Correlation between radiographic sagittal alignment, range of motion, muscle strength, and quality of life in adults with spinal deformities

Abstract

The aims of this study were to examine the relationship between range of motion/muscle strength of the spine and lower limbs with 1) radiographic sagittal alignment and 2) quality of life of participants with spinal deformities to adequately target the appropriate factors for effective treatment. [Participants and Methods] This study used an observational cross-sectional correlational design. Participants with spinal deformities and low back pain were recruited for the study. The dependent variables were range of motion/muscle strength of the spine and lower limbs, sagittal alignment, and quality of life. [Results] Regarding alignment, significant correlations were found between hip extension range of motion and sagittal vertebral axis; between occiput-to-wall distance and thoracolumbar kyphosis; and between back extensor endurance and pelvic tilt and pelvic incidencelumbar lordosis mismatch, also known as the calculated (pelvic incidence) minus (lumbar lordosis) value. With regards to quality of life, significant correlations were found between pain-related disorders and lumbar spine range of motion, and between gait disturbance and knee and hip extension ranges of motion. [Conclusion] Our findings suggest that these factors should be targeted for assessment and treatment of adults with spinal deformities.

Forward head posture and neck disability: what is the effect on lung function?

“…The correlation between FHP and cervical disability, postulated in numerous studies [7,[10][11][12][13][14][24][25][26][27], is not confirmed in our series. The cervical pain symptom and the relative cervical disability, confirmed by a score on the NDI questionnaire > 8, are not strictly correlated to the presence of FHP; among the 45 subjects who presented with FHP, only 11 of these reported suffering frequently from neck pain (NDI > 8), while the remaining 34 subjects with FHP were asymptomatic.…”

Comparative Study for Characteristics of Locomotive Syndrome in Patients with Lumbar Stenosis and Adult Spinal Deformity

“…Typical symptoms characteristic of LSS might be neurogenic intermittent claudication, lower extremity pain, and numbness and weakness in the lower extremities [ 11 ]. In contrast, back pain and standing gait disturbance due to forward-stooped posture is one of the representative symptoms of ASD [ 12 ]. Additionally, adult spinal deformity has been reported to be correlated with many symptoms not only of musculoskeletal disorders but also possibly of disorders of visceral organs close to the spine such as gastroesophageal reflux disease and pulmonary dysfunction [ 13 , 14 ].…”

Two Zn(II)-organic frameworks: catalytic Knoevenagel condensation and treatment activity on spine surgery incision infection via inhibiting Staphylococcus aureus biofilms formation

“…With the continuous development of medical technology, many spinal diseases can be treated by surgery, and the complications brought by spinal surgery have been paid more and more attention. Spine surgery incision infection (SSI) is one of the common complications of spinal surgery, with an incidence rate of 0.7%-12% reported in the literature [1,2]. SSI not only affects the patient's surgical results, but also causes medical burden of patients.…”