Identification of intrinsic and reflexive contributions to low-back stiffness: Medium-term reliability and construct validity

Christian Larivière*, Daniel Ludvig, Robert Kearney, Hakim Mecheri, Jean Maxime Caron, Richard Preuss

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

This study aimed at testing the reliability and construct validity of a trunk perturbation protocol (TPP) that estimates the intrinsic and reflexive contributions to low-back stiffness. The TPP consists of a series of pseudorandom position-controlled trunk perturbations in an apparatus measuring forces and displacements at the harness surrounding the thorax. Intrinsic and reflexive contributions to low-back stiffness were estimated using a system identification procedure, leading to 12 parameters. Study 1 methods (reliability): 30 subjects performed five 75-. s trials, on each of two separate days (eight weeks apart). Reliability was assessed using the generalizability theory, which allowed computing indexes of dependability (ϕ, analogous to intraclass correlation coefficient) and standard errors of measurement (SEM). Study 2 methods (validity): 20 healthy subjects performed three 75-. s trials for each of five experimental conditions assumed to provide different lumbar stiffness; testing the construct validity of the TPP using four conditions with different lumbar belt designs and one control condition without. Study 1 results (reliability): Learning was seen between the first and following trials. Consequently, reliability analyses were performed without the first trial. Simulations showed that averaging the scores of three trials can lead to acceptable reliability results for some TPP parameters. Study 2 results (validity): All lumbar belt designs increased low-back intrinsic stiffness, while only some of them decreased reflex stiffness, which support the construct validity of the TPP. Overall, these findings support the use of the TPP to test the effect of rehabilitation or between-groups differences with regards to trunk stiffness.

Original languageEnglish (US)
Pages (from-to)254-261
Number of pages8
JournalJournal of Biomechanics
Volume48
Issue number2
DOIs
StatePublished - Jan 21 2015

Keywords

  • Low back pain
  • Reflex
  • Rehabilitation
  • Reproducibility
  • Trunk stiffness

ASJC Scopus subject areas

  • Biophysics
  • Orthopedics and Sports Medicine
  • Biomedical Engineering
  • Rehabilitation

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