Does low back pain affect the reliability of postural regulation?

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

Acknowledgement

The authors would like to express their appreciation to all study participants for their participation in this investigation. Furthermore authors thank Johannes Cyris for editing this manuscript. The funding for this study was provided by budget funds of the Department of Orthopaedic and Trauma Surgery, Martin-Luther-University Halle-Wittenberg. The study did not receive any external funding.

Disclosure statement

The authors report no conflicts of interest, and they alone are responsible for the content and writing of the paper.

Additional information

Funding

The funding for this study was provided by budget funds of the Department of Orthopaedic and Trauma Surgery, Martin-Luther-University Halle-Wittenberg.