Collision avoidance behaviours in chronic non-specific low back pain participants: A prospective cohort study

IF 1.6 3区心理学 Q4 NEUROSCIENCES Human Movement Science Pub Date : 2025-02-11 DOI:10.1016/j.humov.2025.103335

Agathe Bilhaut , Mathieu Ménard , Olivier Roze , Simon Ozan , Rébecca Crolan , Phillippe Carson-Jouzel , Armel Crétual , Anne-Hélène Olivier

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Abstract

Objective

Chronic non-specific low back pain (cNSLBP) is a leading cause of disability, influenced by bio-psycho-social factors. However, its impact on everyday activities such as navigating streets and interacting with other pedestrians remains underexplored. This study aimed to assess the effect of cNSLBP on perceptual-motor processes in a pedestrian crossing task, focusing on 1) collision avoidance behaviours, 2) the walker's role in avoiding collisions, and 3) the influence of pain perception.

Methods

Seventeen asymptomatic adults (AA, 11 females, 46.4 ± 12.8 years) and seventeen cNSLBP participants (10 females, 47.9 ± 12.7 years) performed a task involving crossing paths at a 90° angle with another walker. Participants interacted in three groups pairings: AA-AA, AA-cNSLBP, and cNSLBP-cNSLBP. Key metrics included crossing order inversion, collision risk threshold informing movement adaptation, crossing distance, and the walker's contribution (speed/orientation).

Results and discussion

No significant differences were observed between groups for the collision risk threshold (≈0.93 m) or crossing distance (≈0.8 m). However, cNSLBP participants exhibited distinct avoidance strategies, especially in cNSLBP-cNSLBP interactions, which showed more frequent inversions. When crossing first, cNSLBP participants contributed less, whereas when crossing second, they contributed more, primarily by adjusting their speed. A significant negative correlation emerged between depression scores and the level of contribution when cNSLBP participants crossed second.

Conclusion

These findings suggest that pain perception may influence collision avoidance behaviours. Further research, potentially incorporating virtual reality, is needed to control environmental factors and deepen our understanding of these interactions.

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来源期刊

Human Movement Science 医学-神经科学

CiteScore

3.80

自引率

4.80%

发文量

审稿时长

42 days

期刊介绍： Human Movement Science provides a medium for publishing disciplinary and multidisciplinary studies on human movement. It brings together psychological, biomechanical and neurophysiological research on the control, organization and learning of human movement, including the perceptual support of movement. The overarching goal of the journal is to publish articles that help advance theoretical understanding of the control and organization of human movement, as well as changes therein as a function of development, learning and rehabilitation. The nature of the research reported may vary from fundamental theoretical or empirical studies to more applied studies in the fields of, for example, sport, dance and rehabilitation with the proviso that all studies have a distinct theoretical bearing. Also, reviews and meta-studies advancing the understanding of human movement are welcome. These aims and scope imply that purely descriptive studies are not acceptable, while methodological articles are only acceptable if the methodology in question opens up new vistas in understanding the control and organization of human movement. The same holds for articles on exercise physiology, which in general are not supported, unless they speak to the control and organization of human movement. In general, it is required that the theoretical message of articles published in Human Movement Science is, to a certain extent, innovative and not dismissible as just "more of the same."