The effects on postural control and low back pain according to the types of orthoses in chronic low back pain patients

Abstract

[Purpose] This study investigated how types of lumbosacral orthoses applied to patients with chronic lumbar pain affect postural control and low back pain. [Subjects and Methods] Ten subjects were randomly selected and allocated to each a group wearing soft lumbosacral orthoses and a group wearing rigid lumbosacral orthoses. They wore the lumbosacral orthoses for 4 weeks. Pain index and postural control were measured on the first day of wearing lumbosacral orthoses and 4 weeks later. Pain index was evaluated using a visual analogue scale, and postural control was measured using a Balance measurement system. The measurements examined included the overall balance index, anteroposterior balance index, and mediolateral balance index. [Results] There were statistically meaningful within-group differences in all variables, the visual analogue scale, overall balance index, anteroposterior balance index, and mediolateral balance index, in the group wearing soft lumbosacral orthoses. There were meaningful differences in visual analogue scale, overall balance index, and mediolateral balance index in the group wearing rigid lumbosacral orthoses. Furthermore, there was a meaningful difference in anteroposterior balance index between the group wearing soft lumbosacral orthoses and the group wearing rigid lumbosacral orthoses. [Conclusion] The results of the present study showed that wearing soft lumbosacral orthoses was more effective than wearing rigid lumbosacral orthoses.

Design and Development of Thoracic Lumbar Sacral Orthosis Brace to Reduce Back Pain

“…In addition, the extension torque generated by the increased intra-abdominal pressure on this device can reduce muscle activity, tension, and fatigue and reduce the spine load to prevent back pain (Ali et al, 2020;Weiss & Turnbull, 2019). It is supported by previous studies concluding that using a lumbosacral corset could improve posture and lower back pain (Kang et al, 2016).…”

Effects of Low Back Pain Exercises on Pain Symptoms and Activities of Daily Living: A Systematic Review and Meta-Analysis

“…Low back pain (LBP) is highly uncomfortable, often chronic sensation in the back below the lower rib cage and above the gluteal fold, often accompanied by leg pain (Kang et al, 2016). According to the National Institutes of Health, about 80% of adults suffer from LBP at some time in their lives.…”

Effect of external lumbar supports on joint position sense, postural control, and postural adjustment: a systematic review

“…Of the 27 included studies, 11 studies examined healthy individuals [13,15,16,[38][39][40][41][42][43][44][45], 12 studies examined only LBP patients [37,[46][47][48][49][50][51][52][53][54][55][56], and four studies evaluated both healthy individuals and LBP patients [12,14,17,57] (Table 3). With the exception of one study in which participants had lumbar discopathy [51], most studies examined patients with non-specific LBP.…”

“…All but three studies [15,41,45] reported the age range of the participants, ranging from 18 to 65 years. Fourteen studies reported pain duration [12,14,17,37,[46][47][48][49][52][53][54][55][56][57] with pain lasting at least >3 months in all studies with the exception of one where patients had LBP with at least 4-week duration [14]. When using 0-10-point pain rating scales, pain intensity varied from 1.5 to 7.7 between studies.…”