PTCase-ControlJournal of physical therapy science2018

Altered postural sway during quiet standing in women with clinical lumbar instability.

Wantanee Yodchaisarn, Rungthip Puntumetakul, Alongkot Emasithi and 2 others

PMID 30154608

WHAT IT FOUND

Women with clinical lumbar instability swayed more during a quiet eyes-closed standing test.

They moved farther, faster, and over a larger area than healthy women.

Key findings

01During eyes-closed quiet standing, women with clinical lumbar instability had significantly greater sway than healthy controls, including longer path length and faster movement.

02The reported total area of sway excursion was 9.76 ± 9.85 cm² in women with clinical lumbar instability and 4.47 ± 2.31 cm² in healthy controls.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

Only 15 women with clinical lumbar instability were studied, so the findings may not apply to men or to people outside the 20 to 60 year age range. The study measured only quiet standing with eyes closed, so it does not show how balance behaves during walking, stairs, or other daily activities. No intervention was tested, and no falls outcomes were measured, so the study cannot show whether treatment changes sway or reduces falls. The authors state that factors such as muscle activity and trunk motion were not considered, so other reasons for the sway differences are possible. Healthy participants were recruited from the community, while CLI participants were recruited from physical therapy clinics, which may introduce differences between groups.

Declared interests

The study was supported by a university research center at Khon Kaen University, and the authors declared no conflicts of interest.

The easy way to misread this

Do not conclude that clinical lumbar instability causes falls or that a treatment can be chosen from these results. The study compared two groups during one quiet standing test and did not measure falls or test an intervention.

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