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, Kieran O’Sullivan, Argyro Kotsifaki, Yiannis Sotiralis, Giannis Giakas

Research output: Contribution to journalArticlepeer-review

Abstract

Background 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. Objective To systematically review seated lumbo-pelvic proprioception among people with non-specific low back pain. Methods 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. Results 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 nonspecific low back pain, along with weaker evidence (low-very low certainty) of greater constant error. Discussion 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.

Original languageEnglish
Article numbere0250673
Pages (from-to)e0250673
JournalPLoS ONE
Volume16
Issue number4 April
DOIs
Publication statusPublished - Apr 2021

Fingerprint

Dive into the research topics of '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'. Together they form a unique fingerprint.

Cite this