The effect of pain severity on postural stability and dynamic limits of stability in chronic low back pain

Introduction: Balance and postural performance measures are quite variable. These measures could be influenced by chronic musculoskeletal problems. Literature contains contradicting results regarding the affection of postural stability indices and limits of stability measures in subjects having chronic low back pain. Additionally, the available work in this topic is still scarce.

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Differences in dynamic and postural stability based on degree of disability in patients with nonspecific chronic lower back pain: an observational study

Journal of MOVE and Therapeutic Science ◽

10.37382/jomts.v3i1.471 ◽

2021 ◽

Vol 3 (1) ◽

Author(s):

Mónica Grande-Alonso ◽

Raquel Pérez-Muñoz ◽

José María Aceña-García ◽

Francisco Fernando Recio-Mateo ◽

Diego Pro-Marín ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Observational Study ◽

Chronic Low Back Pain ◽

Postural Stability ◽

Dynamic Balance ◽

Forward Direction ◽

Static Stability ◽

Chronic Lower Back Pain ◽

Low Back

Objetive: The main objective of this study was to analyze whether there were differences in dynamic balance and postural stability in relation to the level of disability in patients with chronic low back pain. Methodss: This is an observational study in which 60 patients with nonspecific chronic low back pain were included. All patients received a sociodemographic questionnaire, the visual analogue scale (VAS) and a series of self-reported psychological scales. To complete the evaluation, physical tests were performed in which dynamic balance and postural stability were measured. Results: Student’s t-test revealed that there were significant differences between the groups in dynamic balance with the right leg and the left leg. In contrast, there were no significant differences between the groups for the reach functional test in forward direction, left direction and right direction. Conclusion: In conclusion, our study demonstrates that patients with chronic low back pain with high levels of disability present significantly poorer dynamic balance compared with those with low levels of disability. In contrast, no significant differences were found between the groups in terms of static stability.

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How does self-efficacy influence pain perception, postural stability and range of motion in individuals with chronic low back pain?

IBJ Plus ◽

10.24217/2531-0151.18v1s2.00076 ◽

2018 ◽

Author(s):

◽

Roy La Touche ◽

Mónica Grande Alonso ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Range Of Motion ◽

Chronic Low Back Pain ◽

Self Efficacy ◽

Postural Stability ◽

Pain Perception ◽

Low Back

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Perceived Injustice Helps Explain the Association Between Chronic Pain Stigma and Movement-Evoked Pain in Adults with Nonspecific Chronic Low Back Pain

Pain Medicine ◽

10.1093/pm/pnaa095 ◽

2020 ◽

Vol 21 (11) ◽

pp. 3161-3171

Author(s):

Terence M Penn ◽

Demario S Overstreet ◽

Edwin N Aroke ◽

Deanna D Rumble ◽

Andrew M Sims ◽

...

Keyword(s):

Chronic Pain ◽

Low Back Pain ◽

Back Pain ◽

Physical Function ◽

Indirect Effect ◽

Chronic Low Back Pain ◽

Pain Severity ◽

Low Back ◽

Perceived Injustice ◽

Objective Basis

Abstract Objective For most patients with chronic low back pain (cLBP), the cause is “nonspecific,” meaning there is no clear association between pain and identifiable pathology of the spine or associated tissues. Laypersons and providers alike are less inclined to help, feel less sympathy, dislike patients more, suspect deception, and attribute lower pain severity to patients whose pain does not have an objective basis in tissue pathology. Because of these stigmatizing responses from others, patients with cLBP may feel that their pain is particularly unjust and unfair. These pain-related injustice perceptions may subsequently contribute to greater cLBP severity. The purpose of this study was to examine whether perceived injustice helps explain the relationship between chronic pain stigma and movement-evoked pain severity among individuals with cLBP. Methods Participants included 105 patients with cLBP who completed questionnaires assessing chronic pain stigma and pain-related injustice perception, as well as a short physical performance battery for the assessment of movement-evoked pain and physical function. Results Findings revealed that perceived injustice significantly mediated the association between chronic pain stigma and cLBP severity (indirect effect = 6.64, 95% confidence interval [CI] = 2.041 to 14.913) and physical function (indirect effect = −0.401, 95% CI = −1.029 to −0.052). Greater chronic pain stigma was associated with greater perceived injustice (P = 0.001), which in turn was associated with greater movement-evoked pain severity (P = 0.003). Conclusions These results suggest that perceived injustice may be a means through which chronic pain stigma impacts nonspecific cLBP severity and physical function.

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Reverse transformation of Modic Type 2 changes to Modic Type 1 changes during sustained chronic low-back pain severity

Journal of Neurosurgery Spine ◽

10.3171/spi.2007.6.2.152 ◽

2007 ◽

Vol 6 (2) ◽

pp. 152-155 ◽

Cited By ~ 28

Author(s):

Laurence A. G. Marshman ◽

Matthew Trewhella ◽

Tai Friesem ◽

Chandra K. Bhatia ◽

Manoj Krishna

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Reverse Transformation ◽

Pain Severity ◽

Low Back ◽

Modic Type ◽

Generating Capacity

✓Modic Type 2 (MT2) neuroimaging changes are considered stable or invariant over time and relatively quiescent, whereas Modic Type 1 (MT1) changes are considered unstable and more symptomatic. The authors report two cases in which MT2 changes were symptomatic and evidently unstable, and in which chronic low-back pain severity remained unaltered despite a MT2–MT1 reverse transformation. Two women (41 and 48 years old) both presented with chronic low-back pain. Magnetic resonance (MR) images demonstrated degenerating discs at L5–S1 associated with well-established MT2 changes in adjacent vertebrae. Repeated MR imaging in these two patients after 11 months and 7 years, respectively, revealed reverse transformation of the MT2 changes into more florid MT1 changes, despite unaltered chronic low-back pain severity. Following anterior discectomy and disc arthroplasty, immediate abolition of chronic low-back pain was achieved in both patients and sustained at 3-year follow up. Modic Type 2 changes are therefore neither as stable nor as quiescent as originally believed. Each type can change, with equal symptom-generating capacity. More representative imaging–pathological correlates are required to determine the precise nature of MT changes.

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Burden of Chronic Low Back Pain: Association With Pain Severity and Prescription Medication Use in Five Large European Countries

Pain Practice ◽

10.1111/papr.13093 ◽

2021 ◽

Author(s):

Serge Perrot ◽

Michael J Doane ◽

Dena H Jaffe ◽

Erika Dragon ◽

Lucy Abraham ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Medication Use ◽

Prescription Medication ◽

European Countries ◽

Pain Severity ◽

Low Back

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Comparing lumbosacral orthosis to routine physical therapy on postural stability in patients with chronic low back pain: A randomized trial

Medical Journal of the Islamic Republic of Iran ◽

10.18869/mjiri.31.26 ◽

2017 ◽

Vol 31 (1) ◽

pp. 150-157 ◽

Cited By ~ 2

Author(s):

Fatemeh Azadinia ◽

Ismail Ebrahimi-Takamjani ◽

Mojtaba Kamyab ◽

Mohamad Parnianpour ◽

Morteza Asgari ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Physical Therapy ◽

Randomized Trial ◽

Chronic Low Back Pain ◽

Postural Stability ◽

Low Back

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Effects of exercise therapy on postural stability, multifidus thickness, and pain intensity in patients with chronic low-back pain

Developments in Health Sciences ◽

10.1556/2066.2.2019.003 ◽

2019 ◽

Vol 2 (1) ◽

pp. 15-21

Author(s):

R Finta ◽

I Polyák ◽

T Bender ◽

E Nagy

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Exercise Therapy ◽

Chronic Low Back Pain ◽

Postural Stability ◽

Training Group ◽

Training Programme ◽

Low Back ◽

Before And After

Purpose We examined the effects of exercise therapy on postural stability, multifidus thickness, and pain intensity in patients with low-back pain. Materials and methods Subjects were divided into a chronic low-back pain (CLBP; n = 10) group and a healthy control (C; n = 10) group. Group CLBP took part in an 8-week training programme, whereas group C did not. The thickness of the multifidus in both groups was assessed using ultrasonography before and after 8 weeks, in prone and kneeling positions, in relaxed and contracted states. A standing heel-raising test was used to assess postural stability. Results After the intervention in group CLBP, the thickness of the contracted multifidus increased in the prone position, whereas the thickness of both the contracted and relaxed multifidus decreased in the kneeling position. In group C after 8 weeks, multifidus thickness decreased in both positions, while both relaxed and contracted. Group C performed the standing heel-raising test significantly better than group CLBP before the 8-week period. After the training, group CLBP improved significantly, but no changes were found in group C. Discussion and conclusions Changes in thickness of the multifidus correlate with improved postural stability and decreased pain intensity. Decreasing thickness in healthy individuals may be an early sign of developing CLBP.

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