A literature review of clinical tests for lumbar instability in low back pain: validity and applicability in clinical practice
TLDR
The data from the studies provided information on the methods used and suggest that PLE is the most appropriate tests to detect lumbar instability in specific LBP, however, due to the lack of available papers on other lombar conditions, these findings should be confirmed with studies on non-specific LBP patients.Abstract:
Background
Several clinical tests have been proposed on low back pain (LBP), but their usefulness in detecting lumbar instability is not yet clear. The objective of this literature review was to investigate the clinical validity of the main clinical tests used for the diagnosis of lumbar instability in individuals with LBP and to verify their applicability in everyday clinical practice.read more
Citations
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Inter- and Intrarater Reliability of Clinical Tests Associated With Functional Lumbar Segmental Instability and Motor Control Impairment in Patients With Low Back Pain: A Systematic Review.
TL;DR: Three clinical tests could be identified as having an adequate interrater reliability and no conclusions could be made for intrarater reliability, but further research should focus on better study designs, provide an overall agreement for uniformity and interpretation of clinical tests, and should implement research regarding validity.
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The effects of selective Pilates versus extension-based exercises on rehabilitation of low back pain.
TL;DR: It is estimated that core muscles activation and improving lumbopelvic rhythm in SP training may play a role in decreasing pain and physical disability in chronic LBP patients.
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The Relationship Between Clinical Instability and Endurance Tests, Pain, and Disability in Nonspecific Low Back Pain
TL;DR: The results of endurance and instability tests appear to be related to the amount of pain and the disability in nonspecific low back pain, which significantly reduces anterior and posterior core muscle endurance.
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Viscoelastic Response of the Human Lower Back to Passive Flexion: The Effects of Age.
TL;DR: The results suggested that a diminishing contribution of passive and volitional active subsystems to spinal stability may not be a reason for higher severity of low back pain in older population.
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Guide to evidence-based physical therapy practice
TL;DR: Dianne V. Jewell as mentioned in this paper has published a guide to evidence-based physical therapy practice, which is based on the work of the authors of this paper. Jones and Barlett Publishers, Sudbury, MA. 2008.
References
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Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
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Journal Article
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
David Moher,A. Liberati,Jennifer Tetzlaff,Douglas G. Altman,Gerd Antes,David C. Atkins,Virginia Barbour,Nick Barrowman,Jesse A. Berlin,Jocalyn Clark,Mike Clarke,Deborah J. Cook,Roberto D'Amico,Jonathan J Deeks,Philip J. Devereaux,Kay Dickersin,Matthias Egger,E Ernst,Peter C. Gøtzsche,Jeremy M. Grimshaw,G. H. Guyatt,Julian P T Higgins,Ioannidis Jpa.,Jos Kleijnen,Tom Lang,Nicola Magrini,D McNamee,Lorenzo Moja,Cynthia D. Mulrow,Maryann Napoli,Andrew D Oxman,B Pham,Drummond Rennie,Margaret Sampson,Kenneth F. Schulz,Paul G. Shekelle,David Tovey,Peter Tugwell +37 more
TL;DR: The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) as discussed by the authors is an update of the QUOROM guidelines for reporting systematic reviews and meta-analyses.
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TL;DR: The neutral zone appears to be a clinically important measure of spinal stability function and may increase with injury to the spinal column or with weakness of the muscles, which in turn may result in spinal instability or a low-back problem.