ArticleBMC musculoskeletal disorders2021
A diagnostic tool for people with lumbar instability: a criterion-related validity study.
Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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The trial behind it
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Who cites it
12 citing papers in PubMed, 21 citations in OpenAlex.
- Effects of spinal manipulation or mobilization as an adjunct to neurodynamic mobilization for lumbar disc herniation with radiculopathy: a randomized clinical trial.The Journal of manual & manipulative therapy · 2023Trial
- Review
- Hamstring strength and hip mobility associated with pain and disability in lumbar instability.Scientific reports · 2025Article
- Clinical Evaluation of Functional Lumbar Segmental Instability: Reliability, Validity, and Subclassification of Manual Tests-A Scoping Review.Journal of functional morphology and kinesiology · 2025Review
- Comparable long-term pain and disability outcomes following decompression alone versus decompression with fusion in lumbar spinal stenosis patients with high-signal facet joints.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 · 2025Article
- Diaphragm excursion and thickness in patients with chronic low back pain with and without lumbar instability.Scientific reports · 2025Article
- Surgical and non-surgical management of spondylolisthesis: a comprehensive review.Journal of medicine and life · 2025Review
- Uniportal Full-endoscopic Foraminotomy for Lumbar Foraminal Stenosis: Clinical Characteristics and Functional Outcomes.Orthopaedic surgery · 2024Article
- A Self-Polymerizing Mesh of Nano-Tethers for the Mechanical Constraint of Degraded Intervertebral Discs-A Review of 25 Years of Pre-Clinical and Early Clinical Research.Bioengineering (Basel, Switzerland) · 2024Review
- Lumbosacral transitional vertebra in spondylolisthesis: frequency, demographic findings, and clinical characteristics.BMC musculoskeletal disorders · 2024Article
- The role of an active muscular subsystem in prone instability test during rest and leg raise conditions.European journal of physical and rehabilitation medicine · 2023Article
- Prevalence of Lumbar Segmental Instability in Young Individuals with the Different Types of Lumbar Disc Herniation-Preliminary Report.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSeveral clinical tests used to identify patients with lumbar instability have reported diagnostic accuracy in separate studies with conflicting results. To augment the diagnostic process, tests that are better able to identify lumbar instability suitable for use in the clinical setting are required. The aim of this study was to identify the probability to diagnose patients with lumbar instability, using x-ray imaging as the reference standard.
methodsThis study was a cross-sectional, diagnostic validity study. One hundred forty participants with chronic low back pain underwent an x-ray assessment and 14 clinical examinations. Data were analysed using multivariate regression methods to determine which clinical tests were most diagnostic for lumbar instability when they were applied together.
resultsEighteen (12.85%) participants had radiological lumbar instability. Three clinical tests i) interspinous gap change during flexion-extension, ii) passive accessory intervertebral movement tests, iii) posterior shear test demonstrated an ability to diagnose lumbar instability of 67% when they were all positive. At this probability threshold, sensitivity, specificity, positive likelihood ratio (+LR), and negative likelihood ratio (-LR) were 5.56, 99.18%, 6.78, and 0.95.
conclusionsThese 3 clinical tests could be useful in identifying patients with lumbar instability in the general community. These three tests are simple to perform by physical therapists, reliable to use in a clinical setting, and safe for patients. We recommend physical therapists use these three tests to assess patients who are suspected of having lumbar instability, in the absence of an x-ray assessment, to receive appropriate targeted intervention or referral for further investigation.
trial registrationThai Clinial Trial Registry (TCTR 20180820001; 19th August 2018).
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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.