Validity of a Screening Tool for Patients with a Sub-Threshold Level of Lumbar Instability: A Cross-Sectional Study

Lumbar instability (LI) comprises one subgroup of those with chronic low back pain (CLBP); it indicates the impairment of at least one of the spinal stabilizing systems, and radiographic criteria of translation and rotation are used for its diagnosis. Previous studies have developed and tested a scr...

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Autores principales:	Arisa Leungbootnak, Rungthip Puntumetakul, Jaturat Kanpittaya, Thiwaphon Chatprem, Rose Boucaut
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	sub-threshold lumbar instability non-radiological lumbar instability lumbar instability radiography lumbar translation lumbar rotation Medicine R
Acceso en línea:	https://doaj.org/article/f1bbbb843541416a97ac968e48608009
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spelling	oai:doaj.org-article:f1bbbb843541416a97ac968e486080092021-11-25T17:51:32ZValidity of a Screening Tool for Patients with a Sub-Threshold Level of Lumbar Instability: A Cross-Sectional Study10.3390/ijerph1822121511660-46011661-7827https://doaj.org/article/f1bbbb843541416a97ac968e486080092021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12151https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Lumbar instability (LI) comprises one subgroup of those with chronic low back pain (CLBP); it indicates the impairment of at least one of the spinal stabilizing systems, and radiographic criteria of translation and rotation are used for its diagnosis. Previous studies have developed and tested a screening tool for LI where patients with sub-threshold lumbar instability (STLI) were detected in the initial stage of lumbar pathology using radiographs as a gold standard for diagnosis. The radiographic measurement in STLI lies between the range of translation and rotation of the LI and asymptomatic lumbar motion. However, there are no studies indicating the validity and cut-off points of the screening tool for STLI. The current study aimed to determine the validity of an LI screening tool to support the diagnostic process in patients with STLI. This study design was cross-sectional in nature. A total of 135 participants with CLBP, aged between 20 and 60 years, who had undergone flexion and extension radiographs, answered a screening tool with 14 questions. The cut-off score for identifying STLI using the screening tool was at least 6/14 positive responses to the LI questions. The findings suggested that the LI screening tool we tested is effective for the detection of STLI. The tool can be used in outpatient settings.Arisa LeungbootnakRungthip PuntumetakulJaturat KanpittayaThiwaphon ChatpremRose BoucautMDPI AGarticlesub-threshold lumbar instabilitynon-radiological lumbar instabilitylumbar instabilityradiographylumbar translationlumbar rotationMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12151, p 12151 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	sub-threshold lumbar instability non-radiological lumbar instability lumbar instability radiography lumbar translation lumbar rotation Medicine R
spellingShingle	sub-threshold lumbar instability non-radiological lumbar instability lumbar instability radiography lumbar translation lumbar rotation Medicine R Arisa Leungbootnak Rungthip Puntumetakul Jaturat Kanpittaya Thiwaphon Chatprem Rose Boucaut Validity of a Screening Tool for Patients with a Sub-Threshold Level of Lumbar Instability: A Cross-Sectional Study
description	Lumbar instability (LI) comprises one subgroup of those with chronic low back pain (CLBP); it indicates the impairment of at least one of the spinal stabilizing systems, and radiographic criteria of translation and rotation are used for its diagnosis. Previous studies have developed and tested a screening tool for LI where patients with sub-threshold lumbar instability (STLI) were detected in the initial stage of lumbar pathology using radiographs as a gold standard for diagnosis. The radiographic measurement in STLI lies between the range of translation and rotation of the LI and asymptomatic lumbar motion. However, there are no studies indicating the validity and cut-off points of the screening tool for STLI. The current study aimed to determine the validity of an LI screening tool to support the diagnostic process in patients with STLI. This study design was cross-sectional in nature. A total of 135 participants with CLBP, aged between 20 and 60 years, who had undergone flexion and extension radiographs, answered a screening tool with 14 questions. The cut-off score for identifying STLI using the screening tool was at least 6/14 positive responses to the LI questions. The findings suggested that the LI screening tool we tested is effective for the detection of STLI. The tool can be used in outpatient settings.
format	article
author	Arisa Leungbootnak Rungthip Puntumetakul Jaturat Kanpittaya Thiwaphon Chatprem Rose Boucaut
author_facet	Arisa Leungbootnak Rungthip Puntumetakul Jaturat Kanpittaya Thiwaphon Chatprem Rose Boucaut
author_sort	Arisa Leungbootnak
title	Validity of a Screening Tool for Patients with a Sub-Threshold Level of Lumbar Instability: A Cross-Sectional Study
title_short	Validity of a Screening Tool for Patients with a Sub-Threshold Level of Lumbar Instability: A Cross-Sectional Study
title_full	Validity of a Screening Tool for Patients with a Sub-Threshold Level of Lumbar Instability: A Cross-Sectional Study
title_fullStr	Validity of a Screening Tool for Patients with a Sub-Threshold Level of Lumbar Instability: A Cross-Sectional Study
title_full_unstemmed	Validity of a Screening Tool for Patients with a Sub-Threshold Level of Lumbar Instability: A Cross-Sectional Study
title_sort	validity of a screening tool for patients with a sub-threshold level of lumbar instability: a cross-sectional study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/f1bbbb843541416a97ac968e48608009
work_keys_str_mv	AT arisaleungbootnak validityofascreeningtoolforpatientswithasubthresholdleveloflumbarinstabilityacrosssectionalstudy AT rungthippuntumetakul validityofascreeningtoolforpatientswithasubthresholdleveloflumbarinstabilityacrosssectionalstudy AT jaturatkanpittaya validityofascreeningtoolforpatientswithasubthresholdleveloflumbarinstabilityacrosssectionalstudy AT thiwaphonchatprem validityofascreeningtoolforpatientswithasubthresholdleveloflumbarinstabilityacrosssectionalstudy AT roseboucaut validityofascreeningtoolforpatientswithasubthresholdleveloflumbarinstabilityacrosssectionalstudy
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Validity of a Screening Tool for Patients with a Sub-Threshold Level of Lumbar Instability: A Cross-Sectional Study

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