Differences in lumbopelvic motion between people with and people without low back pain during two lower limb movement tests

Scholtes, Sara A.; Gombatto, Sara P.; Dillen, Linda R. Van

doi:10.1016/j.clinbiomech.2008.09.008

Cited by 161 publications

(162 citation statements)

References 34 publications

Supporting

Mentioning

150

Contrasting

Unclassified

Order By: Relevance

“…Previously, one study on the lumbar spine found greater lumbopelvic motion in the transverse plane during lower limb movements of LBP patients [14]. The study suggested the need to understand the dynamic coordination of the lumbopelvic region during other functional activities.…”

Section: Discussionmentioning

confidence: 92%

“…There are several reports utilizing motion analysis for subjects with and without LBP with regard to interactions with the lower extremities [13][14][15]. As Bouisset initially proposed, stabilization of the pelvis and trunk is necessary for all movements of the upper and lower extremities [16].…”

Section: Introductionmentioning

confidence: 99%

“…The function of the spine should be considered in the context of the whole body [17]. Other studies also demonstrated a relationship between trunk muscle activity and lower extremity movement [14,15]. Therefore, it is important to understand that a possible trunk dysfunction might present different lower extremity movement patterns in subjects with LBP compared with subjects without LBP.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A kinematic analysis of relative stability of the lower extremities between subjects with and without chronic low back pain

Song²,

Lee³

et al. 2011

Eur Spine J

View full text Add to dashboard Cite

Even though a number of studies have evaluated postural adjustments based on kinematic changes in subjects with low back pain (LBP), kinematic stability has not been examined for abnormal postural responses during the one leg standing test. The purpose of this study was to evaluate the relative kinematic stability of the lower extremities and standing duration in subjects with and without chronic LBP. In total, 54 subjects enrolled in the study, including 28 subjects without LBP and 26 subjects with LBP. The average age of the subjects was 37.8 ± 12.6 years and ranged from 19 to 63 years. The outcome measures included normalized holding duration and relative kinematic stability. All participants were asked to maintain the test position without visual input (standing on one leg with his/her eyes closed and with the contra lateral hip flexed 90°) for 25 s. The age variable was used as a covariate to control confounding effects for the data analyses. The control group demonstrated significantly longer holding duration times (T = -2.78, p = 0.007) than the LBP group (24.6 ± 4.2 s vs. 20.5 ± 6.7 s). For the relative kinematic stability, there was a difference in dominance side (F = 9.91, p = 0.003). There was a group interaction between side and lower extremities (F = 11.79, p = 0.001) as well as an interaction between age and dominance side (F = 7.91, p = 0.007). The relative kinematic stability had a moderate negative relationship with age (r = -0.60, p = 0.007) in subjects without LBP. Clinicians need to understand the effects of age and relative stability, which decreased significantly in the single leg holding test, in subjects with LBP in order to develop effective rehabilitation strategies.

show abstract

Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A kinematic analysis of relative stability of the lower extremities between subjects with and without chronic low back pain

Song²,

Lee³

et al. 2011

Eur Spine J

View full text Add to dashboard Cite

show abstract

“…Non-specific LBP comprises a large proportion of LBP cases, and the cost of treating LBP is high [3][4][5]. Several studies have demonstrated factors contributing to the development of LBP, and LBP patients present with various symptoms or behaviors [6][7][8]. For this reason, clinicians and investigators have sought to determine sources and/or causes of LBP based on posture and movement tests, and to provide guidelines for the management of LBP [9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

“…To date, studies of lumbopelvic motion have been conducted through kinematic investigation into LBP; however, no reported study has examined the effects of limited hip flexion on lumbopelvic motion in LBP during hip flexion in sitting [2,4,7,19]. A kinematic study of lumbopelvic motion may be helpful in understanding altered movement strategies in subjects with LBP accompanying limited hip flexion during seated hip flexion.…”

Section: Introductionmentioning

confidence: 99%

Lumbopelvic motion during seated hip flexion in subjects with low-back pain accompanying limited hip flexion

Kim

Cynn

et al. 2013

Eur Spine J

View full text Add to dashboard Cite

Purpose Limited hip flexion may lead to a poor lumbopelvic motion during seated active hip flexion in people with low-back pain (LBP). The purpose of this study was to compare lumbopelvic motion during seated hip flexion between subjects with and without LBP accompanying limited hip flexion. Methods Fifteen patients with LBP accompanying limited hip flexion and 16 healthy subjects were recruited. The subjects performed seated hip flexion with the dominant leg three times. A three-dimensional motion-analysis system was used to measure lumbopelvic motion during seated hip flexion. Results During seated active hip flexion, the angle of hip flexion was significantly lower in patients with LBP accompanying limited hip flexion (17.4 ± 4.4 in the LBP group, 20.8 ± 2.6 in the healthy group; t = 2.63, p = 0.014). The angle of the lumbar flexion (4.8 ± 2.2 in the LBP group, 2.6 ± 2.0 in the healthy group; t = -2.96, p = 0.006) and posterior pelvic tilting (5.0 ± 2.6 in the LBP group, 2.9 ± 2.0 in the healthy group; t = 2.48 p = 0.019), however, were significantly greater in patients with this condition. Conclusions The results of this study suggest that limited hip flexion in LBP can contribute to excessive lumbar flexion and posterior pelvic tilting during hip flexion in the sitting position. Further studies are required to confirm whether improving the hip flexion range of motion can reduce excessive lumbar flexion in patients with LBP accompanying limited hip flexion.

show abstract

Links between the Hip and the Lumbar Spine (Hip Spine Syndrome) as they Relate to Clinical Decision Making for Patients with Lumbopelvic Pain

Prather

Dillen

2019

PM&R

View full text Add to dashboard Cite

This narrative review focuses on the links between the hip and lumbar spine in the context of lumbopelvic pain. The literature regarding this topic is variable, found in many disciplines of care using different terminology. Collectively these inconsistencies add to the complexity of understanding the current evidence as it pertains to clinical practice. We have chosen to review studies that describe and assess overlapping pain distributions between the lumbar spine and hip, hip osteoarthritis and lumbopelvic pain, improvements in low back pain following hip arthroplasty, association of hip range of motion and lumbopelvic pain, and lumbopelvic motion and hip motion as they relate to low back pain and gender. The links between the hip and lumbar spine may provide the clinician important information to make decisions and recommendations for people presenting with the clinical symptom complex including lumbopelvic pain.

show abstract

Differences in lumbopelvic motion between people with and people without low back pain during two lower limb movement tests

Abstract: Background-Clinical data suggest that active limb movements may be associated with early lumbopelvic motion and increased symptoms in people with low back pain.

Cited by 161 publications

References 34 publications

A kinematic analysis of relative stability of the lower extremities between subjects with and without chronic low back pain

A kinematic analysis of relative stability of the lower extremities between subjects with and without chronic low back pain

Lumbopelvic motion during seated hip flexion in subjects with low-back pain accompanying limited hip flexion

Links between the Hip and the Lumbar Spine (Hip Spine Syndrome) as they Relate to Clinical Decision Making for Patients with Lumbopelvic Pain

Contact Info

Product

Resources

About