A previous review concluded that postural sway is increased in patients with low back pain ( LBP ) .
In a minority of studies , a decreased sway was found in LBP patients .
There were no systematic differences between studies finding an effect and those reporting no effect of LBP .
The proportion of studies finding between-group differences did not increase with increased complexity of sensory manipulations .
However , more detailed analysis of the literature shows that postural deficit may be dependent on experimental conditions in which patients with LBP have been assessed .
The research question to be answered in this review was : " Is there any difference in postural sway between subjects with and without LBP across several sensory manipulation conditions ? " .
Effect of Dual-Tasking on Postural Control in Subjects With Nonspecific Low Back Pain
Study Design . Three factors mixed- design with 1 between-subject and 2 within-subject factors . Objective . To compare the main effects and interactions of postural and cognitive difficulty on quiet stance between subjects with and without nonspecific low back pain ( LBP ) . Summary of Background Data . The interference between postural control and cognitive tasks depends on factors such as sensorimotor/cognitive integrity . Changes in peripheral sensory and muscular systems as well as cognitive processes have been observed in LBP patients . It was hypothesized that the effect of cognitive task on postural performance might be different in subjects with nonspecific LBP as compared with healthy individuals . To the authors ’ knowledge this has not been investigated before . Methods . Postural stability was measured by center of pressure parameters while nonspecific LBP ( n = 22 ) and healthy ( n = 22 ) subjects r and omly performed quiet st and ing task with 3 levels of difficulty ( rigid-surface eyes open , rigid-surface eyes-closed , and foam-surface eyes-closed ) in isolation or concurrently with an easy or difficult digits backward cognitive task . Results . Subjects with nonspecific LBP had less postural sway than healthy subjects , while postural sway decreased with increase in the level of cognitive difficulty . Nonspecific LBP and healthy subjects had larger postural sway at more difficult sensory conditions such as rigid-surface eyes-closed and foam-surface eyes-closed . The response to dual-tasking was not significantly different between the 2 groups . Conclusion . The dual-tasking did not change the postural performance of nonspecific LBP subjects with low level of pain and disability differently compared to healthy subjects
A previous review concluded that postural sway is increased in patients with low back pain ( LBP ) .
In a minority of studies , a decreased sway was found in LBP patients .
There were no systematic differences between studies finding an effect and those reporting no effect of LBP .
The proportion of studies finding between-group differences did not increase with increased complexity of sensory manipulations .
However , more detailed analysis of the literature shows that postural deficit may be dependent on experimental conditions in which patients with LBP have been assessed .
The research question to be answered in this review was : " Is there any difference in postural sway between subjects with and without LBP across several sensory manipulation conditions ? " .