ArticleBMC musculoskeletal disorders2020
The association between pelvic asymmetry and non-specific chronic low back pain as assessed by the global postural system.
Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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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.
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Who cites it
19 citing papers in PubMed, 26 citations in OpenAlex.
- Thrust Versus Non-Thrust Chuna Manipulative Therapy for Low-Back Pain with Pelvic Deviation: A Multicenter Feasibility Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2026Article
- AI-Supported Functional Pain Phenotyping in Low Back Pain Using Sensor-Based Gait and Neuromuscular Biomarkers.Sensors (Basel, Switzerland) · 2026Article
- Body Posture and Low Back Pain in Amateur Tennis Players: A Cross-Sectional Observational Study.Journal of clinical medicine · 2026Article
- Deduction of Back Pain Patients Using EMG Technology and Inertial Sensors During Functional Tests.Sensors (Basel, Switzerland) · 2026Article
- The Standing Forward Flexion Test in Manual Therapy: A Critical Review and a Functional Reinterpretation.Cureus · 2026Review
- Anthropometric evaluation of trunk parameters in chronic low back pain: a comparative study with age- and sex-matched controls.BMC musculoskeletal disorders · 2025Article
- The Association between Pelvic Asymmetry and Lateral Abdominal Muscle Activity in a Healthy Population.Journal of human kinetics · 2025Article
- Padua Days on Muscle and Mobility Medicine, March 25-29, 2025, Hotel Petrarca, Euganean Thermae, Italy: Program and Abstracts.European journal of translational myology · 2025Article
- Pelvic Asymmetry and Stiffness of the Muscles Stabilizing the Lumbo-Pelvic-Hip Complex (LPHC) in Tensiomyography Examination.Journal of clinical medicine · 2025Article
- Suitable Heel Height, a Potential Method for Musculoskeletal Problems during the Third Trimester: A Pilot Study.Bioengineering (Basel, Switzerland) · 2024Article
- Biomechanical Posture Analysis in Healthy Adults with Machine Learning: Applicability and Reliability.Sensors (Basel, Switzerland) · 2024Article
- Analyzing Pelvic Asymmetry by Sex and Ancestry: Insights From an Osteological Collection.Cureus · 2024Article
- The effects of Core Stability Exercises and Mulligan's mobilization with movement techniques on sacroiliac joint dysfunction.Frontiers in physiology · 2024Article
- The Immediate Effects of Muscle Energy Technique in Chronic Low Back Pain Patients with Functional Leg Length Discrepancy: A Randomized and Placebo-Controlled Trial.Healthcare (Basel, Switzerland) · 2023Article
- Spinal posture assessment and low back pain.EFORT open reviews · 2023Review
- Relationship Between Physical Activity and Adult Asthma Control Using NHANES 2011-2020 Data.Medical science monitor : international medical journal of experimental and clinical research · 2023Article
- Asymmetry of the pelvis in Polish young adults.Frontiers in psychology · 2023Article
- Trunk Alignment in Physically Active Young Males with Low Back Pain.Journal of clinical medicine · 2022Article
- A Study on the Relationship between Postural Control and Pain-Related Clinical Outcomes in Patients with Chronic Nonspecific Low Back Pain.Pain research & managementArticle
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundEmpirical evidence that demonstrates the relationship between pelvic asymmetry and non-specific chronic low back pain (NCLBP) is currently lacking.
objectiveTo establish the reliability of the Global Postural System (GPS) in assessing pelvic asymmetry and identify the association between pelvic asymmetry parameters and the occurrence of NCLBP in young adults.
designA cross-sectional, regression study.
methodsPeople who were aged between 18 and 30 and were diagnosed with NCLBP were recruited. Healthy individuals who were matched for age, sex, and education level were recruited as controls. Global Postural System (GPS) was employed to assess pelvic asymmetry. Prior to exploring the association, the reliability of GPS was assessed by the ICC (2, k) for interrater reliability, ICC (3, k) for intra-rater reliability, standard error and minimal detectable difference. Bivariate correlation analysis and logistic regression analysis were used to determine the relationship between pelvic asymmetry and the occurrence of NCLBP.
resultsTwenty-eight healthy participants and 28 people with NCLBP were recruited. Moderate to excellent ICCs were observed for the inter-rater and intra-rater reliability of most postural parameters. The bivariate correlation analysis indicated that age, body mass index and pelvic asymmetry parameters were related to the occurrence of NCLBP. Pelvic angle asymmetry (odds ratio = 1.17), and asymmetry of the distance between the posterior superior iliac spine and the floor (odds ratio = 1.21) were associated with NCLBP. LIMITATIONS: This study did not explore the causal relationship between pelvic asymmetry in the sagittal plane/pelvic asymmetry in the transverse plane and the occurrence of NCLBP. The interpretation of the results may not be generalized beyond the sample population.
conclusionsThe GPS is a reliable method to assess pelvic asymmetry in a clinical setting. Two pelvic parameters were associated with the presence of NLBP. Measurement of pelvic asymmetry may assist in the early identification of potential occurrence of NCLBP but further work is required.
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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.