Kinematic Characteristics of Sit-to-Stand Movements in Patients With Low Back Pain: A Systematic Review

Sedrez, Juliana Adami; Mesquita, Paula Valente de; Gelain, Grazielle Martins; Candotti, Cláudia Tarragô

doi:10.1016/j.jmpt.2018.12.004

Cited by 19 publications

(14 citation statements)

References 24 publications

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“…The average lumbar contribution that was measured during sit-to-stand was 31.8° and 29.6°, for the sitting down and standing up phase, respectively. This result agrees with other studies on lumbar mobility during sit-to-stand [ 49 ], where the average value of lumbar ROM for healthy volunteers was reported to be equal to 32.07 ± 6.77°.…”

Section: Discussionsupporting

confidence: 93%

“…The system proposed in this study is easy to use in the clinical setting, offering a more precise and detailed evaluation than what is commonly obtained using the standard tools of outpatient settings, such as goniometers. The use of three MIMU sensors allows not only the assessment of the kyphosis and lordosis of the subject (static and dynamic) but also the evaluation of the mobility of the spinal segments that are being monitored and yields results comparable to other studies in the same field [ 49 ]. Further development of this system could provide other useful information, such as movement speed, fluidity and proprioception, allowing clinicians to better understand which aspects of movement are altered.…”

Section: Discussionmentioning

confidence: 99%

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Validation and Assessment of a Posture Measurement System with Magneto-Inertial Measurement Units

Paloschi

Bravi

Schena

et al. 2021

Sensors

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Inappropriate posture and the presence of spinal disorders require specific monitoring systems. In clinical settings, posture evaluation is commonly performed with visual observation, electrogoniometers or motion capture systems (MoCaps). Developing a measurement system that can be easily used also in non-structured environments would be highly beneficial for accurate posture monitoring. This work proposes a system based on three magneto-inertial measurement units (MIMU), placed on the backs of seventeen volunteers on the T3, T12 and S1 vertebrae. The reference system used for validation is a stereophotogrammetric motion capture system. The volunteers performed forward bending and sit-to-stand tests. The measured variables for identifying the posture were the kyphosis and the lordosis angles, as well as the range of movement (ROM) of the body segments. The comparison between MIMU and MoCap provided a maximum RMSE of 5.6° for the kyphosis and the lordosis angles. The average lumbo-pelvic contribution during forward bending (41.8 ± 8.6%) and the average lumbar ROM during sit-to-stand (31.8 ± 9.8° for sitting down, 29.6 ± 7.6° for standing up) obtained with the MIMU system agree with the literature. In conclusion, the MIMU system, which is wearable, inexpensive and easy to set up in non-structured environments, has been demonstrated to be effective in posture evaluation.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Validation and Assessment of a Posture Measurement System with Magneto-Inertial Measurement Units

Paloschi

Bravi

Schena

et al. 2021

Sensors

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“…While many studies confirm that the effect of LBP significantly increases the STS time [ 6 ], only few explore the compensatory biomechanics adopted by LBP patients during the STS test. Prior research has shown that LBP patients had decreased velocity of the trunk and hip compared to controls in an STS test [ 7 ]. Patients with LBP also have decreased lumbar and hip mobility [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Compensatory biomechanics and spinal loading during dynamic maneuvers in patients with chronic low back pain

Nyayapati

Booker

et al. 2022

Eur Spine J

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Purpose This study explores the biomechanics underlying the sit-to-stand (STS) functional maneuver in chronic LBP patients to understand how different spinal disorders and levels of pain severity relate to unique compensatory biomechanical behaviors. This work stands to further our understanding of the relationship between spinal loading and symptoms in LBP patients. Methods We collected in-clinic motion data from 44 non-specific LBP (NS-LBP) and 42 spinal deformity LBP (SD-LBP) patients during routine clinical visits. An RGB-depth camera tracked 3D joint positions from the frontal view during unassisted, repeated STS maneuvers. Patient-reported outcomes (PROs) for back pain (VAS) and low back disability (ODI) were collected during the same clinical visit. Results Between patient groups, SD-LBP patients had 14.3% greater dynamic sagittal vertical alignment (dSVA) and 10.1% greater peak spine torque compared to NS-LBP patients (p < 0.001). SD-LBP patients also had 11.8% greater hip torque (p < 0.001) and 86.7% greater knee torque (p = 0.04) compared to NS-LBP patients. There were no significant differences between patient groups in regard to anterior or vertical torso velocities, but anterior and vertical torso velocities correlated with both VAS (r = − 0.38, p < 0.001) and ODI (r = − 0.29, p = 0.01). PROs did not correlate with other variables. Conclusion Patients with LBP differ in movement biomechanics during an STS transfer as severity of symptoms may relate to different compensatory strategies that affect spinal loading. Further research aims to establish relationships between movement and PROs and to inform targeted rehabilitation approaches.

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“…Considering that the STD movement is performed constantly in a day, excessive pressure may be exerted on the physical structure, which could be a risk factor for causing LBP that is persistent [16]. Therefore, it is important for patients with LBP to perform the STD movement accurately, which makes studies on the STD movement essential [17].…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Effect of Wearing Extensible and Non-Extensible Lumbar Belts on Biomechanical Factors of the Sit-to-Stand Movement and Pain-Related Psychological Factors Affecting Office Workers with Low Back Pain

Cho

Lee

et al. 2021

Healthcare

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This study aimed to investigate the effects of wearing extensible and non-extensible lumbar belt (LB) on biomechanical factors of the sit-to-stand (STD) movement and pain-related psychological factors affecting office workers with low back pain. Among 30 office workers, 15 with low back pain (LBP) were assigned to the experimental group and 15 healthy adults were assigned to the control group. The participants performed STD movement in random order of three different conditions: without LB (Condition 1), with extensible LB (Condition 2), and with non-extensible LB (Condition 3). Biomechanical variables of STD movement in each condition were measured using a three-dimensional motion analysis system and force plate. Pain-related psychological factors were measured only in the experimental group. Among the biomechanical factors of STD movement, an interaction effect was found in the maximum anterior pelvic tilt angle and total-phase range of motion of the trunk (p < 0.05). Pain intensity, pain-related anxiety, and pain catastrophizing were decreased in the conditions with lumbar belts (Conditions 2 and 3) compared to the condition without LB (Condition 1) (p < 0.05). Extensible and non-extensible lumbar belts engender biomechanically beneficial effects during STD movement in both office workers with LBP and healthy office workers. Further, pain intensity, pain-related anxiety, and pain catastrophizing were decreased in office workers with LBP. Therefore, both types of extensible lumbar belts may be helpful in the daily life of patients with LBP and office workers.

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Kinematic Characteristics of Sit-to-Stand Movements in Patients With Low Back Pain: A Systematic Review

Cited by 19 publications

References 24 publications

Validation and Assessment of a Posture Measurement System with Magneto-Inertial Measurement Units

Validation and Assessment of a Posture Measurement System with Magneto-Inertial Measurement Units

Compensatory biomechanics and spinal loading during dynamic maneuvers in patients with chronic low back pain

Analysis of the Effect of Wearing Extensible and Non-Extensible Lumbar Belts on Biomechanical Factors of the Sit-to-Stand Movement and Pain-Related Psychological Factors Affecting Office Workers with Low Back Pain

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