Is there a relationship between pain intensity and postural sway in patients with non-specific low back pain?
2011

Pain Intensity and Postural Sway in Low Back Pain Patients

Sample size: 154 publication 10 minutes Evidence: moderate

Author Information

Author(s): Alexander Ruhe, René Fejer, Bruce Walker

Primary Institution: Murdoch University

Hypothesis

Is there a relationship between pain intensity and postural sway in patients with non-specific low back pain?

Conclusion

Increased pain intensity is associated with greater postural sway in patients with non-specific low back pain.

Supporting Evidence

  • Postural instability was confirmed in pain sufferers compared to healthy controls.
  • Regression analysis showed a significant increase in postural sway with higher pain ratings.
  • Statistically significant changes in sway velocity and area were observed with incremental changes in pain scores.

Takeaway

If you have back pain, standing still might be harder for you. The more pain you feel, the more you might sway when you stand.

Methodology

77 patients with non-specific low back pain and 77 healthy controls were measured for postural sway using a force plate while standing still with eyes closed.

Potential Biases

The subjective nature of pain perception may have influenced the results.

Limitations

The study could not enroll enough participants for all pain intensity groups, particularly those with very high pain scores.

Participant Demographics

77 patients with non-specific low back pain (37 females, 45%) and 77 healthy controls, aged 50 or less.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI for mVel ML: 0.79-0.99; 95% CI for mVel AP: 0.76-0.88

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2474-12-162

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