Lumbo-pelvic proprioception in sitting is impaired in subgroups of low back pain–But the clinical utility of the differences is unclear. A systematic review and meta-analysis
<h3>Background</h3><p dir="ltr">Altered spinal postures and altered motor control observed among people with non-specific low back pain have been associated with abnormal processing of sensory inputs. Evidence indicates that patients with non-specific low back pain have i...
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| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , , , |
| منشور في: |
2021
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| الموضوعات: | |
| الوسوم: |
إضافة وسم
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| _version_ | 1864513549600030720 |
|---|---|
| author | Vasileios Korakakis (5069123) |
| author2 | Kieran O’Sullivan (5813168) Argyro Kotsifaki (10701966) Yiannis Sotiralis (5813171) Giannis Giakas (5813186) |
| author2_role | author author author author |
| author_facet | Vasileios Korakakis (5069123) Kieran O’Sullivan (5813168) Argyro Kotsifaki (10701966) Yiannis Sotiralis (5813171) Giannis Giakas (5813186) |
| author_role | author |
| dc.creator.none.fl_str_mv | Vasileios Korakakis (5069123) Kieran O’Sullivan (5813168) Argyro Kotsifaki (10701966) Yiannis Sotiralis (5813171) Giannis Giakas (5813186) |
| dc.date.none.fl_str_mv | 2021-04-26T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1371/journal.pone.0250673 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Lumbo-pelvic_proprioception_in_sitting_is_impaired_in_subgroups_of_low_back_pain_But_the_clinical_utility_of_the_differences_is_unclear_A_systematic_review_and_meta-analysis/28930715 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Neurosciences Health sciences Allied health and rehabilitation science Sports science and exercise Non-specific low back pain (NSLBP) Lumbo-pelvic proprioception Seated posture Proprioceptive acuity Motor control |
| dc.title.none.fl_str_mv | Lumbo-pelvic proprioception in sitting is impaired in subgroups of low back pain–But the clinical utility of the differences is unclear. A systematic review and meta-analysis |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Background</h3><p dir="ltr">Altered spinal postures and altered motor control observed among people with non-specific low back pain have been associated with abnormal processing of sensory inputs. Evidence indicates that patients with non-specific low back pain have impaired lumbo-pelvic proprioceptive acuity compared to asymptomatic individuals.</p><h3>Objective</h3><p dir="ltr">To systematically review seated lumbo-pelvic proprioception among people with non-specific low back pain.</p><h3>Methods</h3><p dir="ltr">Five electronic databases were searched to identify studies comparing lumbo-pelvic proprioception using active repositioning accuracy in sitting posture in individuals with and without non-specific low back pain. Study quality was assessed by using a modified Downs and Black’s checklist. Risk of bias was assessed using an adapted tool for cross-sectional design and case–control studies. We performed meta-analysis using a random effects model. Meta-analyses included subgroup analyses according to disability level, directional subgrouping pattern, and availability of vision during testing. We rated the quality of evidence using the GRADE approach.</p><h3>Results</h3><p dir="ltr">16 studies met the eligibility criteria. Pooled meta-analyses were possible for absolute error, variable error, and constant error, measured in sagittal and transverse planes. There is very low and low certainty evidence of greater absolute and variable repositioning error in seated tasks among non-specific low back pain patients overall compared to asymptomatic individuals (sagittal plane). Subgroup analyses indicate moderate certainty evidence of greater absolute and variable error in seated tasks among directional subgroups of adults with non-specific low back pain, along with weaker evidence (low-very low certainty) of greater constant error.</p><h3>Discussion</h3><p dir="ltr">Lumbo-pelvic proprioception is impaired among people with non-specific low back pain. However, the low certainty of evidence, the small magnitude of error observed and the calculated “noise” of proprioception measures, suggest that any observed differences in lumbo-pelvic proprioception may be of limited clinical utility.</p><p dir="ltr"><b>PROSPERO-ID</b></p><p dir="ltr"><a href="https://clinicaltrials.gov/ct2/show/CRD42018107671" target="_blank">CRD42018107671</a></p><h2>Other Information</h2><p dir="ltr">Published in: PLOS ONE<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1371/journal.pone.0250673" target="_blank">https://dx.doi.org/10.1371/journal.pone.0250673</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_f31fc14d0c1d0e855e67fa58d3f4f01c |
| identifier_str_mv | 10.1371/journal.pone.0250673 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/28930715 |
| publishDate | 2021 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Lumbo-pelvic proprioception in sitting is impaired in subgroups of low back pain–But the clinical utility of the differences is unclear. A systematic review and meta-analysisVasileios Korakakis (5069123)Kieran O’Sullivan (5813168)Argyro Kotsifaki (10701966)Yiannis Sotiralis (5813171)Giannis Giakas (5813186)Biomedical and clinical sciencesNeurosciencesHealth sciencesAllied health and rehabilitation scienceSports science and exerciseNon-specific low back pain (NSLBP)Lumbo-pelvic proprioceptionSeated postureProprioceptive acuityMotor control<h3>Background</h3><p dir="ltr">Altered spinal postures and altered motor control observed among people with non-specific low back pain have been associated with abnormal processing of sensory inputs. Evidence indicates that patients with non-specific low back pain have impaired lumbo-pelvic proprioceptive acuity compared to asymptomatic individuals.</p><h3>Objective</h3><p dir="ltr">To systematically review seated lumbo-pelvic proprioception among people with non-specific low back pain.</p><h3>Methods</h3><p dir="ltr">Five electronic databases were searched to identify studies comparing lumbo-pelvic proprioception using active repositioning accuracy in sitting posture in individuals with and without non-specific low back pain. Study quality was assessed by using a modified Downs and Black’s checklist. Risk of bias was assessed using an adapted tool for cross-sectional design and case–control studies. We performed meta-analysis using a random effects model. Meta-analyses included subgroup analyses according to disability level, directional subgrouping pattern, and availability of vision during testing. We rated the quality of evidence using the GRADE approach.</p><h3>Results</h3><p dir="ltr">16 studies met the eligibility criteria. Pooled meta-analyses were possible for absolute error, variable error, and constant error, measured in sagittal and transverse planes. There is very low and low certainty evidence of greater absolute and variable repositioning error in seated tasks among non-specific low back pain patients overall compared to asymptomatic individuals (sagittal plane). Subgroup analyses indicate moderate certainty evidence of greater absolute and variable error in seated tasks among directional subgroups of adults with non-specific low back pain, along with weaker evidence (low-very low certainty) of greater constant error.</p><h3>Discussion</h3><p dir="ltr">Lumbo-pelvic proprioception is impaired among people with non-specific low back pain. However, the low certainty of evidence, the small magnitude of error observed and the calculated “noise” of proprioception measures, suggest that any observed differences in lumbo-pelvic proprioception may be of limited clinical utility.</p><p dir="ltr"><b>PROSPERO-ID</b></p><p dir="ltr"><a href="https://clinicaltrials.gov/ct2/show/CRD42018107671" target="_blank">CRD42018107671</a></p><h2>Other Information</h2><p dir="ltr">Published in: PLOS ONE<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1371/journal.pone.0250673" target="_blank">https://dx.doi.org/10.1371/journal.pone.0250673</a></p>2021-04-26T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1371/journal.pone.0250673https://figshare.com/articles/journal_contribution/Lumbo-pelvic_proprioception_in_sitting_is_impaired_in_subgroups_of_low_back_pain_But_the_clinical_utility_of_the_differences_is_unclear_A_systematic_review_and_meta-analysis/28930715CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/289307152021-04-26T09:00:00Z |
| spellingShingle | Lumbo-pelvic proprioception in sitting is impaired in subgroups of low back pain–But the clinical utility of the differences is unclear. A systematic review and meta-analysis Vasileios Korakakis (5069123) Biomedical and clinical sciences Neurosciences Health sciences Allied health and rehabilitation science Sports science and exercise Non-specific low back pain (NSLBP) Lumbo-pelvic proprioception Seated posture Proprioceptive acuity Motor control |
| status_str | publishedVersion |
| title | Lumbo-pelvic proprioception in sitting is impaired in subgroups of low back pain–But the clinical utility of the differences is unclear. A systematic review and meta-analysis |
| title_full | Lumbo-pelvic proprioception in sitting is impaired in subgroups of low back pain–But the clinical utility of the differences is unclear. A systematic review and meta-analysis |
| title_fullStr | Lumbo-pelvic proprioception in sitting is impaired in subgroups of low back pain–But the clinical utility of the differences is unclear. A systematic review and meta-analysis |
| title_full_unstemmed | Lumbo-pelvic proprioception in sitting is impaired in subgroups of low back pain–But the clinical utility of the differences is unclear. A systematic review and meta-analysis |
| title_short | Lumbo-pelvic proprioception in sitting is impaired in subgroups of low back pain–But the clinical utility of the differences is unclear. A systematic review and meta-analysis |
| title_sort | Lumbo-pelvic proprioception in sitting is impaired in subgroups of low back pain–But the clinical utility of the differences is unclear. A systematic review and meta-analysis |
| topic | Biomedical and clinical sciences Neurosciences Health sciences Allied health and rehabilitation science Sports science and exercise Non-specific low back pain (NSLBP) Lumbo-pelvic proprioception Seated posture Proprioceptive acuity Motor control |