Sex Differences in Lumbopelvic Movement Patterns During Hip Medial Rotation in People With Chronic Low Back Pain

Hoffman, Shannon L.; Johnson, Molly; Zou, Dequan; Dillen, Linda R. Van

doi:10.1016/j.apmr.2011.02.015

Cited by 30 publications

(22 citation statements)

References 48 publications

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“…Both men and women decreased their lumbopelvic rotation range of motion and increased the amount of hip rotation completed before the start of lumbopelvic motion. Consistent with previous literature, men demonstrated greater lumbopelvic rotation that began earlier in the range of hip medial rotation compared to women before treatment [26]. Furthermore, results of this study demonstrate that baseline differences remain following treatment.…”

Section: Discussionsupporting

confidence: 90%

Gender Differences in Modifying Lumbopelvic Motion during Hip Medial Rotation in People with Low Back Pain

Hoffman

Johnson

Zou

et al. 2012

Rehabilitation Research and Practice

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Reducing increased or early lumbopelvic motion during trunk or limb movements may be an important component of low back pain treatment. The ability to reduce lumbopelvic motion may be influenced by gender. The purpose of the current study was to examine the effect of gender on the ability of people with low back pain to reduce lumbopelvic motion during hip medial rotation following physical therapy treatment. Lumbopelvic rotation and hip rotation before the start of lumbopelvic rotation were assessed pre- and posttreatment for 16 females and 15 males. Both men and women decreased lumbopelvic rotation and completed more hip rotation before the start of lumbopelvic rotation post-treatment compared to pre-treatment. Men demonstrated greater lumbopelvic rotation and completed less hip rotation before the start of lumbopelvic rotation than women both pre- and post-treatment. Both men and women reduced lumbopelvic motion relative to their starting values, but, overall, men still demonstrated greater and earlier lumbopelvic motion. These results may have important implications for understanding differences in the evaluation and treatment of men and women with low back pain.

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Section: Discussionsupporting

confidence: 90%

Gender Differences in Modifying Lumbopelvic Motion during Hip Medial Rotation in People with Low Back Pain

Hoffman

Johnson

Zou

et al. 2012

Rehabilitation Research and Practice

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“…The without LBP [59][60][61]. Nevertheless, it was suggested that gender differences may not be relevant when subgrouping subjects by different patterns of lumbar posture and movements [62].…”

Section: Discussionmentioning

confidence: 99%

Time-course and factors affecting movement control in acute low back pain: A prospective cohort study in a primary care setting

Hofstetter

Pfeiffer

Meichtry³

et al. 2020

Preprint

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Background: A subgroup of low back pain (LBP) patients present with movement control impairment (MCI). Although there has been extensive research in this area, there is a lack of knowledge of how movement control develops over time and the factors that impact MCI after an acute LBP-episode. Objective : The investigation followed the time-course of MCI in the first three months after an onset of acute LBP-episode, including a baseline-effect evaluation of various demographic, physical and psychosocial characteristics on MCI. Methods : Within this prospective cohort study, 68 subjects with an acute onset of LBP of less than four weeks duration were recruited. In conclusion, 56 subjects were assessed three times at four, eight and twelve weeks. Questionnaire data was collected using an online survey, including demographic data, pain intensity, recurrence of LBP, disability, depression, pain-related activity patterns, activity level and the use of physiotherapy treatment. In addition, a physical examination was performed at the same time points (TP) to assess MCI. For the data analysis, we performed a regression analysis, using proportional odds models. Results : The majority of the participants presented with MCI during the measurement period, although with highly individual courses. The evaluation of baseline and time effects for disability, pain-related activity patterns and physical treatment confirmed interactions with MCI. In contrast, pain intensity and recurrent episodes of LBP revealed effects on MCI only in the adjusted model in combination with other variables. Conclusions : MCI plays a significant role in a subgroup of subjects in the course of LBP after an acute onset of symptoms. Physiotherapy treatment showed short time effects on MCI and might be essential in stratified care in a primary care setting. Further longitudinal studies are needed to assess the association of those different physical and psychosocial characteristics of MCI to calculate their time-interaction on MCI. This is due to the multidimensional nature of LBP and the underlying mechanisms of MCI still being unidentified.

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“…Direction of hip rotation, early lumbopelvic motion, and LBP have gender‐specific associations . In a study of gender differences, Gombatto et al compared LBP symptoms in 27 males and 19 females using three dimensional kinematic assessment of motion during hip external rotation.…”

Section: Secondary Subgroupmentioning

confidence: 99%

“…Direction of hip rotation, early lumbopelvic motion, and LBP have gender-specific associations. 53,73,76,80 In a study of gender differences, Gombatto et al 73 compared LBP symptoms in 27 males and 19 females using three dimensional kinematic assessment of motion during hip external rotation. During the first 60% of hip external rotation, men had a greater percentage of maximum lumbopelvic rotation as compared to women (P < .01).…”

Section: Gender and Lumbopelvic Motion Associated With Hip Motionmentioning

confidence: 99%

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

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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.

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Sex Differences in Lumbopelvic Movement Patterns During Hip Medial Rotation in People With Chronic Low Back Pain

Cited by 30 publications

References 48 publications

Gender Differences in Modifying Lumbopelvic Motion during Hip Medial Rotation in People with Low Back Pain

Gender Differences in Modifying Lumbopelvic Motion during Hip Medial Rotation in People with Low Back Pain

Time-course and factors affecting movement control in acute low back pain: A prospective cohort study in a primary care setting

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

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