Low Back Pain Clinical Trial
Official title:
Biodex Balance System Cut-off Scores in Geriatric Individuals With Non-Specific Low Back Pain
Low back pain (LBP) is an important musculoskeletal problem that causes clinical, social and
economic losses. LBP, which affects approximately 85% of the lifetime population, becomes
chronic LBP in 23% of individuals lasting 3 months or more. Although there are various forms
of LBP, the most common form is non-specific low back pain (NSLBP). There are no specific and
definable pathologies in NSLBP such as a history of spinal surgery, presence of neurological
deficit, facet joint problem, disc herniation and sacroiliac joint dysfunction.
Biodex Balance System (Biodex Medical Systems, Shirley, NY) (BBS) is a device used for
objective evaluation of static and dynamic balance, allowing free movement in mediolateral
and anteroposterior directions. The validity-reliability studies of the BBS were conducted in
various populations including active, non-active, young adult and geriatric individuals, and
individuals with ankle sprains. The validity-reliability study of individuals with NSLBP was
reported by Sherafat et al. has a strong-excellent correlation with four-square step test,
timed-up-and-go test, Berg Balance Scale, and single leg stance test.
Studies have emphasized the use of BBS in geriatric individuals with NSLBP, but no data on
the cut-off scores of this system have been found. The determination of a cut-off score with
high sensitivity and specificity is thought to be beneficial for detecting deterioration in
functional status in geriatric individuals with NSLBP. Therefore, the aim of our study is to
determine BBS cut-off scores in geriatric individuals with NSLBP.
Low back pain (LBP) is an important musculoskeletal problem that causes clinical, social and
economic losses. LBP, which affects approximately 85% of the lifetime population, becomes
chronic LBP in 23% of individuals lasting 3 months or more. Although there are various forms
of LBP, the most common form is non-specific low back pain (NSLBP). There are no specific and
definable pathologies in NSLBP such as a history of spinal surgery, presence of neurological
deficit, facet joint problem, disc herniation and sacroiliac joint dysfunction.
Although there are studies examining the changes in various positions in geriatric
individuals with NSLBP, maintaining and maintaining postural control during standing position
has been the focus of current studies. According to the systematic review study on the effect
of sensory manipulations on postural release changes in individuals with NSLBP, the results
are uncertain and further studies are needed. For example, in cases where sensory systems (eg
visual, proprioceptive, and vestibular) that are effective in achieving postural control are
not manipulated, some studies report greater release size in NSLBP patients, while others
find that the size of release is similar to healthy individuals. Sherafat et al. Emphasized
that the evaluation of gravity center changes in static environment may be effective in the
emergence of these contradictory results. As expressed in this study, standing still on a
static platform may be an obstacle to detect small postural stability and balance differences
between individuals with and without NSLBP. In this context, testing of geriatric individuals
with NSLBP in the standing position on a mobile platform such as the Biodex Balance System
(BBS) (Biodex Medical Systems, Shirley, NY) and exposure to more stringent equilibrium
conditions will yield more sensitive results in assessing postural stability and balance.
BBS is a device used for objective evaluation of static and dynamic balance, allowing free
movement in mediolateral and anteroposterior directions. The validity-reliability studies of
the BBS were conducted in various populations including active, non-active, young adult and
geriatric individuals, and individuals with ankle sprains. The validity-reliability study of
individuals with NSLBP was reported by Sherafat et al. has a strong-excellent correlation
with four-square step test, timed-up-and-go test, Berg Balance Scale, and single leg stance
test.
Studies have emphasized the use of BBS in geriatric individuals with NSLBP, but no data on
the cut-off scores of this system have been found. The determination of a cut-off score with
high sensitivity and specificity is thought to be beneficial for detecting deterioration in
functional status in geriatric individuals with NSLBP. Therefore, the aim of our study is to
determine BBS cut-off scores in geriatric individuals with NSLBP.
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