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Young adults with recurrent low back pain demonstrate altered trunk coordination during gait independent of pain status and attentional demands
by
Kulig Kornelia
, Steffi, Shih Hai-Jung
, Winstein, Carolee J
in
Adults
/ Arithmetic
/ Attention
/ Attentional processes
/ Back pain
/ Coordination
/ Gait
/ Low back pain
/ Mathematics
/ Pain
/ Pelvis
/ Recurrent
/ Task performance
/ Variability
/ Walking
/ Width
/ Young adults
2021
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Young adults with recurrent low back pain demonstrate altered trunk coordination during gait independent of pain status and attentional demands
by
Kulig Kornelia
, Steffi, Shih Hai-Jung
, Winstein, Carolee J
in
Adults
/ Arithmetic
/ Attention
/ Attentional processes
/ Back pain
/ Coordination
/ Gait
/ Low back pain
/ Mathematics
/ Pain
/ Pelvis
/ Recurrent
/ Task performance
/ Variability
/ Walking
/ Width
/ Young adults
2021
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Do you wish to request the book?
Young adults with recurrent low back pain demonstrate altered trunk coordination during gait independent of pain status and attentional demands
by
Kulig Kornelia
, Steffi, Shih Hai-Jung
, Winstein, Carolee J
in
Adults
/ Arithmetic
/ Attention
/ Attentional processes
/ Back pain
/ Coordination
/ Gait
/ Low back pain
/ Mathematics
/ Pain
/ Pelvis
/ Recurrent
/ Task performance
/ Variability
/ Walking
/ Width
/ Young adults
2021
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Young adults with recurrent low back pain demonstrate altered trunk coordination during gait independent of pain status and attentional demands
Journal Article
Young adults with recurrent low back pain demonstrate altered trunk coordination during gait independent of pain status and attentional demands
2021
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Overview
Pain influences both attention and motor behavior. We used a dual-task interference paradigm to investigate (1) alterations in attentional performance, (2) the ability to switch task prioritization, and (3) the effect of attentional demand on trunk coordination during narrow-based walking in and out of a painful episode in individuals with recurrent low back pain (LBP). We tested twenty young adults with LBP both in and out of a painful episode and compared them to twenty matched back-healthy individuals. Participants simultaneously performed a narrow step width matching task and an arithmetic task, with and without instructions to prioritize either task. A motion capture system was used to record kinematic data, and frontal plane trunk coordination was analyzed using vector coding on the thorax and pelvis angles. Single-task performance, dual-task effect, dual-task performance variability, task prioritization switch, and trunk coordination were analyzed using paired t tests or repeated measures two-way ANOVAs. Results indicated that active pain has a detrimental effect on attentional processes, indicated by poorer single-task performance and increased dual-task performance variability for individuals with recurrent LBP. Individuals with LBP, regardless of pain status, were able to switch task prioritization to a similar degree as their back-healthy counterparts. Compared to the control group, individuals with recurrent LBP exhibited a less in-phase, more pelvis-dominated trunk coordination during narrow-based walking, independent of pain status and regardless of attentional manipulations. Thus, altered trunk coordination in persons with LBP appears to be habitual, automatic, and persists beyond symptom duration.
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