Effect of stabilization exercises on balance parameters in chronic low back pain: a systematic review

Ansari, Sumbul; Sharma, Saurabh; Kumar, Shailly; Sharma, Shalini

doi:10.1007/s11332-021-00864-2

Cited by 3 publications

(2 citation statements)

References 42 publications

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“…Low back pain (LBP) is a global health issue and a significant cause of years lived with a disability [ 1 ]. This complex condition can lead to balance impairments and altered postural control [ 2 – 5 ]. Previous research has shown that young individuals with recurrent LBP tend to adopt a postural control strategy that involves stiffening their trunk and relying heavily on ankle proprioception to maintain their posture during quiet upright standing [ 4 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…As per the available literature, it has been reported that patients with LBP exhibit impaired somatosensory processing, including reduced tactile acuity [ 9 ], faulty muscle responses [ 3 , 10 ], and trunk repositioning error [ 3 , 10 ]. Consequently, this may lead to deficits in postural control and balance [ 2 , 3 ], ultimately increasing the risk of falling and musculoskeletal injuries [ 9 ]. Additionally, Mazaheri et al have highlighted that postural control impairments may also persist during the asymptomatic periods in which patients with LBP experience no pain [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

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The effect of dual-task conditions on postural control in adults with low back pain: a systematic review and meta-analysis

Pourahmadi¹,

Negahban²,

Koes³

et al. 2023

J Orthop Surg Res

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Background Dual-task conditions, which involve performing two tasks simultaneously, may exacerbate pain and further impair daily functioning in individuals with low back pain (LBP). Understanding the effects of dual-task conditions on postural control in patients with LBP is crucial for the development of effective rehabilitation programs. Our objective was to investigate the impact of dual-task conditions on postural control in individuals with LBP compared to those without LBP. Methods We conducted a comprehensive search of Medline via PubMed, Scopus, the Cochrane Central Register of Controlled Trials, Web of Science, and EMBASE databases, with no language restrictions, from inception to January 1, 2023. The primary outcome measures of the study were velocity, area, amplitude, phase plane portrait, and path/sway length of the center of pressure (CoP). Standardized mean difference (SMD) effect sizes were calculated, and the quality of the studies was assessed using the Newcastle–Ottawa Scale (NOS). Results From 196 studies, five involving 242 adults (≥ 18 years) met the inclusion criteria. Three studies were rated as high quality, while two were deemed moderate. In the included studies, 140 participants had non-specific LBP, while 102 participants did not report any symptoms, with mean ages of 36.68 (± 14.21) and 36.35 (± 15.39) years, respectively. Three studies had both genders, one exclusively included females, and one did not specify gender. Meta-analyses of primary outcomes revealed no significant differences in postural control between patients with LBP and pain-free controls during both easy and difficult postural tasks and cognitive load for velocity (easy: SMD − 0.09, 95% CI − 0.91 to 0.74; difficult: SMD 0.12, 95% CI − 0.67 to 0.91), area (easy: SMD 0.82, 95% CI − 2.99 to 4.62; difficult: SMD 0.14, 95% CI − 2.62 to 2.89), phase plane (easy: SMD − 0.59, 95% CI − 1.19 to 0.02; difficult: SMD − 0.18, 95% CI − 0.77 to 0.42), path/sway length (easy: SMD − 0.18, 95% CI − 0.77 to 0.42; difficult: SMD − 0.14, 95% CI − 0.84 to 0.55), and amplitude (easy: SMD 0.89, 95% CI − 1.62 to 3.39; difficult: SMD 1.31, 95% CI − 1.48 to 4.10). Conclusions The current evidence suggests that there are no significant differences in postural control parameters during dual-task conditions between individuals with non-specific LBP and pain-free subjects. However, due to the limited number of available studies, significant publication bias, and considerable statistical heterogeneity, definitive conclusions cannot be drawn. Therefore, further research comprising high-quality studies with larger sample sizes is necessary to obtain conclusive results. Trial registration PROSPERO CRD42022359263.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The effect of dual-task conditions on postural control in adults with low back pain: a systematic review and meta-analysis

Pourahmadi¹,

Negahban²,

Koes³

et al. 2023

J Orthop Surg Res

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The effect of stabilization-based exercises on kinesiophobia in patients with non-specific chronic low back pain: a systematic review and meta-analysis

Özyurt,

Tayfur,

Ülger

2024

Sport Sci Health

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Dynamic postural control in women athletes with and without nonspecific low back pain with high and low pain-related anxiety- A case-control study

Amerian,

ShahAli,

Rezaeian

et al. 2023

BMC Sports Sci Med Rehabil

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Background Low back pain is common among athletes and it has been shown that postural control is altered in the general population with nonspecific low back pain (NSLBP). Psychological factors may also predispose individuals to risk of altered postural control. Dynamic postural control is essential to the performance of athletes. This study aimed to compare the dynamic postural control between women athletes with and without NSLBP with high and low pain-related anxiety. Methods Forty-five female athletes (15 NSLBP with high pain-related anxiety, 15 NSLBP with low pain-related anxiety, and 15 healthy (control)) were included. Pain-related anxiety was assessed using the Pain Anxiety Symptom Scale-20 (PASS-20). Based on the cut-off score of 30 for the total score of PASS-20, NSLBP patients were classified into two groups of low and high pain-related anxiety. Participants performed double-leg vertical drop jump (DVJ) and single-leg vertical jump (SVJ) tests on a Kistler force plate (type 9260AA6, Kistler Instruments Inc, Switzerland). The total root mean square (RMS) of the center of pressure (COP), COP displacement in the anteroposterior (AP), and mediolateral (ML) directions, COP mean velocity, and time to stabilization (TTS) in vertical, AP, and total directions were extracted from COP and ground reaction force data using MATLAB software. One-way Analysis of variance (ANOVA) and Welch’s ANOVA were employed to compare the groups. In case of significant findings, post hoc tests were performed. Results The results showed that during DJV, athletes with high pain-related anxiety had significantly greater TTS in all total, AP, and ML directions than other groups (P < 0.05). Also, the control group showed greater total RMS distance during DJV than either NSLBP group. However, no significant differences in TTS and COP parameters were found between the groups during SVJ (P > 0.05). Conclusions The findings suggest that pain-related anxiety may contribute to athletes’ postural control strategies. Therefore, it is important to consider the level of pain-related anxiety during planning postural control exercises for women athletes with NSLBP.

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Effect of stabilization exercises on balance parameters in chronic low back pain: a systematic review

Cited by 3 publications

References 42 publications

The effect of dual-task conditions on postural control in adults with low back pain: a systematic review and meta-analysis

The effect of dual-task conditions on postural control in adults with low back pain: a systematic review and meta-analysis

The effect of stabilization-based exercises on kinesiophobia in patients with non-specific chronic low back pain: a systematic review and meta-analysis

Dynamic postural control in women athletes with and without nonspecific low back pain with high and low pain-related anxiety- A case-control study

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