{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:12:12Z","timestamp":1790737932154,"version":"4.1.0"},"reference-count":43,"publisher":"BMJ","issue":"1","funder":[{"name":"Masai GB Limited"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Sport Exerc Med"],"accepted":{"date-parts":[[2017,12,14]]},"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Differences in postural control and gait have been identified between people with and without chronic low back pain (CLBP); however, many previous studies present data from small samples, or have used methodologies with questionable reliability. This study, employing robust methodology, hypothesised that there would be a difference in postural control, and spatiotemporal parameters of gait in people with CLBP compared with asymptomatic individuals.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This cross-sectional case\u2013control study age-matched and gender-matched 16 CLBP and 16 asymptomatic participants. Participants were assessed barefoot (1) standing, over three 40\u2009s trials, under four posture challenging conditions (2) during gait. Primary outcome was postural stability (assessed by root mean squared error of centre of pressure (CoP) displacement (CoP<jats:sub>RMSEAP<\/jats:sub>) and mean CoP velocity (CoP<jats:sub>VELAP<\/jats:sub>), both in the anteroposterior direction); gait outcomes were hip range of movement and peak moments, walking speed, cadence and stride length, assessed using force plates and a motion analysis system.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There were no differences between groups in CoP<jats:sub>RMSEAP<\/jats:sub> (P=0.26), or CoP<jats:sub>VELAP<\/jats:sub> (P=0.60) for any standing condition. During gait, no differences were observed between groups for spatiotemporal parameters, maximum, minimum and total ranges of hip movement, or peak hip flexor or extensor moments in the sagittal plane.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>In contrast to previous research, this study suggests that people with mild to moderate CLBP present with similar standing postural control, and parameters of gait to asymptomatic individuals. Treatments directed at influencing postural stability (eg, standing on a wobble board) or specific parameters of gait may be an unnecessary addition to a treatment programme.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsem-2017-000286","type":"journal-article","created":{"date-parts":[[2018,1,24]],"date-time":"2018-01-24T20:10:41Z","timestamp":1516824641000},"page":"e000286","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":17,"title":["Comparison of standing postural control and gait parameters in people with and without chronic low back pain: a cross-sectional case\u2013control study"],"prefix":"10.1136","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2060-670X","authenticated-orcid":false,"given":"Catharine Si\u00e2n","family":"MacRae","sequence":"first","affiliation":[{"name":"College of Health and Life Sciences, Brunel University, Uxbridge, UK"},{"name":"Therapy Services, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3650-4852","authenticated-orcid":false,"given":"Duncan","family":"Critchley","sequence":"additional","affiliation":[{"name":"Division of Health and Social Care Research, Academic Department of Physiotherapy, King\u2019s College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy S","family":"Lewis","sequence":"additional","affiliation":[{"name":"Department of Allied Health Professions, University of Hertfordshire, Hatfield, UK"},{"name":"Musculoskeletal Services, Central London Community Healthcare NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Shortland","sequence":"additional","affiliation":[{"name":"One Small Step Gait Laboratory, Guy\u2019s and St Thomas\u2019 NHS Foundation Trust, London, UK"},{"name":"Biomedical Engineering, King\u2019s College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,1,23]]},"reference":[{"key":"2025083112304746000_4.1.e000286.1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-008-0709-7"},{"key":"2025083112304746000_4.1.e000286.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2005.10.009"},{"key":"2025083112304746000_4.1.e000286.3","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1016\/S0268-0033(99)00025-X","article-title":"Balance in chronic low back pain patients compared to healthy people under various conditions in upright standing","volume":"14","author":"Mientjes","year":"1999","journal-title":"Clin Biomech"},{"key":"2025083112304746000_4.1.e000286.4","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000115134.97854.C9"},{"key":"2025083112304746000_4.1.e000286.5","doi-asserted-by":"publisher","DOI":"10.1097\/00004356-200306000-00004"},{"key":"2025083112304746000_4.1.e000286.6","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(85)90285-4"},{"key":"2025083112304746000_4.1.e000286.7","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200202150-00016"},{"key":"2025083112304746000_4.1.e000286.8","doi-asserted-by":"crossref","first-page":"1329","DOI":"10.1097\/BRS.0b013e318059af3b","article-title":"Influence of pain distribution on gait characteristics in patients with low back pain: part 1: vertical ground reaction force","volume":"32","author":"Lee","year":"2007","journal-title":"Spine"},{"key":"2025083112304746000_4.1.e000286.9","doi-asserted-by":"publisher","DOI":"10.1054\/math.2002.0476"},{"key":"2025083112304746000_4.1.e000286.10","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200109010-00019"},{"key":"2025083112304746000_4.1.e000286.11","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-010-1543-2"},{"key":"2025083112304746000_4.1.e000286.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2010.09.012"},{"key":"2025083112304746000_4.1.e000286.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2012.06.013"},{"key":"2025083112304746000_4.1.e000286.14","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9290(89)90037-7"},{"key":"2025083112304746000_4.1.e000286.15","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9290(82)90031-8"},{"key":"2025083112304746000_4.1.e000286.16","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(88)90160-1"},{"key":"2025083112304746000_4.1.e000286.17","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-2-4"},{"key":"2025083112304746000_4.1.e000286.18","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-006-9085-0"},{"key":"2025083112304746000_4.1.e000286.19","doi-asserted-by":"publisher","DOI":"10.1016\/S0268-0033(98)00069-2"},{"key":"2025083112304746000_4.1.e000286.20","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsem-2016-000170"},{"key":"2025083112304746000_4.1.e000286.21","doi-asserted-by":"crossref","first-page":"1905","DOI":"10.1097\/BRS.0b013e3182a69956","article-title":"Effectiveness of rocker sole shoes in the management of chronic low back pain: a randomized clinical trial","volume":"38","author":"MacRae","year":"2013","journal-title":"Spine"},{"key":"2025083112304746000_4.1.e000286.22","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/58.6.M525"},{"key":"2025083112304746000_4.1.e000286.23","doi-asserted-by":"crossref","first-page":"433","DOI":"10.55782\/ane-2014-2006","article-title":"Assessment of postural stability in young healthy subjects based on directional features of posturographic data: vision and gender effects","volume":"74","author":"B\u0142aszczyk","year":"2014","journal-title":"Acta Neurobiol Exp"},{"key":"2025083112304746000_4.1.e000286.24","doi-asserted-by":"publisher","DOI":"10.1017\/S0012162204000192"},{"key":"2025083112304746000_4.1.e000286.25","doi-asserted-by":"publisher","DOI":"10.1097\/bpo.0b013e31818e197c"},{"key":"2025083112304746000_4.1.e000286.26","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2008.03230.x"},{"key":"2025083112304746000_4.1.e000286.27","doi-asserted-by":"publisher","DOI":"10.1016\/0167-9457(91)90046-Z"},{"key":"2025083112304746000_4.1.e000286.28","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1111\/j.1469-7793.1999.0301o.x","article-title":"Effect of gaze on postural responses to neck proprioceptive and vestibular stimulation in humans","volume":"519 Pt 1","author":"Ivanenko","year":"1999","journal-title":"J Physiol"},{"key":"2025083112304746000_4.1.e000286.29","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2008.11.016"},{"key":"2025083112304746000_4.1.e000286.30","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1016\/S0268-0033(97)00033-8","article-title":"Postural sway and stepping response among working population: reproducibility, long-term stability, and associations with symptoms of the low back","volume":"12","author":"Takala","year":"1997","journal-title":"Clin Biomech"},{"key":"2025083112304746000_4.1.e000286.31","doi-asserted-by":"crossref","first-page":"1415","DOI":"10.1097\/BRS.0b013e3181a3a917","article-title":"Effect of dual-tasking on postural control in subjects with nonspecific low back pain","volume":"34","author":"Salavati","year":"2009","journal-title":"Spine"},{"key":"2025083112304746000_4.1.e000286.32","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2008.10.064"},{"key":"2025083112304746000_4.1.e000286.33","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1016\/j.jbmt.2009.06.007","article-title":"Effect of low back pain on postural stability in younger women: influence of visual deprivation","volume":"14","author":"Mann","year":"2010","journal-title":"J Bodyw Mov Ther"},{"key":"2025083112304746000_4.1.e000286.34","first-page":"224","article-title":"Test-retest reliability and minimal detectable change for center of pressure measures of postural stability in elderly subjects","volume":"23","author":"Salehi","year":"2010","journal-title":"Med J Islam Repub Iran"},{"key":"2025083112304746000_4.1.e000286.35","doi-asserted-by":"publisher","DOI":"10.3109\/09593989709036448"},{"key":"2025083112304746000_4.1.e000286.36","doi-asserted-by":"publisher","DOI":"10.1016\/S1050-6411(03)00042-7"},{"key":"2025083112304746000_4.1.e000286.37","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9290(80)90340-1"},{"key":"2025083112304746000_4.1.e000286.38","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelekin.2016.09.004"},{"key":"2025083112304746000_4.1.e000286.39","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.physio.2006.02.002","article-title":"Agreement between an electrogoniometer and motion analysis system measuring angular velocity of the knee during walking after stroke","volume":"92","author":"Pomeroy","year":"2006","journal-title":"Physiotherapy"},{"key":"2025083112304746000_4.1.e000286.40","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-9406(05)60695-5"},{"key":"2025083112304746000_4.1.e000286.41","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2008.11.016"},{"key":"2025083112304746000_4.1.e000286.42","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.6061\/clinics\/2012(12)14","article-title":"The influence of anthropometric factors on postural balance: the relationship between body composition and posturographic measurements in young adults","volume":"67","author":"Alonso","year":"2012","journal-title":"Clinics"},{"key":"2025083112304746000_4.1.e000286.43","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2013\/850424","article-title":"Relationship between anthropometric factors, gender, and balance under unstable conditions in young adults","volume":"2013","author":"Greve","year":"2013","journal-title":"Biomed Res Int"}],"container-title":["BMJ Open Sport &amp; Exercise Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjsem-2017-000286","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T19:30:52Z","timestamp":1756668652000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopensem.bmj.com\/lookup\/doi\/10.1136\/bmjsem-2017-000286"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1]]},"references-count":43,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,1,23]]},"published-print":{"date-parts":[[2018,1]]}},"alternative-id":["10.1136\/bmjsem-2017-000286"],"URL":"https:\/\/doi.org\/10.1136\/bmjsem-2017-000286","relation":{},"ISSN":["2055-7647"],"issn-type":[{"value":"2055-7647","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1]]}}}