Intra-rater and inter-rater reliability of neutral and target lumbar positioning tests in subjects with and without non-specific lower back pain

Reddy, Ravi Shankar; Alahmari, Khalid A.; Samuel, Paul Silvian; Tedla, Jaya Shanker; Kakaraparthi, Venkata Nagaraj; Rengaramanujam, Kanagaraj

doi:10.3233/bmr-200010

Cited by 23 publications

(24 citation statements)

References 47 publications

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“…The accessories include three velcro straps, an assembly wire connecting the inclinometers, and two metal plates to align the inclinometer unit. The digital inclinometer had a significant level of validity compared with an isokinetic dynamometer (ICC = 1.0, SEM = 1.39, p < 0.001) and also showed excellent intra- and inter-tester reliability for measuring JPS (ICC = 0.994, SEM = 1.67, p < 0.001) [ 24 , 25 , 26 ].…”

Section: Methodsmentioning

confidence: 99%

Association between Kinesiophobia and Knee Pain Intensity, Joint Position Sense, and Functional Performance in Individuals with Bilateral Knee Osteoarthritis

et al. 2022

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In current clinical practice, fear of movement has been considered a significant factor affecting patient disability and needs to be evaluated and addressed to accomplish successful rehabilitation strategies. Therefore, the study aims (1) to establish the association between kinesiophobia and knee pain intensity, joint position sense (JPS), and functional performance, and (2) to determine whether kinesiophobia predicts pain intensity, JPS, and functional performance among individuals with bilateral knee osteoarthritis (KOA). This cross-sectional study included 50 participants (mean age: 67.10 ± 4.36 years) with KOA. Outcome measures: The level of kinesiophobia was assessed using the Tampa Scale of Kinesiophobia, pain intensity using a visual analog scale (VAS), knee JPS using a digital inclinometer, and functional performance using five times sit-to-stand test. Knee JPS was assessed in target angles of 15°, 30°, and 60°. Pearson’s correlation coefficients and simple linear regressions were used to analyze the data. Significant moderate positive correlations were observed between kinesiophobia and pain intensity (r = 0.55, p < 0.001), JPS (r ranged between 0.38 to 0.5, p < 0.05), and functional performance (r = 0.49, p < 0.001). Simple linear regression analysis showed kinesiophobia significantly predicted pain intensity (B = 1.05, p < 0.001), knee JPS (B ranged between 0.96 (0° of knee flexion, right side) to 1.30 (15° of knee flexion, right side)), and functional performance (B = 0.57, p < 0.001). We can conclude that kinesiophobia is significantly correlated and predicted pain intensity, JPS, and functional performance in individuals with KOA. Kinesiophobia is a significant aspect of the recovery process and may be taken into account when planning and implementing rehabilitation programs for KOA individuals.

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Section: Methodsmentioning

confidence: 99%

Association between Kinesiophobia and Knee Pain Intensity, Joint Position Sense, and Functional Performance in Individuals with Bilateral Knee Osteoarthritis

et al. 2022

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“…Decreased proprioceptive acuity might lead the hypermobile joints to instability and increased risk of injury ( Smith et al, 2013 ). In addition, previous research demonstrates that impaired proprioception is crucial in developing and maintaining pain, tissue injury, and degenerative joint diseases ( Alahmari et al, 2020a ; Alahmari et al, 2017b ; Alahmari et al, 2017c ; Asiri et al, 2021 ; Kristjansson & Treleaven, 2009 ; Reddy et al, 2021a ; Reddy et al, 2020 ). Therefore, assessing cervical proprioception is vital in evaluating and managing subjects with GJH.…”

Section: Introductionmentioning

confidence: 99%

Comparison and correlation of cervical proprioception and muscle endurance in general joint hypermobility participants with and without non-specific neck pain—a cross-sectional study

Reddy¹,

Tedla²,

Alshahrani³

et al. 2022

PeerJ

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Background Cervical proprioception and muscle endurance are essential for maintaining cervical functional joint stability. Proprioception and muscle endurance may be impaired in those with general joint hypermobility (GJH). Examining these aspects is crucial. This study’s aims are to (1) compare the cervical joint position error (JPE) and muscle endurance holding capacities in GJH individuals with and without non-specific neck pain (NSNP) (2) to assess the relationship between hypermobility Beighton scores, cervical JPE’s, and muscle endurance in GJH individuals with and without NSNP. Methods In this cross-sectional comparative study, 33 GJH participants with NSNP (mean age 21.7 ± 1.8 years) and 35 asymptomatic participants GJH (mean age 22.42 ± 1.7 years) participated. Beighton’s score of ≥4 of 9 tests was used as criteria to diagnose GJH. Cervical JPEs were estimated in degrees using a cervical range of motion device, and muscle endurance (flexor and extensor) were estimated in seconds using a stopwatch. Results GJH participants with NSNP showed significantly larger cervical JPEs (p < 0.001) and decreased muscle endurance holding times (p < 0.001) compared to asymptomatic participants. Beighton hypermobility scores showed a significant moderate positive correlation with cervical JPEs (flexion: r = 0.43, p = 0.013), left rotation: r = 0.47, p = 0.005, right rotation: r = 0.57, p = 0.001) in NSNP individuals. Also, Beighton hypermobility scores showed a moderate negative correlation with muscle endurance in NSNP (flexor muscles: r = −0.40, p = 0.020, extensor muscles: r = −0.41, p = 0.020, and asymptomatic individuals (flexor muscles: −0.34, p = 0.045, extensor muscles: r = −0.45, p = 0.007). Conclusion GJH individuals with NSNP showed increased cervical JPEs and reduced muscle endurance compared to asymptomatic. Individuals with GJH with higher Beighton scores demonstrated increased cervical JPEs and reduced neck muscle endurance holding ability. In clinical practice, therapists should be aware of these findings, incorporate proprioceptive and muscle endurance assessments, and formulate rehabilitation strategies for NSNP individuals with GJM.

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“…Third, sitting in an unequal position for a long period of time causes back pain [19]. The lumbar proprioceptive sense is diminished in people who experience non-specific low back pain [20], and pain inhibition of local muscles like the lumbar multifidus can cause changes in the muscle recruitment patterns, affecting the neuromotor system, altering dynamic spine stabilization, and resulting in repositioning deficiencies, as seen by the low back pain that arose from sitting cross-legged for a prolonged time can produce alterations in spinal posture, indicating the possibility of pelvic pain [15,21], and Röijezon et al [6] reported that altered proprioception has been linked to pain.…”

Section: Discussionmentioning

confidence: 99%

Cross-legged sitting posture effect on lumbar proprioception in young adults: a cross-sectional study

2021

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Background The cross-legged sitting posture (CLS) is assumed by young adults’ results in a bent and unbalanced posture. The study purpose was to assess the effect of sitting in a cross-legged position (knee on knee) on lumbar proprioception. Thirty-six participants of both genders aged from 18 to 25 were selected and divided equally into group A who adapt to a cross-legged sitting posture and group B who adapt to erect sitting (not prefer cross-legged sitting). The Biodex System 3 pro isokinetic dynamometer was utilized to assess the lumbar proprioception by testing the lumbar region repositioning accuracy. Results The lumbar repositioning error of group A increased statistically significantly as compared to group B (p < 0.05). Conclusions Cross-legged sitting posture negatively affects lumbar proprioception compared with participants who adapt to erect sitting, and this effect should be considered in the avoidance of sitting in a cross-legged position and in prevention and intervention programs of lumbar proprioception impairment.

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Intra-rater and inter-rater reliability of neutral and target lumbar positioning tests in subjects with and without non-specific lower back pain

Cited by 23 publications

References 47 publications

Association between Kinesiophobia and Knee Pain Intensity, Joint Position Sense, and Functional Performance in Individuals with Bilateral Knee Osteoarthritis

Association between Kinesiophobia and Knee Pain Intensity, Joint Position Sense, and Functional Performance in Individuals with Bilateral Knee Osteoarthritis

Comparison and correlation of cervical proprioception and muscle endurance in general joint hypermobility participants with and without non-specific neck pain—a cross-sectional study

Cross-legged sitting posture effect on lumbar proprioception in young adults: a cross-sectional study

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