Movement control tests of the low back; evaluation of the difference between patients with low back pain and healthy controls

Luomajoki, Hannu; Kool, Jan; Bruin, Eling D. de; Airaksinen, Olavi

doi:10.1186/1471-2474-9-170

Cited by 169 publications

(175 citation statements)

References 30 publications

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“…19,29,31 Previous assessments of dissociation of lumbopelvic from thoracic motion have involved dichotomous outcomes as a part of a test battery. 18 The present study is the first to assess the validity of a clinician's ability to evaluate thoracolumbar dissociation in participants with and without LBP and to use nondichotomous outcomes to allow greater scope to identify differences between, and changes within, individuals.…”

Section: Discussionmentioning

confidence: 99%

Validation of a Clinical Test of Thoracolumbar Dissociation in Chronic Low Back Pain

Cancino

Schabrun²,

Danneels³

et al. 2015

J Orthop Sports Phys Ther

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Motor control deficits are common in chronic/recurrent low back pain (LBP) 3,13,19,24,33,34,36 and include altered paraspinal muscle function. 4,5,19,29 Recovery from LBP does not ensure restoration of spine function or movement, and recurrent LBP involves persistent alterations of motor control, including modified coordination between short/deep (eg, multifidus) and long/ superficial (eg, thoracic erector spinae) paraspinal muscles, with a tendency to contract these muscles en masse rather than to activate T T BACKGROUND:Control deficits of back muscles and trunk movement are common in chronic/recurrent low back pain (LBP). A reliable clinical test to rate an individual's ability to dissociate lumbopelvic movement from the thoracolumbar region has been described. This test rates the performance quality of 5 key aspects against criterion standards. T T METHODS: Concurrent validity was examinedby comparison of clinical test scores (overall score and each individual criterion) against spine kinematics. Discriminant validity was evaluated by comparison of scores between pain-free controls and participants with LBP. A receiver operating characteristic curve was calculated to determine the optimal cutoff or score to differentiate between good and poor performers. T T RESULTS:Concurrent validity was supported by the significant correlation between the total score and motion of the T5 vertebra relative to the S1 vertebra (P<.05). Scores for some (4 correlations of 14 measures) but not all individual criteria were correlated with the kinematic features that each criterion was expected to reflect. Discriminant validity was supported by higher test scores for pain-free controls than for participants with LBP after 2 minutes of training (P = .045). Scores of less than 5.5 were more prevalent in the LBP group (pretraining LBP versus control, 72% versus 35%; P = .008; posttraining LBP versus control, 48% versus 16%; P = .018). T T CONCLUSION:This preliminary study of concurrent and discriminant validity of the test provides a foundation to further investigate its utility to characterize thoracolumbar movement patterns in individuals with LBP.

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Section: Discussionmentioning

confidence: 99%

Validation of a Clinical Test of Thoracolumbar Dissociation in Chronic Low Back Pain

Cancino

Schabrun²,

Danneels³

et al. 2015

J Orthop Sports Phys Ther

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“…They found that experienced physiotherapists had difficulty in determining the status of patients by movement analysis alone (Hickey et al, 2007). In contrast, Luomajoki et al (2008) found significant differences between patients with and without low back pain in their ability to actively control movement of the low back. A study by Della Casa et al (2014) showed that a head-eye movement control test battery could discriminate between patients with chronic neck pain and healthy controls.…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

Inter-and intra-tester reliability of a battery of cervical movement control dysfunction tests

Segarra¹,

Dueñas

Torres

et al. 2015

Manual Therapy

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Please cite this article as: Segarra V, Dueñas L, Torres R, Falla D, Jull G, Lluch E, Inter-and intratester reliability of a battery of cervical movement control dysfunction tests, Manual Therapy (2015), doi: 10.1016/j.math.2015.01.007. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Additionally, knee extension in the sitting position is often used to classify low back pain in the movement control test 6,7) . Patients with hamstring shortness can exhibit compensatory lumbopelvic motions when performing knee extension exercises due to their shortened or stiff hamstrings, and this can be prevented if the exercise is performed correctly 2,8) .…”

Section: Introductionmentioning

confidence: 99%

Effects of Lumbopelvic Neutralization on the Electromyographic Activity, Lumbopelvic and Knee Motion during Seated Knee Extension in Subjects with Hamstring Shortness

Park

Jeon

et al. 2012

J Phys Ther Sci

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Movement control tests of the low back; evaluation of the difference between patients with low back pain and healthy controls

Abstract: Background: To determine whether there is a difference between patients with low back pain and healthy controls in a test battery score for movement control of the lumbar spine.

Cited by 169 publications

References 30 publications

Validation of a Clinical Test of Thoracolumbar Dissociation in Chronic Low Back Pain

Validation of a Clinical Test of Thoracolumbar Dissociation in Chronic Low Back Pain

Inter-and intra-tester reliability of a battery of cervical movement control dysfunction tests

Effects of Lumbopelvic Neutralization on the Electromyographic Activity, Lumbopelvic and Knee Motion during Seated Knee Extension in Subjects with Hamstring Shortness

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