Lumbar Instability Is An Important Cause Of Chronic Back Pain
According to a 2005 study in the European Spine Journal lumbar instability is prevalent in up to 57% of patients with chronic low back pain. Radiographic examination has been the standard for identifying these patients.
Excessive motion like translation and/or rotation of at least one lumbar segment is a critical characteristic finding. Delayed diagnosis may result in the need for surgery with or without spinal fusion. Diagnosis of using x-ray examination poses some limitations, like time and cost, access to equipment, and radiation exposure. Early detection of lumbar instability enables timely noninvasive treatment, helping to prevent further structural degeneration.
Stability of the lower back is the ability to maintain a stable neutral zone of the lumbar spine. According to the activity and function, the core muscles responsible for stabilization be categorized into two main groups. The superficial or global muscles are the primer movers of the trunk, while the deep or local muscles provide a stiffening effect through attaching to the thoracic and lumbar fascia and play important roles in segmental stability.
Questionnaires tailored for particular conditions can provide diagnostic assistance and can measure treatment progress. They are beneficial where there is insufficient equipment, and do not require professional skills to administer.
Back Stability Questionnaire
Patients with chronic low back pain often demonstrate problems with these local stabilization muscles, like as atrophy, fatty infiltration and activation delay. This can make anticipatory postural adjustments difficult and may eventually result in damage to the spine. One of these muscles is the transverse abdominal muscle.
For moderate to severe levels, professional assistance is advised. Further investigation is warranted for possible non-invasive or invasive methods to provide solutions.
The screening tool questionnaire is based on a 2020 study in the journal Spine.