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International journal of environmental research and public health
03 04, 2021;18 (5):

Isokinetic Trunk Strength in Acute Low Back Pain Patients Compared to Healthy Subjects: A Systematic Review.

Waleska Reyes-Ferrada, Luis Chirosa-Rios, Angela Rodriguez-Perea, Daniel Jerez-Mayorga, Ignacio Chirosa-Rios
Author Information
  1. Waleska Reyes-Ferrada: Department Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18011 Granada, Spain. ORCID
  2. Luis Chirosa-Rios: Department Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18011 Granada, Spain. ORCID
  3. Angela Rodriguez-Perea: Department Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18011 Granada, Spain. ORCID
  4. Daniel Jerez-Mayorga: Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago 7591538, Chile. ORCID
  5. Ignacio Chirosa-Rios: Department Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18011 Granada, Spain. ORCID
PMID: 33806622 DOI: 10.3390/ijerph18052576

Abstract

BACKGROUND: The purpose of this systematic review was to: (I) determine the quality of evidence from studies assessing trunk isokinetic strength in subjects with acute low back pain (ALBP) compared to healthy subjects and (II) establish reference values of isokinetic trunk strength in subjects with ALBP.
METHODOLOGY: Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) statements were followed using keywords associated with trunk, strength and low back pain. Four databases were used: PubMed, Web of Science, Scopus and SPORTDiscus. Methodological quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS).
RESULTS: A total of 1604 articles were retrieved, four included in this review. All were evaluated as high risk of bias (Rob). Due to the high Rob and the diversity of protocols, instruments and variables used, it was not possible to determine reference values for subjects with ALBP, we can only establish a range of flexion peak torque (PT) between 175.1 and 89.7 Nm at 60°/s and between 185 and 81.5 Nm at 120°/s, and for extension PT between 240.0 and 91.5 Nm at 60°/s and between 217.5 and 69.2 Nm at 120°/s in subjects with ALBP.
CONCLUSIONS: Due to the low quality of the evidence and the diversity of protocols used when measuring trunk isokinetic strength, it is necessary to carry out new high-quality research to establish reference values of trunk strength in subjects with ALBP.

Keywords

core muscles dynamometer peak torque reference data trunk strength testing

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MeSH Term

Healthy Volunteers
Humans
Low Back Pain
Muscle, Skeletal
Torque
Torso
Journal Article Research Support, Non-U.S. Gov't Review Systematic Review
Article has an altmetric score of 6

Word Cloud

Created with Highcharts 10.0.0trunkstrengthsubjectsALBPreferenceNmqualityisokineticlowestablishvalues5reviewdetermineevidencebackpainSystematicReviewusinghighRobDuediversityprotocolsusedpeaktorquePT60°/s120°/sBACKGROUND:purposesystematicto:studiesassessingacutecomparedhealthyIIMETHODOLOGY:PreferredReportingItemsMeta-AnalysesPRISMAstatementsfollowedkeywordsassociatedFourdatabasesused:PubMedWebScienceScopusSPORTDiscusMethodologicalassessedQualityAssessmentDiagnosticAccuracyStudiesQUADASRESULTS:total1604articlesretrievedfourincludedevaluatedriskbiasinstrumentsvariablespossiblecanrangeflexion175189718581extension240091217692CONCLUSIONS:measuringnecessarycarrynewhigh-qualityresearchIsokineticTrunkStrengthAcuteLowBackPainPatientsComparedHealthySubjects:coremusclesdynamometerdatatesting

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