The effect of modifying patient-preferred spinal movement and alignment during symptom testing in patients with low back pain: A preliminary report

Dillen, Linda R. Van; Sahrmann, Shirley A.; Norton, Barbara J.; Caldwell, Cheryl; McDonnell, Mary Kate; Bloom, Nancy J.

doi:10.1053/apmr.2003.50010

Cited by 112 publications

(91 citation statements)

References 18 publications

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“…Prior clinical results suggest that limiting lumbopelvic movement, while encouraging movement in other regions, can reduce LBP symptoms and improve short-and long-term outcomes. 12,14,35 However, intervention in these prior studies used general methods to restrict lumbopelvic movement and did not examine whether specific methods of restricting lumbopelvic movement at different points in the range of motion resulted in better outcomes for men or women. Gombatto et al 9 reported that, although women demonstrated later lumbopelvic movement, women did not demonstrate less total lumbopelvic movement than men during hip lateral rotation.…”

Section: Discussionmentioning

confidence: 99%

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Gender-Related Differences in Prevalence of Lumbopelvic Region Movement Impairments in People With Low Back Pain

Scholtes¹,

Dillen²

2007

J Orthop Sports Phys Ther

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Section: Discussionmentioning

confidence: 99%

“…The procedures for the active movement tests have been described in prior publications. 34,35 The operational definitions for responses to individual tests are described in the Appendix.…”

Section: Patient Selectionmentioning

confidence: 99%

Gender-Related Differences in Prevalence of Lumbopelvic Region Movement Impairments in People With Low Back Pain

Scholtes¹,

Dillen²

2007

J Orthop Sports Phys Ther

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“…(Van Dillen et al 2001;Van Dillen et al 2003a) A number of factors have been theorized to contribute to the movement and alignment patterns that people with LBP display. (Langevin & Sherman 2007;Panjabi 1992;Sahrmann 2002) The two types of factors most often noted are (1) neural control factors, and (2) biomechanical factors.…”

Section: Introductionmentioning

confidence: 99%

Differences in symmetry of lumbar region passive tissue characteristics between people with and people without low back pain

Gombatto

Norton

Scholtes

et al. 2008

Clinical Biomechanics

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Background-Several investigators have suggested that passive tissue characteristics of the lumbar region may be altered in people with low back pain. Passive stiffness of the lumbar region has been examined during physiological movements in healthy individuals and intersegmental spine mobility and stiffness have been examined in people with and people without low back pain. However, no investigators have examined differences in passive tissue characteristics of the lumbar region during a physiological movement between people with and people without low back pain.

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“…17 Conversely, modification of patientpreferred patterns of motion can have a positive influence on movement-related symptoms. 31 Strongly evident in the present study was the influence of instructions and guidance given to participants. When movements were performed in sitting and standing, extension was commonly initiated in the lumbar spine, reducing the extension movement in the thoracic region.…”

Section: Discussionmentioning

confidence: 57%

Thoracic Spine Extension Mobility in Young Adults: Influence of Subject Position and Spinal Curvature

Edmondston¹,

Waller²,

Vallin³

et al. 2011

J Orthop Sports Phys Ther

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Mechanical pain disorders in the thoracic spine are commonly associated with impairment of mobility. 5 Thoracic spine movement limitation in individuals with mobility impairment is frequently observed in axial rotation, as well as in the sagittal plane, particularly into extension. 6 Achieving end range motion of the shoulder girdle also depends on adequate extension of the thoracic spine. 12 Consequently, observation and measurement of thoracic spine extension mobility is an important part of the physical examination of patients with thoracic spine or shoulder girdle pain disorders. Movement impairments are typically interpreted in relation to the patient's symptoms and with consideration of the expected range of motion of the region being examined. While the mechanics of thoracic motion segments have been examined in cadaveric and modeling studies, 23,26,34 few studies have examined the global and regional mobility of the thoracic spine in vivo.Normative ranges of sagittal spinal motion have been reported for the lumbar spine 4 but not for the thoracic region. This may reflect the sentiment that "extension mobility of the thoracic region is limited and usually not measured." 10 In cross-sectional studies, extension mobility in asymptomatic individuals has been variously reported as being "almost negligible," while others have recorded motion of between 20° and 40°. 18,22,35 These differences can be attributed to age, measurement technique, and the reference position from which the movement was measured.Thoracic spine mobility has been shown to decrease with increasing age, although this decline is more evident in individuals over 60 years of age. 15,22 Though several computerized spinal T T STUDY DESIGN: Cross-sectional study. T T OBJECTIVES:To examine extension mobility of the thoracic spine in young, asymptomatic adults, with particular reference to the influence of subject position and magnitude of the thoracic kyphosis. T T BACKGROUND: Impairment of thoracic extension motion is commonly associated with mechanical pain disorders in this region of the spine. Knowledge of normal thoracic mobility and the factors that may influence this motion is important in the evaluation and management of thoracic pain disorders. T T METHODS:In 40 asymptomatic adults, the total and regional thoracic extension range of motion was measured using 2-dimensional photographic image analysis. Extension mobility was measured in standing, sitting, prone, and 4-point kneeling.The association between the magnitude of the habitual thoracic kyphosis and extension mobility was also examined. T T RESULTS:When measured from the habitual standing position, the mean range of flexion was 11.5° (3.7°) and mean extension range was 8.7° T T CONCLUSION:When measured from the habitual standing position, thoracic extension range of motion in young individuals is small and poorly correlated with the magnitude of the standing thoracic kyphosis. Unloaded positions (4-point kneeling and prone), compared to positions that load the spine (standing and s...

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The effect of modifying patient-preferred spinal movement and alignment during symptom testing in patients with low back pain: A preliminary report

Cited by 112 publications

References 18 publications

Gender-Related Differences in Prevalence of Lumbopelvic Region Movement Impairments in People With Low Back Pain

Gender-Related Differences in Prevalence of Lumbopelvic Region Movement Impairments in People With Low Back Pain

Differences in symmetry of lumbar region passive tissue characteristics between people with and people without low back pain

Thoracic Spine Extension Mobility in Young Adults: Influence of Subject Position and Spinal Curvature

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