is specifically of interest in individuals with non-specific low back pain (NSLBP), because impairments in postural control have been observed as possible underlying mechanisms of NSLBP. Therefore, the objective was to investigate potential differences in sensorimotor white matter microstructure between individuals with NSLBP and healthy controls, and to determine whether the alterations in individuals with NSLBP are associated with the capacity to weight proprioceptive signals for postural control.
The contribution of proprioceptive signals from the ankle and back muscles to postural control was evaluated by local muscle vibration in 18 individuals with NSLBP and 18 healthy controls. Center of pressure displacement in response to muscle vibration was determined during upright standing on a stable and unstable support surface. Diffusion magnetic resonance imaging was applied to examine whether this proprioceptive contribution was associated with sensorimotor white matter microstructure.
Individuals with NSLBP showed a trend towards a reduced fractional anisotropy along the left superior cerebellar peduncle compared to healthy controls (p = 0.039). The impaired microstructural integrity of the superior cerebellar peduncle in individuals with NSLBP was significantly correlated with the response to ankle muscle vibration (p<0.003).
In individuals with NSLBP, a decreased integrity of the superior cerebellar peduncle was associated with an increased reliance on ankle muscle proprioception, even on unstable support surface, which implies an impaired proprioceptive weighting capacity. Our findings emphasize the importance of the superior cerebellar peduncle in proprioceptive weighting for postural control in individuals with NSLBP.
Url:
DOI: 10.1371/journal.pone.0100666
PubMed: 24949796
PubMed Central: 4065054
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Microstructural Integrity of the Superior Cerebellar Peduncle Is Associated with an Impaired Proprioceptive Weighting Capacity in Individuals with Non-Specific Low Back Pain</title><author><name sortKey="Pijnenburg, Madelon" sort="Pijnenburg, Madelon" uniqKey="Pijnenburg M" first="Madelon" last="Pijnenburg">Madelon Pijnenburg</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Caeyenberghs, Karen" sort="Caeyenberghs, Karen" uniqKey="Caeyenberghs K" first="Karen" last="Caeyenberghs">Karen Caeyenberghs</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Department of Physical Therapy and Motor Rehabilitation, University of Ghent, Ghent, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Physical Therapy and Motor Rehabilitation, University of Ghent, Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Department of Movement and Sports Sciences, University of Ghent, Ghent, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Movement and Sports Sciences, University of Ghent, Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation></author><author><name sortKey="Janssens, Lotte" sort="Janssens, Lotte" uniqKey="Janssens L" first="Lotte" last="Janssens">Lotte Janssens</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Goossens, Nina" sort="Goossens, Nina" uniqKey="Goossens N" first="Nina" last="Goossens">Nina Goossens</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Swinnen, Stephan P" sort="Swinnen, Stephan P" uniqKey="Swinnen S" first="Stephan P." last="Swinnen">Stephan P. Swinnen</name><affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>KU Leuven Department of Kinesiology, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Kinesiology, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Sunaert, Stefan" sort="Sunaert, Stefan" uniqKey="Sunaert S" first="Stefan" last="Sunaert">Stefan Sunaert</name><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>KU Leuven Department of Imaging and Pathology, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Imaging and Pathology, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Brumagne, Simon" sort="Brumagne, Simon" uniqKey="Brumagne S" first="Simon" last="Brumagne">Simon Brumagne</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24949796</idno><idno type="pmc">4065054</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4065054</idno><idno type="RBID">PMC:4065054</idno><idno type="doi">10.1371/journal.pone.0100666</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002362</idno><idno type="wicri:Area/Pmc/Curation">002362</idno><idno type="wicri:Area/Pmc/Checkpoint">000B17</idno><idno type="wicri:Area/Ncbi/Merge">003081</idno><idno type="wicri:Area/Ncbi/Curation">003081</idno><idno type="wicri:Area/Ncbi/Checkpoint">003081</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Microstructural Integrity of the Superior Cerebellar Peduncle Is Associated with an Impaired Proprioceptive Weighting Capacity in Individuals with Non-Specific Low Back Pain</title><author><name sortKey="Pijnenburg, Madelon" sort="Pijnenburg, Madelon" uniqKey="Pijnenburg M" first="Madelon" last="Pijnenburg">Madelon Pijnenburg</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Caeyenberghs, Karen" sort="Caeyenberghs, Karen" uniqKey="Caeyenberghs K" first="Karen" last="Caeyenberghs">Karen Caeyenberghs</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Department of Physical Therapy and Motor Rehabilitation, University of Ghent, Ghent, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Physical Therapy and Motor Rehabilitation, University of Ghent, Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Department of Movement and Sports Sciences, University of Ghent, Ghent, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Movement and Sports Sciences, University of Ghent, Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation></author><author><name sortKey="Janssens, Lotte" sort="Janssens, Lotte" uniqKey="Janssens L" first="Lotte" last="Janssens">Lotte Janssens</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Goossens, Nina" sort="Goossens, Nina" uniqKey="Goossens N" first="Nina" last="Goossens">Nina Goossens</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Swinnen, Stephan P" sort="Swinnen, Stephan P" uniqKey="Swinnen S" first="Stephan P." last="Swinnen">Stephan P. Swinnen</name><affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>KU Leuven Department of Kinesiology, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Kinesiology, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Sunaert, Stefan" sort="Sunaert, Stefan" uniqKey="Sunaert S" first="Stefan" last="Sunaert">Stefan Sunaert</name><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>KU Leuven Department of Imaging and Pathology, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Imaging and Pathology, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Brumagne, Simon" sort="Brumagne, Simon" uniqKey="Brumagne S" first="Simon" last="Brumagne">Simon Brumagne</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>Postural control is a complex sensorimotor task that requires an intact network of white matter connections. The ability to weight proprioceptive signals is crucial for postural control. However, research into central processing of proprioceptive signals for postural control is lacking. This is specifically of interest in individuals with non-specific low back pain (NSLBP), because impairments in postural control have been observed as possible underlying mechanisms of NSLBP. Therefore, the objective was to investigate potential differences in sensorimotor white matter microstructure between individuals with NSLBP and healthy controls, and to determine whether the alterations in individuals with NSLBP are associated with the capacity to weight proprioceptive signals for postural control.</p></sec><sec><title>Methods</title><p>The contribution of proprioceptive signals from the ankle and back muscles to postural control was evaluated by local muscle vibration in 18 individuals with NSLBP and 18 healthy controls. Center of pressure displacement in response to muscle vibration was determined during upright standing on a stable and unstable support surface. Diffusion magnetic resonance imaging was applied to examine whether this proprioceptive contribution was associated with sensorimotor white matter microstructure.</p></sec><sec><title>Results</title><p>Individuals with NSLBP showed a trend towards a reduced fractional anisotropy along the left superior cerebellar peduncle compared to healthy controls (p = 0.039). The impaired microstructural integrity of the superior cerebellar peduncle in individuals with NSLBP was significantly correlated with the response to ankle muscle vibration (p<0.003).</p></sec><sec><title>Conclusions</title><p>In individuals with NSLBP, a decreased integrity of the superior cerebellar peduncle was associated with an increased reliance on ankle muscle proprioception, even on unstable support surface, which implies an impaired proprioceptive weighting capacity. 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McConnell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Roll, Jp" uniqKey="Roll J">JP Roll</name></author><author><name sortKey="Vedel, Jp" uniqKey="Vedel J">JP Vedel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cordo, Pj" uniqKey="Cordo P">PJ Cordo</name></author><author><name sortKey="Gurfinkel, Vs" uniqKey="Gurfinkel V">VS Gurfinkel</name></author><author><name sortKey="Brumagne, S" uniqKey="Brumagne S">S Brumagne</name></author><author><name sortKey="Flores Vieira, C" uniqKey="Flores Vieira C">C Flores-Vieira</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Deprez, S" uniqKey="Deprez S">S Deprez</name></author><author><name sortKey="Billiet, T" uniqKey="Billiet T">T Billiet</name></author><author><name sortKey="Sunaert, S" uniqKey="Sunaert S">S Sunaert</name></author><author><name sortKey="Leemans, A" uniqKey="Leemans A">A Leemans</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Paus, T" uniqKey="Paus T">T Paus</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hanaie, R" uniqKey="Hanaie R">R Hanaie</name></author><author><name sortKey="Mohri, I" uniqKey="Mohri I">I Mohri</name></author><author><name sortKey="Kagitani Shimono, K" uniqKey="Kagitani Shimono K">K Kagitani-Shimono</name></author><author><name sortKey="Tachibana, M" uniqKey="Tachibana M">M Tachibana</name></author><author><name sortKey="Azuma, J" uniqKey="Azuma J">J Azuma</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Manto, M" uniqKey="Manto M">M Manto</name></author><author><name sortKey="Bower, Jm" uniqKey="Bower J">JM Bower</name></author><author><name sortKey="Conforto, Ab" uniqKey="Conforto A">AB Conforto</name></author><author><name sortKey="Delgado Garcia, Jm" uniqKey="Delgado Garcia J">JM Delgado-Garcia</name></author><author><name sortKey="Da Guarda, Sn" uniqKey="Da Guarda S">SN da Guarda</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Horak, Fb" uniqKey="Horak F">FB Horak</name></author><author><name sortKey="Diener, Hc" uniqKey="Diener H">HC Diener</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Belgique</li></country></list><tree><country name="Belgique"><noRegion><name sortKey="Pijnenburg, Madelon" sort="Pijnenburg, Madelon" uniqKey="Pijnenburg M" first="Madelon" last="Pijnenburg">Madelon Pijnenburg</name></noRegion><name sortKey="Brumagne, Simon" sort="Brumagne, Simon" uniqKey="Brumagne S" first="Simon" last="Brumagne">Simon Brumagne</name><name sortKey="Caeyenberghs, Karen" sort="Caeyenberghs, Karen" uniqKey="Caeyenberghs K" first="Karen" last="Caeyenberghs">Karen Caeyenberghs</name><name sortKey="Caeyenberghs, Karen" sort="Caeyenberghs, Karen" uniqKey="Caeyenberghs K" first="Karen" last="Caeyenberghs">Karen Caeyenberghs</name><name sortKey="Goossens, Nina" sort="Goossens, Nina" uniqKey="Goossens N" first="Nina" last="Goossens">Nina Goossens</name><name sortKey="Janssens, Lotte" sort="Janssens, Lotte" uniqKey="Janssens L" first="Lotte" last="Janssens">Lotte Janssens</name><name sortKey="Sunaert, Stefan" sort="Sunaert, Stefan" uniqKey="Sunaert S" first="Stefan" last="Sunaert">Stefan Sunaert</name><name sortKey="Swinnen, Stephan P" sort="Swinnen, Stephan P" uniqKey="Swinnen S" first="Stephan P." last="Swinnen">Stephan P. Swinnen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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