Isokinetic Trunk Strength in Acute Low Back Pain Patients Compared to Healthy Subjects: A Systematic Review

Reyes-Ferrada, Waleska; Chirosa, Luís Javier; Rodríguez-Perea, Ángela; Jerez‐Mayorga, Daniel; Chirosa-Ríos, Ignacio

doi:10.3390/ijerph18052576

Cited by 11 publications

(8 citation statements)

References 61 publications

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“…Pain is considered by some as a contraindication to maximum muscle strength testing [71] and may partly explain the paucity of research in spinal pain populations. Another possible reason is that in research settings, the ID is widely used to measure the trunk strength capacity in people with LBP [7,72,73]. As the current evidence highlighted the link between decreased trunk muscle strength and LBP [9,74], review findings support the need for more high quality studies exploring the psychometric properties of practicable PBOM of trunk strength in spinal pain populations.…”

Section: Spinal Pain Populationmentioning

confidence: 85%

“…This was also noted when measuring the side bending strength using a HHD, from a sitting position; higher intra-rater reliability was observed when the resistance applied at the mid trunk ICC = 0.80-0.88 compared to the level of axilla ICC = 0.5-0.7 [61]. The influence of different testing protocols on reported psychometric properties was also seen for isokinetic testing [24,73]. The variability in testing protocols utilised and the overall level of evidence prevents clinically important conclusions from being made [82].…”

Section: Testing Protocolsmentioning

confidence: 88%

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Practicable performance-based outcome measures of trunk muscle strength and their measurement properties: A systematic review and narrative synthesis

et al. 2022

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Introduction The evaluation of muscle strength is frequently used as part of the physical examination process, with decreased trunk muscle strength reported in individuals with spinal disorders (e.g., low back pain). Access to practicable performance-based outcome measures (PBOM) to monitor patients’ progress in spinal rehabilitation is essential. Knowledge of the psychometric properties of the available practicable PBOM for trunk strength evaluation is therefore needed to inform practitioners and further research. Objective To synthesise evidence on the measurement properties of practicable measures of trunk muscle strength in adults with and without musculoskeletal pain. Methods Following a published and registered protocol [PROSPERO CRD42020167464], databases were searched from the database inception date up to 30th of June 2021. Citations and grey literature were also searched. Eligibility criteria comprised: 1) studies which examined the psychometric properties of the trunk strength outcome measures, 2) included adults ≥ 18 years, either asymptomatic or with spinal musculoskeletal pain. Non-English language studies were excluded. Two independent reviewers evaluated the quality and synthesized the data from included studies according to the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) checklist. The overall quality of evidence was evaluated using a modified Grading of Recommendations Assessment Development and Evaluation (GRADE). Results From 34 included studies, 15 different PBOMs were identified that have been investigated for reliability and validity, none evaluated responsiveness. In asymptomatic individuals, high quality evidence supports intra-rater reliability of digital-loading cells and moderate quality evidence supports the criterion validity of the hand-held dynamometer. Very low quality evidence exists for the reliability and validity estimates of testing tools among individuals with spinal pain. Conclusions Findings underpin a cautious recommendation for the use of practicable PROMs to evaluate muscle strength in individuals with spinal pain in clinical practice due to the level of evidence and the heterogeneity of the protocols used. Further high quality research to explore the psychometric properties of the practicable PBOMs with detailed methodology is now needed.

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Section: Spinal Pain Populationmentioning

confidence: 85%

Section: Testing Protocolsmentioning

confidence: 88%

Practicable performance-based outcome measures of trunk muscle strength and their measurement properties: A systematic review and narrative synthesis

et al. 2022

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“…Begitu juga sebaliknya saat menurunkan barang dengan posisi membungkuk, otot otot fleksor trunk akan berkontraksi secara konsentrik dan otototot ekstensor trunk akan berkontraksi secara eksentrik. 20 Sehingga pada saat mengangkat dan menurunkan barang dengan posisi membungkuk, menyebabkan beban berada jauh dari pusat massa tubuh, yang dapat menghasilkan momen gaya eksternal yang lebih besar sehingga menghasilkan overstretch pada otototot ekstensor trunk untuk mempertahkan posisi tubuh agar tetap stabil saat mengangkat menurunkan barang.…”

Section: Lbpunclassified

Hubungan Lifting Index Pada Kuli Angkut Terhadap Keluhan Low Back Pain Miogenik Di Pasar Tradisional Denpasar

Suta

Saraswati

Griadhi

et al. 2021

MIFI

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Pekerjaan sebagai kuli angkut sangat berisiko dilihat dari lifting index kuli angkut itu sendiri, seperti pada saat kuli angkut mengambil barang dari bawah dengan posisi membungkuk kemudian berdiri sekaligus memindahkan barang ke atas kepala, begitu juga pada saat kuli angkut menurunkan barang dengan posisi membungkuk maka beban yang di angkat akan semakin besar. Hal ini dapat menyebabkan otot dan ligamen tertarik lebih keras sehingga timbul gejala gangguan muskuloskeletal. Salah satu gangguan muskulosketal yang banyak dikeluhkan oleh pekerja sebagai kuli angkut adalah low back pain miogenik. Pelaksanaan penelitian ini bertujuan untuk mengetahui hubungan lifting index pada kuli angkut terhadap keluhan low back pain miogenik di pasar tradisional Denpasar. Metode penelitian yang digunakan yaitu penelitian observasional analitik dengan desain potong lintang atau yang biasa disebut dengan cross – sectional yang dilakukan pada Bulan November – Desember 2020. Teknik yang digunakan dalam pengambilan sampel yaitu purposive sampling. Jumlah sampel penelitian ini sebanyak 89 orang. Variabel dependen dalam penelitian ini adalah low back pain miogenik yang diperoleh dengan melakukan proses anamnesis dan pemeriksaan fisik. Variabel independen yang diukur adalah lifting index yang diukur dengan menggunakan NIOSH lifting equation. Hasil fisher exact test menunjukkan bahwa adanya hubungan antara lifting index pada kuli angkut terhadap keluhan low back pain miogenik dengan nilai p sebesar 0,006 yang menunjukan nilai p < 0,05. Sampel dengan lifting index “berisiko” (LI > 3) dominan mengeluhkan nyeri LBP miogenik dan sampel dengan lifting index “kemungkinan berisiko” (1< LI < 3) dominan tidak mengeluhkan nyeri. Kata kunci: Lifting index, NIOSH lifting equation, low back pain miogenik, kuli angkut

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“…The missing contact between patients and health care providers might be one of the reasons why the literature and research regarding acute LBP is scarcer than the one regarding chronic LBP, and conclusions are often discordant 13–15 . Thus, there is limited knowledge regarding the best management for acute LBP, and most meta‐analyses and systematic reviews on the topic report a lack of sufficient data to reach definitive conclusions 13,14,16–24 . According to current guidelines, nonpharmacological treatment should represent the first line of treatment, with pharmacological management can be initiated if the patient wishes it or if first‐line treatment proved to be insufficient 25 .…”

Section: Introductionmentioning

confidence: 99%

Nonopioid pharmacological management of acute low back pain: A level I of evidence systematic review

Baroncini

Maffulli

Al-Zyoud

et al. 2023

Journal Orthopaedic Research

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Acute low back pain (LBP) imposes a significant socioeconomical burden as it is the condition that, worldwide, cause the most disability. Nonetheless, the literature regarding the best pharmacological management of acute LBP is limited, and the indications available in the literature are conflicting. This work investigates whether the pharmacological management of acute LBP can effectively reduce pain and disability, and aims to identify which drugs show the highest efficacy. This systematic review was conducted according to the 2020 PRISMA statement. In September 2022, PubMed, Scopus, and Web of Science were accessed. All the randomized controlled trials investigating the efficacy of myorelaxants, nonsteroidal anti-inflammatory drugs (NSAIDs), and paracetamol for acute LPB were accessed. Only studies that investigated the lumbar spine were included. Only studies reporting on patients with acute LBP with symptom duration of less than 12 weeks were included. Only patients older than 18 years and with nonspecific low back pain were included. Studies that investigated the use of opioids in acute LBP were not considered. Data from 18 studies and 3478 patients were available. Myorelaxants and NSAIDs were effective in reducing pain and disability in acute LBP at approximately one week. The combination of NSAIDs and paracetamol was associated with a greater improvement than the use of NSAIDs alone, but paracetamol alone did not induce any significant improvement. Placebo was not effective in reducing pain. Clinical Significance: Myorelaxants, NSAIDs, and NSAIDs with paracetamol could reduce pain and disability in patients with acute LBP.acute, low back pain, lumbago, management | INTRODUCTIONLow back pain (LBP) is the musculoskeletal condition that causes the most disability worldwide. 1 The rate of first-ever episodes reaches 15%, with 80% of subjects experiencing an activity-imitating recurrence within 1 year. [2][3][4] In the United States, 25% of patients interviewed regarding common causes of pain reported having suffered from LBP in the 3 months before receiving the questionnaire. 5 LBP is defined as acute when symptoms last 2-12 weeks, 6,7 but up to 60% of patients will develop chronic LBP. 8,9 As first

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Isokinetic Trunk Strength in Acute Low Back Pain Patients Compared to Healthy Subjects: A Systematic Review

Cited by 11 publications

References 61 publications

Practicable performance-based outcome measures of trunk muscle strength and their measurement properties: A systematic review and narrative synthesis

Practicable performance-based outcome measures of trunk muscle strength and their measurement properties: A systematic review and narrative synthesis

Hubungan Lifting Index Pada Kuli Angkut Terhadap Keluhan Low Back Pain Miogenik Di Pasar Tradisional Denpasar

Nonopioid pharmacological management of acute low back pain: A level I of evidence systematic review

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