Lumbar segmental mobility disorders: comparison of two methods of defining abnormal displacement kinematics in a cohort of patients with non-specific mechanical low back pain
2006

Comparing Methods for Diagnosing Low Back Pain Disorders

Sample size: 138 publication 10 minutes Evidence: moderate

Author Information

Author(s): Abbott J Haxby, Fritz Julie M, McCane Brendan, Shultz Barry, Herbison Peter, Lyons Brett, Stefanko Georgia, Walsh Richard M

Primary Institution: Clarity Clinical Research Consultants, Dunedin, New Zealand

Hypothesis

The study aims to compare two methods for defining abnormal lumbar segmental mobility disorders in patients with non-specific low back pain.

Conclusion

The study found that lumbar segmental mobility disorders are valid for defining sub-groups within non-specific low back pain, with higher prevalence using a novel method.

Supporting Evidence

  • The study used a cohort of 138 patients with recurrent or chronic low back pain.
  • Statistical analysis showed significant differences in lumbar segmental mobility disorders between the patient group and asymptomatic individuals.
  • The novel method identified more segments with mobility disorders compared to the conventional method.

Takeaway

Doctors are trying to figure out how to better understand back pain by looking at how the spine moves. They found that some ways of measuring this can show more problems than others.

Methodology

The study involved measuring lumbar spine motion in patients with chronic low back pain using radiographs and comparing the results to a reference group of asymptomatic individuals.

Potential Biases

Potential bias exists due to the reliance on self-reported pain and disability measures.

Limitations

The study's normative data is based on a small sample of asymptomatic volunteers, and there may be gender imbalances between the groups.

Participant Demographics

The study included 138 patients with recurrent or chronic low back pain, with 55% male and 45% female participants.

Statistical Information

P-Value

p<0.0005

Confidence Interval

95%CI 1.2, 7.1

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2474-7-45

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