ArticleThe Journal of orthopaedic and sports physical therapy2017
Hip and Lumbar Spine Physical Examination Findings in People Presenting With Low Back Pain, With or Without Lower Extremity Pain.
Article in The Journal of orthopaedic and sports physical therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Healthy Hip Study: Predictors of Successful Conservative Management for Pre-arthritic Hip Disorders: Prospective Study
Optimizing Implementation of Mental Health Intervention Within Orthopedic Care
Comparing the Effects of Chiropractic Manipulation and Spinal Decompression Device Treatment on Lower Extremity Muscle Strength and Balance in Patients With Chronic Low Back Pain
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
- Hip biomechanics in patients with low back pain, what do we know? A systematic review.BMC musculoskeletal disorders · 2024Pooled it
- Trial
- Differentiating Sciatica from Hip Osteoarthritis: Diagnostic Challenges and the Role of the Athena Sign.Diagnostics (Basel, Switzerland) · 2026Review
- Mechanical energy analysis identifies compensatory strategies in individuals with and without Non-specific chronic low back pain.Scientific reports · 2026Article
- Fascial Pathophysiology in Hypermobility Spectrum Disorders and Hypermobile Ehlers-Danlos Syndrome: A Review of Emerging Evidence.International journal of molecular sciences · 2025Review
- Exploring the association of metabolic factors and chronic musculoskeletal pain over a period of 10 years - the Doetinchem Cohort Study.Clinical rheumatology · 2025Article
- Assessing the Reliability and Validity of Inertial Measurement Units to Measure Three-Dimensional Spine and Hip Kinematics During Clinical Movement Tasks.Sensors (Basel, Switzerland) · 2024Article
- Extravertebral low back pain: a scoping review.BMC musculoskeletal disorders · 2024Article
- The Effect of Pelvic Incidence on Outcomes After Hip Arthroscopy for Femoroacetabular Impingement and Acetabular Labral Tears.The American journal of sports medicine · 2024Article
- Greater pelvic obliquity in adolescent idiopathic scoliosis combined with hip dysplasia.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Team Approach: Hip Preservation Surgery.JBJS reviews · 2023Article
- Assessment of Hip Range of Motion Limitations in Cases with Low Back Pain Based on the Classified Movement System Impairment.Advanced biomedical research · 2023Article
- Compensatory biomechanics and spinal loading during dynamic maneuvers in patients with chronic low back pain.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Article
- Prevalence of low back pain and related disability in patients with femoroacetabular impingement syndrome.PM & R : the journal of injury, function, and rehabilitation · 2022Observational
- A study exploring the prevalence of Extremity Pain of Spinal Source (EXPOSS).The Journal of manual & manipulative therapy · 2020Article
- Low Back Pain Caused by Iliopsoas Tendinopathy Treated with Ultrasound-Guided Local Injection of Anesthetic and Steroid: A Retrospective Study.Journal of pain research · 2020Article
- Links between the Hip and the Lumbar Spine (Hip Spine Syndrome) as they Relate to Clinical Decision Making for Patients with Lumbopelvic Pain.PM & R : the journal of injury, function, and rehabilitation · 2019Review
- Spinal manipulation after multiple fusions in an adult with scoliosis: a case report.The Journal of manual & manipulative therapy · 2019Article
- Altered postural sway during quiet standing in women with clinical lumbar instability.Journal of physical therapy science · 2018Article
- Spine-hip relations in patients with hip osteoarthritis.EFORT open reviews · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
Study Design Prospective cohort study, cross-sectional design. Background The hip-spine syndrome is described in patients with known arthritis of the hip. This study describes the hip examination findings of people presenting with low back pain (LBP). Objectives To (1) report examination findings of the hip in patients with LBP and (2) compare pain and function in patients with positive hip examination findings to those in patients without positive hip examination findings. Methods An examination and validated questionnaires of spine and hip pain and function were completed. Pain and function scores were compared between patients with and without positive hip findings. Results Consecutive patients (68 women, 33 men) with a mean age of 47.6 years (range, 18.4-79.8 years) participated. On physical examination, 81 (80%) had reduced hip flexion; 76 (75%) had reduced hip internal rotation; and 25 (25%) had 1, 32 (32%) had 2, and 23 (23%) had 3 positive provocative hip tests. Patients with reduced hip flexion had worse LBP-related (mean modified Oswestry Disability Index, 35.3 versus 25.6; P = .04) and hip-related function (mean modified Harris Hip Score, 66.0 versus 82.0; P = .03). Patients with reduced hip internal rotation had worse LBP-related function (mean Roland-Morris questionnaire, 12.4 versus 8.2; P = .003). A positive provocative hip test was coupled with more intense pain (median, 9 versus 7; P = .05) and worse LBP-related (mean Roland-Morris questionnaire, 12.1 versus 8.5; P = .02) and hip-related function (mean modified Harris Hip Score, 65.8 versus 89.7; P = .005). Conclusion Physical examination findings indicating hip dysfunction are common in patients presenting with LBP. Patients with LBP and positive hip examination findings have more pain and worse function compared to patients with LBP but without positive hip examination findings. Level of Evidence Symptom prevalence, level 1b. J Orthop Sports Phys Ther 2017;47(3):163-172. Epub 3 Feb 2017. doi:10.2519/jospt.2017.6567.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.