Evidence map›Paper›PMID 42772196›Full record

ArticleBrazilian journal of physical therapy2026

Convergent validity of the position-reposition and thoracolumbar dissociation tests in patients with recurrent low back pain in remission.

Michiel Brandt, Lieven Danneels, Jessica Van Oosterwijck, Jaap Wijnen, Hannes Meirezonne, Tine M Willems, Paul W Hodges, Thomas Matheve

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Article in Brazilian journal of physical therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited 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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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Michiel BrandtSpine, Head and Pain Research Unit Ghent, Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium. Electronic address: Michiel.Brandt@UGent.be.
Lieven DanneelsSpine, Head and Pain Research Unit Ghent, Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium. Electronic address: Lieven.Danneels@UGent.be.
Jessica Van OosterwijckSpine, Head and Pain Research Unit Ghent, Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium; Pain in Motion International Research Consortium, Belgium.
Jaap WijnenSpine, Head and Pain Research Unit Ghent, Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium; Pain in Motion International Research Consortium, Belgium.
Hannes MeirezonneSpine, Head and Pain Research Unit Ghent, Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Tine M WillemsSpine, Head and Pain Research Unit Ghent, Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Paul W HodgesCentre for Innovation in Pain and Health Research (CIPHeR), School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
Thomas MatheveSpine, Head and Pain Research Unit Ghent, Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium; REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Diepenbeek, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLumbopelvic sensorimotor control (SMC) impairments during remission from low back pain (LBP) may contribute to its recurrence. Clinical assessment of lumbopelvic SMC can support management of recurrent LBP. Such assessments should demonstrate sufficient convergent validity, as outcomes inform clinical decision-making for SMC-therapy implementation.

objectiveTo evaluate the convergent validity of two SMC tests (position-reposition test and thoracolumbar dissociation test) in individuals with recurrent LBP in remission according to COSMIN guidelines.

methodsFifty-three participants with recurrent LBP in remission (19 female) performed the position-reposition and thoracolumbar dissociation tests. A blinded examiner scored both tests, while objective measures were collected using spinal inclinometers and surface electromyography of trunk muscles. COSMIN-based hypotheses were used to evaluate convergent validity. Relationships between clinical scores and objective measures were examined with Spearman's rho.

resultsThe position-reposition test showed sufficient convergent validity for all criteria and the total score. For the thoracolumbar dissociation test, L5 range of motion (ROM), T5/L5-ratio, L5 movement smoothness, and their combined z-score demonstrated sufficient convergent validity. In contrast, muscle activation and L1/L5-ratio showed insufficient convergent validity. Including muscle activation in the combined z-score of ROM and smoothness did not improve the convergent validity.

conclusionThe position-reposition test can be clinically evaluated with sufficient convergent validity. The clinical assessment of thoracolumbar dissociation should prioritize pelvic and thoracic ROM and the smoothness of pelvic movement, while muscle activation should be interpreted with caution. Both tests can be used in clinical practice and may help guide clinical decision-making in managing recurrent LBP.

Indexed as

Clinical assessmentLow back painLumbopelvic sensorimotor controlRepositioning accuracyThoracolumbar dissociationValidity

Identifiers

PMID42772196
PMCPMC13625764

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