Impact of Movement Pattern Training on Muscular Co-contraction in Patients With Low Back Pain During Walking

Purpose: Low back pain (LBP) is a health problem. Rehabilitation could be a suitable therapy for LBP patients. Nonetheless, the effectiveness of movement pattern training on LBP patients has not been assessed scientifically. So, this research examined the effects of movement pattern exercise on gene...

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Main Authors: AmirAli Jafarnezhadgero, Milad Piran Hamlabadi, Ehsan Fakhri Mirzanag, Afshin Orouji, Amir Letafatkar
Format: Article
Language:English
Published: Negah Institute for Scientific Communication 2025-12-01
Series:Physical Treatments
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Online Access:http://ptj.uswr.ac.ir/article-1-636-en.pdf
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author AmirAli Jafarnezhadgero
Milad Piran Hamlabadi
Ehsan Fakhri Mirzanag
Afshin Orouji
Amir Letafatkar
author_facet AmirAli Jafarnezhadgero
Milad Piran Hamlabadi
Ehsan Fakhri Mirzanag
Afshin Orouji
Amir Letafatkar
author_sort AmirAli Jafarnezhadgero
collection DOAJ
description Purpose: Low back pain (LBP) is a health problem. Rehabilitation could be a suitable therapy for LBP patients. Nonetheless, the effectiveness of movement pattern training on LBP patients has not been assessed scientifically. So, this research examined the effects of movement pattern exercise on general lower limb muscular co-contraction in patients with non-specific chronic LBP during walking. Methods: The current research was quasi-experimental. Forty male adults who experienced non-specific chronic LBP voluntarily enrolled in this study. Twenty samples were assigned in the intervention group and 20 in the control group. The exercise protocol used in this study was based on the Harris-Hayes et al. protocol, which takes 18 supervised training sessions (during 6 weeks). The assessments were conducted before the intervention and again after 6 weeks. General co-contraction of the lower limb muscles was recorded using electromyography while walking, and the total activation of the muscles that abounded the joint was calculated.  Results: The findings indicate a significant decrease in general co-contraction of the ankle in the intervention group at propulsion (P=0.011, ƞ2=0.160). Also, the results show that at the loading phase, general knee co-contraction is greater in the experimental group compared with the control group (P=0.037, ƞ2=0.110). Conclusion: Our research reveals that the training program improves the general co-contraction of the lower limb muscles in individuals with LBP.
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spelling doaj-art-29b9ee64f3974246b1abc31eb72f51c52025-08-20T03:52:20ZengNegah Institute for Scientific CommunicationPhysical Treatments2423-58302025-12-01152111118Impact of Movement Pattern Training on Muscular Co-contraction in Patients With Low Back Pain During WalkingAmirAli Jafarnezhadgero0Milad Piran Hamlabadi1Ehsan Fakhri Mirzanag2Afshin Orouji3Amir Letafatkar4 Department of Sport Management and Biomechanics, Faculty of Education Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran. Department of Physical Education and Sport Sciences, Faculty of Education Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran. Department of Physical Education and Sport Sciences, Faculty of Education Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran. Department of Corrective Exercise and Sports Injuries, School of Physical Education and Sport Sciences, University of Kharazmi, Tehran, Iran. Department of Corrective Exercise and Sports Injuries, School of Physical Education and Sport Sciences, University of Kharazmi, Tehran, Iran. Purpose: Low back pain (LBP) is a health problem. Rehabilitation could be a suitable therapy for LBP patients. Nonetheless, the effectiveness of movement pattern training on LBP patients has not been assessed scientifically. So, this research examined the effects of movement pattern exercise on general lower limb muscular co-contraction in patients with non-specific chronic LBP during walking. Methods: The current research was quasi-experimental. Forty male adults who experienced non-specific chronic LBP voluntarily enrolled in this study. Twenty samples were assigned in the intervention group and 20 in the control group. The exercise protocol used in this study was based on the Harris-Hayes et al. protocol, which takes 18 supervised training sessions (during 6 weeks). The assessments were conducted before the intervention and again after 6 weeks. General co-contraction of the lower limb muscles was recorded using electromyography while walking, and the total activation of the muscles that abounded the joint was calculated.  Results: The findings indicate a significant decrease in general co-contraction of the ankle in the intervention group at propulsion (P=0.011, ƞ2=0.160). Also, the results show that at the loading phase, general knee co-contraction is greater in the experimental group compared with the control group (P=0.037, ƞ2=0.110). Conclusion: Our research reveals that the training program improves the general co-contraction of the lower limb muscles in individuals with LBP.http://ptj.uswr.ac.ir/article-1-636-en.pdflow back painelectromyographygait
spellingShingle AmirAli Jafarnezhadgero
Milad Piran Hamlabadi
Ehsan Fakhri Mirzanag
Afshin Orouji
Amir Letafatkar
Impact of Movement Pattern Training on Muscular Co-contraction in Patients With Low Back Pain During Walking
Physical Treatments
low back pain
electromyography
gait
title Impact of Movement Pattern Training on Muscular Co-contraction in Patients With Low Back Pain During Walking
title_full Impact of Movement Pattern Training on Muscular Co-contraction in Patients With Low Back Pain During Walking
title_fullStr Impact of Movement Pattern Training on Muscular Co-contraction in Patients With Low Back Pain During Walking
title_full_unstemmed Impact of Movement Pattern Training on Muscular Co-contraction in Patients With Low Back Pain During Walking
title_short Impact of Movement Pattern Training on Muscular Co-contraction in Patients With Low Back Pain During Walking
title_sort impact of movement pattern training on muscular co contraction in patients with low back pain during walking
topic low back pain
electromyography
gait
url http://ptj.uswr.ac.ir/article-1-636-en.pdf
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