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

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2021 Apr 3

PMID 33806622

Citations 5

Authors

Waleska Reyes-Ferrada

Luis Chirosa-Rios

Angela Rodriguez-Perea

Daniel Jerez-Mayorga

Ignacio Chirosa-Rios

Affiliations

Soon will be listed here.

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.

Citing Articles

The effect of blood flow restriction training on core muscle strength and pain in male collegiate athletes with chronic non-specific low back pain.

Liu Y, Liu J, Liu M, Wang M Front Public Health. 2025; 12():1496482.

PMID: 39845683 PMC: 11752914. DOI: 10.3389/fpubh.2024.1496482.

Responsiveness of hand-held dynamometry for measuring changes in trunk muscle strength in people with chronic low back pain.

Althobaiti S, Deane J, Falla D BMC Musculoskelet Disord. 2025; 26(1):66.

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Dallaway A, Duncan M, Griffen C, Renshaw D, Tallis J, Hattersley J Geriatrics (Basel). 2024; 9(5).

PMID: 39311233 PMC: 11417934. DOI: 10.3390/geriatrics9050108.

Assessment of Isokinetic Trunk Muscle Strength and Fatigue Rate in Individuals after Bariatric Surgery.

Alkhamees N, Ali O, Abdelraouf O, Ibrahim Z, Mohamed A Medicina (Kaunas). 2024; 60(4).

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Evaluation of rectus abdominis muscle strength and width of hernia defect in patients undergoing incisional hernia surgery.

Garcia Moriana A, Sanchez Arteaga A, Gil Delgado J, Maroto Sanchez R, Feria Madueno A, Tallon Aguilar L Hernia. 2023; 27(4):919-926.

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