Imperial College London
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Dr Andrew Phillips

Faculty of Engineering, Department of Civil and Environmental Engineering

Reader in Structural Biomechanics
 
 
 
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Contact

 

+44 (0)20 7594 6081andrew.phillips Website

 
 
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Assistant

 

Ms Ruth Bello +44 (0)20 7594 6040

 
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Location

 

433Skempton BuildingSouth Kensington Campus

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Summary

 

Publications

Citation

BibTex format

@article{Sperry:2019:10.3233/BMR-170808,
author = {Sperry, MM and Phillips, ATM and McGregor, AH},
doi = {10.3233/BMR-170808},
journal = {Journal of Back and Musculoskeletal Rehabilitation},
pages = {27--35},
title = {Lower back pain and healthy subjects exhibit distinct lower limb perturbation response strategies: a preliminary study},
url = {http://dx.doi.org/10.3233/BMR-170808},
volume = {32},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: It is hypothesized that inherent differences in movement strategies exist between control subjects and those with a history of lower back pain (LBP). Previous motion analysis studies focus primarily on tracking spinal movements, neglecting the connection between the lower limbs and spinal function. Lack of knowledge surrounding the functional implications of LBP may explain the diversity in success from general treatments currently offered to LBP patients. OBJECTIVE: This pilot study evaluated the response of healthy controls and individuals with a history of LBP (hLBP) to a postural disturbance. METHODS: Volunteers (n= 26) were asked to maintain standing balance in response to repeated balance disturbances delivered via a perturbation platform while both kinematic and electromyographic data were recorded from the trunk, pelvis, and lower limb. RESULTS: The healthy cohort utilized an upper body-focused strategy for balance control, with substantial activation of the external oblique muscles. The hLBP cohort implemented a lower limb-focused strategy, relying on activation of the semitendinosus and soleus muscles. No significant differences in joint range of motion were identified. CONCLUSIONS: These findings suggest that particular reactive movement patterns may indicate muscular deficits in subjects with hLBP. Identification of these deficits may aid in developing specific rehabilitation programs to prevent future LBP recurrence.
AU  - Sperry,MM
AU  - Phillips,ATM
AU  - McGregor,AH
DO  - 10.3233/BMR-170808
EP  - 35
PY  - 2019///
SN  - 1053-8127
SP  - 27
TI  - Lower back pain and healthy subjects exhibit distinct lower limb perturbation response strategies: a preliminary study
T2  - Journal of Back and Musculoskeletal Rehabilitation
UR  - http://dx.doi.org/10.3233/BMR-170808
UR  - https://www.ncbi.nlm.nih.gov/pubmed/30056411
UR  - http://hdl.handle.net/10044/1/61876
VL  - 32
ER  -
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