Effects of Walking With a Shopping Trolley on Spinal Posture and Loading in Subjects With Neurogenic Claudication
Abstract Comer CM, White D, Conaghan PG, Bird HA, Redmond AC. Effects of walking with a shopping trolley on spinal posture and loading in subjects with neurogenic claudication. Objectives To explore possible mechanisms underpinning symptom relief and improved walking tolerance in patients with neuro...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2010-10, Vol.91 (10), p.1602-1607 |
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| creator | Comer, Christine M., MSc White, Derrick, PhD Conaghan, Philip G., FRCP Bird, Howard A., FRCP Redmond, Anthony C., PhD |
| description | Abstract Comer CM, White D, Conaghan PG, Bird HA, Redmond AC. Effects of walking with a shopping trolley on spinal posture and loading in subjects with neurogenic claudication. Objectives To explore possible mechanisms underpinning symptom relief and improved walking tolerance in patients with neurogenic claudication (NC) when pushing a shopping trolley by evaluating the effects of a shopping trolley on spinal posture and loading patterns. Design An exploratory study of kinematic and kinetic changes in walking with and without pushing a shopping trolley in persons with NC symptoms and a comparison with asymptomatic control subjects. Setting A primary care–based musculoskeletal service. Participants Participants (n=8) with NC symptoms who have anecdotally reported symptomatic improvement when walking with a shopping trolley and a control group of asymptomatic persons (n=8). Interventions Shopping trolley. Main Outcome Measures Changes in lumbar spinal sagittal posture and ground reaction force. Results Subjects with NC and asymptomatic controls walked with significantly more flexed spinal posture (increase in flexion, 3.40°; z =3.516; P |
| doi_str_mv | 10.1016/j.apmr.2010.07.006 |
| format | Article |
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Effects of walking with a shopping trolley on spinal posture and loading in subjects with neurogenic claudication. Objectives To explore possible mechanisms underpinning symptom relief and improved walking tolerance in patients with neurogenic claudication (NC) when pushing a shopping trolley by evaluating the effects of a shopping trolley on spinal posture and loading patterns. Design An exploratory study of kinematic and kinetic changes in walking with and without pushing a shopping trolley in persons with NC symptoms and a comparison with asymptomatic control subjects. Setting A primary care–based musculoskeletal service. Participants Participants (n=8) with NC symptoms who have anecdotally reported symptomatic improvement when walking with a shopping trolley and a control group of asymptomatic persons (n=8). Interventions Shopping trolley. Main Outcome Measures Changes in lumbar spinal sagittal posture and ground reaction force. Results Subjects with NC and asymptomatic controls walked with significantly more flexed spinal posture (increase in flexion, 3.40°; z =3.516; P <.001) and reduced mean ground reaction forces (−6.9% of body weight; z =−3.46; P =.001) when walking with a shopping trolley. However, at the midstance point of the gait cycle, controls showed minimal reliance on the trolley, whereas, people with NC showed continued offloading. Conclusions Both posture and loading are affected by pushing a shopping trolley; however, patients with NC were found to offload the spine throughout the stance phase of gait, whereas asymptomatic controls did not.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2010.07.006</identifier><identifier>PMID: 20875521</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Biological and medical sciences ; Biomechanical Phenomena ; Diseases of the osteoarticular system ; Female ; Humans ; Intermittent Claudication - rehabilitation ; Kinesis ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Physical Medicine and Rehabilitation ; Physical Therapy Modalities ; Posture ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Rehabilitation ; Self-Help Devices ; Spine ; Walking</subject><ispartof>Archives of physical medicine and rehabilitation, 2010-10, Vol.91 (10), p.1602-1607</ispartof><rights>American Congress of Rehabilitation Medicine</rights><rights>2010 American Congress of Rehabilitation Medicine</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-9019000cb07d1339f26d73e4e570e7bb83780edc9aca1c7f54727baef121202f3</citedby><cites>FETCH-LOGICAL-c440t-9019000cb07d1339f26d73e4e570e7bb83780edc9aca1c7f54727baef121202f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0003999310003722$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23303480$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20875521$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Comer, Christine M., MSc</creatorcontrib><creatorcontrib>White, Derrick, PhD</creatorcontrib><creatorcontrib>Conaghan, Philip G., FRCP</creatorcontrib><creatorcontrib>Bird, Howard A., FRCP</creatorcontrib><creatorcontrib>Redmond, Anthony C., PhD</creatorcontrib><title>Effects of Walking With a Shopping Trolley on Spinal Posture and Loading in Subjects With Neurogenic Claudication</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Abstract Comer CM, White D, Conaghan PG, Bird HA, Redmond AC. Effects of walking with a shopping trolley on spinal posture and loading in subjects with neurogenic claudication. Objectives To explore possible mechanisms underpinning symptom relief and improved walking tolerance in patients with neurogenic claudication (NC) when pushing a shopping trolley by evaluating the effects of a shopping trolley on spinal posture and loading patterns. Design An exploratory study of kinematic and kinetic changes in walking with and without pushing a shopping trolley in persons with NC symptoms and a comparison with asymptomatic control subjects. Setting A primary care–based musculoskeletal service. Participants Participants (n=8) with NC symptoms who have anecdotally reported symptomatic improvement when walking with a shopping trolley and a control group of asymptomatic persons (n=8). Interventions Shopping trolley. Main Outcome Measures Changes in lumbar spinal sagittal posture and ground reaction force. Results Subjects with NC and asymptomatic controls walked with significantly more flexed spinal posture (increase in flexion, 3.40°; z =3.516; P <.001) and reduced mean ground reaction forces (−6.9% of body weight; z =−3.46; P =.001) when walking with a shopping trolley. However, at the midstance point of the gait cycle, controls showed minimal reliance on the trolley, whereas, people with NC showed continued offloading. Conclusions Both posture and loading are affected by pushing a shopping trolley; however, patients with NC were found to offload the spine throughout the stance phase of gait, whereas asymptomatic controls did not.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Biomechanical Phenomena</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Humans</subject><subject>Intermittent Claudication - rehabilitation</subject><subject>Kinesis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Physical Therapy Modalities</subject><subject>Posture</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Rehabilitation</subject><subject>Self-Help Devices</subject><subject>Spine</subject><subject>Walking</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9klGL1DAQgIMo3t7pH_BB8iI-dZ0k7aYFEWQ5T2FRYU_Ot5Cmk7us2aaXtML-e9PbVcEHn5JMvhmGb4aQFwyWDNjqzW6ph31ccsgBkEuA1SOyYJXgRc3Z98dkAQCiaJpGnJHzlHb5uaoEe0rOONSyqjhbkPtLa9GMiQZLb7T_4fpbeuPGO6rp9i4Mw_y-jsF7PNDQ020OaE-_hjROEanuO7oJupspl3-ndvdQ7KHCZ5xiuMXeGbr2euqc0aML_TPyxGqf8PnpvCDfPlxerz8Wmy9Xn9bvN4UpSxiLBliTGzYtyI4J0Vi-6qTAEisJKNu2FrIG7EyjjWZG2qqUXLYaLeOMA7figrw-1h1iuJ8wjWrvkkHvdY9hSioLaCRrZJVJfiRNDClFtGqIbq_jQTFQs2m1U7NpNZtWIFX2mJNenspP7R67Pym_1Wbg1QnQyWhvo-6NS385IUCUNWTu7ZHDLOOnw6iScdgb7FzMMlUX3P_7ePdPuvEuO8-zxAOmXZhinlhSTCWuQG3nnZhXgs0Xybn4BX0hsSU</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Comer, Christine M., MSc</creator><creator>White, Derrick, PhD</creator><creator>Conaghan, Philip G., FRCP</creator><creator>Bird, Howard A., FRCP</creator><creator>Redmond, Anthony C., PhD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20101001</creationdate><title>Effects of Walking With a Shopping Trolley on Spinal Posture and Loading in Subjects With Neurogenic Claudication</title><author>Comer, Christine M., MSc ; White, Derrick, PhD ; Conaghan, Philip G., FRCP ; Bird, Howard A., FRCP ; Redmond, Anthony C., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-9019000cb07d1339f26d73e4e570e7bb83780edc9aca1c7f54727baef121202f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Biomechanical Phenomena</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Humans</topic><topic>Intermittent Claudication - rehabilitation</topic><topic>Kinesis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Physical Therapy Modalities</topic><topic>Posture</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Rehabilitation</topic><topic>Self-Help Devices</topic><topic>Spine</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Comer, Christine M., MSc</creatorcontrib><creatorcontrib>White, Derrick, PhD</creatorcontrib><creatorcontrib>Conaghan, Philip G., FRCP</creatorcontrib><creatorcontrib>Bird, Howard A., FRCP</creatorcontrib><creatorcontrib>Redmond, Anthony C., PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Comer, Christine M., MSc</au><au>White, Derrick, PhD</au><au>Conaghan, Philip G., FRCP</au><au>Bird, Howard A., FRCP</au><au>Redmond, Anthony C., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of Walking With a Shopping Trolley on Spinal Posture and Loading in Subjects With Neurogenic Claudication</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>91</volume><issue>10</issue><spage>1602</spage><epage>1607</epage><pages>1602-1607</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Abstract Comer CM, White D, Conaghan PG, Bird HA, Redmond AC. Effects of walking with a shopping trolley on spinal posture and loading in subjects with neurogenic claudication. Objectives To explore possible mechanisms underpinning symptom relief and improved walking tolerance in patients with neurogenic claudication (NC) when pushing a shopping trolley by evaluating the effects of a shopping trolley on spinal posture and loading patterns. Design An exploratory study of kinematic and kinetic changes in walking with and without pushing a shopping trolley in persons with NC symptoms and a comparison with asymptomatic control subjects. Setting A primary care–based musculoskeletal service. Participants Participants (n=8) with NC symptoms who have anecdotally reported symptomatic improvement when walking with a shopping trolley and a control group of asymptomatic persons (n=8). Interventions Shopping trolley. Main Outcome Measures Changes in lumbar spinal sagittal posture and ground reaction force. Results Subjects with NC and asymptomatic controls walked with significantly more flexed spinal posture (increase in flexion, 3.40°; z =3.516; P <.001) and reduced mean ground reaction forces (−6.9% of body weight; z =−3.46; P =.001) when walking with a shopping trolley. However, at the midstance point of the gait cycle, controls showed minimal reliance on the trolley, whereas, people with NC showed continued offloading. Conclusions Both posture and loading are affected by pushing a shopping trolley; however, patients with NC were found to offload the spine throughout the stance phase of gait, whereas asymptomatic controls did not.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>20875521</pmid><doi>10.1016/j.apmr.2010.07.006</doi><tpages>6</tpages></addata></record> |
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| subjects | Aged Biological and medical sciences Biomechanical Phenomena Diseases of the osteoarticular system Female Humans Intermittent Claudication - rehabilitation Kinesis Male Medical sciences Middle Aged Miscellaneous Physical Medicine and Rehabilitation Physical Therapy Modalities Posture Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Rehabilitation Self-Help Devices Spine Walking |
| title | Effects of Walking With a Shopping Trolley on Spinal Posture and Loading in Subjects With Neurogenic Claudication |
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