A new, comprehensive normative database of lumbar spine ranges of motion

Troke, Michael; Moore, Ann; Maillardet, F J; Hough, Alan D.; Cheek, Elizabeth

doi:10.1191/026921501678310171

Cited by 41 publications

(29 citation statements)

References 15 publications

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“…Studies have documented a decrease in spine motion associated with aging. 1,10,20,30,32,37 There is the possibility that the impairment measures of interest in the current study could be affected by age-related spine changes. To further examine the potential effect of age on the gender effects obtained in the current study, we divided the sample into 2 equal groups: (1) patients younger than 42 years of age and (2) patients 42 years of age or older.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…The values used to determine the amount of flexionextension motion were taken from Wong et al (2006), while data from Rozumalski et al (2008) were utilized for lateral bending motion. However, these data were normalized to 25 • in accordance with the ROM of the lumbar spine in lateral bending as mentioned in the study by Troke et al (2001). Axial rotation motion of the model was based on data presented in Fujii et al (2007).…”

Section: Joint Kinematicsmentioning

confidence: 99%

A Musculoskeletal model for the lumbar spine

Christophy

Senan

Lotz

et al. 2011

Biomech Model Mechanobiol

261

228

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A new musculoskeletal model for the lumbar spine is described in this paper. This model features a rigid pelvis and sacrum, the five lumbar vertebrae, and a rigid torso consisting of a lumped thoracic spine and ribcage. The motion of the individual lumbar vertebrae was defined as a fraction of the net lumbar movement about the three rotational degrees of freedom: flexion-extension lateral bending, and axial rotation. Additionally, the eight main muscle groups of the lumbar spine were incorporated using 238 muscle fascicles with prescriptions for the parameters in the Hill-type muscle models obtained with the help of an extensive literature survey. The features of the model include the abilities to predict joint reactions, muscle forces, and muscle activation patterns. To illustrate the capabilities of the model and validate its physiological similarity, the model's predictions for the moment arms of the muscles are shown for a range of flexion-extension motions of the lower back. The model uses the OpenSim platform and is freely available on https://www.simtk.org/home/lumbarspine to other spinal researchers interested in analyzing the kinematics of the spine. The model can also be integrated with existing OpenSim models to build more comprehensive models of the human body.

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“…Naturally some caution is required in making these comparisons, as the gender, age, and back pain history of the participants all differ somewhat between the studies, as does the number of motion segments attributed to the lumbar spine. With respect to the latter, most of the skin-surface devices -CA6000 [11,13,29,37,41,46], long-arm goniometers [40], and inclinometers [53] -measure from the thoracolumbar junction (T12-L1) to the sacrum, and these obviously give slightly higher values than when the motion sensors are placed over the spinous process of L1 and the sacrum, as is typically done when using the Fastrak [25,27] or Isotrak [8,9,10] systems or when the curvature is measured from L1-2 to L5-S1 with X-rays [12,34]. Regarding spinal mobility, there appears to be no consensus as to whether the T12-L1 motion segment should be considered part of the lumbar spine, although guidelines for the measurement of lumbar ROM [2] recommend its inclusion, as T11-12 is considered to represent the functional junction between the thoracic and lumbar regions [5].…”

Section: Lumbar Spine and Hipsmentioning

confidence: 99%

“…Fastrak, Isotrak, Zebris CMS, and CA6000) most commonly indicate the standing curvature and range of motion of a given section of the whole spine (e.g. the lumbar region) using various movement sensors affixed to the skin surface at positions believed to correspond to the underlying vertebrae, as determined by prior palpation and skin marking [8,27,35,37,41,46,48]. These computerised motion analysis devices offer the additional advantage of being able to monitor and record continuously the changing curvature of the spine, thereby allowing both the pattern and extent of movement to be assessed not only during range-of-motion testing but also during the performance of given activities (e.g.…”

Section: Introductionmentioning

confidence: 99%

A new skin-surface device for measuring the curvature and global and segmental ranges of motion of the spine: reliability of measurements and comparison with data reviewed from the literature

Mannion

Knecht

Balaban

et al. 2004

European Spine Journal

328

242

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There is an increasing awareness of the risks and dangers of exposure to radiation associated with repeated radiographic assessment of spinal curvature and spinal movements. As such, attempts are continuously being made to develop skinsurface devices for use in examining the progression and response to treatment of various spinal disorders. However, the reliability and validity of measurements recorded with such devices must be established before they can be recommended for use in the research or clinical environment. The aim of this study was to examine the reliability of measurements using a newly developed skin-surface device, the Spinal Mouse. Twenty healthy volunteers (mean age 41±12 years, nine males, 11 females) took part. On 2 separate days, spinal curvature was measured with the Spinal Mouse during standing, full flexion, and full extension (each three times by each of two examiners). Paired t-tests, intraclass correlation coefficients (ICC), and standard errors of measurement (SEM) with 95% confidence intervals were used to characterise between-day and interexaminer reliability for: standing sacral angle, lumbar lordosis, thoracic kyphosis, and ranges of motion (flexion, extension) of the thoracic spine, lumbar spine, hips, and trunk. The between-day reliability for segmental ranges of flexion was also determined for each motion segment from T1-2 to L5-S1. The majority of parameters measured for the 'global regions' (thoracic, lumbar, or hips) showed good between-day reliability. Depending on the parameter of interest, between-day ICCs ranged from 0.67 to 0.92 for examiner 1 (average 0.82) and 0.57 to 0.95 for examiner 2 (average 0.83); for 70% of the parameters measured, the ICCs were greater than 0.8 and generally highest for the lumbar spine and whole trunk measures. For lumbar spine range of flexion, the SEM was approximately 3°. The ICCs were also good for the interexaminer comparisons, ranging from 0.62 to 0.93 on day 1 (average 0.81) and 0.70 to 0.94 on day 2 (average 0.86), although small systematic differences were sometimes observed in their mean values. The latter were still evident even if both examiners used the same skin markings. For segmental ranges of flexion, the ICCs varied between vertebral levels but overall were lower than for the global measures (average for all levels in all analyses, ICC 0.6). For each examiner, the average between-day SEM over all vertebral levels was approximately 2°. For 'global' regions of the spine, the Spinal Mouse delivered consistently reliable values for standing curvatures and ranges of motion which compared well with those reported in the literature. This suggests that the device can be reliably implemented for in vivo studies of the ORIGINAL ARTICLE Eur Spine J (2004) 13 : 122-136 DOI 10.1007 Anne F. Mannion Katrin Knecht Gordana Balaban Jiri Dvorak Dieter Grob A new skin-surface device for measuring the curvature and global and segmental ranges of motion of the spine: reliability of measurements and comparison with data reviewed from the ...

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A new, comprehensive normative database of lumbar spine ranges of motion

Abstract: Data have been generated that provide comprehensive, gender-specific, broadly based and age-related indices for normative lumbar ranges of motion in all planes of movement. These are applicable to individuals throughout adult life, from adolescence through to old age.

Cited by 41 publications

References 15 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

A Musculoskeletal model for the lumbar spine

A new skin-surface device for measuring the curvature and global and segmental ranges of motion of the spine: reliability of measurements and comparison with data reviewed from the literature

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