Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Dynamic Postural Control in Women Athletes With and Without Nonspecific Low Back Pain With High and Low Pain-Related Anxiety- a Case-Control Study Publisher



Amerian Z1 ; Shahali S1 ; Rezaeian ZS2 ; Shanbehzadeh S1
Authors
Show Affiliations
Authors Affiliations
  1. 1. Iranian Center of Excellence in Physiotherapy, Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
  2. 2. Musculoskeletal Research Center, Rehabilitation Research Institute and Department of Physical Therapy, Faculty of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran

Source: BMC Sports Science, Medicine and Rehabilitation Published:2023


Abstract

Background: Low back pain is common among athletes and it has been shown that postural control is altered in the general population with nonspecific low back pain (NSLBP). Psychological factors may also predispose individuals to risk of altered postural control. Dynamic postural control is essential to the performance of athletes. This study aimed to compare the dynamic postural control between women athletes with and without NSLBP with high and low pain-related anxiety. Methods: Forty-five female athletes (15 NSLBP with high pain-related anxiety, 15 NSLBP with low pain-related anxiety, and 15 healthy (control)) were included. Pain-related anxiety was assessed using the Pain Anxiety Symptom Scale-20 (PASS-20). Based on the cut-off score of 30 for the total score of PASS-20, NSLBP patients were classified into two groups of low and high pain-related anxiety. Participants performed double-leg vertical drop jump (DVJ) and single-leg vertical jump (SVJ) tests on a Kistler force plate (type 9260AA6, Kistler Instruments Inc, Switzerland). The total root mean square (RMS) of the center of pressure (COP), COP displacement in the anteroposterior (AP), and mediolateral (ML) directions, COP mean velocity, and time to stabilization (TTS) in vertical, AP, and total directions were extracted from COP and ground reaction force data using MATLAB software. One-way Analysis of variance (ANOVA) and Welch’s ANOVA were employed to compare the groups. In case of significant findings, post hoc tests were performed. Results: The results showed that during DJV, athletes with high pain-related anxiety had significantly greater TTS in all total, AP, and ML directions than other groups (P < 0.05). Also, the control group showed greater total RMS distance during DJV than either NSLBP group. However, no significant differences in TTS and COP parameters were found between the groups during SVJ (P > 0.05). Conclusions: The findings suggest that pain-related anxiety may contribute to athletes’ postural control strategies. Therefore, it is important to consider the level of pain-related anxiety during planning postural control exercises for women athletes with NSLBP. © 2023, The Author(s).
Related Docs
View other Related Docs
1. Low Back Pain and Postural Sway During Quiet Standing With and Without Sensory Manipulation: A Systematic Review, Gait and Posture (2013)
2. Competing Effects of Pain and Fear of Pain on Postural Control in Low Back Pain?, Spine (2014)
3. The Effect of Electronical Film on the Anxiety of Patients Candidate for Lumbar Disc Surgery, Iranian Journal of Nursing and Midwifery Research (2019)
4. What Is the Source of Low Back Pain?, Journal of Craniovertebral Junction and Spine (2013)
5. Comparing the Effects of Two Swedish Massage Techniques on the Vital Signs and Anxiety of Healthy Women, Iranian Journal of Nursing and Midwifery Research (2016)
6. Psychological Profile of Iranian Patients With Low-Back Pain, Eastern Mediterranean Health Journal (2007)
7. The Mediating Role of Pain Catastrophe, Depression and Anxiety in the Relationship Between Psychological Flexibility and Pain Self-Efficacy in Patients With Musculoskeletal Pain, Journal of Isfahan Medical School (2022)
8. Intrasession and Intersession Reliability of Postural Control in Participants With and Without Nonspecific Low Back Pain Using the Biodex Balance System, Journal of Manipulative and Physiological Therapeutics (2013)
Experts (# of related papers)
View all Related Experts
Reza Bagherian (2)
Javid Mostamand (2)
Other Related Docs
9. The Effect of Tai Chi Exercise on Stress, Anxiety, Depression, and Self Confidence of Nursing Students, Jundishapur Journal of Chronic Disease Care (2019)
10. Core Muscles Endurance in Sedentary Staffs With and Without Nonspecific Chronic Low Back: A Cross-Sectional Study, Muscles, Ligaments and Tendons Journal (2021)
11. The Effects of an 8-Week Dynamic Neuromuscular Stabilization Exercise on Pain, Functional Disability, and Quality of Life in Individuals With Non-Specific Chronic Low Back Pain: A Randomized Clinical Trial With a Two-Month Follow-Up Study, BMC Sports Science, Medicine and Rehabilitation (2024)
12. People With Low Back Pain Exhibit Higher Trunk Muscle Activity and Impaired Postural Control During Static and Dynamic Functional Tasks: A Cross-Sectional Study, Journal of Applied Biomechanics (2024)
13. The Effect of Acupressure at Spleen 6 Acupuncture Point on the Anxiety Level and Sedative and Analgesics Consumption of Women During Labor: A Randomized, Single-Blind Clinical Trial, Iranian Journal of Nursing and Midwifery Research (2018)
14. Comparison of the Effect of Acceptance and Commitment Therapy and Cognitive Behavioral Therapy on Pain Tolerance and Intensity Perception in Patients With Dental Anxiety: A Randomized Trial, Dental Research Journal (2023)
15. The Correlation Between the Standing Stability and Fear of Falling in Patients With Stroke, Journal of Isfahan Medical School (2016)
16. Effect of Dual-Tasking on Dynamic Postural Control in Individuals With and Without Nonspecific Low Back Pain, Journal of Manipulative and Physiological Therapeutics (2014)
17. Test-Retest Reliability of Postural Stability Measures During Quiet Standing in Patients With a History of Nonspecific Low Back Pain, Biomedical Engineering - Applications, Basis and Communications (2010)
18. The Effect of Preoperative Anxiety on Hemodynamic Changes During Spinal Anesthesia in Patients Undergoing the Surgery for Lumbar Disc Herniation, Journal of Isfahan Medical School (2015)
19. Association of Derived Patterns of Musculoskeletal Disorders With Psychological Problems: A Latent Class Analysis, Environmental Health and Preventive Medicine (2019)
20. Investigating the Effect of Swedish Massage With Chamomile Oil on Labor Pain and Anxiety of Primiparous Women: A Clinical Trial, Journal of Education and Health Promotion (2023)
21. Effect of Expertise in Shooting and Taekwondo on Bipedal and Unipedal Postural Control Isolated or Concurrent With a Reaction-Time Task, Gait and Posture (2013)
22. Analysis of Asymmetry of the Forces Applied on the Lower Limb in Subjects With Nonspecific Chronic Low Back Pain, BioMed Research International (2014)
23. The Relationship of Mindfulness and Physical and Psychological Functioning Among Women With Chronic Low Back Pain: The Mediating Role of Anxiety, Journal of Isfahan Medical School (2013)
24. Analysis of Symmetry of Weight-Bearing in Athletes With and Without Low Back Pain During Gait, Annals of Applied Sport Science (2018)
25. Effect of Dual-Tasking on Postural Control in Subjects With Nonspecific Low Back Pain, Spine (2009)
26. Postural Sway in Low Back Pain: Effects of Dual Tasks, Gait and Posture (2010)
27. Static and Dynamic Postural Control in Competitive Athletes After Anterior Cruciate Ligament Reconstruction and Controls, Knee Surgery, Sports Traumatology, Arthroscopy (2012)
28. The Effect of Progressive Muscle Relaxation Method on Test Anxiety in Nursing Students, Iranian Journal of Nursing and Midwifery Research (2014)