Article

OBJECTIVE: Low back pain (LBP) is prevalent in people with transfemoral
amputation (TFA), imposing significant disability. Yet, limited data exist
describing spine kinematics in people with and without LBP despite the suggestion
that gait adaptations required to walk with a prosthesis may be associated or
causative of LBP. Hence, the purpose of this study was to determine if there were
any differences in pelvic and spinal kinematics in persons with TFA with and
without LBP. DESIGN: With the use of a lower body model combined with a regional
spine model, pelvic, lumbar, and thoracic kinematics were recorded while walking
and compared for participants with TFA with (n = 12) and without (n = 11)
self-reported LBP. RESULTS: Opposite patterns of motion were observed between
groups in sagittal and transverse lumbar kinematics but inferential analysis
using the chi test was unable to confirm that these differing patterns were
independently related to LBP. CONCLUSIONS: For community ambulators with TFA who
report low levels of LBP, differences in lumbar and thoracic motion do not seem
to be independently related to LBP. Results may not generalize to those with
higher levels of LBP and associated disability.

Langue : ANGLAIS