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Updated: Dec 3, 2025

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation

Published on: December 13, 2024

Does Movement Change When Low Back Pain Changes? A Systematic Review.

Kevin Wernli, Jay-Shian Tan, Peter O'Sullivan

The Journal of Orthopaedic and Sports Physical Therapy

|October 29, 2020

Summary

This summary is machine-generated.

Changes in spinal movement show a weak link to reduced low back pain and improved function. Specific movements like increased range of motion and better back extensor relaxation show promise for pain relief.

Keywords:

exercise therapy low back pain movement physical therapy systematic review

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Area of Science:

Biomedical Science
Orthopedics
Physical Therapy

Background:

Nonspecific low back pain (NLBP) affects many individuals, leading to significant pain and activity limitations.
Understanding the relationship between spinal movement and symptom changes is crucial for effective treatment.

Purpose of the Study:

To systematically review the literature on the relationship between changes in volitional spinal movement and concurrent changes in pain or activity limitation in individuals with NLBP.
To synthesize evidence on how specific movement parameters correlate with symptom improvement at an individual level.

Main Methods:

A systematic review of etiology was conducted, searching MEDLINE, Embase, CINAHL, and AMED databases up to January 2020.
Included peer-reviewed studies reporting on the association between spinal movement changes and pain/activity limitation in NLBP patients.
Data were descriptively synthesized to identify relationships.

Main Results:

Twenty-seven studies with 2739 participants were included.
Low-quality evidence indicated a relationship between movement changes and symptom improvement in 31% of investigations.
Increased spinal range of motion, velocity, and improved back extensor flexion relaxation were consistently linked to better outcomes (93% of observed relationships).

Conclusions:

A direct relationship between changes in spinal movement and improvements in pain or activity limitation is infrequently observed at the individual level in NLBP.
The current evidence base is limited by a paucity of high-quality studies, preventing definitive conclusions.
Further high-quality research is needed to fully elucidate this relationship and its clinical implications.