Isokinetic Trunk Strength in Acute Low Back Pain Patients Compared to Healthy Subjects: A Systematic Review

Waleska Reyes-Ferrada, Luis Chirosa-Rios, Angela Rodriguez-Perea, Daniel Jerez-Mayorga and Ignacio Chirosa-Rios
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Waleska Reyes-Ferrada: Department Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18011 Granada, Spain
Luis Chirosa-Rios: Department Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18011 Granada, Spain
Angela Rodriguez-Perea: Department Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18011 Granada, Spain
Daniel Jerez-Mayorga: Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago 7591538, Chile
Ignacio Chirosa-Rios: Department Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18011 Granada, Spain

IJERPH, 2021, vol. 18, issue 5, 1-13

Abstract: Background: The purpose of this systematic review was to: (I) determine the quality of evidence from studies assessing trunk isokinetic strength in subjects with acute low back pain (ALBP) compared to healthy subjects and (II) establish reference values of isokinetic trunk strength in subjects with ALBP. Methodology: Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) statements were followed using keywords associated with trunk, strength and low back pain. Four databases were used: PubMed, Web of Science, Scopus and SPORTDiscus. Methodological quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS). Results: A total of 1604 articles were retrieved, four included in this review. All were evaluated as high risk of bias (Rob). Due to the high Rob and the diversity of protocols, instruments and variables used, it was not possible to determine reference values for subjects with ALBP, we can only establish a range of flexion peak torque (PT) between 175.1 and 89.7 Nm at 60°/s and between 185 and 81.5 Nm at 120°/s, and for extension PT between 240.0 and 91.5 Nm at 60°/s and between 217.5 and 69.2 Nm at 120°/s in subjects with ALBP. Conclusions: Due to the low quality of the evidence and the diversity of protocols used when measuring trunk isokinetic strength, it is necessary to carry out new high-quality research to establish reference values of trunk strength in subjects with ALBP.

Keywords: dynamometer; core muscles; trunk strength testing; reference data; peak torque (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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