Reliability of physical functioning tests in patients with low back pain: a systematic review

Denteneer, Lenie; Daele, Ulrike Van; Truijen, Steven; Hertogh, Willem De; Meirte, Jill; Stassijns, Gaëtane

doi:10.1016/j.spinee.2017.08.257

Cited by 46 publications

(36 citation statements)

References 55 publications

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“…However, some measures of performance testing (eg, stair climbing) have been indicated to be poor at differentiating function between people with CLBP and healthy controls . Furthermore, the ability of these measures to track change over time has been questioned, which may relate to a ceiling effect in those who are not highly disabled . Performance battery tests could be reserved for those who are highly disabled and cannot perform maximal strength and endurance tests to provide applicable results .…”

Section: Multidimensional Assessment Of Chronic Low Back Painmentioning

confidence: 99%

Domains of Chronic Low Back Pain and Assessing Treatment Effectiveness: A Clinical Perspective

et al. 2019

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Nonspecific chronic low back pain (CLBP) is a common clinical condition that has impacts at both the individual and societal level. Pain intensity is a primary outcome used in clinical practice to quantify the severity of CLBP and the efficacy of its treatment; however, pain is a subjective experience that is impacted by a multitude of factors. Moreover, differences in effect sizes for pain intensity are not observed between common conservative treatments, such as spinal manipulative therapy, cognitive behavioral therapy, acupuncture, and exercise training. As pain science evolves, the biopsychosocial model is gaining interest in its application for CLBP management. The aim of this article is to discuss our current scientific understanding of pain and present why additional factors should be considered in conservative CLBP management. In addition to pain intensity, we recommend that clinicians should consider assessing the multidimensional nature of CLBP by including physical (disability, muscular strength and endurance, performance in activities of daily living, and body composition), psychological (kinesiophobia, fear‐avoidance, pain catastrophizing, pain self‐efficacy, depression, anxiety, and sleep quality), social (social functioning and work absenteeism), and health‐related quality‐of‐life measures, depending on what is deemed relevant for each individual. This review also provides practical recommendations to clinicians for the assessment of outcomes beyond pain intensity, including information on how large a change must be for it to be considered “real” in an individual patient. This information can guide treatment selection when working with an individual with CLBP.

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Section: Multidimensional Assessment Of Chronic Low Back Painmentioning

confidence: 99%

Domains of Chronic Low Back Pain and Assessing Treatment Effectiveness: A Clinical Perspective

et al. 2019

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“…A systematic review has recently been undertaken to investigate the reliability of physical functioning tests in patients with low back pain, and to investigate their reliability [ 41 ]. The following tests recorded good overall test–retest reliability, namely: the flexor endurance test (ICC = 0.90–0.97); the extensor endurance test [intra-class correlation coefficient (ICC) = 0.93–0.97)]; the 50-foot walking test (ICC = 0.76–0.96); the 5-min walking test (ICC = 0.89–0.99); the sit-to-stand test (ICC = 0.91–0.99); the loaded forward reach test (ICC = 0.74–0.98), and; the shuttle walk test (ICC = 0.92–0.99) [ 41 ]. Only the Biering-Sörensen test (ICC = 0.88–0.99) was found to have an overall good inter-rater reliability.…”

Section: Outcome Measuresmentioning

confidence: 99%

“…Only the Biering-Sörensen test (ICC = 0.88–0.99) was found to have an overall good inter-rater reliability. None of the clinical tests used had good intra-rater reliability [ 41 ].…”

Section: Outcome Measuresmentioning

confidence: 99%

Physical Therapy Approaches in the Treatment of Low Back Pain

Shipton

2018

Pain Ther

118

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Globally, in 2016, low back pain (LBP) contributed 57.6 million of total years lived with disability. Low Back Pain Guidelines regularly recommend the use of physical exercise for non-specific LBP. Early non-pharmacological treatment is endorsed. This includes education and self-management, and the recommencement of normal activities and exercise, with the addition of psychological programs in those whose symptoms persist. The aim of physical treatments is to improve function and prevent disability from getting worse. There is no evidence available to show that one type of exercise is superior to another, and participation can be in a group or in an individual exercise program. Active strategies such as exercise are related to decreased disability. Passive methods (rest, medications) are associated with worsening disability, and are not recommended. The Danish, United States of America, and the United Kingdom Guidelines recommend the use of exercise on its own, or in combination with other non-pharmacological therapies. These include tai chi, yoga, massage, and spinal manipulation. Public health programs should educate the public on the prevention of low back pain. In chronic low back pain, the physical therapy exercise approach remains a first-line treatment, and should routinely be used.

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“…A strong relationship between dynamic and isometric strength of the lower extremities and jumping performance has been shown [59,60]. EMS training is known to strengthen preferably the fast twitch fibers, and therefore to improve preferably explosive strength [22,61]. In the current WB-EMS protocol the lower limbs were also trained with that method and as a result an improvement in jumping performance was expected.…”

Section: Plos Onementioning

confidence: 97%

The effects of whole-body electromyostimulation (WB-EMS) in comparison to a multimodal treatment concept in patients with non-specific chronic back pain—A prospective clinical intervention study

Konrad

Baeyens

Birkenmaier³

et al. 2020

PLoS ONE

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Background According to present guidelines, active exercise is one key component in the comprehensive treatment of nonspecific chronic back pain (NSCBP). Whole body electromyostimulation (WB-EMS) is a safe, and time-effective training method, that may be effective in NSCBP-patients. Methods In this prospective and controlled nonrandomized clinical study, two therapeutic approaches were compared. One group received 20 minutes WB-EMS per week. An active control group (ACG) received a multimodal therapy program. A third group included subjects without back pain. To all groups, the following measurement instruments were applied: Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), North American Spine Society Instrument (NASS); SF 36 survey and measurements for muscular function and postural stability.

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Reliability of physical functioning tests in patients with low back pain: a systematic review

Cited by 46 publications

References 55 publications

Domains of Chronic Low Back Pain and Assessing Treatment Effectiveness: A Clinical Perspective

Domains of Chronic Low Back Pain and Assessing Treatment Effectiveness: A Clinical Perspective

Physical Therapy Approaches in the Treatment of Low Back Pain

The effects of whole-body electromyostimulation (WB-EMS) in comparison to a multimodal treatment concept in patients with non-specific chronic back pain—A prospective clinical intervention study

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