Assessing lumbar posture variability in individuals with chronic low back pain in daily life

IntroductionInvestigating lumbar spinal posture has become increasingly important for understanding the development and persistence of low back pain (LBP). However, there is a notable lack of studies analyzing changes in lumbar posture variability in individuals with LBP compared with healthy indivi...

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Main Authors: Friederike Schömig, Maxim Bashkuev, Sandra Reitmaier, Lena Fleig, Matthias Pumberger, Hendrik Schmidt
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Bioengineering and Biotechnology
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Online Access:https://www.frontiersin.org/articles/10.3389/fbioe.2025.1509634/full
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author Friederike Schömig
Maxim Bashkuev
Sandra Reitmaier
Lena Fleig
Matthias Pumberger
Hendrik Schmidt
author_facet Friederike Schömig
Maxim Bashkuev
Sandra Reitmaier
Lena Fleig
Matthias Pumberger
Hendrik Schmidt
author_sort Friederike Schömig
collection DOAJ
description IntroductionInvestigating lumbar spinal posture has become increasingly important for understanding the development and persistence of low back pain (LBP). However, there is a notable lack of studies analyzing changes in lumbar posture variability in individuals with LBP compared with healthy individuals in daily life. This study aims to address this gap by examining whether lumbar posture patterns differ between individuals with and without LBP throughout the day.MethodsA prospective study design was utilized, including individuals with and without chronic LBP. Lumbar postures were continuously measured over a 24-hour period using the Epionics SPINE system.ResultsThe study included 208 (115 females) asymptomatic individuals and 104 (62 females) individuals with LBP. Individuals with LBP exhibited significantly fewer main lumbar postures during the day compared to healthy participants (1.7 vs 1.9 main postures, p = 0.020; r = 0.132). When analyzed by sex, these differences remained statistically significant in males (1.6 vs 1.9 main postures, p = 0.034; r = 0.183) but not in females (1.7 vs 1.8 main postures, p = 0.238; r = 0.089). Age did not significantly influence these results.ConclusionThe observed changes in lumbar spinal posture variability should be taken into account when developing treatment plans for individuals with chronic LBP. Further research is needed to confirm the impact of increased posture variability on pain persistence.
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spelling doaj-art-e67e9068bd3b425fa50ab3b9fed2b3772025-08-20T03:41:05ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852025-08-011310.3389/fbioe.2025.15096341509634Assessing lumbar posture variability in individuals with chronic low back pain in daily lifeFriederike Schömig0Maxim Bashkuev1Sandra Reitmaier2Lena Fleig3Matthias Pumberger4Hendrik Schmidt5Center for Musculoskeletal Surgery, Charité – Universitätsmedizin Berlin, Berlin, GermanyJulius Wolff Institute, Berlin Institute of Health, Charité – Universitätsmedizin Berlin, Berlin, GermanyJulius Wolff Institute, Berlin Institute of Health, Charité – Universitätsmedizin Berlin, Berlin, GermanyDepartment of Psychology, Medical School Berlin, Berlin, GermanyCenter for Musculoskeletal Surgery, Charité – Universitätsmedizin Berlin, Berlin, GermanyJulius Wolff Institute, Berlin Institute of Health, Charité – Universitätsmedizin Berlin, Berlin, GermanyIntroductionInvestigating lumbar spinal posture has become increasingly important for understanding the development and persistence of low back pain (LBP). However, there is a notable lack of studies analyzing changes in lumbar posture variability in individuals with LBP compared with healthy individuals in daily life. This study aims to address this gap by examining whether lumbar posture patterns differ between individuals with and without LBP throughout the day.MethodsA prospective study design was utilized, including individuals with and without chronic LBP. Lumbar postures were continuously measured over a 24-hour period using the Epionics SPINE system.ResultsThe study included 208 (115 females) asymptomatic individuals and 104 (62 females) individuals with LBP. Individuals with LBP exhibited significantly fewer main lumbar postures during the day compared to healthy participants (1.7 vs 1.9 main postures, p = 0.020; r = 0.132). When analyzed by sex, these differences remained statistically significant in males (1.6 vs 1.9 main postures, p = 0.034; r = 0.183) but not in females (1.7 vs 1.8 main postures, p = 0.238; r = 0.089). Age did not significantly influence these results.ConclusionThe observed changes in lumbar spinal posture variability should be taken into account when developing treatment plans for individuals with chronic LBP. Further research is needed to confirm the impact of increased posture variability on pain persistence.https://www.frontiersin.org/articles/10.3389/fbioe.2025.1509634/fullspinelow back painmovementconservative treatmentphysiotherapy
spellingShingle Friederike Schömig
Maxim Bashkuev
Sandra Reitmaier
Lena Fleig
Matthias Pumberger
Hendrik Schmidt
Assessing lumbar posture variability in individuals with chronic low back pain in daily life
Frontiers in Bioengineering and Biotechnology
spine
low back pain
movement
conservative treatment
physiotherapy
title Assessing lumbar posture variability in individuals with chronic low back pain in daily life
title_full Assessing lumbar posture variability in individuals with chronic low back pain in daily life
title_fullStr Assessing lumbar posture variability in individuals with chronic low back pain in daily life
title_full_unstemmed Assessing lumbar posture variability in individuals with chronic low back pain in daily life
title_short Assessing lumbar posture variability in individuals with chronic low back pain in daily life
title_sort assessing lumbar posture variability in individuals with chronic low back pain in daily life
topic spine
low back pain
movement
conservative treatment
physiotherapy
url https://www.frontiersin.org/articles/10.3389/fbioe.2025.1509634/full
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