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Nelson-Wong E, Gallant P, Alexander S, et al. Multiplanar lumbopelvic control in patients with low back pain: is multiplanar assessment better than single plane assessment in discriminating between patients and healthy controls?. J Man Manip Ther. 2016;24(1):45-50doi: 10.1179/2042618614Y.0000000078.
Nelson-Wong, E., Gallant, P., Alexander, S., Dehmer, K., Ingvalson, S., McClenahan, B., Piatte, A., Poupore, K., & Davis, A. M. (2016). Multiplanar lumbopelvic control in patients with low back pain: is multiplanar assessment better than single plane assessment in discriminating between patients and healthy controls?. The Journal of manual & manipulative therapy, 24(1), 45-50. https://doi.org/10.1179/2042618614Y.0000000078
Nelson-Wong, E, et al. "Multiplanar lumbopelvic control in patients with low back pain: is multiplanar assessment better than single plane assessment in discriminating between patients and healthy controls?." The Journal of manual & manipulative therapy vol. 24,1 (2016): 45-50. doi: https://doi.org/10.1179/2042618614Y.0000000078
Nelson-Wong E, Gallant P, Alexander S, Dehmer K, Ingvalson S, McClenahan B, Piatte A, Poupore K, Davis AM. Multiplanar lumbopelvic control in patients with low back pain: is multiplanar assessment better than single plane assessment in discriminating between patients and healthy controls?. J Man Manip Ther. 2016 Feb;24(1):45-50. doi: 10.1179/2042618614Y.0000000078. PMID: 27252582; PMCID: PMC4870031.
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J Man Manip Ther. 2016 Feb;24(1):45-50. doi: 10.1179/2042618614Y.0000000078.

Multiplanar lumbopelvic control in patients with low back pain: is multiplanar assessment better than single plane assessment in discriminating between patients and healthy controls?.

The Journal of manual & manipulative therapy

E Nelson-Wong, P Gallant, S Alexander, K Dehmer, S Ingvalson, B McClenahan, A Piatte, K Poupore, A M Davis

Affiliations

  1. Regis University School of Physical Therapy, Denver, CO, USA.

PMID: 27252582 PMCID: PMC4870031 DOI: 10.1179/2042618614Y.0000000078

Abstract

OBJECTIVES: Patients with low back pain (LBP) commonly have lumbopelvic control deficits. Lumbopelvic assessment during sagittal motion is incorporated into commonly used clinical examination algorithms for Treatment Based Classification. The purpose of this study was to investigate whether combined assessment of lumbopelvic control during sagittal and frontal plane motion discriminates between people with and without LBP better than single plane assessment alone.

METHODS: Nineteen patients with LBP and 18 healthy control participants volunteered for this study. The active straight leg raise (ASLR) and active hip abduction (AHAbd) tests were used to assess lumbopelvic control during sagittal and frontal plane motion, respectively. The tests were scored as positive or negative using published scoring criteria. Contingency tables were created for each test alone and for the combined tests (both positive/both negative) with presence/absence of LBP as the reference standard to calculate accuracy statistics of sensitivity (sn), specificity (sp), likelihood (+LR and -LR), and diagnostic odds ratios (OR).

RESULTS: Active straight leg raise and AHAbd tests alone had sn of 0·63, 0·74, respectively, sp of 0·61, 0·50, respectively, and OR of 2·7, 2·8, respectively. The combined tests had sn = 0·89, sp = 0·60, and OR = 12·0. Forty percent of patients with LBP had control deficits in both planes of motion.

DISCUSSION: The AHAbd and ALSR tests appear to have greater diagnostic discrimination when used in combination than when used independently. A percentage of patients with LBP had control deficits in both planes, while others demonstrated uniplanar deficits only. These findings highlight the importance of multiplanar assessment in patients with LBP.

Keywords: Active hip abduction; Active straight leg raise; Low back pain; Lumbopelvic assessment

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