to develop LBP as the length of time on their feet increases. 15 From an occupal ow back pain (LBP) is a major contributor to increasing healthcare costs in North America, with estimates that 70% to 85% of all adults will experience an acute episode of LBP at some point in their lives. 8 Epidemiological studies have shown that standing occupations have a strong association with LBP.1,25 Checkout clerks and other individuals with occupations requiring long periods of standing are known t STudy deSign: Analytic observational prospective study performed in a controlled laboratory setting.t obJecTiveS: To assess the ability of a new screening tool, the active hip abduction test, to predict low back pain development during prolonged standing in previously asymptomatic individuals.t background: Most screening tools used for a patient with low back pain do not assess the patient's ability to maintain postural control in the frontal plane, when placed in an unstable position. Postural-control differences in pain developers, as compared to non-pain developers, during standing have been found previously. An attempt was made to predict pain development with a simple screening test.t meThodS: Forty-three previously asymptomatic volunteers underwent a clinical assessment prior to a 2-hour standing protocol designed to induce low back pain. Participants rated low back pain with a visual analog scale and were classified into pain developers or non-pain developers.t reSulTS: Forty percent of participants developed low back pain. The active hip abduction test was the only test that discriminated between pain-developer groups. When the examiner scored the test, the odds ratio was 3.85 (95% confidence interval [CI]: 1.05-19.07), and when the test was self-rated, the odds ratio was 6.55 (95% CI: 1.14-37.75) for pain development during standing.t concluSion: The active hip abduction test appears to show promise for predicting individuals who are at risk for low back pain development during prolonged standing. More work is required to validate the test in clinical populations, and to assess interrater and intrarater reliability. t level oF evidence: Diagnosis, level 2b. Ther 2009;39(9):649-657. doi:10.2519/jospt.2009 t key wordS: clinical assessment, diagnostic tests, lumbar spine, stabilization tional safety and health perspective, it would be ideal to have a simple screening tool that could identify "at-risk" workers and guide an appropriate preventative exercise program.
J Orthop Sports PhysWhile multiple researchers have identified differences in motor control patterns between patients with LBP and healthy controls, 4,5,7 there have been few prospective studies published to evaluate whether these differences are adaptive to the LBP disorder or are risk factors that might increase the likelihood of pain development. We have previously used a "functionally induced low back pain" model as a prospective design to study factors linked to LBP development during standing. 9,10,23 The main idea behind this protocol is that a percentage ...