The effect of pain severity on postural stability and dynamic limits of stability in chronic low back pain

Soliman, Elsadat Saad; Shousha, Tamer Mohamed; Alayat, Mohamed Salaheldien Mohamed

doi:10.3233/bmr-169588

Cited by 22 publications

(20 citation statements)

References 36 publications

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“…It is also well-known that improper postural stability leads to higher injury risk during sports activity [10,19]. Soliman ES et al and Ruhe A et al stated that the severity of pain was one of the determinants affecting dynamic balance and postural sway in patients with LBP [20,21]. Our study did not reveal correlation between intensity of LBP pain and postural stability.…”

Section: Discussioncontrasting

confidence: 57%

Low back pain and its influence on injury risk among surgeons – preliminary study

Góralczyk¹

2018

Chir. Narzadow Ruchu Ortop. Pol.

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Introduction. Musculoskeletal disorders appear to be one of the most common work-related complaints among physicians. The aim of this study was to determine the prevalence of low back pain (LBP) among surgeons and its influence on postural stability and risk of injuries. Material and methods. The study group comprised of 21 surgeons (11 orthopedic surgeons, 10 other surgical specialties) at the average age 43 years (range 27-66). exclusion criteria contained: drugs affecting balance, neurological, ophthalmological and laryngological diseases, current complaints on musculoskeletal system. The study protocol included general questionnaire, polish version of Oswestry Low Back Pain Disability Scale and tests on the stabilometric platform (TecnoBody with PROKiN Line software). We assessed the results of stabilometric tests with open and closed eyes and Average Track error (A.T.e) during "Proprioceptive assessment test" in the range of 7.5-12.5°. Results. Low back pain (LBP) was reported by 19 from 21 surgeons. Average result in Oswestry questionnaire was 3.8 point (7.6% disability-minimal disability). One surgeon reached 24% of disability (moderate disability). The intensity of LBP was not linked to age, job seniority, BMi, activity level, specialty (orthopedic surgeons vs others) and results of tests performed on the stabilometric plate(p > 0.05). Orthopedic surgeons had significantly worse results for left ankle joint than other surgeons (A.T.e + Time 126.4 vs 108.6, p < 0.05). A.T.e was linked to job seniority (R = 0.47, p < 0.05). Conclusion. Low back pain is common among surgeons. Usually it is mild and does not require any interventions. Low back pain does not affect postural stability and proprioception, thereby the risk of injury has not been increased. Orthopedic surgeons have higher risk of left ankle joint injury than other surgeons, independently on back pain intensity.

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Section: Discussioncontrasting

confidence: 57%

Low back pain and its influence on injury risk among surgeons – preliminary study

Góralczyk¹

2018

Chir. Narzadow Ruchu Ortop. Pol.

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“…Some studies show a reduced body balance in back pain subjects compared to healthy individuals [ 67 ]. In the current study, it was not possible to distinguish between back pain participants and subjects with a “healthy back” using the MFT-S1-Checklist system.…”

Section: Discussionmentioning

confidence: 99%

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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“…Age is an essential factor in evaluating postural balance. There are studies in the literature indicating that age is not effective on balance in young adults (3,5,10), while other studies are indicating that balance disorders increase with age; therefore, in the literature, age-related changes in postural sway are still controversial (16). Lizama et al (17), investigated the effect of age on balance responsiveness, eyes open and eyes closed, in younger and older healthy subjects who had no balance impairments.…”

Section: Discussionmentioning

confidence: 99%

“…Postural control is essential for stability and balance during standing (1). Balance disorders are found to be associated with various orthopedic problems such as back pain, neck pain or ankle injuries (2,3). It has been also reported that the incidence of many orthopedic injuries is higher in middle-aged people, women, and obese individuals (4).…”

Section: Introductionmentioning

confidence: 99%

Effects of Anthropometric Factors, Age, Gender, and Foot Posture on Single Leg Balance Performance in Asymptomatic Subjects

Ünlüer

Taş

2019

Türk Fizyoterapi Ve Rehabilitasyon Dergisi

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Purpose:The aim of the present study was to investigate the effects of age, gender, height, weight, body mass index (BMI), and foot posture on single leg standing balance performance.Methods: A total of 76 healthy young asymptomatic adults were enrolled (52 females and 24 males) with an age range of 19-49 years. Age, gender, height, weight, and BMI, foot posture (Foot Posture Index), and balance (Biodex Balance Systems) were assessed. Balance assessments were performed on the dominant leg. Results:A regression analysis showed that 43.2% of the anterior-posterior (AP) stability index score explained the total variance, and the effects of height (p=0.006, B=-4.387, β=-1.974, SD=1.554), weight (p=0.001, B=0.068, β=4.550, SD=0.020), and BMI (p=0.003, B=-0.171, β=-2.833, SD=0.056) found statistically significant. The regression analysis also revealed that 66.5% of the variance in the medial-lateral (ML) stability index score and age (p=0.026, B=0.003, β=0.173, SD=0.001) and weight (p=0.048, B=0.022, β=2.031, SD=0.011). Foot posture and gender were not statistically significant in both AP stability index and ML stability index (p>0.05). Conclusion:The findings of the study showed that age, and anthropometric factors (height, weight, and BMI) are potential markers for balance assessments. These results suggest that age and anthropometric factors play an important role in balance performance in asymptomatic subjects Amaç: Çalışmamızın amacı yaş, cinsiyet, boy, vücut ağırlığı, vücut kütle indeksi (VKİ) ve ayak postürünün tek ayak denge performansı üzerine etkilerini araştırmaktı.Yöntem: Yaşları 19 ve 49 arasında değişen (52 kadın ve 24 erkek) 76 sağlıklı genç asemptomatik birey gönüllü olarak çalışmaya katıldı. Yaş, cinsiyet, boy, vücut ağırlığı ve VKİ, Ayak Postür İndeksi ve denge testleri (Biodex Denge Sistemleri) değerlendirildi. Denge değerlendirmesi dominant ayak üzerinde yapıldı. Sonuçlar:Yapılan regresyon analizi sonuçları anterior-posterior (AP) stabilite indeks skorlarında total varyansın % 43,2'sini açıkladığı bulundu ve boy (p=0,006, B=-4,387, β=-1,974, SD=1,554), vücut ağırlığı (p=0,001, B=0,068, β=4,550, SD=0,020) ve VKİ'nin (p=0,003,171,833, SD=0,056) etkisi istatistiksel olarak anlamlı bulundu. Regresyon analizi sonucunda medial-lateral (ML) stabilite indeks skorundaki toplam varyansın % 66,5'ini yaş (p=0,026, B=0,003, β=0,173, SD=0,001) ve vücut ağırlığı (p=0,048, B=0,022, β=2,031, SD=0,011) açıkladığı bulundu. Ayak postürü ve cinsiyet hem AP hem de ML stabilite indeksinde istatistiksel olarak anlamlı değildi (p>0,05).Tartışma: Bu çalışma yaş ve boy, vücut ağırlığı, VKİ gibi antropometrik faktörlerin denge değerlendirmesinde potansiyel belirteçler olarak bilgi verdiğini göstermektedir. Bu sonuçlar, asemptomatik bireylerde yaş ve antropometrik faktörlerin, denge performansında önemli bir rol oynadığinı göstermektedir.

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The effect of pain severity on postural stability and dynamic limits of stability in chronic low back pain

Abstract: The intensity of pain has shown to be one of the determinants affecting dynamic balance in chronic LBP patients who showed differences in the impairment of PSIs and LOS with different degrees of pain.

Cited by 22 publications

References 36 publications

Low back pain and its influence on injury risk among surgeons – preliminary study

Low back pain and its influence on injury risk among surgeons – preliminary study

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

Effects of Anthropometric Factors, Age, Gender, and Foot Posture on Single Leg Balance Performance in Asymptomatic Subjects

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