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Immediate Effect of Lumbosacral Orthosis and Abdominal Drawing-In Maneuver on Postural Control in Adults With Nonspecific Chronic Low Back Pain

  • Fábio Carlos Lucas de Oliveira
    Affiliations
    Department of Health Sciences, Intersectoral Center in Sustainable Health, BioNR Research Laboratory, University of Quebec at Chicoutimi (UQAC), Saguenay, Quebec, Canada

    Research Unit in Sport and Physical Activity (CIDAF), Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal
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  • Christian Larivière
    Affiliations
    Occupational Health and Safety Research Robert-Sauvé Institute (IRSST), Montreal, Québec, Canada
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  • Mathieu Dallaire
    Affiliations
    Department of Health Sciences, Intersectoral Center in Sustainable Health, BioNR Research Laboratory, University of Quebec at Chicoutimi (UQAC), Saguenay, Quebec, Canada

    Occupational Health and Safety Research Robert-Sauvé Institute (IRSST), Montreal, Québec, Canada
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  • Hakim Mecheri
    Affiliations
    Occupational Health and Safety Research Robert-Sauvé Institute (IRSST), Montreal, Québec, Canada
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  • Suzy Ngomo
    Affiliations
    Department of Health Sciences, Intersectoral Center in Sustainable Health, BioNR Research Laboratory, University of Quebec at Chicoutimi (UQAC), Saguenay, Quebec, Canada

    Physical Therapy Program, University of Quebec at Chicoutimi (UQAC), Saguenay, Quebec, Canada
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  • Rubens A. da Silva
    Correspondence
    Corresponding author: Rubens A. da Silva, PT, PhD, Université du Québec à Chicoutimi, 555, boulevard de l'Université, Saguenay, QC G7H 2B1, Canada
    Affiliations
    Department of Health Sciences, Intersectoral Center in Sustainable Health, BioNR Research Laboratory, University of Quebec at Chicoutimi (UQAC), Saguenay, Quebec, Canada

    Physical Therapy Program, University of Quebec at Chicoutimi (UQAC), Saguenay, Quebec, Canada

    Integrated Health and Social Services Center of Saguenay-Lac-Saint-Jean (CIUSSS SLSJ), Specialized Geriatrics Services-Bay Hospital, Saguenay, Quebec, Canada

    Doctoral and Master Programs in Human Movement and Rehabilitation, Evangélica University of Goiás, Anapolis, Goiás, Brazil
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Published:November 15, 2022DOI:https://doi.org/10.1016/j.jmpt.2022.09.005

      Abstract

      Objective

      The purpose of this study was to examine the immediate effects of lumbosacral orthosis and the abdominal drawing-in maneuver on the trunk postural control of adults with chronic low back pain compared with asymptomatic controls during 1-legged and semi-tandem stances.

      Methods

      An experimental and comparative study (cross-sectional design) was conducted in a laboratory setting. Twenty adults with chronic low back pain and 20 asymptomatic controls randomly performed 2 postural balance tasks over a force platform, considering 3 experimental conditions: (1) natural posture (baseline-control), (2) lumbosacral orthosis, and (3) abdominal drawing-in maneuver. Linear variables (mean amplitude, ellipse area, and sway velocity) derived from the center of pressure were computed, and 2-way analysis of variance (group × condition) for repeated measures were conducted.

      Results

      No group × condition interactions (.139 ≤ P ≤.938) were detected in any center of pressure parameters. No condition effect was detected, but a group effect (P = .042) was observed for 1 center of pressure parameter. The chronic low back pain group presented with a lower mean anteroposterior center of pressure amplitude than asymptomatic controls (∆ = 0.31 ± 0.66 cm [95% confidence interval, 0.05-0.56], P = .019) during the semi-tandem stance balance task.

      Conclusion

      Neither lumbosacral orthosis nor the abdominal drawing-in maneuver showed immediate improvement in trunk postural control in any group. Thus, clinicians should not expect immediate benefits or improvements yielded by lumbosacral orthosis or the abdominal drawing-in maneuver when patients with chronic low back pain undergo these interventions.

      Key Indexing Terms

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