Daniels Alan H, Park Alexander M, Lee David J, Daher Mohammad, Diebo Bassel G, Carayannopoulos Alexios
Warren Alpert Medical School Brown University.
Division of Spine Surgery, Department of Orthopaedic Surgery Rhode Island Hospital.
Orthop Rev (Pavia). 2024 Apr 30;16:116960. doi: 10.52965/001c.116960. eCollection 2024.
Low back pain (LBP) is a common problem which can affect balance and, in turn, increase fall risk. The aim of this investigation was to evaluate the impact of a Sacroiliac Belt (SB) on balance and stability in patients with LBP.
Subjects with LBP and without LBP ("Asymptomatic") were enrolled. Baseline balance was assessed using the Berg Balance Scale. In a counterbalanced crossover design, LBP and Asymptomatic subjects were randomized to one of two groups: 1) start with wearing the SB (Serola Biomechanics, Inc.) followed by not wearing the SB or 2) start without wearing the SB followed by wearing the SB. For subjects in both groups, dynamic balance was then assessed using the Star Excursion Balance Test (SEBT) with each leg planted.
Baseline balance was worse in LBP subjects (Berg 51/56) than Asymptomatic subjects (Berg 56/56) (p<0.01). SB significantly improved SEBT performance in LBP subjects regardless of which leg was planted (p<0.01). SB positively impacted Asymptomatic subjects' SEBT performance with the left leg planted (p=0.0002).
The Serola Sacroiliac Belt positively impacted dynamic balance for subjects with low back pain. Further research is needed to examine additional interventions and outcomes related to balance in patients with back pain, and to elucidate the mechanisms behind improvements in balance related to sacroiliac belt utilization.
腰痛（LBP）是一个常见问题，它会影响平衡，进而增加跌倒风险。本研究的目的是评估骶髂带（SB）对腰痛患者平衡和稳定性的影响。
招募有腰痛和无腰痛（“无症状”）的受试者。使用伯格平衡量表评估基线平衡。在平衡交叉设计中，将腰痛和无症状受试者随机分为两组之一：1）先佩戴SB（Serola生物力学公司），然后不佩戴SB；或2）先不佩戴SB，然后佩戴SB。对于两组受试者，然后使用单腿站立的星标试验（SEBT）评估动态平衡。
腰痛受试者的基线平衡（伯格评分51/56）比无症状受试者（伯格评分56/56）差（p<0.01）。无论单腿站立的是哪条腿，SB都能显著改善腰痛受试者的SEBT表现（p<0.01）。SB对单腿站立左腿的无症状受试者的SEBT表现有积极影响（p=0.0002）。
Serola骶髂带对腰痛受试者的动态平衡有积极影响。需要进一步研究以检查与背痛患者平衡相关的其他干预措施和结果，并阐明与使用骶髂带相关的平衡改善背后的机制。
