Purpose/aim: To investigate the relationship of pain intensity, disability level, physical activity level, and body awareness with kinesiophobia in pregnant women with low back pain (LBP).
Materials and methods: This cross-sectional study was conducted in the obstetrics and gynaecologic clinic of a tertiary centre. Eighty-six pregnant women were included in the study. Pain intensity, disability level, physical activity, body awareness, and kinesiophobia were assessed with a Visual Analogue Scale, the Oswestry Disability Index (ODI), the International Physical Activity Questionnaire-Short Form (IPAQ-SF), the Body Awareness Questionnaire (BAQ), and the Tampa Scale for Kinesiophobia (TSK), respectively.
Results: Kinesiophobia score was high in pregnant women with LBP (40.01 ± 9.02). In pregnant women with LBP, a weak positive correlation was found between kinesiophobia with mean intensity of LBP (r = 0.339, p = 0.001) and intensity of LBP in activity (r = 0.283, p = 0.008); a moderate positive correlation between kinesiophobia and disability score (r = 0.539, p = 0.001); and a weak negative correlation between kinesiophobia and physical activity level (r = -0.308, p = 0.004) and body awareness (r = -0.324, p = 0.002). There was no relationship between kinesiophobia and intensity of LBP at rest (r = 0.160, p = 0.142) and nocturnal LBP intensity (r = 0.176, p = 0.105).
Conclusions: LBP intensity, disability level, physical activity level, and body awareness were significantly correlated with kinesiophobia in pregnant women with LBP. Therefore, kinesiophobia may be addressed as an important issue in pregnancy education programs.
Purpose: Previous studies demonstrated that providing light finger touch to a stationary object leads to reduced body sway. The focus of the current exploratory study was on the investigation of postural sway during one-leg stance when light touch is provided by the contralateral foot.
Methods: Eleven healthy young adults participated in the study. They stood on the top of the force platform with eyes open and on their dominant leg with no touch and with a touch from the contralateral foot applied to the stance leg. Medial arch, heel, and big toe of the contralateral foot were used to touch the medial malleolus or mid shank of the stance leg. The excursion, velocity, and sway area of the centre of pressure were obtained and analysed.
Results: Standing with light touch from the contralateral foot to the medial malleolus resulted in significantly smaller postural sway as compared to standing with no touch (p < 0.05). There was no difference in the study outcomes between conditions of standing with a touch applied by the medial arch, heel, or big toe to the stance leg.
Conclusions: The results of the study suggest that the application of light touch provided by a contralateral foot could be an effective strategy for enhancing body stability when no external support is available. The study outcome provides a foundation for future studies exploring ways to enhance balance control during one-leg stance.
Aims: Application of muscle-tendon vibration within the frequency range of 70-120Hz has been studied as a tool to stimulate somatosensory afferents with both the goal of studying human sensorimotor control and of improving post-stroke motor performance. Specific to applications for rehabilitation, current evidence is mixed as to whether dual muscle-tendon vibration is detrimental to the performance of goal-directed upper-limb movements. The current study aimed to determine the effects of muscle-tendon vibration over the wrist flexors and extensors (dual vibration) on performance of a computer goal-directed aiming task.
Methods: Twenty healthy participants were assigned to the vibration or control group. An aiming task that involved acquiring targets by moving an unseen cursor on a screen was performed. Vision of the cursor and hand were unavailable throughout the four blocks of movement execution. Only the vibration group received dual vibration throughout four blocks. Task performance was assessed using measures of endpoint accuracy and timing. Perceived hand location was assessed using a set of questions and a computerised conscious perception task.
Results: The vibration group had significantly shorter reaction times, without any change in endpoint accuracy, indicating more efficient and effective movement planning. The vibration group did report illusory movement sensation, which was reduced by block 4.
Conclusions: Dual vibration did not adversely affect aiming accuracy and showed some improvement in reaction time. The present findings support the potential for using dual vibration to stimulate the somatosensory system as participants improved their performance of a novel goal-directed movement. Notably, improvements were maintained when the vibration was removed.