Abstract.Aim: To evaluate evidence for involvement of the lower limb in spinal function and low back pain (LBP).
Design:A hypothesis based on a critical review of the relevant biomechanical and clinical literature.
Results:The spine resembles an inverted pendulum that supports the weight of the upper body; its stability requires a moving base that is provided by the joints of the lower limb, especially the hip. However, the sacroiliac joints are