Lucinda E Bouillon, Abbey Lauver, Emma Ferdon, Thomas Schindler
{"title":"Chronic low back pain lowers balance test scores among people who are middle-aged.","authors":"Lucinda E Bouillon, Abbey Lauver, Emma Ferdon, Thomas Schindler","doi":"10.1177/10538127251328915","DOIUrl":null,"url":null,"abstract":"<p><p>BackgroundPeople who are middle aged are at risk for chronic low back pain (CLBP) which can impair balance. Identifying an appropriate balance test may help to detect balance deficits for this particular age group.ObjectiveTo assess balance on the dominant and non-dominant limbs among middle-aged people, (CLBP = 25 and Painfree = 25).MethodsStatic balance included the 30 s single limb stance test and dynamic balance was assessed using the modified Star Excursion Balance test (mSEBT) for anterior, posterolateral, posteromedial directions and composite score on both limbs (dominant and non-dominant) using a randomized limb and direction order for mSEBT and normalized to percent of leg length, (%LL).ResultsNo group differences were found among the SLS on either limb, (<i>p </i>> 0.05). The control group reached further anteriorly (78%LL) and with the composite (83%LL) compared to the CLBP group, (72%LL) and (75%LL), respectively. The dominant limb had longer reaches for both groups in the posterolateral and composite directions compared to non-dominant limb.ConclusionThe dynamic balance test may be more sensitive than the SLS test among individuals who are middle-aged and have CLBP. The results support that CLBP group could not reach as far in the anterior direction and composite score resulting in lower dynamic balance compared to the controls. In addition, there were inter-limb differences in both groups during the dynamic balance test which implies both limbs should be assessed among people who are middle-aged with or without chronic low back pain.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251328915"},"PeriodicalIF":1.4000,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Back and Musculoskeletal Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10538127251328915","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
BackgroundPeople who are middle aged are at risk for chronic low back pain (CLBP) which can impair balance. Identifying an appropriate balance test may help to detect balance deficits for this particular age group.ObjectiveTo assess balance on the dominant and non-dominant limbs among middle-aged people, (CLBP = 25 and Painfree = 25).MethodsStatic balance included the 30 s single limb stance test and dynamic balance was assessed using the modified Star Excursion Balance test (mSEBT) for anterior, posterolateral, posteromedial directions and composite score on both limbs (dominant and non-dominant) using a randomized limb and direction order for mSEBT and normalized to percent of leg length, (%LL).ResultsNo group differences were found among the SLS on either limb, (p > 0.05). The control group reached further anteriorly (78%LL) and with the composite (83%LL) compared to the CLBP group, (72%LL) and (75%LL), respectively. The dominant limb had longer reaches for both groups in the posterolateral and composite directions compared to non-dominant limb.ConclusionThe dynamic balance test may be more sensitive than the SLS test among individuals who are middle-aged and have CLBP. The results support that CLBP group could not reach as far in the anterior direction and composite score resulting in lower dynamic balance compared to the controls. In addition, there were inter-limb differences in both groups during the dynamic balance test which implies both limbs should be assessed among people who are middle-aged with or without chronic low back pain.
期刊介绍:
The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty.
In each issue clinicians can find information which they can use in their patient setting the very next day.