Trunk stiffness decreases and trunk damping increases with experimental low back pain

No Thumbnail Available
File version
Author(s)
van den Hoorn, W
Cholewicki, J
Coppieters, MW
Klyne, DM
Hodges, PW
Griffith University Author(s)
Primary Supervisor
Other Supervisors
Editor(s)
Date
2020
Size
File type(s)
Location
License
Abstract

Movement adaptations to low back pain (LBP) are believed to protect the painful area. Increased trunk stiffness and decreased trunk damping have been shown in people with recurrent LBP. However, no study has examined these properties using external force perturbations to the trunk during acute LBP when protective adaptations might be expected to have most relevance. Adaptations to an acute painful stimulus via unilateral injection of hypertonic saline into the right longissimus muscle were assessed using a trunk force perturbation paradigm and a mass-spring-damper model to describe effective trunk dynamical properties. Equal weights (15% body weight) were connected to the front and back of the trunk via a cable. Either one was dropped at random to perturb the trunk. Effective trunk dynamical properties were estimated in fourteen males (mean (standard deviation) age 25 (6) years) assuming that trunk movement can be modelled as a second order linear system. Effective trunk dynamical properties were compared before, during and after the experimentally induced painful period. Estimates of effective trunk stiffness (K) decreased and damping (B) increased during pain compared to both before ([mean contrast, 95% CI] K: −403 [−651 to −155] Nm−1, B: 28 [9–50] Nms−1) and after (K: −324 [−58 to −591] Nm−1, B: 20 [4–33] Nms−1) the experimentally induced painful period. We interpret our results to show that, when challenged by a step force perturbation, a healthy system adapts to noxious input by controlling trunk velocity rather than trunk displacement, in contrast to observations during remission from recurrent clinical LBP.

Journal Title

Journal of Biomechanics

Conference Title
Book Title
Edition
Volume

112

Issue
Thesis Type
Degree Program
School
Publisher link
Patent number
Funder(s)
Grant identifier(s)
Rights Statement
Rights Statement
Item Access Status
Note
Access the data
Related item(s)
Subject

Biomedical engineering

Mechanical engineering

Sports science and exercise

Persistent link to this record
Citation

van den Hoorn, W; Cholewicki, J; Coppieters, MW; Klyne, DM; Hodges, PW, Trunk stiffness decreases and trunk damping increases with experimental low back pain, Journal of Biomechanics, 2020, 112, pp. 110053

Collections