Does low back pain affect the reliability of postural regulation?

Somatosens Mot Res. 2019 Jun;36(2):116-121. doi: 10.1080/08990220.2019.1615427. Epub 2019 May 22.

Abstract

The aim of this study was to examine the intraobserver reliability of a posturographic assessment in patients with low back pain. We investigated 24 symptomatic subjects with defined low back pain (mean: 57.9 years) and a pair-matched control group including 24 asymptomatic persons (mean: 58.1 years). Each participant underwent two measurements on a posturographic device (32 Hz sampling rate) based on the Interactive Balance System (time interval: 7 d). Test procedure consisted of tests on solid ground with eyes open (1) and eyes closed (2). Data analysis included parameters of motor output and a frequency band analysis. Reliability tests were realized using by intraclass correlations (ICC). Coefficients of ICC ranged from 0.36 (95% CI: 0.01-0.73) to 0.94 (95% CI: 0.86-0.97) in both test positions. For 69% (11/16) of the investigated parameters a high level (ICC > 0.75) of intraobserver reliability was reached. Based on the results, the posturographic measurement system used in this study seems to be appropriate for use in longitudinal study designs in an orthopaedic setting.

Keywords: Intraobserver reliability; postural control; posturography.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Diagnostic Techniques, Neurological / standards*
  • Female
  • Humans
  • Longitudinal Studies
  • Low Back Pain / diagnosis*
  • Low Back Pain / physiopathology*
  • Male
  • Middle Aged
  • Observer Variation
  • Postural Balance / physiology*
  • Reproducibility of Results