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Introduction
Nina Goossens currently works at the Department of Rehabilitation Sciences and Physiotherapy of Hasselt University. Nina investigates underlying mechanisms of pregnancy-related low back and pelvic girlde pain, with a focus on proprioceptive postural control, body perception and fear of movement.
Current institution
Publications
Publications (35)
Introduction La lombalgie est une problématique mondiale qui devrait malheureusement augmenter dans les années à venir [1]. La première étape recommandée par les consensus scientifiques (guidelines) pour la prise en charge des lombalgies est le triage diagnostique [2], [3]. Cependant, des études antérieures ont mis en évidence des résultats préoccu...
Introduction
La lombalgie est la principale cause d’incapacité mondiale, entraînant un fardeau sociétal majeur. L’optimisation des parcours de soins est donc cruciale. Les kinésithérapeutes, experts du mouvement, peuvent jouer un rôle central dans la prise en charge primaire. Dans plusieurs pays, l’accès direct à la kinésithérapie (ADK) a montré de...
Introduction
La lombalgie est une problématique mondiale qui devrait malheureusement augmenter dans les années à venir [1]. La première étape recommandée par les consensus scientifiques (guidelines) pour la prise en charge des lombalgies est le triage diagnostique [2], [3]. Cependant, des études antérieures ont mis en évidence des résultats préoccu...
Objective
To summarise the evidence on the effect of physiotherapy-led versus physician-led care on clinical outcomes, healthcare use, and costs in persons with low back pain.
Data sources
PubMed, Web of Science, CINAHL, Embase, and PEDro were systematically searched with the latest search performed in July 2024. Reference lists of articles were h...
Background: Alterations in postural control have been found in individuals with low back pain (LBP), particularly during challenging postural tasks. Moreover, higher levels of negative pain-related psychological variables are associated with increased trunk muscle activity, reduced spinal movement, and worse maximal physical performance in individu...
Background:
High intensity training (HIT) improves disability and physical fitness in persons with chronic nonspecific low back pain (CNSLBP). However, it remains unclear if HIT affects pain processing and psychosocial factors.
Objective:
To evaluate 1) the effects of HIT on symptoms of central sensitization and perceived stress and 2) the relat...
Theoretical frameworks explain how pain-related psychological factors may influence physical performance. In this systematic review and meta-analysis, we evaluated the evidence regarding the relationship between pain-related psychological factors and maximal physical performance in patients with low back pain (LBP). Pubmed, Embase, CINAHL and Web o...
Background
Because pregnant women show a high risk of falling, some researchers examined their balance during static standing. This systematic review summarized the findings from all studies evaluating static balance in women during pregnancy and postpartum.
Research question
Do pregnant and postpartum women show differences in static balance comp...
Abstract Background Lumbopelvic pain (LPP) is common during pregnancy and can have long-lasting negative consequences in terms of disability and reduced quality of life. Therefore, it is crucial to identify women at risk of having pregnancy-related LPP after childbirth. This study aimed to investigate the association between body perception, pain i...
Background:
It is difficult to evaluate the transversus abdominis (TrA) and internal oblique (IO) due to their dual role in both trunk control and breathing.
Objectives:
To investigate whether TrA and IO thickness as measured by ultrasound differs across the respiratory cycle in upright standing.
Design:
Observational study.
Methods:
Thickne...
Patients with non-specific low back pain (NSLBP) show an impaired postural control during standing and a slower performance of sit-to-stand-to-sit (STSTS) movements. Research suggests that these impairments could be due to an altered use of ankle compared to back proprioception. However, the neural correlates of these postural control impairments i...
Objectives:
Patients with nonspecific low back pain (NSLBP) rely more on the ankle compared with the lower back proprioception while standing, perform sit-to-stand-to-sit (STSTS) movements slower, and exhibit perceptual impairments at the lower back. However, no studies investigated whether these sensorimotor impairments relate to a reorganization...
Low back pain (LBP) coincides with sensorimotor impairments, e.g., reduced lumbosacral tactile and proprioceptive acuity and postural control deficits. Recent functional magnetic resonance imaging (fMRI) studies suggest that sensorimotor impairments in LBP may be associated with brain changes. However, no consensus exists regarding the relationship...
Background:
Disturbed body perception may play a role in the aetiology of chronic low back pain (LBP). The Fremantle Back Awareness Questionnaire (FreBAQ) is currently the only self-report questionnaire to assess back-specific body perception in individuals with LBP.
Objectives:
To perform a cross-cultural adaptation of the FreBAQ into Dutch.
D...
The objective of this article was to investigate whether respiratory problems and signs correlate with the intensity of or disability due to low back pain (LBP). Patients with LBP, aged 20-80 years, were asked to take part in a cross-sectional observational study. The following variables were recorded in 104 patients: age, sex, weight, height, dail...
Het doel van deze preliminaire studie was na te gaan of ademhalingsproblemen en -parameters bij patiënten met lage rugpijn (LRP) gecorreleerd zijn aan de ernst van LRP. In een cohort van 104 patiënten met LRP werd een laag-normale maximale inspiratoire kracht („maximal inspiratory pressure” – MIP) gevonden. Daarnaast meldde 31,8% de aanwezigheid va...
Background and purpose:
To date, most structural brain imaging studies in individuals with nonspecific low back pain have evaluated volumetric changes. These alterations are particularly found in sensorimotor-related areas. Although it is suggested that specific measures, such as cortical surface area and cortical thickness, reflect different unde...
Individuals with non-specific low back pain (NSLBP) show an impaired sensorimotor control. They need significantly more time to perform five consecutive sit-to-stand-to-sit (STSTS) movements compared to healthy controls. Optimal sensorimotor control depends on the co-activation of many brain regions, which have to operate as a co-ordinated network...
Background:
Inspiratory muscles, such as the diaphragm, play a key role in both respiration and spinal control. Therefore, diaphragm dysfunctions are often related to low back pain (LBP). However, few is known on the association between the presence of LBP and the presence of respiratory disorders (RD).
Objectives:
To perform a systematic review...
Processing proprioceptive information in the brain is essential for optimal postural control and can be studied with proprioceptive stimulation, provided by muscle vibration, during functional magnetic resonance imaging (fMRI). Classic electromagnetic muscle vibrators, however, cannot be used in the high-strength magnetic field of the fMRI scanner....
Individuals with non-specific low back pain (NSLBP) show a decreased sit-to-stand-to-sit performance. This dynamic sensorimotor task requires integration of sensory and motor information in the brain. Therefore, better understanding of the underlying central mechanisms of impaired sensorimotor control and the presence of NSLBP is needed. The aims o...
Postural control is a complex sensorimotor task that requires an intact network of white matter connections. The ability to weight proprioceptive signals is crucial for postural control. However, research into central processing of proprioceptive signals for postural control is lacking. This is specifically of interest in individuals with non-speci...
Purpose:
We have shown that individuals with recurrent nonspecific low back pain (LBP) and healthy individuals breathing against an inspiratory load decrease their reliance on back proprioceptive signals in upright standing. Because individuals with LBP show greater susceptibility to diaphragm fatigue, it is reasonable to hypothesize that LBP, dia...
Functional activities, such as the sit-to-stand-to-sit (STSTS) task, are often impaired in individuals with chronic obstructive pulmonary disease (COPD). The STSTS task places a high demand on the postural control system, which has been shown to be impaired in individuals with COPD. It remains unknown whether postural control deficits contribute to...
Inspiratory muscle fatigue (IMF) may contribute to the development of exercise limitation and respiratory failure. Identifying fatigue of the inspiratory muscles requires a rigorous and integrative methodological approach. However, there is no consensus about an optimal protocol to induce and assess the fatigability of the inspiratory muscles.
A sy...
