Movement coordination of the lumbar spine and hip during a picking up activity in low back pain subjects

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

doi:10.1007/s00586-006-0122-z

Cited by 91 publications

(61 citation statements)

References 34 publications

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“…It is known that patients with chronic LBP suffer from episodic pain in their life [48,49] and since the pain is a confounding factor that may alter movement pattern of lumbar spine [50,51], researchers should consider the Fig. 4 Arc length pathway of instantaneous center of rotation (PICR) of subjects for flexion and extension movement between two groups.…”

Section: Discussionmentioning

confidence: 99%

Kinematic analysis of dynamic lumbar motion in patients with lumbar segmental instability using digital videofluoroscopy

et al. 2009

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The study design is a prospective, case-control. The aim of this study was to develop a reliable measurement technique for the assessment of lumbar spine kinematics using digital video fluoroscopy in a group of patients with low back pain (LBP) and a control group. Lumbar segmental instability (LSI) is one subgroup of nonspecific LBP the diagnosis of which has not been clarified. The diagnosis of LSI has traditionally relied on the use of lateral functional (flexion-extension) radiographs but use of this method has proven unsatisfactory. Fifteen patients with chronic low back pain suspected to have LSI and 15 matched healthy subjects were recruited. Pulsed digital videofluoroscopy was used to investigate kinematics of lumbar motion segments during flexion and extension movements in vivo. Intersegmental linear translation and angular displacement, and pathway of instantaneous center of rotation (PICR) were calculated for each lumbar motion segment. Movement pattern of lumbar spine between two groups and during the full sagittal plane range of motion were analyzed using ANOVA with repeated measures design. Intersegmental linear translation was significantly higher in patients during both flexion and extension movements at L5-S1 segment (p \ 0.05). Arc length of PICR was significantly higher in patients for L1-L2 and L5-S1 motion segments during extension movement (p \ 0.05). This study determined some kinematic differences between two groups during the full range of lumbar spine. Devices, such as digital videofluoroscopy can assist in identifying better criteria for diagnosis of LSI in otherwise nonspecific low back pain patients in hope of providing more specific treatment.

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Section: Discussionmentioning

confidence: 99%

Kinematic analysis of dynamic lumbar motion in patients with lumbar segmental instability using digital videofluoroscopy

et al. 2009

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“…[33][34][35]37,39,42] Merely reporting ROM values [29][30][31][32]40,41,44] limits our understanding of movement strategies over time that kinematic waveform analysis is able to attain. [56,57] Furthermore, Vogt et al [33] reported no differences in lumbar ROM between individuals with and without chronic LBP, although dissimilar compensatory movements and lumbar motion asymmetry can still be present. [18] In this review, Thurston [34] noted a difference of 0.3 in frontal plane lumbar ROM between patients with hip arthrosis and healthy controls.…”

Section: Q33mentioning

confidence: 99%

Three-dimensional kinematics of the lumbar spine during gait using marker-based systems: a systematic review

Needham

Stebbins

Chockalingam

2016

Journal of Medical Engineering & Technology

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“…5 The shoulder and pelvic ROM differences during axial trunk rotation between genders. The results indicated that there was a significant gender difference between shoulder and pelvic rotation angles (F = 6.24, p = 0.01) motion [29]. However, there was no specific kinematic measure for the differences between the shoulder and pelvis during axial trunk rotation.…”

Section: Discussionmentioning

confidence: 90%

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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Movement coordination of the lumbar spine and hip during a picking up activity in low back pain subjects

Cited by 91 publications

References 34 publications

Kinematic analysis of dynamic lumbar motion in patients with lumbar segmental instability using digital videofluoroscopy

Kinematic analysis of dynamic lumbar motion in patients with lumbar segmental instability using digital videofluoroscopy

Three-dimensional kinematics of the lumbar spine during gait using marker-based systems: a systematic review

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

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