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Relationship Between Proprioception and Pain and Disability in People With Non-Specific Low Back Pain: A Systematic
Jianhua Lin1,2, Mark Halaki1, Pavithra Rajan1
1Faculty of Health Sciences, The University of Sydney, New South Wales, Australia.
Spine
|February 7, 2019
Summary
Proprioception measures like active joint repositioning sense and threshold to detect passive motion are not linked to pain or disability in non-specific low back pain. Small correlations exist for passive movement error, but should be cautiously interpreted.
Area of Science:
- Musculoskeletal disorders
- Neuroscience
- Rehabilitation
Background:
- Non-specific low back pain (NSLBP) is a prevalent cause of disability.
- Existing research presents conflicting correlations between proprioception deficits and NSLBP symptoms.
Purpose of the Study:
- To investigate the association between proprioception and pain/disability in NSLBP.
- To identify moderators influencing this association.
Main Methods:
- Systematic review and meta-analysis of 14 studies.
- Proprioception assessed via active joint repositioning sense (AJRS), passive joint repositioning sense (PJRS), and threshold to detect passive motion (TTDPM).
- Subgroup analysis of movement directions.
Main Results:
- No significant correlation found between AJRS, PJRS, or TTDPM and pain or disability.
- A small correlation was observed between passive lumbar flexion error and pain (r=0.225).
- A small correlation was noted between passive lumbar extension error and disability (r=0.196).
Conclusions:
- AJRS and TTDPM are not correlated with pain or disability in NSLBP.
- Passive movement error shows a minor correlation with pain and disability, requiring cautious interpretation.
- Observed proprioception differences in NSLBP may be independent of symptoms.
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