Effect of Low Back Pain on the Kinematics and Joint Coordination of the Lumbar Spine and Hip During Sit-to-Stand and Stand-to-Sit

Shum, Gary L.; Crosbie, Jack; Lee, Raymond Y.W.

doi:10.1097/01.brs.0000176195.16128.27

Cited by 211 publications

(178 citation statements)

References 28 publications

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“…This compensatory mechanism could potentially cause elevated strains at the lumbar spine especially if sufficient core strength is lacking, and could be affected by presence of lower back pain. 26 Similarly, greater peak hip flexion moments may be associated with greater joint contact forces at the hip. Thus, maintaining or reestablishing normal joint mechanics during stair climbing may not only be beneficial for quadriceps muscle strength and knee loading but also be critical for the prevention of potentially detrimental changes in the mechanical environment of other joints that are prone to the development of OA.…”

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confidence: 99%

Adaptive patterns of movement during stair climbing in patients with knee osteoarthritis

Asay

Mündermann

Andriacchi

2009

Journal Orthopaedic Research

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The purpose of this study was to determine if there is a distinctive characteristic in the pattern of movement (forward trunk lean to reduce demand on the quadriceps muscle) during stair climbing in patients with knee osteoarthritis (OA) that is associated with the severity of the disease. Twenty-three patients with radiographically diagnosed knee OA and 20 physically active adults performed stair ascending trials without support at their self-selected speed. Standard gait analysis was used to calculate three-dimensional lower extremity joint kinematics and kinetics. Forward trunk lean, or trunk flexion, was defined as the sagittal plane projection of the angle between a line connecting the midpoint of the trans-acromion line and the midpoint of the trans-iliac crest line and the global vertical axis. Patients with more severe knee OA (KL ! 3) had greater forward trunk lean (þ6.38, p ¼ 0.045) and lower knee net quadriceps moments (À35.2%, p ¼ 0.001) than controls. In more severe patients, the forward trunk lean was correlated with a reduction in the net quadriceps moment during stair climbing (R 2 ¼ 0.590, p ¼ 0.006). The results of this study identified a distinctive compensatory pattern of movement to reduce the quadriceps demand during stair climbing in patients with more severe knee OA by increasing forward trunk lean. Assessing forward trunk lean during stair climbing may be a useful functional marker for evaluating osteoarthritis status and quadriceps function that appears to be a more sensitive indicator of disease severity than perceived pain. ß

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confidence: 99%

Adaptive patterns of movement during stair climbing in patients with knee osteoarthritis

Asay

Mündermann

Andriacchi

2009

Journal Orthopaedic Research

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“…Subjects with recurrent LBP were able to complete a task by increasing lumbar and hip movements in the frontal and horizontal planes of motion while limiting movements in the sagittal plane [33,34]. This uncoordinated axial rotation of the trunk might be a risk factor in connection with spinal injuries during twisting activities.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting shoulder–pelvic integration during axial trunk rotation in subjects with recurrent low back pain

et al. 2012

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Introduction Shoulder-pelvic integration could play a central role in the control of dynamic posture and movement. However, kinematic coordination during axial trunk rotation has not been carefully investigated in subjects with recurrent low back pain (LBP). The purpose of this study was to compare the maximum rotational angles of the shoulders and pelvis in the transverse plane between subjects with and without recurrent LBP. Materials and methods A total of 38 age-matched subjects (19 control subjects: 69.00 ± 5.75 years old and 19 subjects with LBP: 68.79 ± 5.40 years old) participated in the study. The axial trunk rotation test was conducted in the upright position with bilateral hips and knees fully extended and both feet shoulder width apart. Results The results of this study indicated that there was a difference in pelvic girdle rotation between groups (100.79 ± 26.46 in the control group, 82.12 ± 23.16 in the LBP group; t = 2.31, p = 0.02); however, there was no difference for the shoulder girdle (177.63 ± 36.98 in the control group, 156.42 ± 30.09 in the LBP group; t = 1.91, p = 0.06). There were interactions with age (F = 9.27, p = 0.004) and BMI (F = 7.50, p = 0.01) with the rotational angles of the shoulder and pelvis. Conclusion These results indicated a different pattern of trunk rotation movement with the age and BMI serving as important factors to consider for recurrent LBP. The results of our study also indicated a different pattern of shoulder and pelvic coordination with age and gender. Clinicians need to consider the consequences of limited shoulderpelvic rotational angles, especially limited rotational angle on the pelvis during trunk axial rotation. Further studies are required to determine the causes of the underlying problems for clinical decision-making and altered shoulderpelvic rotation in subjects with recurrent LBP.

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“…Many studies have found patients with low back pain having significant changes in other joints [11][12][13]. However; this fact has never been brought to light in Pakistani literature.…”

Section: Introductionmentioning

confidence: 99%

Low Back Pain: Not a Segmental Pathology

Rehan¹

2017

BJSTR

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Effect of Low Back Pain on the Kinematics and Joint Coordination of the Lumbar Spine and Hip During Sit-to-Stand and Stand-to-Sit

Abstract: Back pain was related to changes in the kinematics and coordination of the lumbar spine and hips during sit-to-stand and stand-to-sit. Assessment of back pain patients should include kinematic analysis of the hips as well as the spine.

Cited by 211 publications

References 28 publications

Adaptive patterns of movement during stair climbing in patients with knee osteoarthritis

Adaptive patterns of movement during stair climbing in patients with knee osteoarthritis

Factors affecting shoulder–pelvic integration during axial trunk rotation in subjects with recurrent low back pain

Low Back Pain: Not a Segmental Pathology

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