The immediate effect of two lumbar stabilization methods on postural control parameters and their reliability during two balance tasks

J Man Manip Ther. 2021 Aug;29(4):235-243. doi: 10.1080/10669817.2020.1864961. Epub 2021 Jan 1.

Abstract

Background: Lumbosacral orthosis (LSO) and/or the isolated contraction of the transversus abdominis muscle by the abdominal drawing-in maneuver (ADIM) can increase lumbar stiffness, consequently influencing postural control. The purpose of this study was to compare the effects of LSO and ADIM on postural control during two balance tasks and determine their reliability.Methods: Twenty participants (50% men) randomly performed three experimental conditions: 1) without lumbar stabilization, 2) with LSO), and 3) with ADIM. Each experimental condition was tested in two postural tasks: semi-tandem and one-legged stance on a force platform for 30 seconds, while the Center of pressure postural (COP) parameters were computed.Results: The two methods of lumbar stabilization were comparable and did not significantly reduce the COP values across time, even though a few individuals presented a change in their COP data above the levels of measurement errors. The reliability of these measurements was generally acceptable and sometimes excellent ( 0.90 and ≤10% error measurement).Conclusions: Both LSO and isolated contraction of the transversus abdominis muscle by ADIM do not change postural control in one-legged stance and in semi-tandem tasks. These results have implications for use or not these methods for postural control on a rehabilitation perspective.

Keywords: Postural control; low back pain; lumbar stabilization; rehabilitation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abdominal Muscles
  • Female
  • Humans
  • Lumbosacral Region*
  • Male
  • Orthotic Devices
  • Postural Balance*
  • Reproducibility of Results

Grants and funding

This work was supported by the PSDRc and FUQAC [2019].