Objective Assessment with Establishment of Normal Values for Lumbar Spinal Range of Motion

Fitzgerald, G. Kelley; Wynveen, Kevin J; Rheault, Wendy; Rothschild, Bruce M.

doi:10.1093/ptj/63.11.1776

Cited by 125 publications

(89 citation statements)

References 10 publications

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“…Several studies report varying reliability from low [4,21,32,41] to high [14,20,28,31,44]. Within our study, we did not find any statistically significant correlation between the modified Schober test and MRI findings.…”

Section: Mobility Testscontrasting

confidence: 58%

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Do MRI findings correlate with mobility tests? An explorative analysis of the test validity with regard to structure

Quack

Schenk²,

Laeubli³

et al. 2006

Eur Spine J

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To find out whether segmental magnetic resonance imaging (MRI) findings such as intervertebral disc degeneration (DD) and facet joint osteoarthritis (FJO) are associated with motion deficiencies as seen in common mobility tests and observed range of motion (ROM). A total of 112 female subjects, nurses and office workers, with and without low back pain, were examined by clinical experts, and lumbar mobility was measured including modified Schober, fingertip-to-floor distance (FTFD) and ZEBRIS motion analysis. An MRI of the lumbar spine was made. Mobility findings were correlated with segmental morphologic changes as seen on MRI at the levels of L1-2 through L5-S1. Only a few statistically significant correlations between MRI findings and the results of the mobility tests could be found. Lateral bending was weakly and negatively correlated to DD and FJO but only on the level of L5-S1. The FTFD showed a weak positive correlation to endplate changes on the level of L4-5. When ROM is observed by clinical experts, there are several significant relationships between MRI findings and the observed motion. There is a highly significant segmental correlation between DD and disc form alteration as seen on MRI on the level of single motion segments. Pain history and current pain level did not moderate any association between MRI and mobility. There is no clear relationship between the structural changes represented by MRI and the measured mobility tests used in this study. Our findings suggest that close observation of spinal motion may provide at least equal information about the influence of spinal structures on motion than the commonly used measured mobility tests do.

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Section: Mobility Testscontrasting

confidence: 58%

“…Some studies found gender, age, height, obesity and sitting-to-standing ratio to affect ROM [1,3,10,14,29,35], while others could not find any correlation between [11,24,29,30]. ROM is not only affected by anthropometric data but also affected by factors such as pain [11,29,30], motivation [7], time of day [11] and sport [5].…”

Section: Discussionmentioning

confidence: 99%

Do MRI findings correlate with mobility tests? An explorative analysis of the test validity with regard to structure

Quack

Schenk²,

Laeubli³

et al. 2006

Eur Spine J

View full text Add to dashboard Cite

show abstract

“…While age and to a lesser degree gender have been shown to play a role on lumbar RoM [11], a larger age effect in men, as observed previously [21] is not visible in the current study. The functional tests (fingertip-to-floor distance, Schober and Ott signs), which are considered to be reliable and objective [23], also show a dependency on age, but not as clearly as the results obtained using Epionics SPINE. Here, the high correlations for the three measurements showed good reliability of Epionics SPINE.…”

Section: Discussionmentioning

confidence: 91%

Comparative evaluation of a novel measurement tool to assess lumbar spine posture and range of motion

Consmüller¹,

Rohlmann

Weinland³

et al. 2012

Eur Spine J

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Purpose The diagnosis of low back pain pathology is generally based upon invasive image-based assessment of structural pathology, but is limited in methods to evaluate function. The accurate and robust measurement of dynamic function may assist in the diagnosis and monitoring of therapy success. Epionics SPINE is an advanced straingauge measurement technology, based on the two sensor strips SpineDMS system, which allows the non-invasive assessment of lumbar and thoraco-lumbar motion for periods of up to 24 h. The aim of this study was to examine the reliability of Epionics SPINE and to collect and compare normative data for the characterisation of spinal motion in healthy subjects. Furthermore, the identification of parameters that influence lumbar range of motion (RoM) was targeted. Methods Spinal shape was measured using Epionics SPINE in 30 asymptomatic volunteers during upright standing, as well as maximum flexion and extension, to check intra-rater reliability. Furthermore, back shape was assessed throughout repeated maximum flexion and extension movements in 429 asymptomatic volunteers in order to collect normative data of the lordosis angle and RoM in different gender and age classes. Results The lordosis angle during standing in the healthy collective measured with Epionics SPINE was 32.4°± 9.7°. Relative to this standing position, the average maximum flexion angle was 50.8°± 10.9°and the average extension angle 25.0°± 11.5°. Comparisons with X-ray and Spinal Mouse data demonstrated good agreement in static positions. Age played a larger role than gender in influencing lumbar posture and RoM. Conclusions The Epionics SPINE system allows the practical and reliable dynamic assessment of lumbar spine shape and RoM, and may therefore provide a clinical solution for the evaluation of lower back pain as well as therapy monitoring.

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“…More clinically friendly, inexpensive techniques include goniometers [16,[18][19][20][21], inclinometers [17,[22][23][24][25][26][27] and flexicurves [28][29][30][31]. Goniometers and inclinometers are secured or held directly over previously palpated vertebrae, producing a measure that is limited to a single thoracic, lumbar, or sacral region of the spine [16,17,19,22,25].…”

Section: Introductionmentioning

confidence: 99%

Preliminary study: reliability of the spinal wheel. A novel device to measure spinal postures applied to sitting and standing

et al. 2009

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Postural re-education is an integral part of physiotherapy management in patients with back pain. Although the link between posture and back pain is largely unknown, postural re-education is performed on the premise of optimizing spinal alignment to minimize stresses on the passive structures of the spine, to facilitate optimal muscular support and thus to prevent possible damage and further pain. A reliable and clinically meaningful measurement of spinal postures to monitor such interventions remains challenging. This study evaluated within-day (intra-tester, inter-tester) and between-day (test-retest) reliability of a novel spinal wheel device measuring thoracic and lumbar postures during sitting and standing. 17 healthy volunteers (age 39.5 ± 5.4, BMI 25 ± 9.2; 9 males) were measured three times, by three testers, on two separate occasions (1 week apart). The angular change between C7 and T12 and between T12 and S1 provided thoracic and lumbar curvatures, respectively. Intra-class correlation coefficient (ICC) with 95% confidence intervals and typical error were calculated. Excellent reliability was demonstrated with intra-tester ICCs between 0.947 and 0.980 and typical error between 1.7°and 3.7°and intertester ICCs between 0.949 and 0.986 and typical error between 2.0°and 4.7°. Test-retest reliability was high with ICCs 0.719-0.908 and typical error between 4.0°and 7.4°. In conclusion, the spinal wheel demonstrated excellent within-day and high between-day reliability. The device may be used in conjunction with 2D camcorder to provide clinically useful visual evaluation of postures for assessment, intervention monitoring, and feedback during postural re-education.

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Objective Assessment with Establishment of Normal Values for Lumbar Spinal Range of Motion

Cited by 125 publications

References 10 publications

Do MRI findings correlate with mobility tests? An explorative analysis of the test validity with regard to structure

Do MRI findings correlate with mobility tests? An explorative analysis of the test validity with regard to structure

Comparative evaluation of a novel measurement tool to assess lumbar spine posture and range of motion

Preliminary study: reliability of the spinal wheel. A novel device to measure spinal postures applied to sitting and standing

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