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. 2024 Apr 30:16:116960.
doi: 10.52965/001c.116960. eCollection 2024.

Impact of Sacroiliac Belt Utilization on Balance in Patients with Low Back Pain

Alan H Daniels  1   2 , Alexander M Park  3 , David J Lee  4 , Mohammad Daher  1 , Bassel G Diebo  1   2 , Alexios Carayannopoulos  2
Affiliations

Impact of Sacroiliac Belt Utilization on Balance in Patients with Low Back Pain

Alan H Daniels et al. Orthop Rev (Pavia). .

Abstract

Background: 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.

Methods: 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.

Results: 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).

Conclusion: 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.

Keywords: balance; fall risk; low back pain; sacroiliac belt; stability.

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Conflict of interest statement

Bassel G. Diebo, MD Clariance: Consultant Spinevision: Consultant Medtronic: Consultant Alexios Carayannopoulos, DO Springer: Royalties Alan H. Daniels, MD Stryler: Royalties and Consultant SpineArt: Royalties Medtronic: Royalties, Consultant, and Fellowship Support Orthofix: Consultant and Research Support The following individuals have no conflicts of interest or sources of support that require acknowledgement: Alexander M. Park, David J. Lee, and Mohammad Daher.

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