Do people with low back pain walk differently? A systematic review and meta-analysis

作     者：Jo Armour Smith Heidi Stabbert Jennifer J.Bagwell Hsiang-Ling Teng Vernie Wade Szu-Ping Lee Jo Armour Smith;Heidi Stabbert;Jennifer J.Bagwell;Hsiang-Ling Teng;Vernie Wade;Szu-Ping Lee

作者机构：Department of Physical TherapyChapman UniversityIrvineCA 92618USA Department of Physical TherapyCalifornia State UniversityLong BeachCA 90840USA Department of Physical TherapyUniversity of NevadaLas VegasNV 89154USA 

出 版 物：《Journal of Sport and Health Science》 (运动与健康科学（英文）)

年 卷 期：2022年第11卷第4期

页      面：450-465页

核心收录：

学科分类：0403[教育学-体育学] 040302[教育学-运动人体科学(可授教育学、理学、医学学位)] 04[教育学] 1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：supported by grant K01HD092612 

主　　题：Biomechanics Low back pain Running Walking 

摘      要：Background:The biomechanics of the trunk and lower limbs during walking and running gait are frequently assessed in individuals with low back pain(LBP).Despite substantial research,it is still unclear whether consistent and generalizable changes in walking or running gait occur in association with *** purpose of this systematic review was to identify whether there are differences in biomechanics during walking and running gait in individuals with acute and persistent LBP compared with back-healthy ***:A search was conducted in PubMed,CINAHL,SPORTDiscus,and PsycINFO in June 2019 and was repeated in December *** were included if they reported biomechanical characteristics of individuals with and without LBP during steady-state or perturbed walking and *** data included spatiotemporal,kinematic,kinetic,and electromyography *** reporting quality and potential for bias of each study was *** were pooled where possible to compare the standardized mean differences(SMD)between back pain and back-healthy control ***:Ninety-seven studies were included and *** studies investigated acute pain and the rest investigated persistent *** studies investigated running *** the studies,20%had high reporting quality/low risk of *** comparison with back-healthy controls,individuals with persistent LBP walked slower(SMD=-0.59,95%confidence interval(95%CI):-0.77 to-0.42)and with shorter stride length(SMD=-0.38,95%CI:-0.60 to-0.16).There were no differences in the amplitude of motion in the thoracic or lumbar spine,pelvis,or hips in individuals with *** walking,coordination of motion between the thorax and the lumbar spine/pelvis was significantly more in-phase in the persistent LBP groups(SMD=-0.60,95%CI:-0.90 to-0.30),and individuals with persistent LBP exhibited greater amplitude of activation in the paraspinal muscles(SMD=0.52,95%CI:0.23-0.80).There were no consistent differences in ru