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Is there evidence to use kinematic/kinetic measures clinically in low back pain patients? A systematic review
BACKGROUND: Currently, there is a widespread reliance on self-reported questionnaires to assess low back pain patients. However, it has been suggested that objective measures of low back pain patients' functional status should be used to aid clinical assessment. The aim of this study is to syst...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier Science
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6161016/ https://www.ncbi.nlm.nih.gov/pubmed/29684790 http://dx.doi.org/10.1016/j.clinbiomech.2018.04.006 |
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author | Papi, Enrica Bull, Anthony M.J. McGregor, Alison H. |
author_facet | Papi, Enrica Bull, Anthony M.J. McGregor, Alison H. |
author_sort | Papi, Enrica |
collection | PubMed |
description | BACKGROUND: Currently, there is a widespread reliance on self-reported questionnaires to assess low back pain patients. However, it has been suggested that objective measures of low back pain patients' functional status should be used to aid clinical assessment. The aim of this study is to systematically review which kinematic /kinetic parameters have been used to assess low back pain patients against healthy controls and to propose clinical kinematic/kinetic measures. METHODS: PubMed, Embase and Scopus databases were searched for relevant studies. Reference lists of selected studies and hand searches were performed. Studies had to compare people with and without non-specific low back pain while performing functional tasks and report body segment/joint kinematic and/or kinetic data. Two reviewers independently identified relevant papers. FINDINGS: Sixty-two studies were included. Common biases identified were lack of assessor blinding and sample size calculation, use of samples of convenience, and poor experimental protocol standardization. Studies had small sample sizes. Range of motion maneuvers were the main task performed (33/62). Kinematic/kinetic data of different individual or combination of body segments/joints were reported among the studies, commonest was to assess the hip joint and lumbar segment motion (13/62). Only one study described full body movement. The most commonly reported outcome was range of motion. Statistically significant differences between controls and low back pain groups were reported for different outcomes among the studies. Moreover, when the same outcome was reported disagreements were noted. INTERPRETATION: The literature to date offers limited and inconsistent evidence of kinematic/kinetic measures in low back pain patients that could be used clinically. |
format | Online Article Text |
id | pubmed-6161016 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-61610162018-10-01 Is there evidence to use kinematic/kinetic measures clinically in low back pain patients? A systematic review Papi, Enrica Bull, Anthony M.J. McGregor, Alison H. Clin Biomech (Bristol, Avon) Article BACKGROUND: Currently, there is a widespread reliance on self-reported questionnaires to assess low back pain patients. However, it has been suggested that objective measures of low back pain patients' functional status should be used to aid clinical assessment. The aim of this study is to systematically review which kinematic /kinetic parameters have been used to assess low back pain patients against healthy controls and to propose clinical kinematic/kinetic measures. METHODS: PubMed, Embase and Scopus databases were searched for relevant studies. Reference lists of selected studies and hand searches were performed. Studies had to compare people with and without non-specific low back pain while performing functional tasks and report body segment/joint kinematic and/or kinetic data. Two reviewers independently identified relevant papers. FINDINGS: Sixty-two studies were included. Common biases identified were lack of assessor blinding and sample size calculation, use of samples of convenience, and poor experimental protocol standardization. Studies had small sample sizes. Range of motion maneuvers were the main task performed (33/62). Kinematic/kinetic data of different individual or combination of body segments/joints were reported among the studies, commonest was to assess the hip joint and lumbar segment motion (13/62). Only one study described full body movement. The most commonly reported outcome was range of motion. Statistically significant differences between controls and low back pain groups were reported for different outcomes among the studies. Moreover, when the same outcome was reported disagreements were noted. INTERPRETATION: The literature to date offers limited and inconsistent evidence of kinematic/kinetic measures in low back pain patients that could be used clinically. Elsevier Science 2018-06 /pmc/articles/PMC6161016/ /pubmed/29684790 http://dx.doi.org/10.1016/j.clinbiomech.2018.04.006 Text en © 2018 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Papi, Enrica Bull, Anthony M.J. McGregor, Alison H. Is there evidence to use kinematic/kinetic measures clinically in low back pain patients? A systematic review |
title | Is there evidence to use kinematic/kinetic measures clinically in low back pain patients? A systematic review |
title_full | Is there evidence to use kinematic/kinetic measures clinically in low back pain patients? A systematic review |
title_fullStr | Is there evidence to use kinematic/kinetic measures clinically in low back pain patients? A systematic review |
title_full_unstemmed | Is there evidence to use kinematic/kinetic measures clinically in low back pain patients? A systematic review |
title_short | Is there evidence to use kinematic/kinetic measures clinically in low back pain patients? A systematic review |
title_sort | is there evidence to use kinematic/kinetic measures clinically in low back pain patients? a systematic review |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6161016/ https://www.ncbi.nlm.nih.gov/pubmed/29684790 http://dx.doi.org/10.1016/j.clinbiomech.2018.04.006 |
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