Evaluation of lumbar angles and their clinical correlates in a Nigerian population

Onyemaechi, Ndubuisi O.C.

doi:10.18203/2320-6012.ijrms20161753

Cited by 7 publications

(16 citation statements)

References 11 publications

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“…5 The lumbosacral curvature of the vertebral column has a special function in terms of its mobility and weightbearing. 6 Development of any abnormality in this curvature leads to symptoms ranging from mild discomfort to severe back pain, thus highlighting the importance of this curvature and its normal variability. Various methods have been used for the measurement of this curve, they include goniometry 7, 8 radiography 9-13 flexible rulers, [14][15][16][17][18] software methods, 19 spinal mouse, 20 and inclinometer.…”

Section: Introductionmentioning

confidence: 99%

“…21,22 Of all these methods, radiography remains the gold standard and lordotic measurement can accurately be measured in a supine, lateral lumbosacral spine radiograph. [23][24][25] The lumbosacral angle (LSA), one of the clinically important radiographic angles related to this curve is commonly measured to evaluate the biomechanical factors linked with lower back pain 6 , and is frequently measured by Ferguson's technique. 26,27 LSA, also called as 'sacro-horizontal angle', the 'sacral angle' or the 'Ferguson's angle', is defined as " the angle formed between a line across the plane of the superior margin of S 1 and a horizontal line" 6,28 or the angle formed between the "superior surface of the sacrum and the horizontal plane".…”

Section: Introductionmentioning

confidence: 99%

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A Study of normal variation in lumbosacral angle in asymptomatic patients attending orthopaedic out-patient department of a medical college hospital, Telangana

2020

IJOS

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Introduction: The Lumbosacral angle (LSA), is the angle formed between a line across the plane of the superior margin of the sacrum and a horizontal line. Various literature and studies around the world shows wide normal variation in LS angle, ranging from 32 0 to 44 0. Abnormal variation in LS angle is commonly associated with low back pain. Hence research involving study of normal variation of LSA in different ethnic population plays a significant role. In Indian scenario very few studies are available, especially from rural population, to know up to what extent, variation in LS angle is normal. Hence, the present study attempts to study the normal variation in LSA in rural population of Telangana. Materials and Methods: A descriptive study of normal LSA variability, involving 100 asymptomatic subjects between the age group of 20-60 years was carried out in orthopedic department of Medical College hospital, Telangana. Ferguson's technique was employed for calculation of LSA. Results: In this study variation of LSA ranges from 28 0 to 60 0. Overall average LSA was 34 0 .Females have greater average LSA as compared to males. Conclusion: Results of the present study show variability when compared to other similar studies, which further strengthen the fact that normal variation in LSA differs among different region and races; hence results of the present study will be a useful tool to health care providers for treating different spinal disorders of rural Telangana population.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Study of normal variation in lumbosacral angle in asymptomatic patients attending orthopaedic out-patient department of a medical college hospital, Telangana

2020

IJOS

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“…1 During the evolution of bipedal gait and erect posture, the lumbosacral part of vertebral column has undergone maximum modifications leading to the development of Lumbosacral angle (LSA). Deviations from normal and healthy erect posture result in corresponding changes in the lumbosacral angle.…”

Section: Introductionmentioning

confidence: 99%

“…It shows variations amongst races and ethnic groups. 1 Normally the spine resists axial load and anterior shear forces at the lumbosacral junction 3 but obesity leads to increase in shearing and compressive forces on the articular facets at lumbosacral junction 4 thereby reducing its stability. 3 Measurement of LSA is used to evaluate the stability of the lumbosacral region.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Lumbosacral Angle Amongst Central Indians

Agichani¹,

Joshi²,

Joshi³

2017

jemds

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BACKGROUNDLumbosacral angle (LSA) or Sacrovertebral angle is clinically an important radiographic parameter related to the lordotic curve and is valuable in the management of patients with low back disorders. Its formation is related to evolution of bipedal gait and erect posture. It is defined as an angle between the body of the fifth lumbar vertebra and the base of the sacrum which measures about 120 0 in normal adult. Reviewing the literature, it has been found that there is no conformity amongst the various workers regarding its definition and hence the methods of measurement, thus leading to variable values.The present study aims to find the normal range of LSA in Central Indians.

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The impact of lumbosacral alignment on lumbar mobility, functional disability and psychological wellbeing in office workers with chronic low back pain

Abdel-aziem

Elzaki

2022

International Journal of Therapy and Rehabilitation

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Background/aims The lumbosacral curvature of the spine has a special role in its mobility during weight-bearing activities. Office work is a sedentary role, which requires sitting for long durations, having a negative effect on spinal posture. Therefore, low back pain risk factors in office workers are different from other populations. The aim of this study was to examine the effect of lumbosacral joint angle on the lumbar mobility, functional disability, pain intensity and overall health in office workers with chronic low back pain. Methods A total of 116 male office workers with chronic low back pain (aged between 30–59 years) participated in this cross-sectional study. The lumbosacral radiography was used to divide the participants into two groups, according to the value of their lumbosacral joint angle: group A (lumbosacral joint angle <20°, n=61) and group B (lumbosacral joint angle group >20°, n=55). The lumbar mobility, functional disability, pain intensity and overall health issues of participants were measured. Results The functional disability and pain intensity of individuals in group A were significantly higher than group B (P<0.05). There was a significant decrease in the lumbar flexion and extension range of motion and activities of daily living of those in group A compared to group B (P<0.05). There was a significant increase in emotional health problems and impaired social activity of individuals in group A compared to group B (P<0.05). There were fair positive correlations between lumbosacral joint angle values and functional disability, pain intensity and social activity in office workers in group B (r=0.292, 0.036, 0.333 respectively). Conclusions A decreased lumbosacral joint angle increases functional disability and pain intensity, decreasing lumbar mobility and level of functionality. Furthermore, it reduces emotional health and social activity in participants with low back pain. Therefore, measuring the lumbosacral joint angle of patients with chronic low back pain during treatment may be useful to decrease their pain intensity and improve their functional disability and quality of life.

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Evaluation of lumbar angles and their clinical correlates in a Nigerian population

Cited by 7 publications

References 11 publications

A Study of normal variation in lumbosacral angle in asymptomatic patients attending orthopaedic out-patient department of a medical college hospital, Telangana

A Study of normal variation in lumbosacral angle in asymptomatic patients attending orthopaedic out-patient department of a medical college hospital, Telangana

Evaluation of Lumbosacral Angle Amongst Central Indians

The impact of lumbosacral alignment on lumbar mobility, functional disability and psychological wellbeing in office workers with chronic low back pain

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