The relationships between low back pain and lumbar lordosis: a systematic review and meta-analysis

Chun, Sohyun; Lim, Chai Young; Kim, Keewon; Hwang, Jinseub; Chung, Sun Gun

doi:10.1016/j.spinee.2017.04.034

Cited by 170 publications

(139 citation statements)

References 46 publications

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“…In addition, a systematic review and meta-analysis by Laird et al [17] showed no significant difference of lumbar lordotic curvature between subjects with and those without LBP. On the other hand, Christopher et al reported a significant positive relationship between LBP intensity and the degree of lordosis [5]; also in a systematic review and metaanalysis consisting of 13 studies including 796 and 927 patients with and without LBP respectively Chun et al [6] reported that patients with LBP have smaller lumbar lordotic angle rather than patients without LBP. Although in our study a significant differences in age, gender, marital status and lumbar lordotic angle were observed, linear regression equation showed that just female sex and increase of age could lead to an increase of the LL.…”

Section: Discussionmentioning

confidence: 99%

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The correlation between low back pain and disability index with lumbar lordosis among dentists

Fasih-Ramandi¹,

Nadri²,

Teimori³

et al. 2019

Russ Open Med J

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Background -Non-specific low back pain (LBP) has direct impact on life quality, active days at work and health care costs. The aim of this study was to examine the correlation between lumbar lordosis (LL), LBP intensity and low back pain disability index (LBPDI). Material and Methods -This cross-sectional study was conducted among 52 dentists (56% male and 44% female). Dentists' low back pain intensity and low back disability index were examined with the self-administered visual analog scale and modified Oswestry questionnaire, respectively. LL was calculated using flexible ruler based on Youda's method. Results -The mean LBP and LBPDI were equal to 61.0±23.7 and 31.4±11.8, respectively. In addition, a significant relationship between LBP, sex and BMI as well as between LBPDI, work experience and BMI were found (P=0.001). There was a strong significant positive correlation between LBP and LBPDI (P=0.001, r=0.937). Additionally, the results showed no significant correlation between LBP, LBPDI and LL (P>0.05). Conclusion -The results suggest that despite the lack of correlation between LBP intensity and LBPDI with LL, male sex, work experience and BMI are the important risk factors associated with LBP and LBPDI in dentists and thus should be taken into consideration for preventative and intervention strategies.

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Section: Discussionmentioning

confidence: 99%

“…Significant correlation has been reported between LL and LBP [5], documented by the fact that the therapeutic exercise recommended by clinicians to abolish LL can be applied in order to relieve and treat LBP, and therefore it is believed that LLplays a shock-absorbing role in the prevention of LBP [6].…”

Section: Introductionmentioning

confidence: 99%

The correlation between low back pain and disability index with lumbar lordosis among dentists

Fasih-Ramandi¹,

Nadri²,

Teimori³

et al. 2019

Russ Open Med J

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“…e examination using the sensor allowed for the observation of the pelvis during walking and standing (including pelvic tilt angle) as well as for the analysis of pelvic movements in the three planes: anterior/posterior tilt, falling and lifting of the iliac alae, and rotation (Figures 4(a) and 4(b)). e examination of the angle of lumbar lordosis under static and dynamic conditions is of great importance, mainly due to the close correlation between LBP and abnormalities of lumbar lordosis [163]. e exemplary results of gait analysis before and after therapy are shown in Figures 5(a) and 5(b).…”

Section: Pain Research and Managementmentioning

confidence: 99%

Meta-Analysis of Integrated Therapeutic Methods in Noninvasive Lower Back Pain Therapy (LBP): The Role of Interdisciplinary Functional Diagnostics

Bitenc-Jasiejko

Konior²,

Lietz–Kijak

2020

Pain Research and Management

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Introduction. Lower back pain (LBP) is almost a problem of civilizations. Quite often, it is a consequence of many years of disturbed distribution of tension within the human body caused by local conditions (injuries, hernias, stenoses, spondylolisthesis, cancer, etc.), global factors (postural defects, structural integration disorders, lifestyle, type of activity, etc.), or systemic diseases (connective tissue, inflammation, tumours, abdominal aneurysm, and kidney diseases, including urolithiasis, endometriosis, and prostatitis). Therefore, LBP rehabilitation requires the use of integrated therapeutic methods, combining the competences of interdisciplinary teams, both in the process of diagnosis and treatment. Aim of the Study. Given the above, the authors of the article conducted meta-analysis of the literature in terms of integrated therapeutic methods, indicating the techniques focused on a holistic approach to the patient. The aim of the article is to provide the reader with comprehensive knowledge about treating LBP using noninterventional methods. Material and Methods. An extensive search for the materials was conducted online using PubMed, the Cochrane database, and Embase. The most common noninterventional methods have been described, as well as the most relevantly updated and previously referenced treatment of LBP. The authors also proposed noninvasive (measurable) diagnostic procedures for the functional assessment of the musculoskeletal system, including initial, systematic, and cross-sectional control. All figures and images have been prepared by the authors and are their property. Results. This review article goes beyond combining a detailed description of each procedure with full references, as well as a comprehensive discussion of this very complex and troublesome problem. Conclusions. Lower back pain is a serious health problem, and this review article will help educate physicians and physiotherapists dealing with LBP in the options of evidence-based treatment. Ultimately, the article introduces and postulates the need to systematize therapeutic procedures in LBP therapy, with a long-term perspective.

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“…In this context, the phylogenetic changes observed in the increasing body weight and reducing body height during ontogenesis cannot be ignored [3]. This evolution is evidenced by the results of epidemiological studies, and their authors often indicated in their conclusions further consequences to the structure and functions of the human body, which are conducive to the occurrence of cardiometabolic diseases and joint and spine pain [4][5][6][7]. Furthermore, it has been proven that there are endogenous posture compensation mechanisms which are a response to the evolution of body build.…”

Section: Introductionmentioning

confidence: 99%

Variability of body build and physiological spinal curvatures of young people in an accelerated longitudinal study

Tuz

Maszczyk

Zwierzchowska

2020

Preprint

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Objective : The human body is characterized by the variability of the characteristics of body build, which is expressed in the instability of spinal curvatures, which change during ontogeny. This phenomenon leads to a phylogenetic evolution of the human body build and posture. The aim of the study was to assess the dynamics of the variability of traits and indices of body build and posture and their mutual relations. It was assumed that over the 10-year observation period, a significant variability and relationships will be observed between the characteristics of body build and posture in young adults. Material and Methods: Between 2006 and 2016, 2,154 women and men aged 19.6±0.8 were examined (first-year students of the University of Economics in Katowice, Poland). Measurements of basic anthropometric measurements and angular values of lumbar lordosis and thoracic kyphosis were performed. The collected data were analysed statistically and the intergroup and intragroup differences were evaluated (ANOVA with repeated measures). The dynamics of variability (by building time series) and absolute and single-base increments were determined. Results : The body build of young men and women in the period of ontogenetic stabilization in the study group has changed statistically significantly over the decade. A prediction of the increases in body weight and hip circumference was recorded over a period of 10 years, especially in men. The characteristics of body posture have also undergone a significant progressive change. In women, thoracic kyphosis increased by 96.15%, whereas in men, lumbar lordosis decreased by 52.65%. Conclusions : Significant sexual differentiation was shown for such characteristics as body height, waist circumference and the angle of lumbar lordosis. The relationships between the characteristics of body build and posture were verified. There was a moderate relationship between the hip circumference and lumbar lordosis in women and a weak relationship between body height and the angle of thoracic kyphosis in men.The characteristics of human body build and posture during the period of ontogenetic stabilization show high non-linear variability, characterized by significant dimorphic differentiation.

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The relationships between low back pain and lumbar lordosis: a systematic review and meta-analysis

Cited by 170 publications

References 46 publications

The correlation between low back pain and disability index with lumbar lordosis among dentists

The correlation between low back pain and disability index with lumbar lordosis among dentists

Meta-Analysis of Integrated Therapeutic Methods in Noninvasive Lower Back Pain Therapy (LBP): The Role of Interdisciplinary Functional Diagnostics

Variability of body build and physiological spinal curvatures of young people in an accelerated longitudinal study

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