Authors
Hemakumar Devan, Paul Hendrick, Daniel Cury Ribeiro, Leigh A Hale, Allan Carman
Publication date
2014/1/1
Journal
Medical hypotheses
Volume
82
Issue
1
Pages
77-85
Publisher
Churchill Livingstone
Description
Low back pain (LBP) is a major secondary disabling condition following lower limb amputation including persons with above-knee and below-knee amputation. Whilst the increasing prevalence of this musculoskeletal problem in people with lower limb amputation is well recognised, the mechanisms of LBP in this population have been poorly explored. Asymmetrical movements and loading patterns have been found in persons following lower limb amputation and linked to the high prevalence of LBP in this population. However, some argue that such asymmetries are part of the ‘normal’ adaptive process following lower limb amputation. We hypothesise that there is potential for some of the kinematic and kinetic adaptations in the lumbopelvic and trunk region to be ‘mal-adaptive’, potentially acting as a contributing factor for the onset or maintenance of LBP symptoms in this population. Evidence for movement and …
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