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Are lumbar repositioning errors larger among patients with chronic low back pain compared with asymptomatic subjects?
Högskolan i Gävle, Centrum för belastningsskadeforskning. Svenska Rygginstitutet AB, Sundsvall, Sweden; Department of Odontology, Clinical Oral Physiology, Umeå University, Umeå, Sweden.
Högskolan i Gävle, Centrum för belastningsskadeforskning. Southern Lapland Research Department, Vilhelmina, Sweden.
Svenska Rygginstitutet AB, Sundsvall, Sweden.
Högskolan i Gävle, Centrum för belastningsskadeforskning.
2006 (engelsk)Inngår i: Archives of Physical Medicine and Rehabilitation, ISSN 0003-9993, E-ISSN 1532-821X, Vol. 87, nr 9, s. 1170-1176Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

OBJECTIVE: To resolve the debate over whether lumbar repositioning acuity is reduced in patients with chronic low back pain (CLBP) by using a study design and methodology to minimize the effects of potential confounders. DESIGN: A single-blinded, controlled, multigroup comparative study.

SETTING: Vocational rehabilitation center.

PARTICIPANTS: Ninety-two patients with CLBP, divided into subgroups based on severity of symptoms and diagnostic characteristics. An age- and sex-matched group (n=31) of healthy subjects were the control. I

NTERVENTIONS: Not applicable.

MAIN OUTCOME MEASURES: We measured repositioning errors (variable, constant) at 3 positions of the lumbar spine. Subjects were guided to a sitting target posture and asked to perform lumbar flexion before reproducing the target posture. Self-assessed pain, self-efficacy, and functional ability were addressed through questionnaires.

RESULTS: There were no differences in repositioning errors between the patients with CLBP or the subgroups of patients and the control group. We found only weak correlations between the repositioning errors and the self-reported data on functional disability, self-efficacy, and pain.

CONCLUSIONS: We suggest that sensorimotor dysfunctions in CLBP should be evaluated with methods other than repositioning tests in order to generate data relevant to the development of rational diagnostic methods and rehabilitation programs.

sted, utgiver, år, opplag, sider
2006. Vol. 87, nr 9, s. 1170-1176
Emneord [en]
Adult, Case-Control Studies, Chronic Disease, Female, Humans, Low Back Pain classification diagnosis physiopathology, Lumbosacral Region, Male, Posture, Questionnaires, Rehabilitation Centers, Severity of Illness Index, Single-Blind Method
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URN: urn:nbn:se:hig:diva-2750DOI: 10.1016/j.apmr.2006.05.020ISI: 000240407700002PubMedID: 16935050Scopus ID: 2-s2.0-33747782886OAI: oai:DiVA.org:hig-2750DiVA, id: diva2:119412
Tilgjengelig fra: 2007-11-28 Laget: 2007-11-28 Sist oppdatert: 2018-03-28bibliografisk kontrollert

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