Acute effect of dry needling on trunk kinematics and balance of patients with non-specific low back pain.

BACKGROUND: Limited knowledge exists about the effectiveness of dry needling (DN) concerning the torso kinematics in patients with non-specific low back pain (NS-LBP). Acute effects of DN in NS-LBP patients from a functional perspective were investigated. METHODS: Sixteen NS-LBP patients and 11 healthy individuals (HG) were examined. NS-LBP patients received a single session of DN at the lumbar region. Baseline and immediate post-treatment measurements during flexion-extension and lateral bending of the trunk were conducted for the NS-LBP patients. HG were measured only at baseline to be used as a reference of NS-LBP patients' initial condition. Algometry was applied in NS-LBP patients. Centre of pressure, range of motion of the trunk and its' derivatives were obtained. FINDINGS: HG performed significantly faster, smoother and with greater mobility in the performed tasks compared to the pre intervention measurements of the NS-LBP patients. For the NS-LBP patients, significant greater angular velocity in frontal plane and significant lower jerk in the sagittal plane were demonstrated post intervention. DN alleviated pain tolerance significantly at the L5 level. Regarding the effectiveness of the DN upon spine kinematics, their derivatives were more sensitive. INTERPRETATION: It appeared that the pathological type of torso movement was acutely affected by DN. NS-LBP patients showcased smoother movement immediately after the intervention and better control as imprinted in the higher derivative of motion although range of motion did not improve. This quantitative variable may not be subjected to acute effects of DN but rather need additional time and training to be improved.

Age-Related Constraints in the Visuomotor Plasticity of Postural Control as Revealed by a Whole-Body Mirror Learning Task.

Whether visuomotor plasticity of postural control is a trainable feature in older age remains an open question despite the wealth of visually guided exercise games promising to improve balance skill. We asked how aging affects adaptation and learning of a visual feedback (VF) reversal during visually guided weight shifting and whether this skill is modulated by explicit knowledge. Twenty-four older (71.43 ± 2.54 years) and 24 young (24.04 ± 0.93 years) participants were exposed to a 180° VF reversal while tracking a horizontally moving target by voluntarily weight shifting between two force platforms. An explicit strategy was available to half of the participants with detailed instruction to counter the VF rotation. Individual error data were fitted to an exponential function to assess adaptation. Fewer older (12/24) than younger (21/24) participants adapted to the VF reversal, displaying error curves that fitted the exponential function. Older adults who adapted to the VF reversal (responders, n = 12) reached an asymptote in performance in the same weight shifting cycle and displayed a similar mean asymptotic error compared with young participants. Young but not older responders exhibited an aftereffect when the VF reversal was removed. Instruction did not influence spatial error modulations regardless of age. The large individual variations within the older adults' group during early adaptation suggest age-specific limitations in using explicit cognitive strategies when older adults are exposed to an abrupt mirror feedback reversal that requires a change in weight shifting direction during whole-body postural tracking.

Validation of a Portable Wireless Force Platform System To Measure Ground Reaction Forces During Various Tasks.

Background: Force platforms are widely used in biomechanics to measure ground reaction forces (GRF) during various human movements. However, traditional force plates are not easily used outside a research lab. To overcome this issue, researchers and manufacturers are developing low-cost portable force platforms that can be used in a variety of settings, including outdoors. Purpose: To validate the kinetic data obtained from a pair of portable K-Deltas force platforms compared to gold standard platforms fixed in the lab and to examine the measurement reliability between this pair of portable force platforms. Methods: Force-time curves from known masses, countermovement vertical jumps, and balance tests were used to assess validity of K-Deltas using a pair of Bertec force plates as a gold standard and between the K-Deltas pair of plates. Bland-Altman plots were used to evaluate the differences between K-Deltas and Bertec force plates. For the assessment of countermovement vertical jumps, impulse, peak rate of force development and peak force were calculated for both instruments and checked for agreement between instruments. Three young adults (2 male, 1 female, 25.4±0.83 years) participated in the study. Results: The percentage of Bland-Altman plot point within the limits of agreement was 94.59 % for the comparison between K-Deltas and Bertec and 94.83% between the pair of K-Deltas. Conclusion: The results show that the portable force platforms could be utilized successfully for assessing pertinent parameters in clinical and sports biomechanics. The findings suggest that portable force platforms can be used as an alternative to traditional laboratory equipment for field assessment, providing significant improvements compared to the past. Level of Evidence: Level 3.

Time of Day Influence on Postural Balance of Young and Older Men.

BACKGROUND: Many physiologic parameters fluctuate on a diurnal basis following the circadian rhythm function. The purpose of the study was to investigate if postural performance is interdependent of time of day and age. METHODS: 19 young (22.63 ± 3.43 y.o.) and 19 older male adults (60.21 ± 3.67 y.o.) performed three balance tests (quiet stance with open and closed eyes and bipedal balance on a Togu ball) at 12:00 AM and at 12:00 PM. Time and frequency domain variables of the center of pressure were analyzed. RESULTS: At eyes closed test, the younger had significant less distance traveled by the Center of Pressure (CoP) at night compared to day. At open eyes test, the younger had significant less CoP sway in the anterior-posterior (AP) axis at night compared to day. At Togu ball test the older showed increased peak-to-peak amplitude of CoP in both axes compared to younger. They also had lower frequency in the medial-lateral (ML) axis but higher in the AP axis compared to the younger. CONCLUSION: Younger seem to function better at night. There is also an indication that the older are better at day. The results on unstable surface indicate different control strategies between the two groups.