Evidence map›Paper›PMID 41191107›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026

Somatosensory reweighting and visual strategies during three repeated trials of the sensory organization test in adults with chronic low back pain.

Paul Sung, Dongchul Lee

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Article in 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, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Chronic Ankle Instability and Low Back Pain: A Narrative Review With a Conceptual Framework Linking Distal and Proximal Sensorimotor Dysfunction.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
    Review
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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Paul SungIndiana Wesleyan University, Marion, IN, USA. paul.sung@indwes.edu.
Dongchul LeeNeurostim Insight, Santa Clarita, CA, USA.

Funding

University Scholar Award 2573877
6 · The paper itself

Abstract

backgroundChronic low back pain (LBP) is associated with impaired postural stability, often characterized by higher strategy indices, indicating increased reliance on ankle strategies for balance. PURPOSE: This study aimed to compare strategy indices and sensory contributions across three repeated trials of the Sensory Organization Test (SOT) to examine postural adaptations in adults with and without LBP.

methodsTwenty-eight adults with LBP and 44 control participants completed three trials across six conditions of the SOT. Strategy indices and sensory analysis scores were compared between groups. In addition, pain intensity was measured using the Visual Analogue Scale (VAS), and disability levels were assessed with the Oswestry Disability Index (ODI).

resultsThe LBP group exhibited higher VAS (t = -8.15, p = 0.001) and ODI (t = -10.85, p = 0.001) scores compared to the control group. For strategy indices, the LBP group showed significant increases in Condition 4 of the second trial (t = -2.55, p = 0.01) and Condition 6 of the third trial (t = 2.13, p = 0.02), though no significant interaction was found across conditions and trials (F = 1.48, p = 0.23). Sensory analysis revealed increased somatosensory (t = -2.53, p = 0.01) and visual (t = -3.03, p = 0.01) contributions in the LBP group during Trial 2, suggesting adaptive sensory reweighting compared to the control group.

conclusionsThe LBP group demonstrated greater reliance on somatosensory and visual inputs than the control group during Trial 2, indicating adaptive compensatory mechanisms in response to postural demands. These findings emphasize the role of sensory reweighting in the LBP group and support the use of sensory-focused strategies to improve postural control.

Indexed as

Chronic PainLow Back PainPostural BalanceAdultDisability EvaluationFemaleHumansMaleMiddle AgedPain MeasurementCompensationLow back painSensory organization testSensory systemsSomatosensoryStrategy indexVisual

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Registered trials

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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.