Aim and Background: There is little doubt that patients with low back pain (LBP) use their body differently in comparison with healthy individuals. The purpose of this review was to investigate changes in biomechanical perspective which may be present in athletes with LBP. Methods and Materials: TThe search strategy for this review consisted of an electronic database search of full text in PUBMED database. Findings: From 461 records that were initially identified through the PUBMED database, 28 studies met the eligibility criteria, most of which were cross-sectional in nature. The studies demonstrate that athletes with LBP exhibit a range of biomechanical perspective changes in the trunk, lumbar spine, pelvis and lower extremities. However, inconsistencies were apparent between the results. Conclusions: Athletes with LBP demonstrate some biomechanical perspective changes during sport specific and non-sport specific functions. More studies, especially large prospective studies which control for non-mechanical factors are required to determine the relationship between LBP and biomechanical perspective changes in athletes.