Spinal movement variability associated with low back pain: A scoping review.

<h4>Objective</h4>To identify suggestions for future research on spinal movement variability (SMV) in individuals with low back pain (LBP) by investigating (1) the methodologies and statistical tools used to assess SMV; (2) characteristics that influence the direction of change in SMV; (...

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Autores principales:	Hiroki Saito, Yoshiteru Watanabe, Toshiki Kutsuna, Toshihiro Futohashi, Yasuaki Kusumoto, Hiroki Chiba, Masayoshi Kubo, Hiroshi Takasaki
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/50e1c78240d64098a28dccccf7eae432
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spelling	oai:doaj.org-article:50e1c78240d64098a28dccccf7eae4322021-12-02T20:11:15ZSpinal movement variability associated with low back pain: A scoping review.1932-620310.1371/journal.pone.0252141https://doaj.org/article/50e1c78240d64098a28dccccf7eae4322021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252141https://doaj.org/toc/1932-6203<h4>Objective</h4>To identify suggestions for future research on spinal movement variability (SMV) in individuals with low back pain (LBP) by investigating (1) the methodologies and statistical tools used to assess SMV; (2) characteristics that influence the direction of change in SMV; (3) the methodological quality and potential biases in the published studies; and (4) strategies for optimizing SMV in LBP patients.<h4>Methods</h4>We searched literature databases (CENTRAL, Medline, PubMed, Embase, and CINAHL) and comprehensively reviewed the relevant papers up to 5 May 2020. Eligibility criteria included studies investigating SMV in LBP subjects by measuring trunk angle using motion capture devices during voluntary repeated trunk movements in any plane. The Newcastle-Ottawa risk of bias tool was used for data quality assessment. Results were reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews.<h4>Results</h4>Eighteen studies were included: 14 cross-sectional and 4 prospective studies. Seven linear and non-linear statistical tools were used. Common movement tasks included trunk forward bending and backward return, and object lifting. Study results on SMV changes associated with LBP were inconsistent. Two of the three interventional studies reported changes in SMV, one of which was a randomized controlled trial (RCT) involving neuromuscular exercise interventions. Many studies did not account for the potential risk of selection bias in the LBP population.<h4>Conclusion</h4>Designers of future studies should recognize that each of the two types of statistical tools assesses functionally different aspects of SMV. Future studies should also consider dividing participants into subgroups according to LBP characteristics, as three potential subgroups with different SMV characteristics were proposed in our study. Different task demands also produced different effects. We found preliminary evidence in a RCT that neuromuscular exercises could modify SMV, suggesting a rationale for well-designed RCTs involving neuromuscular exercise interventions in future studies.Hiroki SaitoYoshiteru WatanabeToshiki KutsunaToshihiro FutohashiYasuaki KusumotoHiroki ChibaMasayoshi KuboHiroshi TakasakiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0252141 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Hiroki Saito Yoshiteru Watanabe Toshiki Kutsuna Toshihiro Futohashi Yasuaki Kusumoto Hiroki Chiba Masayoshi Kubo Hiroshi Takasaki Spinal movement variability associated with low back pain: A scoping review.
description	<h4>Objective</h4>To identify suggestions for future research on spinal movement variability (SMV) in individuals with low back pain (LBP) by investigating (1) the methodologies and statistical tools used to assess SMV; (2) characteristics that influence the direction of change in SMV; (3) the methodological quality and potential biases in the published studies; and (4) strategies for optimizing SMV in LBP patients.<h4>Methods</h4>We searched literature databases (CENTRAL, Medline, PubMed, Embase, and CINAHL) and comprehensively reviewed the relevant papers up to 5 May 2020. Eligibility criteria included studies investigating SMV in LBP subjects by measuring trunk angle using motion capture devices during voluntary repeated trunk movements in any plane. The Newcastle-Ottawa risk of bias tool was used for data quality assessment. Results were reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews.<h4>Results</h4>Eighteen studies were included: 14 cross-sectional and 4 prospective studies. Seven linear and non-linear statistical tools were used. Common movement tasks included trunk forward bending and backward return, and object lifting. Study results on SMV changes associated with LBP were inconsistent. Two of the three interventional studies reported changes in SMV, one of which was a randomized controlled trial (RCT) involving neuromuscular exercise interventions. Many studies did not account for the potential risk of selection bias in the LBP population.<h4>Conclusion</h4>Designers of future studies should recognize that each of the two types of statistical tools assesses functionally different aspects of SMV. Future studies should also consider dividing participants into subgroups according to LBP characteristics, as three potential subgroups with different SMV characteristics were proposed in our study. Different task demands also produced different effects. We found preliminary evidence in a RCT that neuromuscular exercises could modify SMV, suggesting a rationale for well-designed RCTs involving neuromuscular exercise interventions in future studies.
format	article
author	Hiroki Saito Yoshiteru Watanabe Toshiki Kutsuna Toshihiro Futohashi Yasuaki Kusumoto Hiroki Chiba Masayoshi Kubo Hiroshi Takasaki
author_facet	Hiroki Saito Yoshiteru Watanabe Toshiki Kutsuna Toshihiro Futohashi Yasuaki Kusumoto Hiroki Chiba Masayoshi Kubo Hiroshi Takasaki
author_sort	Hiroki Saito
title	Spinal movement variability associated with low back pain: A scoping review.
title_short	Spinal movement variability associated with low back pain: A scoping review.
title_full	Spinal movement variability associated with low back pain: A scoping review.
title_fullStr	Spinal movement variability associated with low back pain: A scoping review.
title_full_unstemmed	Spinal movement variability associated with low back pain: A scoping review.
title_sort	spinal movement variability associated with low back pain: a scoping review.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/50e1c78240d64098a28dccccf7eae432
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Spinal movement variability associated with low back pain: A scoping review.

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