Abstract：
Physical activity in its various forms are the most recommended prevention and treatment strategy for chronic low back pain (CLBP). Standing postural stability is a prerequisite for many types of physical activities. Systematic reviews have investigated the evidence for an association between CLBP and postural stability but results remain inconclusive.
Our primary objective was to compare postural stability between pain-free controls and subjects with CLBP with or without leg pain and single and multisite chronic musculoskeletal pain subjects. The secondary objectives were to evaluate the association between postural stability with CLBP intensity and duration, demographics, physical characteristics and validated health and pain-related patient-reported outcome measures (PROMs).
Cross-sectional study in a private chiropractic clinic setting PATIENT SAMPLE: Subjects included 42 pain-free controls and 187 patients with chronic musculoskeletal pain divided into CLBP with or without leg pain and single and multisite pain groups.
Pain intensity was measured using the numerical pain rating scale, PROMs Central Sensitization Inventory, Tampa Scale of Kinesiophobia, The Depression Scale, EuroQol-5D, Roland-Morris Disability Questionnaire, and Pain and Sleep Questionnaire Three-Item Index disability. Group differences were measured using area and velocity of sway on the force plate.
Postural stability was assessed using a force plate on four 60-second bipedal quiet stance tests: eyes open on a stable surface, eyes closed on a stable surface, eyes open on an unstable foam surface, eyes closed on an unstable foam surface. Following the clinic visit, subjects completed an online web-based data entry detailing pain history, demographic data, physical characteristics, pain intensity via the numerical pain rating scale, and PROMS.
Postural sway parameters did not differ between pain-free controls and subjects with CLBP with or without leg pain and single and multisite chronic musculoskeletal pain subjects. Furthermore, severity and duration of CLBP pain in addition to central sensitization, kinesiophobia, depression, quality of life, disability, and effect of pain on sleep only had very weak associations with postural stability.
Chronic musculoskeletal pain appears not to influence bipedal postural stability.
Our primary objective was to compare postural stability between pain-free controls and subjects with CLBP with or without leg pain and single and multisite chronic musculoskeletal pain subjects. The secondary objectives were to evaluate the association between postural stability with CLBP intensity and duration, demographics, physical characteristics and validated health and pain-related patient-reported outcome measures (PROMs).
Cross-sectional study in a private chiropractic clinic setting PATIENT SAMPLE: Subjects included 42 pain-free controls and 187 patients with chronic musculoskeletal pain divided into CLBP with or without leg pain and single and multisite pain groups.
Pain intensity was measured using the numerical pain rating scale, PROMs Central Sensitization Inventory, Tampa Scale of Kinesiophobia, The Depression Scale, EuroQol-5D, Roland-Morris Disability Questionnaire, and Pain and Sleep Questionnaire Three-Item Index disability. Group differences were measured using area and velocity of sway on the force plate.
Postural stability was assessed using a force plate on four 60-second bipedal quiet stance tests: eyes open on a stable surface, eyes closed on a stable surface, eyes open on an unstable foam surface, eyes closed on an unstable foam surface. Following the clinic visit, subjects completed an online web-based data entry detailing pain history, demographic data, physical characteristics, pain intensity via the numerical pain rating scale, and PROMS.
Postural sway parameters did not differ between pain-free controls and subjects with CLBP with or without leg pain and single and multisite chronic musculoskeletal pain subjects. Furthermore, severity and duration of CLBP pain in addition to central sensitization, kinesiophobia, depression, quality of life, disability, and effect of pain on sleep only had very weak associations with postural stability.
Chronic musculoskeletal pain appears not to influence bipedal postural stability.
摘要：
各种形式的身体活动是慢性下腰痛（CLBP）最推荐的预防和治疗策略。站立姿势稳定是许多类型的体育活动的先决条件。系统评价已经调查了CLBP与姿势稳定性之间关联的证据，但结果尚无定论。
我们的主要目标是比较无痛对照组和有或没有腿部疼痛的CLBP受试者以及单部位和多部位慢性肌肉骨骼疼痛受试者之间的姿势稳定性。次要目标是评估姿势稳定性与CLBP强度和持续时间之间的关联，人口统计，身体特征和经过验证的健康和疼痛相关的患者报告结局指标（PROMs）。
在私人脊椎指压诊所设置患者样本中进行的横断面研究：受试者包括42名无痛对照组和187名慢性肌肉骨骼疼痛患者，分为有或没有腿部疼痛的CLBP以及单中心和多中心疼痛组。
使用数字疼痛评分量表测量疼痛强度，PROM中央敏化库存，运动恐惧症的坦帕量表，抑郁量表,EuroQol-5D,罗兰-莫里斯残疾问卷，疼痛和睡眠问卷三项指标残疾。使用力板上的摇摆面积和速度来测量组差异。
在四个60秒的双足安静姿势测试中使用测力板评估姿势稳定性：眼睛在稳定的表面上睁开，眼睛闭上一个稳定的表面，眼睛在不稳定的泡沫表面上睁开，眼睛闭上不稳定的泡沫表面。在诊所访问之后，受试者完成了基于网络的在线数据输入，详细介绍了疼痛病史，人口统计数据，物理特性,通过数字疼痛评定量表得出的疼痛强度，和PROMS。
无痛对照组和有或没有腿部疼痛的CLBP受试者以及单部位和多部位慢性肌肉骨骼疼痛受试者之间的姿势摇摆参数没有差异。此外，除中枢敏化外，CLBP疼痛的严重程度和持续时间，运动恐惧症,抑郁症,生活质量,残疾,疼痛对睡眠的影响与姿势稳定性的相关性非常弱。
慢性肌肉骨骼疼痛似乎不影响双足姿势稳定性。
我们的主要目标是比较无痛对照组和有或没有腿部疼痛的CLBP受试者以及单部位和多部位慢性肌肉骨骼疼痛受试者之间的姿势稳定性。次要目标是评估姿势稳定性与CLBP强度和持续时间之间的关联，人口统计，身体特征和经过验证的健康和疼痛相关的患者报告结局指标（PROMs）。
在私人脊椎指压诊所设置患者样本中进行的横断面研究：受试者包括42名无痛对照组和187名慢性肌肉骨骼疼痛患者，分为有或没有腿部疼痛的CLBP以及单中心和多中心疼痛组。
使用数字疼痛评分量表测量疼痛强度，PROM中央敏化库存，运动恐惧症的坦帕量表，抑郁量表,EuroQol-5D,罗兰-莫里斯残疾问卷，疼痛和睡眠问卷三项指标残疾。使用力板上的摇摆面积和速度来测量组差异。
在四个60秒的双足安静姿势测试中使用测力板评估姿势稳定性：眼睛在稳定的表面上睁开，眼睛闭上一个稳定的表面，眼睛在不稳定的泡沫表面上睁开，眼睛闭上不稳定的泡沫表面。在诊所访问之后，受试者完成了基于网络的在线数据输入，详细介绍了疼痛病史，人口统计数据，物理特性,通过数字疼痛评定量表得出的疼痛强度，和PROMS。
无痛对照组和有或没有腿部疼痛的CLBP受试者以及单部位和多部位慢性肌肉骨骼疼痛受试者之间的姿势摇摆参数没有差异。此外，除中枢敏化外，CLBP疼痛的严重程度和持续时间，运动恐惧症,抑郁症,生活质量,残疾,疼痛对睡眠的影响与姿势稳定性的相关性非常弱。
慢性肌肉骨骼疼痛似乎不影响双足姿势稳定性。
