Validity of a Screening Tool for Patients with a Sub-Threshold Level of Lumbar Instability
A Cross-Sectional Study
Bibliographic Data
| ID | 15494166 |
|---|---|
| Authors | Arisa Leungbootnak (0000-0002-2566-4642, Khon Kaen University), Rungthip Puntumetakul (0000-0002-3343-5313, Khon Kaen University, corresponding author), Jaturat Kanpittaya (Khon Kaen University), Thiwaphon Chatprem (0000-0002-3334-768X, Khon Kaen University), Rose Boucaut (0000-0002-1832-077X, University of South Australia) |
| Year | 2021 |
| Volume | 18 |
| Issue | 22 |
| Pages | 12151-12151 |
| Publication date | 2021-11-19 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph182212151 |
| PMID | 34831906 |
| OpenAlex | W3215467365 |
| Language | EN |
| References cited | 34 |
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
Asymptomatic · Cross-sectional study · Gold standard (test · Low back pain · Lumbar · Pathology · Physical therapy · Radiography · Radiology · Range of motion · Medicine · Musculoskeletal pain and rehabilitation · Scoliosis diagnosis and treatment · Spine and Intervertebral Disc Pathology · Surgery
| Highly cited | No |
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