Correlation between balance and lumbar proprioception in patients with lumbosacral radiculopathy

Karamany, Abdelazeem Mohsen; Rehab, Nagwa Ibrahim; Fahmy, Ebtesam Mohamed; Midan, Mahmoud Elsayed

doi:10.21608/ijtau.2025.374841.1012

Correlation between balance and lumbar proprioception in patients with lumbosacral radiculopathy

Document Type : Systematic Review

Authors

¹ department of physical therapy for neurology, faculty of physical therapy, cairo university

² department of physical therapy for neurology , faculty of physical therapy , cairo university

³ department of Neurology , Faculty Of Medicine , cairo university

⁴ department of physical therapy for neurology, faculty of physical therapy, Cairo university

10.21608/ijtau.2025.374841.1012

Abstract

Lumbosacral radiculopathy (LSR) is a common spinal cord disorder characterized by nervously compression, causing pain, sensory deficit and motor damage. While its clinical features are well documented, the increasing evidence emphasizes a significant but often unjustified aspect of LSR: its effect on Propreoception and Balance. This narrative review synthesizes recent literature in patients with LSRs, with proprioceptive -dysfunction of lumbar and impaired balance control, the recent literature discovered the conditions of mutually intertwined. Research suggests that disrupted afferent signaling due to nerve root involvement compromises proprioceptive feedback, particularly in trunk position sense and joint movement detection. This deficit is strongly correlated with an increase in postural sway, converted weight distribution and static and dynamic balance. Studies using devices such as tetrax posturography, vibraty stimulation and motion perception threshold testing confirm this association. In addition, the intervention aimed at propositional rehabilitation – such as sensorimotor training, neurodynamic techniques and yoga which demonstrate improvements not only in proposition accuracy, but also develops functional balance and reduces the risk. Evidence outlines the requirement for extensive evaluation and treatment strategies that integrate the correct conceptive and balance training in LSR management. Future research should focus on standardizing properly evaluation devices and evaluating the long -term effects of targeted interventions using purposes of biomechanical and neurophysiological results.

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