Static and dynamic balance between older individuals with and without chronic low back pain at the University College Hospital, Ibadan

Balance is an essential component of an individual’s gait and it has been found to decline with age. Chronic low back pain is a common musculoskeletal disorder among aging population. This study compared dynamic and static balance performance between older individuals with and without chronic low back pain. This study was a cross sectional survey design. Willing elderly individuals with and without low back pain were recruited at three different clinics to participate in this study. Information on age, gender, occupation, marital status and duration of onset of low back pain was obtained from all participants. Sharpened Romberg test was used to measure static balance, while functional reach test and time up and go test were used to measure dynamic balance. Data were analyzed using descriptive statistics of mean, range, percentages and Inferential statistics of independent ‘t’ test. Alpha level was set at 0.05. Ninety- two participants (46 with chronic low back pain and 46 participants without chronic low back pain) with mean age of 67.02 years participated in this study. The participants comprised of 49 females (53%) and 43 males (47%). Elderly participants with chronic low back pain had significantly lower measure of functional reach test and significantly higher measure of time up and go test. Sharpened Romberg (eyes opened and eyes closed) test measure was significantly higher in participants without chronic low back pain than participants with chronic low back pain. Balance (static and dynamic) performance among elderly with chronic low back pain was significantly affected negatively. Routine evaluation and training of balance is advocated in management of elderly patients with chronic low back pain.

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Krismer M, Van Tulder M. Low Back Pain Group of the Bone and Joint Health Strategies for Europe Project. Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific). Best Pract Res Clin Rheumatol. 2007;21:77–91.

Airaksinen O, Brox JI, Cedraschi C, et al. Management of chronic non specific low back pain. Eur Spine J. 2006;15:192-300.

Manusov EG. Evaluation and diagnosis of low back pain. Primary Care. 2012;39:471-9.

Patrick N, Emanski E, Mark AK. Acute and chronic low back pain. Med Clin North Am. 2016;100:169-81.

De Vet HC, Heymans MW, Dunn KM, et al. Episodes of low back pain: a proposal for uniform definitions to be used in research. Spine J. 2002;27:240916.

Rozenberg S. Chronic low back pain- definition and treatment. Rev Prat. 2008;58:265-72.

Prado JM, Stoffregen TA, Duarte M. Postural sway during dual tasks in young and elderly adults. Gerontol. 2007;53:274–81.

Pollock AS, Durwrad BR, Rowe PJ, et al. What is balance? Clin Rehabil. 2000;14:402-6.

Kissner C, Kolby LA. Therapeutic Exercise: Foundations and Technique. 6th edition. F.A Davies company, Philadelphia, 2012;260-5

Palmieri RM, Ingersoll CD, Cordova ML, et al. The effect of a simulated knee joint effusion on postural control in healthy subjects. Arch Phys Med Rehabil. 2003;84:1076-9.

Newcomer KL, Laskowski ER, Yu B, et al. Differences in repositioning error among patients with low back pain compared with control subjects. Spine J. 2000;25:2488-93.

Laskowski ER, Newcomer-Aney K, Smith J. Proprioception. Am J Phys Med Rehabil. 2000;11:323-40.

Nashner LM. Sensory, neuromuscular, and biomechanical contributions to human balance in:PM Duncan (Ed.) Balance: proceedings of the American Physical Therapy Association forum. APTA, Alexandria (VA); 1990:5–12.

Koumantakis GA, Watson PJ, Oldham JA. Trunk muscle stabilization training plus general exercise versus general exercise only: randomized controlled trial of patients with recurrent low back pain. Phys Therapy. 2005;85:209-25.

Chang WD, Lin HY, Lai PT. Core strength training for patients with chronic low back pain. J Phys Ther Sci. 2015;27:619-22.

Walker BF. The prevalence of low back pain: a systematic review of the literature from 1966 to 1998. J Spinal Disorder. 2003;13:205-17.

Alexander KM, LaPier TL. Differences in static balance and weight distribution between normal subjects and subjects with chronic unilateral low back pain. J Orthop Sports Phys Ther. 1998;28:378-83.

Xia T, Ankrum JA, Spratt KF, et al. Seated human response to simple and complex impacts: paraspinal muscle activity. International J. of Ergon. 2008;38:767-74.

Huang Q, Li D, Zhang Y, et al. The intervention effects of different treatments for chronic low back pain as assessed by the thickness of the musculus transversus abdominis. J Phys Ther Sci. 2014;26:1383-5.

Briggs RC, Gossman MR, Berch R, et al. Balance performance among noninstitution-alized elderly women. Phys Ther. 1989;69:748-56.

Ducan PW, Weiner DK, Chandler J, et al. Functional reach test: a new clinical measure of balance. J Gerontol. 1990;45:M192-7.

Leveille SG, Bandeen-Roche KJ, Won A, et al. Wide spread musculoskeletal pain and the progression of disability in older disabled women. Ann Inter Med. 2001;135:1038-46.

Sanchez N. Low back pain caused by sedentary lifestyle tops disability concern Science World Report 2014 http://guardianlv.com/low-back-paincaused-by-sedentary lifestyle-tops-disbaility-concerns access date 17.1.2018

Bugnariu N, Fung J. Aging and selective sensorimotor strategies in the regulation of upright balance. J Neuroeng Rehabil. 2007;4:19

Da Silva RA, Vieira ER, Fernandes BP, et al. People with chronic low back pain have poorer balance than controls in challenging tasks. Disabil Rehabil. 2017;40:1294-300.

Weiner DK, Rudy TE, Morrow L, et al. The relationship between pain, neuropschological performance, and physical function in communitydwelling older adults with chronic low back pain. Pain Med. 2006;7:60-70.

Redfren MS, Jennings JR, Martin C, et al. Attention influences sensory integration for postural control in older adults. Gait Posture. 2001;14:211-6.

Ishak NA, Zahari Z, Justine M. Muscle Function and Functional Performance among Older Persons with and without Low Back Pain. http://dx.doi. org/10.1155/8583963 access date 17.1.2018
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )