Ingemann-Molden S, Pessoto Hirata R, Bach Jensen M, Graven-Nielsen T, Riis A. Difference in postural stability between STarT Back Tool subgroups of patients with low back pain under conditions of sensory deprivation and cognitive load.
J Int Med Res 2022;
50:3000605221112046. [PMID:
35854633 PMCID:
PMC9310071 DOI:
10.1177/03000605221112046]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Objective
We explored differences in postural stability between subgroups of patients
with low back pain (LBP) and varying risk levels for developing chronicity
measured using the Subgroups for Targeted Treatment (STarT) Back Tool.
Methods
This was a cross-sectional, single-session, double-blind experimental study
among 65 participants who had LBP for more than 14 days. Postural stability
was assessed by measuring the center of pressure (COP) range, displacement
area, and velocity in anterior–posterior and mediolateral directions under
four sensory and cognitive conditions: (i) eyes open and counting forward,
(ii) eyes closed and counting forward, (iii) eyes closed and counting
forward in multiples of seven, and (iv) eyes closed and counting backward in
multiples of seven. The participants were stratified into low-/medium-
(n = 53) and high-risk (n = 9) subgroups.
Results
There were no significant between-group differences among patients with LBP
stratified as having a low/medium or high risk of chronicity in postural
stability and sensory and cognitive conditions.
Conclusions
Impaired postural stability is important to consider when treating patients
with LBP. However, we found that these impairments were not strongly
aggravated in groups with a higher risk of chronicity, as measured using the
STarT Back Tool.
Collapse