Department of Kinesiology, University of Massachusetts-Amherst, MA, USA.
Spine (Phila Pa 1976). 2011 Jul 15;36(16):E1070-9. doi: 10.1097/BRS.0b013e3182015f7c.
STUDY DESIGN: Two-way repeated-measures analysis of variance. OBJECTIVE: To assess pelvis and trunk three-dimensional segmental excursions and coordination differences during walking and running between runners with low back pain (LBP), runners with resolved LBP, and a control group with no history of LBP. SUMMARY OF BACKGROUND DATA: Studies have documented differences in pelvis and trunk coordination between those with moderate to severe LBP during walking. Few studies document pelvis and trunk mechanics in those with low to moderate LBP and individuals who recover from LBP even though these individuals comprise 80% of LBP cases and are at increased risk for re-injury. METHODS: Recreational runners walked and ran on a treadmill at speeds including 0.8 to 3.8 m/s at 0.5 m/s increments. Pelvis and trunk kinematic data were collected during the last 20 s of each stage. Coordination analysis quantified the portion of gait cycle each group spent in trunk only motion, pelvis-only motion, in-phase, and antiphase relationships. RESULTS: During walking, the LBP group spent more of the gait cycle in-phase in the frontal plane (P = 0.030). During running, the LBP group showed greater pelvis axial rotation than the control group (P = 0.014) and spent more of the gait cycle in-phase in the transverse plane (P = 0.019). Also during running, the LBP (P = 0.035) and the resolved LBP (P = 0.037) groups demonstrated reduced antiphase coordination compared to controls. CONCLUSION: Coordination analysis demonstrates a reduction in relative motion between the pelvis and trunk despite low disability levels in our LBP group and no pain in our group with a history of LBP.
研究设计:双向重复测量方差分析。
目的:评估腰痛(LBP)、已缓解 LBP 和无 LBP 病史的对照组跑步者在行走和跑步时骨盆和躯干三维节段运动及协调差异。
背景数据概要:研究已经记录了在行走时中度至重度 LBP 患者骨盆和躯干协调的差异。很少有研究记录那些有低至中度 LBP 和从 LBP 中恢复的个体的骨盆和躯干力学,尽管这些个体占 LBP 病例的 80%,并且再次受伤的风险增加。
方法:休闲跑步者在跑步机上以 0.8 至 3.8m/s 的速度行走和跑步,速度以 0.5m/s 的增量递增。在每个阶段的最后 20s 收集骨盆和躯干运动学数据。协调分析量化了每个组在仅躯干运动、仅骨盆运动、同相和反相关系中度过的步态周期的部分。
结果:在行走时,LBP 组在前平面中更多地处于步态周期的同相(P = 0.030)。在跑步时,LBP 组的骨盆轴向旋转大于对照组(P = 0.014),并且在横平面中更多地处于步态周期的同相(P = 0.019)。同样在跑步时,LBP 组(P = 0.035)和已缓解 LBP 组(P = 0.037)与对照组相比,反相协调减少。
结论:尽管我们的 LBP 组残疾程度较低且无疼痛,但协调分析显示骨盆和躯干之间的相对运动减少。
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