Evidence map›Paper›PMID 40983333›Full record

ArticleAsian spine journal2026

A new logistic regression model for the detection of chronic low back pain, based on a case-control study in the Spanish population.

Pilar Alberola-Zorrilla, Ana Queralt, Maria Ángeles Pamblanco-Valero, Daniel Sánchez-Zuriaga

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Article in Asian spine journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Pilar Alberola-ZorrillaResearch Group on the Clinical Anatomy of the Musculoskeletal System (GIACAL), Department of Anatomy and Human Embryology. Universitat de València, València, Spain.
Ana QueraltAFIPS Research group, Department of Nursing, Universitat de València, València, Spain.
Maria Ángeles Pamblanco-ValeroResearch Group on the Clinical Anatomy of the Musculoskeletal System (GIACAL), Department of Anatomy and Human Embryology. Universitat de València, València, Spain.
Daniel Sánchez-ZuriagaResearch Group on the Clinical Anatomy of the Musculoskeletal System (GIACAL), Department of Anatomy and Human Embryology. Universitat de València, València, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designCase-control study comparing healthy individuals and patients with chronic non-specific low back pain (NSLBP). PURPOSE: To compare detailed spinal motion and muscle activity patterns-recorded simultaneously using non-invasive methods-between chronic NSLBP patients and pain-free individuals, and to identify the most clinically useful variables for discriminating between the two groups. OVERVIEW OF LITERATURE: Motion analysis and electromyography (EMG) have been widely used to differentiate NSLBP patients from pain-free individuals. However, due to methodological heterogeneity across studies, the results have been inconsistent, limiting the clinical applicability of the findings.

methodsForty-three pain-free controls and 43 patients with chronic NSLBP were enrolled. Using non-invasive techniques, synchronized lumbar spine motion and erector spinae (ES) EMG activity were recorded during standardized trunk flexion-extension cycles.

resultsSeveral variables differed significantly between the two groups. Logistic regression identified two variables with significant odds ratios for the presence of chronic NSLBP: time spent with the spine flexed beyond 90% of its maximum range (odds ratio, 0.92; 95% confidence interval, 0.86-0.99) and the ES relaxation ratio (odds ratio, 1.08; 95% confidence interval, 1.04-1.13).

conclusionsIndividuals with and without chronic NSLBP exhibit distinct spinal motion and ES activity patterns during trunk flexionextension. These differences-specifically the time of maximum lumbar flexion and the relaxation ratio-can be objectively and easily measured. Their assessment may offer valuable clinical utility for the diagnosis and follow-up of NSLBP patients.

Indexed as

KinematicsLow back painRange of motionSpineSurface electromyography

Identifiers

PMID40983333
PMCPMC13153962

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