{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:39:26Z","timestamp":1777466366040,"version":"3.51.4"},"reference-count":59,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T00:00:00Z","timestamp":1742860800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>People who are middle aged are at risk for chronic low back pain (CLBP) which can impair balance. Identifying an appropriate balance test may help to detect balance deficits for this particular age group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess balance on the dominant and non-dominant limbs among middle-aged people, (CLBP\u2009=\u200925 and Painfree\u2009=\u200925).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Static balance included the 30\u2005s single limb stance test and dynamic balance was assessed using the modified Star Excursion Balance test (mSEBT) for anterior, posterolateral, posteromedial directions and composite score on both limbs (dominant and non-dominant) using a randomized limb and direction order for mSEBT and normalized to percent of leg length, (%LL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No group differences were found among the SLS on either limb, (\n                      <jats:italic toggle=\"yes\">p\u2009<\/jats:italic>\n                      &gt;\u20090.05). The control group reached further anteriorly (78%LL) and with the composite (83%LL) compared to the CLBP group, (72%LL) and (75%LL), respectively. The dominant limb had longer reaches for both groups in the posterolateral and composite directions compared to non-dominant limb.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The dynamic balance test may be more sensitive than the SLS test among individuals who are middle-aged and have CLBP. The results support that CLBP group could not reach as far in the anterior direction and composite score resulting in lower dynamic balance compared to the controls. In addition, there were inter-limb differences in both groups during the dynamic balance test which implies both limbs should be assessed among people who are middle-aged with or without chronic low back pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538127251328915","type":"journal-article","created":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T18:52:43Z","timestamp":1742928763000},"page":"1296-1302","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Chronic low back pain lowers balance test scores among people who are middle-aged"],"prefix":"10.1177","volume":"38","author":[{"given":"Lucinda E","family":"Bouillon","sequence":"first","affiliation":[{"name":"Physical Therapy Program, Department of Exercise &amp; Rehabilitation Sciences, College of Health &amp; Human Services, The University of Toledo, Toledo, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6277-3167","authenticated-orcid":false,"given":"Abbey","family":"Lauver","sequence":"additional","affiliation":[{"name":"Physical Therapy Program, Department of Exercise &amp; Rehabilitation Sciences, College of Health &amp; Human Services, The University of Toledo, Toledo, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Ferdon","sequence":"additional","affiliation":[{"name":"Physical Therapy Program, Department of Exercise &amp; Rehabilitation Sciences, College of Health &amp; Human Services, The University of Toledo, Toledo, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Schindler","sequence":"additional","affiliation":[{"name":"Physical Therapy Program, Department of Exercise &amp; Rehabilitation Sciences, College of Health &amp; Human Services, The University of Toledo, Toledo, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,3,25]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/pme.12538"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.15620\/cdc:107894"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32154-2"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2019.8827"},{"key":"e_1_3_4_6_2","first-page":"1","article-title":"Difference in proprioception between young and middle-aged adults with and without chronic low back pain","volume":"21","author":"Pinto SM","year":"2020","unstructured":"Pinto SM, Cheung JP, Samartizis D, et al. 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