A Comparison of Actual and Apparent Lumbar Lordosis in Black and White Adult Females

Mosner, Eileen A.; Bryan, Jean M.; Stull, Margaret A.; Shippee, Ronald L.

doi:10.1097/00007632-198903000-00011

Cited by 35 publications

(26 citation statements)

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“…The present study demonstrated a marked difference in the SA and the LSC between black and white subjects, which is in disagreement with Fernand and Fox [1985] and Mosner et al [1989]. It is possible that this discrepancy can be explained by the different measuring techniques.…”

Section: Discussioncontrasting

confidence: 87%

“…To our knowledge only two studies have addressed the potential racial difference in the SA and LSC [Fernand and Fox, 1985;Mosner et al, 1989]. Mosner et al [1989] measured the lumbar curvature and presented an 'actual lordosis angle', an 'actual lumbolumbar angle' and an 'apparent lordosis'.…”

Section: Discussionmentioning

confidence: 99%

“…The aim of the study was to develop a different, and possibly more accurate, technique for measuring the LSC and to examine differences in the SA and LSC between black and white young people which could reveal potential causes of low back pain. To the best of our knowledge only two studies have been published dealing with ethnical differences in the studied region [Fernand and Fox, 1985;Mosner et al, 1989]. Both these studies used only two measuring points and presented the degree of lumbar lordosis to be the angle drawn between the caudal surface of the L 2 vertebra and either the caudal surface of the L 5 vertebra or the base of the sacrum.…”

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confidence: 99%

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Differences in Sacral Angulation and Lumbosacral Curvature in Black and White Young Men and Women

Magnusson

Simonsen

1998

Cells Tissues Organs

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The angle between the base of the sacrum and its pelvic surface (SA), and the lumbosacral curve (LSC) defined as the anteroposterior distance between the L₁ vertebra and the sacrum were studied in 105 fresh cadavers aged 15–32 years at death. The sample is comprised of 27 black males, 20 black females, 37 white males and 21 white females. Measurements of the SA were made with an adjustable protractor with an accuracy of ±1°. A new method using a specially designed instrument was developed for taking LSC measurements. A sliding scale that could be moved in the cranialcaudal direction was fitted with a measurement stick which measured the depth of the lumbar and sacral vertebral bodies (ventral to dorsal). The measuring device was placed on the autopsy table above the supine cadaver to measure these depths from the ventral side. The LSC was calculated as the mean difference between lumbar and sacral depths. The SA is smaller in black than in white men (43.6 ± 3.4 vs. 61.7 ± 2.1°, p <0.001). Similarly, black women have a smaller SA than white women (36.0 ± 2.2 vs. 50.2 ± 1.9°, p <0.001). The LSC is also larger in black than white men (9.4 ± 1.1 vs. 5.1 ± 0.3 cm, p <0.001), and black women also have significantly larger LSC compared to white women (13.2 ± 0.5 vs. 9.2 ± 0.6 cm, p <0.001). These data are so far the largest empirical evidence of differences in the SA and the LSC in young black and white cadaver specimens.

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Section: Discussioncontrasting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Differences in Sacral Angulation and Lumbosacral Curvature in Black and White Young Men and Women

Magnusson

Simonsen

1998

Cells Tissues Organs

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“…Visual assessment of lordosis has been found to have only fair to poor validity. 26 Furthermore, Mosner et al 27 and Bryan et al 28 found that the perceptions of physical therapists were influenced by soft tissue contours; increased "gluteal prominence" may be inaccurately perceived as an increased lordosis. Considering that some studies found a tendency for the pelvis to tilt more posteriorly with high heels, adopting a compensatory posture for heels may require greater gluteal contraction and could therefore increase visual prominence of these muscles.…”

Section: Discussionmentioning

confidence: 99%

The effect of high-heeled shoes on lumbar lordosis: a narrative review and discussion of the disconnect between Internet content and peer-reviewed literature

Russell

2010

Journal of Chiropractic Medicine

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Objectives: Some women complain of low back pain that they believe is due to wearing highheeled shoes, and some clinicians seem to think the reason is that high-heeled shoes cause increased lumbar lordosis. This article examines Internet information aimed at the general public and presents a literature review of available research in this area. Methods: The keywords high heels and high-heeled shoes, combined with the words lumbar, lordosis, and pelvic tilt, were used in an Internet search of Ask.com; in published literature searches of PubMed, MANTIS, CINAHL, Scopus, and ProceedingsFirst; and in searches for theses and dissertations of PapersFirst through June 2010. Results: There are many Internet sites that support the belief that high-heeled shoes cause increased lordosis. However, published research for this topic mostly does not support this belief; but some mixed results, small subject groups, and questionable methods have left the issue unclear.Conclusions: It appears that some health care providers are offering advice about the effect of high-heeled shoes on lumbar lordosis that conflicts with most published research. However, the prevalence of such advice is unknown; and the published research is equivocal. Considering that both low back pain and the wearing of high heeled-shoes are common, clinicians could use some clearer guidance; this is an area that deserves further investigation.

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“…Stagnara 16 did not find any statistically significant difference in lumbar lordosis between African, American and European Americans. The conflicting reports inlfuenced 19 , to conclude that the relationship between lumbar lordotic angle and race needed further…”

Section: Page 73mentioning

confidence: 99%

Radiographic evaluation of the lumbar lordotic angle of the spine in a population of Nigerians

2013

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Objectives: For Nigerian Africans, quantitative reference values of osteometric parameters of the human spine are scarce. This study was therefore carried out to metrically evaluate and document the characteristics of the Lumbar lordotic angle, in a population of Nigerians. Materials & Method:Using the Cobb 4-line method, we studied 300 lateral radiographs selected from three tertiary health facilities. There were 156 females (52%) and 144 males (48%) with age range between 18 and 76years. Results were analyzed statistically with the computer based SPSS Version 17, Chicago IL. Taking a confidence level of 0.05 as indicative of statistical significance, the student's t -test was used to estimate differences between means, and a probability density function curve ,to evaluate the distribution pattern of the angle of lumbar lordosis.Results: Mean (± SD) of the Lumbar lordotic angle was 48.45 0 ± (9.28 0 ). A statistically significant association was found between Lumbar lordotic angle and age (P<0.05). Females had significantly higher Lumbar lordotic angles compared with males (P<0.05). Variations were also observed between the lumbar lordotic angles of Nigerians and those of Caucasians. These results will be useful in many areas of medical practice, and research.

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A Comparison of Actual and Apparent Lumbar Lordosis in Black and White Adult Females

Cited by 35 publications

References 0 publications

Differences in Sacral Angulation and Lumbosacral Curvature in Black and White Young Men and Women

Differences in Sacral Angulation and Lumbosacral Curvature in Black and White Young Men and Women

The effect of high-heeled shoes on lumbar lordosis: a narrative review and discussion of the disconnect between Internet content and peer-reviewed literature

Radiographic evaluation of the lumbar lordotic angle of the spine in a population of Nigerians

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