POSTUROGRAPHIC AND ELECTROMYOGRAPHIC ASSESMENT OF POSTURAL STABILITY IN PATIENTS WITH DISC-ROOT CONFLICT IN THE LUMBAR PART OF THE SPINE BEFORE AND AFTER THE REHABILITATION TREATMENT
Journal Title: Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion-IRONS - Year 2012, Vol 1, Issue 1
Abstract
Summary Introduction. In the following study, it is assumed that in patients with disc-root conflict in the lower part of the spine and associated symptom of sciatica, disturbances of postural stability control occur. Aim. The tests were aimed to determine how the disease will affect the standing postural stability and the electrical activity of the muscles of the lower limbs. Patients and methods. The study was attended by 11 patients aged 47±13.04 years treated during the four weeks rehabilitation process on Daily Rehabilitation Ward in Wiktor Dega Orthopaedic and Rehabilitation Clinical Hospital in Poznan and 10 healthy volunteers aged 30±10.67. Patients were examined twice - before and after 4 weeks of the rehabilitation treatment and the healthy volunteers once only. Evaluation of static postural stability was performed on the balance force platform and the electrical activity of selected lower limb muscles was tested using sufrace electromyography (sEMG). Results. The study shows differences between patients and healthy group. In some measurements both balance platform and sEMG examinations show statistically significant differences between groups. After the physiotherapeutic treatment it was also observed significant improvement in tested parameters. Discussion. The results support previous investigations that dysfunctions of the lumbar spine cause abnormalities in neuromuscular control system, revealed as proprioceptive deficits and disturbances of postural stability. Disruptions in both lower limbs – the symptomatic and the asymptomatic limb – show the global influence of the existing pathology on the postural control. Conclusion. The physiotherapeutic treatment had measurable influence on improvement of tested parameters, which were evaluated on stability platform and with sEMG.
Authors and Affiliations
Agata Bandosz, Przemysław Lisiński, Jagoda Ciesielska, Juliusz Huber, Aleksandra Kulczyk, Joanna Lipiec, Lucyna Kramer
Keywords
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