Relationship between mechanical factors and pelvic tilt in adults with and without low back pain

Król, Anita; Polak, Maciej; Szczygieł, Elżbieta; Wójcik, P.; Gleb, Klaudia

doi:10.3233/bmr-140177

Cited by 34 publications

(23 citation statements)

References 34 publications

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“…The logistic regression model suggested that BMI was a significant determinant of NCLBP, which was consistent with the findings of previous studies (31)(32)(33) that suggested overweight and high BMI increase tissue stress around the lumbar spine (31). Several studies have reported that anatomical variations of the lumbosacral and sacroiliac joints may also contribute to pelvic asymmetries (34,35).…”

Section: Lbp Risk Factorssupporting

confidence: 90%

“…Previous studies showed that anterior pelvic tilt angle was associated with LBP because an increased anterior pelvic tilt could increase the strain of soft tissue in the lumbar region (33,37,38). Existing studies that investigated the impact of unilateral and bilateral dominant sports on pelvic torsion (pelvic rotation in the sagittal plane) reported that people who participated in unilateral dominant sports had a greater prevalence of pelvic asymmetry than those who participated in bilateral dominant sports and non-athlete groups.…”

Section: Lbp Risk Factorsmentioning

confidence: 97%

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Pelvic asymmetry as a risk factor for nonspecific chronic low back pain

Yu¹,

Huang²,

Zhang³

et al. 2020

Preprint

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KEYWORDSpelvic asymmetry, low back pain, photographic assessment, pelvic posture 3 Abstract Background Empirical evidence that identifies the pelvic asymmetry in which movement plane that contribute to non-specific chronic low back pain (NCLBP) is currently lacking.Objective To establish the reliability of the Global Postural System (GPS) in assessing pelvic asymmetry and identify the association between pelvic asymmetry parameters and the occurrence of NCLBP in young adults.Design A cross-sectional, regression study.Methods People who aged between 18 and 30 and were diagnosed with NCLBP were recruited.Healthy individuals who were matched for age, gender, and education level were recruited as controls and for the reliability analysis. Reliability was assessed by the ICC (3, k), standard error and minimal detectable difference. Bivariate correlation analysis and logistic regression analysis were used to determine the risk factors.Results Twenty-eight healthy participants and 28 people with NCLBP were recruited. Moderate to excellent ICCs were observed for the inter-rater and intra-rater reliability of most postural parameters.The bivariate correlation analysis indicated that age, body mass index and pelvic asymmetry parameters were related to the occurrence of NCLBP. Pelvic angle asymmetry (odd ratio=1.17), and asymmetry of the distance between the posterior superior iliac spine and the floor (odd ratio=1.21)were significant risk factors of NCLBP.Limitation This study did not explore the causal relationship between pelvic asymmetry in the sagittal plane/pelvic asymmetry in the transverse plane and the occurrence of NCLBP. The interpretation of the results may not be generalized beyond the sample population.Conclusions The GPS is a reliable method to assess pelvic asymmetry in a clinical setting. The pelvic asymmetry parameters obtained from the GPS are likely to assist in the early identification of the potential occurrence of NCLBP.

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Section: Lbp Risk Factorssupporting

confidence: 90%

Section: Lbp Risk Factorsmentioning

confidence: 97%

Pelvic asymmetry as a risk factor for nonspecific chronic low back pain

Yu¹,

Huang²,

Zhang³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Previous studies showed that anterior pelvic tilt angle was associated with LBP because an increased anterior pelvic tilt could increase the strain of soft tissue in the lumbar region [36,42,43]. The standard deviation of anterior pelvic tilt angle in the NCLBP group observed in this study was higher than the standard deviation of 4.697 previously reported [36]. The larger standard deviation observed in the present study is likely to be related to the smaller sample group.…”

Section: The Relationship Between Pelvic Asymmetry and Nclbpcontrasting

confidence: 73%

“…The asymmetrical biomechanics of the articular surface of the lumbosacral and sacroiliac joints may increase one-sided muscle activity and subsequently lead to the occurrence of CLBP [41]. Previous studies showed that anterior pelvic tilt angle was associated with LBP because an increased anterior pelvic tilt could increase the strain of soft tissue in the lumbar region [36,42,43]. The standard deviation of anterior pelvic tilt angle in the NCLBP group observed in this study was higher than the standard deviation of 4.697 previously reported [36].…”

Section: The Relationship Between Pelvic Asymmetry and Nclbpmentioning

confidence: 99%

The association between pelvic asymmetry and non-specific chronic low back pain as assessed by the global postural system

Huang

Zhang

et al. 2020

BMC Musculoskelet Disord

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Background: Empirical evidence that demonstrates the relationship between pelvic asymmetry and non-specific chronic low back pain (NCLBP) is currently lacking. Objective: To establish the reliability of the Global Postural System (GPS) in assessing pelvic asymmetry and identify the association between pelvic asymmetry parameters and the occurrence of NCLBP in young adults. Design: A cross-sectional, regression study. Methods: People who were aged between 18 and 30 and were diagnosed with NCLBP were recruited. Healthy individuals who were matched for age, sex, and education level were recruited as controls. Global Postural System (GPS) was employed to assess pelvic asymmetry. Prior to exploring the association, the reliability of GPS was assessed by the ICC (2, k) for interrater reliability, ICC (3, k) for intra-rater reliability, standard error and minimal detectable difference. Bivariate correlation analysis and logistic regression analysis were used to determine the relationship between pelvic asymmetry and the occurrence of NCLBP. Results: Twenty-eight healthy participants and 28 people with NCLBP were recruited. Moderate to excellent ICCs were observed for the inter-rater and intra-rater reliability of most postural parameters. The bivariate correlation analysis indicated that age, body mass index and pelvic asymmetry parameters were related to the occurrence of NCLBP. Pelvic angle asymmetry (odds ratio = 1.17), and asymmetry of the distance between the posterior superior iliac spine and the floor (odds ratio = 1.21) were associated with NCLBP. Limitations: This study did not explore the causal relationship between pelvic asymmetry in the sagittal plane/ pelvic asymmetry in the transverse plane and the occurrence of NCLBP. The interpretation of the results may not be generalized beyond the sample population. Conclusions: The GPS is a reliable method to assess pelvic asymmetry in a clinical setting. Two pelvic parameters were associated with the presence of NLBP. Measurement of pelvic asymmetry may assist in the early identification of potential occurrence of NCLBP but further work is required.

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“…If hamstring muscles flexibility is limited it produced more flexion at the spinal level in the slumped sitting position which leads the LBP and sufficient injury 13 . Muscular endurance and power were found to be strongly related to chronicity of back pain 14 . Chronic LBP is most frequently reason of absence from work, people are also in fear that if they do any activity or work it could cause back pain, so they prefer to do sick leave.…”

Section: Relationship Of Chronic Lbp (Low Back Pain) With Hamstringmentioning

confidence: 98%

Relationship of Chronic LBP (Low Back Pain) with Hamstring Tightness in Professionals

2019

J Liaq Uni Med Health Sci

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OBJECTIVES: To find out the relationship between chronic LBP (Low back pain) and hamstring tightness in professionals.METHODOLOGY: This was a cross sectional study. The sample size was 150 subjects. Data was collected from Allied Hospital and DHQ Hospital Faisalabad. Male and female both were selected who were High grade professionals (Engineer, Doctor, Businessman) Low grade professionals (Teacher, Bankers), House wife and house husband working in home or hotel. Oswestary disability questionnaire was used to determine the percentage disability in different professionals. Active Knee extension (AKE) test was used for hamstring tightness. Chi square test for independence is used to determine the relationship between chronic low back pain and hamstring tightness in professionals. SPSS was used for analysis of results.RESULTS: About 28% (42) respondents with moderate disability have hamstring tightness and 19% (29) respondents with severe disability have hamstring tightness (P=0.004). Disability percentage has relationship with activities of daily living. Subjects with active life style i.e. involve in different type of activities such as physical activity and exercise or physical work have tight hamstring (P˂0.003). Majority of housewife and house man have tight hamstring so chi square test shows that subject with different level of profession with back pain have hamstring tightness (P˂ 0.001).CONCLUSION: Study indicates that subjects interlinked with different professions (High grade profes-sion, Low grade profession, Housewife, house husband and peon, sweepers) with back pain have tight hamstring muscle. House wife and house husband are most commonly affected. Key words: Chronic back pain, Hamstring tightness, Professionals

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Relationship between mechanical factors and pelvic tilt in adults with and without low back pain

Abstract: The position of the pelvis depends on age, angle value of lumbar lordosis and BMI. Individuals with and without pain differed significantly in terms of the anterior pelvic tilt. The risk of LBP incidence increased with age in the study group.

Cited by 34 publications

References 34 publications

Pelvic asymmetry as a risk factor for nonspecific chronic low back pain

Pelvic asymmetry as a risk factor for nonspecific chronic low back pain

The association between pelvic asymmetry and non-specific chronic low back pain as assessed by the global postural system

Relationship of Chronic LBP (Low Back Pain) with Hamstring Tightness in Professionals

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