Attention demands of postural control in non-specific chronic low back pain subjects with low and high pain-related anxiety
Impaired postural control in chronic low back pain (CLBP) has been attributed to deficits in sensory and motor functions. However, it is not known if pain-related anxiety affects motor and cognitive function of postural control. The aim of this study was to compare the interactive effects of postura...
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Veröffentlicht in: | Experimental brain research 2018-07, Vol.236 (7), p.1927-1938 |
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description | Impaired postural control in chronic low back pain (CLBP) has been attributed to deficits in sensory and motor functions. However, it is not known if pain-related anxiety affects motor and cognitive function of postural control. The aim of this study was to compare the interactive effects of postural and cognitive function in CLBP patients with high and low pain-related anxiety and healthy subjects. Thirty-eight patients with nonspecific CLBP (19 with low and 19 with high pain-related anxiety levels) and 20 asymptomatic subjects participated. Postural control was assessed by center of pressure (COP) parameters including mean total sway velocity, area, anterior–posterior (A–P), and medial–lateral (Med–Lat) range. Postural task was assessed during four conditions (eyes open with and without ankle vibration—eyes closed with and without ankle vibrations). Participants performed the postural task with or without auditory Stroop task. Average reaction time and error ratio of auditory Stroop test were calculated as measures of the cognitive task performance. Significantly reduced sway area was observed in CLBP patients with high pain-related anxiety and control subjects during the dual-task condition as compared with the single task. In addition, A–P range was significantly reduced in CLBP patients with high pain-related anxiety during dual tasking when eyes were closed with ankle vibration. In addition, only the CLBP subjects with high pain-related anxiety showed significantly longer reaction times by increasing the difficulty of standing postural task. Pain-related anxiety may influence the postural cognitive interactions in CLBP patients. Furthermore, it may be considered as a contributing factor for postural strategies adopted by CLBP patients. |
doi_str_mv | 10.1007/s00221-018-5267-6 |
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However, it is not known if pain-related anxiety affects motor and cognitive function of postural control. The aim of this study was to compare the interactive effects of postural and cognitive function in CLBP patients with high and low pain-related anxiety and healthy subjects. Thirty-eight patients with nonspecific CLBP (19 with low and 19 with high pain-related anxiety levels) and 20 asymptomatic subjects participated. Postural control was assessed by center of pressure (COP) parameters including mean total sway velocity, area, anterior–posterior (A–P), and medial–lateral (Med–Lat) range. Postural task was assessed during four conditions (eyes open with and without ankle vibration—eyes closed with and without ankle vibrations). Participants performed the postural task with or without auditory Stroop task. Average reaction time and error ratio of auditory Stroop test were calculated as measures of the cognitive task performance. Significantly reduced sway area was observed in CLBP patients with high pain-related anxiety and control subjects during the dual-task condition as compared with the single task. In addition, A–P range was significantly reduced in CLBP patients with high pain-related anxiety during dual tasking when eyes were closed with ankle vibration. In addition, only the CLBP subjects with high pain-related anxiety showed significantly longer reaction times by increasing the difficulty of standing postural task. Pain-related anxiety may influence the postural cognitive interactions in CLBP patients. Furthermore, it may be considered as a contributing factor for postural strategies adopted by CLBP patients.</description><identifier>ISSN: 0014-4819</identifier><identifier>EISSN: 1432-1106</identifier><identifier>DOI: 10.1007/s00221-018-5267-6</identifier><identifier>PMID: 29696316</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Ankle ; Ankle Joint - innervation ; Anxiety ; Anxiety - etiology ; Attention (Psychology) ; Attention - physiology ; Back pain ; Biomedical and Life Sciences ; Biomedicine ; Cognition ; Cognitive ability ; Eye ; Female ; Health aspects ; Humans ; Low back pain ; Low Back Pain - complications ; Low Back Pain - psychology ; Male ; Middle Aged ; Neurological research ; Neurology ; Neuropsychological Tests ; Neurosciences ; Pain ; Physiological aspects ; Postural Balance - physiology ; Posture ; Proprioception ; Psychiatric Status Rating Scales ; Psychological aspects ; Psychophysiology ; Reaction Time - physiology ; Reaction time task ; Research Article ; Sensation Disorders - etiology ; Statistics, Nonparametric ; Stroop Test ; Surveys and Questionnaires ; Vibration ; Vibrations ; Young Adult</subject><ispartof>Experimental brain research, 2018-07, Vol.236 (7), p.1927-1938</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2018</rights><rights>COPYRIGHT 2018 Springer</rights><rights>Experimental Brain Research is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c431t-587a63056a2c6a81c343f525bdbecf959e10d8d3bd6ba5d3885bd43fc1d3acfc3</citedby><cites>FETCH-LOGICAL-c431t-587a63056a2c6a81c343f525bdbecf959e10d8d3bd6ba5d3885bd43fc1d3acfc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00221-018-5267-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00221-018-5267-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29696316$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shanbehzadeh, Sanaz</creatorcontrib><creatorcontrib>Salavati, Mahyar</creatorcontrib><creatorcontrib>Talebian, Saeed</creatorcontrib><creatorcontrib>Khademi-Kalantari, Khosro</creatorcontrib><creatorcontrib>Tavahomi, Mahnaz</creatorcontrib><title>Attention demands of postural control in non-specific chronic low back pain subjects with low and high pain-related anxiety</title><title>Experimental brain research</title><addtitle>Exp Brain Res</addtitle><addtitle>Exp Brain Res</addtitle><description>Impaired postural control in chronic low back pain (CLBP) has been attributed to deficits in sensory and motor functions. However, it is not known if pain-related anxiety affects motor and cognitive function of postural control. The aim of this study was to compare the interactive effects of postural and cognitive function in CLBP patients with high and low pain-related anxiety and healthy subjects. Thirty-eight patients with nonspecific CLBP (19 with low and 19 with high pain-related anxiety levels) and 20 asymptomatic subjects participated. Postural control was assessed by center of pressure (COP) parameters including mean total sway velocity, area, anterior–posterior (A–P), and medial–lateral (Med–Lat) range. Postural task was assessed during four conditions (eyes open with and without ankle vibration—eyes closed with and without ankle vibrations). Participants performed the postural task with or without auditory Stroop task. Average reaction time and error ratio of auditory Stroop test were calculated as measures of the cognitive task performance. Significantly reduced sway area was observed in CLBP patients with high pain-related anxiety and control subjects during the dual-task condition as compared with the single task. In addition, A–P range was significantly reduced in CLBP patients with high pain-related anxiety during dual tasking when eyes were closed with ankle vibration. In addition, only the CLBP subjects with high pain-related anxiety showed significantly longer reaction times by increasing the difficulty of standing postural task. Pain-related anxiety may influence the postural cognitive interactions in CLBP patients. Furthermore, it may be considered as a contributing factor for postural strategies adopted by CLBP patients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Ankle</subject><subject>Ankle Joint - innervation</subject><subject>Anxiety</subject><subject>Anxiety - etiology</subject><subject>Attention (Psychology)</subject><subject>Attention - physiology</subject><subject>Back pain</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cognition</subject><subject>Cognitive ability</subject><subject>Eye</subject><subject>Female</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Low back pain</subject><subject>Low Back Pain - complications</subject><subject>Low Back Pain - psychology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurological research</subject><subject>Neurology</subject><subject>Neuropsychological Tests</subject><subject>Neurosciences</subject><subject>Pain</subject><subject>Physiological aspects</subject><subject>Postural Balance - 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Academic</collection><jtitle>Experimental brain research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shanbehzadeh, Sanaz</au><au>Salavati, Mahyar</au><au>Talebian, Saeed</au><au>Khademi-Kalantari, Khosro</au><au>Tavahomi, Mahnaz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Attention demands of postural control in non-specific chronic low back pain subjects with low and high pain-related anxiety</atitle><jtitle>Experimental brain research</jtitle><stitle>Exp Brain Res</stitle><addtitle>Exp Brain Res</addtitle><date>2018-07-01</date><risdate>2018</risdate><volume>236</volume><issue>7</issue><spage>1927</spage><epage>1938</epage><pages>1927-1938</pages><issn>0014-4819</issn><eissn>1432-1106</eissn><abstract>Impaired postural control in chronic low back pain (CLBP) has been attributed to deficits in sensory and motor functions. However, it is not known if pain-related anxiety affects motor and cognitive function of postural control. The aim of this study was to compare the interactive effects of postural and cognitive function in CLBP patients with high and low pain-related anxiety and healthy subjects. Thirty-eight patients with nonspecific CLBP (19 with low and 19 with high pain-related anxiety levels) and 20 asymptomatic subjects participated. Postural control was assessed by center of pressure (COP) parameters including mean total sway velocity, area, anterior–posterior (A–P), and medial–lateral (Med–Lat) range. Postural task was assessed during four conditions (eyes open with and without ankle vibration—eyes closed with and without ankle vibrations). Participants performed the postural task with or without auditory Stroop task. Average reaction time and error ratio of auditory Stroop test were calculated as measures of the cognitive task performance. Significantly reduced sway area was observed in CLBP patients with high pain-related anxiety and control subjects during the dual-task condition as compared with the single task. In addition, A–P range was significantly reduced in CLBP patients with high pain-related anxiety during dual tasking when eyes were closed with ankle vibration. In addition, only the CLBP subjects with high pain-related anxiety showed significantly longer reaction times by increasing the difficulty of standing postural task. Pain-related anxiety may influence the postural cognitive interactions in CLBP patients. Furthermore, it may be considered as a contributing factor for postural strategies adopted by CLBP patients.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29696316</pmid><doi>10.1007/s00221-018-5267-6</doi><tpages>12</tpages></addata></record> |
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subjects | Adolescent Adult Ankle Ankle Joint - innervation Anxiety Anxiety - etiology Attention (Psychology) Attention - physiology Back pain Biomedical and Life Sciences Biomedicine Cognition Cognitive ability Eye Female Health aspects Humans Low back pain Low Back Pain - complications Low Back Pain - psychology Male Middle Aged Neurological research Neurology Neuropsychological Tests Neurosciences Pain Physiological aspects Postural Balance - physiology Posture Proprioception Psychiatric Status Rating Scales Psychological aspects Psychophysiology Reaction Time - physiology Reaction time task Research Article Sensation Disorders - etiology Statistics, Nonparametric Stroop Test Surveys and Questionnaires Vibration Vibrations Young Adult |
title | Attention demands of postural control in non-specific chronic low back pain subjects with low and high pain-related anxiety |
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