The effect of wearing a lumbar belt on biomechanical and psychological outcomes related to maximal flexion-extension motion and manual material handling. (May 2018) - Shahvarpour, Ali
Abstract: Workers with low back pain (LBP) may benefit from wearing a lumbar belt (LB), but the biomechanical and psychological mechanisms involved are not fully understood. Two types of flexible LB (extensible and non-extensible) were compared to a control condition (no LB) regarding pain-related (pain, fear of pain and catastrophizing) and biomechanical (range of motion – ROM) outcomes related to two tasks: maximal trunk flexion-extension and manual material handling. Healthy controls and participants with LBP were tested. During both tasks, the two LBs reduced the lumbar ROM in participants with LBP in the same way as healthy controls. This was observed even at the beginning of the trunk flexion movement, allowing generalization to many work tasks, that is to say tasks performed with small or deep trunk flexion. The two LBs reduced pain, fear of pain and catastrophizing in subjects with LBP. That may help a gradual re-exposure to physical work activities (disability prevention perspective), or maintaining these activities (secondary prevention perspective), following a LBP episode. Highlights: Both lumbar belts generated similar effects on biomechanical/pain-related outcomes. Wearing flexible lumbar belts reduced pain and pain-related fears and catastrophizing. Similar effects on range of motion and coordination found in healthy and LBP groups. Lumbar range of motion decreased, while thoracic range of motion slightly increased. Lumbar belts altered the pelvis/lumbar-spine/thorax coordination during trunk flexion.