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Publication type: Article in scientific journal
Type of review: Open peer review
Title: Sensorimotor and body perception assessments of nonspecific chronic low back pain : a cross-sectional study
Authors: Meier, R.
Emch, C.
Gross-Wolf, C.
Pfeiffer, Fabian
Meichtry, André
Schmid, A.
Luomajoki, Hannu
et. al: No
DOI: 10.1186/s12891-021-04269-7
Published in: BMC Musculoskeletal Disorders
Volume(Issue): 22
Issue: 391
Issue Date: Apr-2021
Publisher / Ed. Institution: BioMed Central
ISSN: 1471-2474
Language: English
Subjects: Back-photo assessment; Chronic nonspecific low back pain; Movement control test; Two-point discrimination
Subject (DDC): 617.5: Orthopaedic surgery
Abstract: Background: Low back pain (LBP) is one of the most common musculoskeletal disorders, causing significant personal and social burden. Current research is focused on the processes of the central nervous system (particularly the sensorimotor system) and body perception, with a view to developing new and more efficient ways to treat chronic low back pain (CLBP). Several clinical tests have been suggested that might have the ability to detect alterations in the sensorimotor system. These include back-photo assessment (BPA), two-point discrimination (TPD), and the movement control tests (MCT). The aim of this study was to determine whether the simple clinical tests of BPA, TPD or MCT are able to discriminate between nonspecific CLBP subjects with altered body perception and healthy controls. Methods: A cross-sectional study was conducted. At one point in time, 30 subjects with CLBP and 30 healthy controls were investigated through using BPA, TPD and MCT on the lower back. Correlations among the main covariates and odds ratios for group differences were calculated. Results: MCT showed an odds ratio for the presence of CLBP of 1.92, with a statistically significant p-value (0.049) and 95%CI. The TPD and BPA tests were unable to determine significant differences between the groups. Conclusions: Of the three tests investigated, MCT was found to be the only suitable assessment to discriminate between nonspecific CLBP subjects and healthy controls. The MCT can be recommended as a simple clinical tool to detect alterations in the sensorimotor system of nonspecific CLBP subjects. This could facilitate the development of tailored management strategies for this challenging LBP subgroup. However, further research is necessary to elucidate the potential of all the tests to detect alterations in the sensorimotor system of CLBP subjects.
Fulltext version: Published version
License (according to publishing contract): CC BY 4.0: Attribution 4.0 International
Departement: Health Professions
Organisational Unit: Institute of Physiotherapy (IPT)
Appears in collections:Publikationen Gesundheit

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