MULTIJOINT COORDINATION DURING SIT-TO-STAND TASK IN PEOPLE WITH NON-SPECIFIC CHRONIC LOW BACK PAIN

Abstract

Sit-to-stand (STS) is an important functional task affected by low back pain (LBP). It requires fundamental coordination among all segments of the body to control important performance variables such as body's center of mass (CM) and head positions. This study was conducted to determine whether LBPs could coordinate their multiple joints to achieve the task stability to the same extent as healthy controls. About 11 non-specific chronic LBP and 12 healthy control subjects performed STS task at three postural difficulty levels: rigid surface — open eyes (RO), rigid surface — closed eyes (RC) and narrow surface — closed eyes (NC). Motion variability of seven body segments, CM and head positions were calculated across 15 trials, and uncontrolled manifold (UCM) approach was used to investigate joint coordination. This approach partitioned segment angle variations into component that stabilizes a given performance variable and leads to task performance flexibility (UCM variability: V UCM ) and that which does not stabilize the performance variable and leads to task performance error (orthogonal variability: V ORT ). The results showed that LBPs demonstrated significantly less V UCM regarding the control of horizontal CM position and greater V ORT regarding the control of horizontal head position. The current findings revealed that multijoint coordination was impaired in the LBP subjects. These altered motor coordination strategies would make their postural control system less adaptive to altered postural demands and may predispose these subjects to re-injury.