Evidence of splinting in low back pain?

Auteurs Maarten R. Prins , Mari√ętte Griffioen , Thom T.J. Veeger , Henri Kiers , Onno G. Meijer , Peter van der Wurff , Sjoerd Bruijn , Jaap van Dieen
Gepubliceerd in European Spine Journal
Publicatiedatum 1 januari 2018
Lectoraat Leefstijl en Gezondheid
Soort publicatie Artikel


Purpose: The purpose of this systematic review was to assess whether LBP patients demonstrate signs of splinting by evaluating the reactions to unexpected mechanical perturbations in terms of (1) trunk muscle activity, (2) kinetic and (3) kinematic trunk responses and (4) estimated mechanical properties of the trunk. Methods: The literature was systematically reviewed to identify studies that compared responses to mechanical trunk perturbations between LBP patients and healthy controls in terms of muscle activation, kinematics, kinetics, and/or mechanical properties. If more than four studies reported an outcome, the results of these studies were pooled. Results: Nineteen studies were included, of which sixteen reported muscle activation, five kinematic responses, two kinetic responses, and two estimated mechanical trunk properties. We found evidence of a longer response time of muscle activation, which would be in line with splinting behaviour in LBP. No signs of splinting behaviour were found in any of the other outcome measures. Conclusions: We conclude that there is currently no convincing evidence for the presence of splinting behaviour in LBP patients, because we found no indications for splinting in terms of kinetic and kinematic responses to perturbation and derived mechanical properties of the trunk. Consistent evidence on delayed onsets of muscle activation in response to perturbations was found, but this may have other causes than splinting behaviour.

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  • Henri Kiers | onderzoeker | lectoraat Leefstijl en Gezondheid
    Henri Kiers
    • Onderzoeker
    • Lectoraten: Leefstijl en Gezondheid

Taal Engels
Gepubliceerd in European Spine Journal
Jaar en volume 27 1
Paginabereik 40-59

Leefstijl en Gezondheid