Type of Article:  Case Study

Volume 7; Issue 2 (March 2019)

Page No.: 2997-3002

DOI: https://dx.doi.org/10.16965/ijpr.2018.202


Ali A. Bani-Ahmed PT, CPT, CKTP,CDNP, Ph.D 1

1 Department of Physical Therapy. University of Tabuk (UT). 71491 Tabuk, Kingdom of Saudi Arabia (KSA).

Corresponding Author: Ali A. Bani-Ahmad, PT, CPT, CKTP, PhD, Assistant Professor and consultant of Physical Therapy, Department of Physical Therapy, Faculty of Applied medical Sciences, University of Tabuk, 71491 Tabuk, KSA. Mobile: (00966)\ 533933971 Office (Extension): 014456 (1602 ) E-Mail: ali.baniahmed@gmail.com; a.baniahmad@ut.edu.sa


We report a 38 yrs old patient with a previously diagnosed Chronic Low Back Pain who became severely functionally impaired as evidenced by the Oswestry Disability Questionnaire (56%). The aim of this study was to introduce changes in functional gait parameters as an assessment tool before and after a single session of Kinesiotape application in a patient with chronic LBP. We introduced, for the first time, gait parameters including the 10-meter walk test and the 6-minute walk test as the functional gait parameters of interest. There was (1) a 25% & 36% increase in normal walking speed  and fast walking speed, respectively as evidenced by the 10MWT with 72% decrease in pain  and (2) a 86% increase in walking tolerance as evidenced by the 6MWT with 88% decrease in pain. Our data demonstrated for the first time the possible effective use of gait assessment as objective motor performance measures to assess the therapy-induced improvement following therapeutic intervention in patient with chronic low back pain. We hope that these data will act as a starting point for further research to test the potential gait assessment measures to provide a more in-depth objective assessment in response to rehabilitation therapies in chronic low back pain patients.

Key words: Low Back pain, Gait, Kinesiotape, Chronic.


  1. Dagenais, S., J. Caro, and S. Haldeman, A systematic review of low back pain cost of illness studies in the United States and internationally. Spine J, 2008;8(1):8-20.
  2. Croft, P.R., et al., Outcome of low back pain in general practice: a prospective study. BMJ, 1998;316(7141):1356-9.
  3. Huang, Y.P., et al., Gait adaptations in low back pain patients with lumbar disc herniation: trunk coordination and arm swing. Eur Spine J, 2011;20(3):491-9.
  4. da Fonseca, J.L., M. Magini, and T.H. de Freitas, Laboratory gait analysis in patients with low back pain before and after a pilates intervention. J Sport Rehabil, 2009;18(2):269-82.
  5. Lamoth, C.J., et al., Pelvis-thorax coordination in the transverse plane during walking in persons with nonspecific low back pain. Spine (Phila Pa 1976), 2002;27(4):E92-9.
  6. Lamoth, C.J.C., et al., How do persons with chronic low back pain speed up and slow down? Gait & Posture, 2005;23(2):230-239.
  7. Huang, Y.P., et al., Gait adaptations in low back pain patients with lumbar disc herniation: trunk coordination and arm swing. European Spine Journal, 2011;20(3):491-499.
  8. Khodadadeh, S. and S.M. Eisenstein, Gait Analysis of Patients with Low Back Pain Before and After Surgery. Spine, 1993;18(11):1451-1455.
  9. Toosizadeh, N., et al., Gait Behaviors as an Objective Surgical Outcome in Low Back Disorders: A Systematic Review. Clinical biomechanics (Bristol, Avon), 2015;30(6):528-536.
  10. Kersten, P., A.A. Kucukdeveci, and A. Tennant, The use of the Visual Analogue Scale (VAS) in rehabilitation outcomes. J Rehabil Med, 2012;44(7):609-10.
  11. Fairbank, J.C. and P.B. Pynsent, The Oswestry Disability Index. Spine (Phila Pa 1976), 2000;25(22):2940-52; discussion 2952.
  12. Fairbank, J.C. and P.B. Pynsent, The Oswestry Disability Index. Spine, 2000;25(22):2940-52; discussion 2952.
  13. Price, D.D., R. Staud, and M.E. Robinson, How should we use the visual analogue scale (VAS) in rehabilitation outcomes? II: Visual analogue scales as ratio scales: an alternative to the view of Kersten et al. J Rehabil Med, 2012;44(9):800-1; discussion 803-4.
  14. Nelson, N.L., Kinesio taping for chronic low back pain: A systematic review. J Bodyw Mov Ther, 2016;20(3):672-81.
  15. Reynard, F., et al., Immediate and short-term effects of kinesiotaping on muscular activity, mobility, strength and pain after rotator cuff surgery: a crossover clinical trial. BMC Musculoskeletal Disorders, 2018;19(1):305.
  16. Toprak Celenay, S. and D. Ozer Kaya, Immediate effects of kinesio taping on pain and postural stability in patients with chronic low back pain. Journal of Bodywork and Movement Therapies, 2017.
  17. Database, R.M. Rehab measures: 10 Meter Walk Test. 2014 [cited 2017 5/24]; Availablefrom:http://www.rehabmeasures.org/Lists/RehabMeasures/PrintView.aspx?ID=901.
  18. Rasekaba, T., et al., The six-minute walk test: a useful metric for the cardiopulmonary patient. Internal medicine journal, 2009;39(8):495-501.
  19. Bohannon, R.W., Comfortable and maximum walking speed of adults aged 20-79 years: reference values and determinants. Age Ageing, 1997;26(1):15-9.
  20. Enright, P.L. and D.L. Sherrill, Reference equations for the six-minute walk in healthy adults. Am J Respir Crit Care Med, 1998;158(5 Pt 1):1384-7.
  21. Chetta, A., et al., Reference values for the 6-min walk test in healthy subjects 20–50 years old. Respiratory Medicine, 2006;100(9):1573-1578.
  22. Katz, N.P., F.C. Paillard, and E. Ekman, Determining the clinical importance of treatment benefits for interventions for painful orthopedic conditions. Journal of Orthopaedic Surgery and Research, 2015;10:24.
  23. Lee, C.E., et al., Influence of pain distribution on gait characteristics in patients with low back pain: part 1: vertical ground reaction force. Spine (Phila Pa 1976), 2007;32(12):1329-36.
  24. Simmonds, M.J., et al., The influence of pain distribution on walking velocity and horizontal ground reaction forces in patients with low back pain. Pain Res Treat, 2012; 2012:214980.
  25. Lin, C.-W.C., et al., Relationship between physical activity and disability in low back pain: A systematic review and meta-analysis. PAIN®, 2011;152(3):607-613.
  26. Plaas, H., et al., Physical activity and low back pain: the role of subgroups based on the avoidance-endurance model. Disabil Rehabil, 2014;36(9):749-55.

Cite this article: Ali A. Bani-Ahmed. FUNCTIONAL GAIT PARAMETERS AS OBJECTIVE ASSESSMENT TOOLS IN PATIENTS WITH CHRONIC LOW BACK PAIN: A CASE STUDY. Int J Physiother Res 2019;7(2):2997-3002. DOI: 10.16965/ijpr.2018.202