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Low back pain and postural sway during quiet standing with and without sensory manipulation: A systematic review

TLDR
A systematic review of the literature shows that postural deficit may be dependent on experimental conditions in which patients with LBP have been assessed, and that between-group differences did not increase with increased complexity of sensory manipulations.
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This article is published in Gait & Posture.The article was published on 2013-01-01 and is currently open access. It has received 122 citations till now. The article focuses on the topics: Postural Balance.

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Citations
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Journal ArticleDOI

Motor Control Changes in Low Back Pain: Divergence in Presentations and Mechanisms.

TL;DR: It is proposed that patients with low back pain demonstrate differences in all aspects of trunk motor control that are most often studied as differences in muscle activity and kinematics, and that this may reflect the existence of 2 phenotypes or possibly the ends of a spectrum, with "tight control" over trunk movement at one end and "loose control" at the other.
Journal ArticleDOI

Sensing the body in chronic pain: A review of psychophysical studies implicating altered body representation

TL;DR: Three broad sensory systems are examined that form the foundations of the sense of physical self in patients with common chronic pain disorders: reweighting of proprioceptive information; altered sensitivity to exteroceptive stimuli; and disturbed interoceptive awareness of the state of the body.
Journal ArticleDOI

A systematic review of the relationship between physical activities in sports or daily life and postural sway in upright stance.

TL;DR: The main conclusion was that in general, sport practitioners sway less than controls, and high-level athletes swayLess than low-level Athletes, which appears to have limited sensitivity to detect subtle differences between groups of healthy people.
Journal ArticleDOI

Analysis of Motor Control in Patients With Low Back Pain: A Key to Personalized Care?

TL;DR: Clinical assessment of patients with LBP should take into account more aspects than motor control alone, including pain mechanisms, musculoskeletal health, and psychosocial factors, and may need to be embedded in a stratification approach based on prognosis to avoid undue diagnostic procedures.
Journal ArticleDOI

Inspiratory muscle training affects proprioceptive use and low back pain.

TL;DR: IMT may facilitate the proprioceptive involvement of the trunk in postural control in individuals with LBP and thus might be a useful rehabilitation tool for these patients.
References
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Journal ArticleDOI

Epidemiological features of chronic low-back pain

TL;DR: Because the validity and reliability of some of the existing data are uncertain, caution is needed in an assessment of the information on this type of pain.
Book

The Back Pain Revolution

TL;DR: The problem diagnostic triage pain and disability back pain through history the epidemiology of back pain risk factors the clinical course of low back pain the physical basis of simple backache.
Journal ArticleDOI

Stiffness Control of Balance in Quiet Standing

TL;DR: A relatively simple control scheme for regulation of upright posture that provides almost instantaneous corrective response and reduces the operating demands on the CNS is proposed.
Journal ArticleDOI

Impaired postural control of the lumbar spine is associated with delayed muscle response times in patients with chronic idiopathic low back pain.

TL;DR: Correlation between these two phenomena suggests a common underlying pathology in the lumbar spine, and patients with chronic low back pain demonstrated poorer balance performance than healthy control volunteers, especially at the most difficult levels.
Journal ArticleDOI

The test-retest reliability of centre of pressure measures in bipedal static task conditions--a systematic review of the literature.

TL;DR: The studies reviewed show that bipedal static COP measures may be used as a reliable tool for investigating general postural stability and balance performance under specific conditions and recommendations for maximizing the reliability of COP data are provided.
Related Papers (5)
Frequently Asked Questions (11)
Q1. What are the contributions in "Low back pain and postural sway during quiet standing with and without sensory manipulation: a systematic review" ?

The research question to be answered in this review was: Potential factors that may have caused inconsistencies in the literature are discussed in this systematic review. 

Therefore, dualtasking can be used in future studies on balance performance in LBP. Further analysis of postural sway by nonlinear methods might reveal differential responses of LBP and healthy people to sensory and cognitive manipulations more consistently. 

In addition, nociceptive afference has negative effects on proprioceptive feedback from muscle spindle afferents [53], which may also contribute to increased postural sway. 

pain-related fear of movement might reduce postural sway through a more rigid postural control strategy, i.e. through an increase in co-contraction levels and/or feedback gains [55], as an effect of arousal. 

Recurrent LBP may interfere with different aspects of peoples’ lives and LBP is the most common factor causing activity limitation in people below the age of 45 [2] 

A decrease in force steadiness has been shown to occur with experimentally induced back pain [50] as well as in clinical low back pain [51,52], and might be a cause of increased sway. 

Limiting postural sway requires adequate trunk control, since any rotation around the ankle joints will induce variation in gravitational moments around the spine that have to be controlled by trunk musculature to maintain trunk alignment. 

Episodic LBP 18 months with at least one episode per year Minimal or no pain with no medication at the time of testing Insidious LBP leading to functional limitation and seeking medical or allied health treatment 

For instance, when no manipulations were applied, 12 studies found a larger sway in LBP, 9 studies found no effect and 3 studies found reduced sway in LBP. 

The effect of LBP on postural sway in those studies that obtained no between-group differences may be missed due to a lack of statistical power. 

Due to the complex relationship of LBP and postural balance, this extensive comparison seems more informative, but more importantly it avoids type 1 errors due to multiple testing in the original studies. 

Trending Questions (1)
Is there a colleration of long sway back posture and lower back pain?

Yes, there is a correlation between long sway back posture and lower back pain.