{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T18:24:54Z","timestamp":1793039094706,"version":"4.5.0"},"reference-count":76,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2021,4,26]],"date-time":"2021-04-26T00:00:00Z","timestamp":1619395200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Qatar National Library"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Altered spinal postures and altered motor control observed among people with non-specific low back pain have been associated with abnormal processing of sensory inputs. Evidence indicates that patients with non-specific low back pain have impaired lumbo-pelvic proprioceptive acuity compared to asymptomatic individuals.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Objective<\/jats:title>\n<jats:p>To systematically review seated lumbo-pelvic proprioception among people with non-specific low back pain.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Five electronic databases were searched to identify studies comparing lumbo-pelvic proprioception using active repositioning accuracy in sitting posture in individuals with and without non-specific low back pain. Study quality was assessed by using a modified Downs and Black\u2019s checklist. Risk of bias was assessed using an adapted tool for cross-sectional design and case\u2013control studies. We performed meta-analysis using a random effects model. Meta-analyses included subgroup analyses according to disability level, directional subgrouping pattern, and availability of vision during testing. We rated the quality of evidence using the GRADE approach.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Results<\/jats:title>\n<jats:p>16 studies met the eligibility criteria. Pooled meta-analyses were possible for absolute error, variable error, and constant error, measured in sagittal and transverse planes. There is very low and low certainty evidence of greater absolute and variable repositioning error in seated tasks among non-specific low back pain patients overall compared to asymptomatic individuals (sagittal plane). Subgroup analyses indicate moderate certainty evidence of greater absolute and variable error in seated tasks among directional subgroups of adults with non-specific low back pain, along with weaker evidence (low-very low certainty) of greater constant error.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Discussion<\/jats:title>\n<jats:p>Lumbo-pelvic proprioception is impaired among people with non-specific low back pain. However, the low certainty of evidence, the small magnitude of error observed and the calculated \u201cnoise\u201d of proprioception measures, suggest that any observed differences in lumbo-pelvic proprioception may be of limited clinical utility.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec006\">\n<jats:title>PROSPERO-ID<\/jats:title>\n<jats:p><jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/clinicaltrials.gov\/ct2\/show\/CRD42018107671\" xlink:type=\"simple\">CRD42018107671<\/jats:ext-link><\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0250673","type":"journal-article","created":{"date-parts":[[2021,4,26]],"date-time":"2021-04-26T19:30:37Z","timestamp":1619465437000},"page":"e0250673","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":21,"title":["Lumbo-pelvic proprioception in sitting is impaired in subgroups of low back pain\u2013But the clinical utility of the differences is unclear. A systematic review and meta-analysis"],"prefix":"10.1371","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8033-3934","authenticated-orcid":true,"given":"Vasileios","family":"Korakakis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kieran","family":"O\u2019Sullivan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Argyro","family":"Kotsifaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1827-1995","authenticated-orcid":true,"given":"Yiannis","family":"Sotiralis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giannis","family":"Giakas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2021,4,26]]},"reference":[{"issue":"6","key":"pone.0250673.ref001","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1136\/annrheumdis-2013-204428","article-title":"The global burden of low back pain: estimates from the Global Burden of Disease 2010 study","volume":"73","author":"D Hoy","year":"2014","journal-title":"Ann Rheum Dis"},{"issue":"9859","key":"pone.0250673.ref002","doi-asserted-by":"crossref","first-page":"2163","DOI":"10.1016\/S0140-6736(12)61729-2","article-title":"Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990\u20132010: a systematic analysis for the Global Burden of Disease Study 2010.","volume":"380","author":"T Vos","year":"2012","journal-title":"Lancet"},{"issue":"10070","key":"pone.0250673.ref003","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1016\/S0140-6736(16)30970-9","article-title":"Non-specific low back pain","volume":"389","author":"C Maher","year":"2017","journal-title":"Lancet"},{"issue":"9","key":"pone.0250673.ref004","doi-asserted-by":"crossref","first-page":"1148","DOI":"10.1097\/00007632-200005010-00017","article-title":"A review of psychological risk factors in back and neck pain","volume":"25","author":"SJ Linton","year":"2000","journal-title":"Spine (Phila Pa 1976)."},{"issue":"4","key":"pone.0250673.ref005","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1016\/j.math.2005.07.001","article-title":"Diagnosis and classification of chronic low back pain disorders: Maladaptive movement and motor control impairments as underlying mechanism","volume":"10","author":"P O\u2019Sullivan","year":"2005","journal-title":"Man Ther"},{"issue":"17","key":"pone.0250673.ref006","doi-asserted-by":"crossref","first-page":"2017","DOI":"10.1097\/01.brs.0000228728.11076.82","article-title":"Altered patterns of superficial trunk muscle activation during sitting in nonspecific chronic low back pain patients: Importance of subclassification","volume":"31","author":"W Dankaerts","year":"2006","journal-title":"Spine"},{"issue":"6","key":"pone.0250673.ref007","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1097\/01.brs.0000202532.76925.d2","article-title":"Differences in sitting postures are associated with nonspecific chronic low back pain disorders when patients are subclassified","volume":"31","author":"W Dankaerts","year":"2006","journal-title":"Spine"},{"issue":"1","key":"pone.0250673.ref008","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.math.2005.02.001","article-title":"The inter-examiner reliability of a classification method for non-specific chronic low back pain patients with motor control impairment","volume":"11","author":"W Dankaerts","year":"2006","journal-title":"Man Ther"},{"issue":"8","key":"pone.0250673.ref009","doi-asserted-by":"crossref","first-page":"E486","DOI":"10.1097\/BRS.0b013e31823b00ce","article-title":"Spinal position sense and trunk muscle activity during sitting and standing in nonspecific chronic low back pain: Classification analysis","volume":"37","author":"L Sheeran","year":"2012","journal-title":"Spine"},{"key":"pone.0250673.ref010","doi-asserted-by":"crossref","first-page":"1387","DOI":"10.1097\/BRS.0b013e3181bd3ea6","article-title":"Sitting postures and trunk muscle activity in adolescents with and without nonspecific chronic low back pain","volume":"35","author":"R Astfalck","year":"2010","journal-title":"Spine"},{"issue":"1","key":"pone.0250673.ref011","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.apmr.2016.05.016","article-title":"Is There a Relationship Between Lumbar Proprioception and Low Back Pain? 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