Article

OBJECTIVE: To systematically review the relationship between lumbar
proprioception and low back pain (LBP). DATA SOURCES:
Four electronic databases
(PubMed, EMBASE, CINAHL, SPORTDiscus) and reference lists of relevant articles
were searched from inception to March-April 2014.
STUDY SELECTION: Studies
compared lumbar proprioception in patients with LBP with controls or prospectively evaluated the relationship between proprioception and LBP.
Two reviewers independently screened articles and determined inclusion through
consensus. DATA EXTRACTION: Data extraction and methodologic quality assessment
were independently performed using standardized checklists. DATA SYNTHESIS:
Twenty-two studies (1203 participants) were included. Studies measured lumbar
proprioception via active or passive joint repositioning sense (JRS) or threshold
to detection of passive motion (TTDPM). Data from 17 studies were pooled for
meta-analyses to compare patients with controls. Otherwise, descriptive syntheses
were performed. Data were analyzed according to measurement method and LBP
subgroup. Active JRS was worse in patients compared with controls when measured
in sitting (standard mean difference, .97; 95% confidence interval [CI],
.31-1.64). There were no differences between groups measured via active JRS in
standing (standard mean difference, .41; 95% CI, -.07 to .89) or passive JRS in
sitting (standard mean difference, .38; 95% CI, -.83 to 1.58). Patients in the
O'Sullivan flexion impairment subgroup had worse proprioception than the total
LBP cohort. The TTDPM was significantly worse in patients than controls. One
prospective study found no link between lumbar proprioception and LBP.
CONCLUSIONS: Patients with LBP have impaired lumbar proprioception compared with
controls when measured actively in sitting positions (particularly those in the
O'Sullivan flexion impairment subgroup) or via TTDPM. Clinicians should consider
the relationship between sitting and proprioception in LBP and subgroup patients
to guide management. Further studies focusing on subgroups, longitudinal
assessment, and improving proprioception measurement are needed.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS