Current standards for measuring spinal range of motion for impairment

Cupon, Leanne N.; Jahn, Warren T.

doi:10.1016/s0899-3467(07)60067-6

Cited by 10 publications

(6 citation statements)

References 16 publications

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“…The authors of that review concluded that there was little evidence to support current measures of lumbar ROM. The poor results were mostly attributed to differences between the raters, reflected by the accuracy and consistency of manual palpation of bony landmarks, and the handling of the inclinometer heads along the subject’s spine [ 20 ]. Nonetheless, dual inclinometry is considered to be more valid tool than modified-modified Schobers (MMS) [ 21 ] because the measurement results are expressed in degrees, which correlate with the angular motion of lumbar flexion and extension [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Reliability of three landmarking methods for dual inclinometry measurements of lumbar flexion and extension

MacDermid

Arumugam

Vincent³

et al. 2015

BMC Musculoskelet Disord

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BackgroundTo examine the intra and inter-rater reliability of lumbar flexion and extension measurements attained using three landmarking methods for dual inclinometry.MethodsThis was a repeated measures reliability study. Convenience sampling was used to obtain forty volunteer subjects. Two assessors measured a series of lumbar flexion and extension movements using the J-Tech™ dual inclinometer. Three different landmarking methods were used: 1) straight palpation of PSIS and L1, 2) palpation of PSIS and the site of the nearest 5 cm interval point closest to L1 and 3) location of PSIS and 15 cm cephalad. Upon landmarking, adhesive tape was used to mark landmarks and the inclinometer was placed on sites for three trials of flexion and extension. Tape was removed and landmarks were relocated by the same assessor (intra-rater) for an additional three trials; and this process was repeated by a second assessor (inter-rater). Reliability was determined using intra-class correlation coefficients.ResultsReliability within a set of three repetitions was very high (ICCs > 0.90); intra-rater reliability after relocating landmarks was high (ICCs > 0.80); reliability between therapists was moderate to high (0.60 > ICCs < 0.76). Assessment of flexion and extension movements by straight palpation of bony landmarks as in the Straight palpation of PSIS and L1 method (ICC: Flexion 0.60; Extension 0.74) was found to be marginally less reliable than the other two landmarking measurement strategies (ICC: Flexion 0.66; Extension 0.76).ConclusionAll three methods of land marking are reliable. We recommend the use of the PSIS to 15 cm cephalad method as used in the modified-modified Schobers test as it is the simplest to perform and aligns with current clinical practice.

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Section: Introductionmentioning

confidence: 99%

Reliability of three landmarking methods for dual inclinometry measurements of lumbar flexion and extension

MacDermid

Arumugam

Vincent³

et al. 2015

BMC Musculoskelet Disord

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“…Long-term complications associated with aging affect spinal health and can cause significant functional impairments in activities of daily living [15,16]. Since spinal health and mobility are key determinants of whole body function, an increase in participation restrictions may result in a perceived quality of life change that is usually detrimental [23].…”

Section: Characteristics Of the Aging Spinementioning

confidence: 99%

The Effect of Age on Spinal Range of Motion: A Review

2018

Ageing Sci Ment Health Stud

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Reduced spinal mobility may result in activity limitations and participation restrictions, which could subsequently affect quality of life. This literature review examined the effects of aging on spinal range of motion (ROM). Two databases (PubMed and Google Scholar) were searched using the MeSH terms spine, aging, range of motion, athlete, human and collagen. Two hundred twenty-four articles were identified; 210 of these were rejected as not directly relevant with the current review. The accepted articles (n=14) were categorized into four participant groups (athletes, clinical, elderly, and general). Each of the studies was analyzed and assigned a quality grade using the GRADE system provided by the American Dietetic Association. The results suggested that aging causes increased risk for spinal fractures and loss of ROM and bone density. For women, spinal deformity and vertebral compression fractures may lead to impaired mobility and quality of life. More research is needed on the effects of the aging spine in relation to overall health, quality of life and socio-economic status.

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“…However, biomechanically, only low levels of muscle contraction are needed to stabilize the spine during daily activities, further, individuals with chronic low back pain usually have increased levels of abdominal and lumbar muscle activity and the approach to increase the muscular demand during daily activities might be create a fear of movement, catastrophizing, muscle fatigue, more disability and pain [7]. Exercises focusing on spine mobility for individuals with low back pain have been Citation: Miranda historically prescribed after the American Medical Association and the American Academy of Orthopedic Surgeons suggested that measure spine mobility is a good approach to measure low back disability [8]. However, there are a few suggestions that the mobility of the lumbar spine seems to be poorly associated with movement functionality and low back disability [5], presenting poor or nonexistent relationship [9].…”

Section: Introductionmentioning

confidence: 99%

Comparison of low back mobility and stability exercises from Pilates in non-specific low back pain: A randomized controlled trial

Miranda¹,

Souza²,

Schneider³

et al. 2020

Int J Spine Res

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Objectives: Compare the effects of the low back mobility and stability exercises from Pilates Method on low back pain, disability and movement functionality in individuals with non-specifi c chronic low back pain. Methods: 28 participants were randomized into two exercise protocol from Pilates methods, one focusing on low back stability and other on low back mobility. Low back pain (visual analogic scale), low back disability (Oswestry) and movement functionality (7 functional movement tasks) were evaluated before and after 10 sessions of Pilates exercise by the same trained assessor. A mixed designed ANOVA with two factors was used. Results:The results of the study showed that there was a signifi cant improvement to the pain, disability and movement functionality after the intervention regardless the group and it wasn't found signifi cant interaction.Conclusions: Regardless the exercise protocols both improved all outcomes for individuals with non-specifi c chronic low back pain. Also, there is no difference between focus on mobility or stability in the application of Pilates exercises for those outcomes therefore, the indication of one exercise protocol or another may fall within the preference of the instructor or practitioner/patient.

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Current standards for measuring spinal range of motion for impairment

Cited by 10 publications

References 16 publications

Reliability of three landmarking methods for dual inclinometry measurements of lumbar flexion and extension

Reliability of three landmarking methods for dual inclinometry measurements of lumbar flexion and extension

The Effect of Age on Spinal Range of Motion: A Review

Comparison of low back mobility and stability exercises from Pilates in non-specific low back pain: A randomized controlled trial

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