The effects of lumbo-pelvic postural taping on gait parameters in patients with lumbar spinal stenosis

Kang, Min-Hyeok; Kim, Eui-Ryong; Kim, Yang-Gon; Kim, Sang Woo; Oh, Jae-Seop

doi:10.1016/j.clinbiomech.2013.10.005

Cited by 8 publications

(6 citation statements)

References 23 publications

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“…Worse symptoms in standing and walking positions may be biomechanically explained by the additional narrowing of the spinal canal caused by increased lumbar lordosis in these positions compared to sitting positions [8]. Patients with DLSS not only have greater radiographically measured pelvis tilt and smaller lumbar flexion measured from radiographs than healthy persons [1,9], those with greater pelvic tilt also had greater pain [10]. In contrast, during walking patients with DLSS have a smaller range of pelvic tilt and smaller range of lumbar flexion than healthy persons [9] which may be described as greater pelvic rigidity during walking in patients with DLSS.…”

Section: Introductionmentioning

confidence: 99%

Severity of degenerative lumbar spinal stenosis affects pelvic rigidity during walking

Bumann

Nüesch²,

Loske

et al. 2020

The Spine Journal

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Section: Introductionmentioning

confidence: 99%

Severity of degenerative lumbar spinal stenosis affects pelvic rigidity during walking

Bumann

Nüesch²,

Loske

et al. 2020

The Spine Journal

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“…Additionally, after DS, pelvic stiffness decreased and converged to near that of healthy individuals. Other researchers discovered that DLS patients had a reduced range of pelvic tilt during gait [11]. Numerous studies found pelvic retroversion in populations of DLS patients [14][15][16], and pelvic tilt appears to lessen following DS, which suggests that pain from lumbar stenosis may be a factor in pelvic complaints.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, after decompression surgery (DS), pelvic stiffness decreased and converged toward that of healthy individuals 10 . Additionally, other researchers discovered that DLS patients had a reduced range of pelvic tilt during gait 11 . These findings suggest that pelvic movements are crucial in DLS.…”

Section: Introductionmentioning

confidence: 99%

Effects Of Decompression Surgery On Pelvic Movements In Patients With Degenerative Lumbar Stenosis

Polat,

Karatay

et al. 2023

Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin

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Objective Pelvic movements when walking should be objectively evaluated in the context of clinical data in order to understand the function of compensatory mechanisms in the onset and management of symptomatic degenerative lumbar stenosis (DLS). The purpose of this study was to compare patients treated with decompression surgery (DS) and patients with symptomatic DLS in terms of pelvic movements while walking. Materials and Methods A total of 107 participants were included in this study. 34 patients who underwent DS performed by the same surgeon were selected as the DS group, while 39 patients with DLS who required surgery were selected as the DLS group. The control group consisted of 34 age-matched healthy individuals who had no disease and no gait disorder. The BTS G-WALK sensor system (G-Walk) was used to measure pelvic movements (tilt, rotation, obliquity) and gait parameters (speed, cadence, stride length). Results DS and control groups had decreased maximum (p=0.008 and p=0.006, respectively) and minimum anterior tilt of the pelvis (p=0.015 and p=0.001, respectively) compared to the DLS group. There was no significant difference between the groups for rotation, oblique and tilt range of motion of the pelvis (p>0.05). Compared to the control group, speed during gait were significantly lower in both the DLS (p=0.012) and DS groups (p=0.016). Conclusions In this study, decompression surgery was found to affect pelvic movements. Patients with DLS walked differently from those who had no symptoms, and this difference usually disappeared following surgical decompression. Pelvic movements may serve as a helpful screening measure to identify early compensatory mechanisms. Key words: lumbar stenosis, pelvic movement, decompression surgery, spine-pelvis lower extremity, sagittal alignment

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“…Taping can provide biomechanical support by improving neuromuscular facilitation and proprioception of the affected joint [12][13][14]. It can also increase specific joint stability according to the direction of tape attachment [15]. When taping is applied parallel to the muscle fiber, it can facilitate muscle function underneath the tape; when applied perpendicular to the muscle fiber, it can inhibit muscle action [16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Immediate Effect of Serratus Posterior Inferior Muscle Direction Taping on Thoracolumbar Junction Rotation Angle During One Arm Lifting in the Quadruped Position

Kim

Ahn

Gwak

et al. 2021

Physical Therapy Korea

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Background:The serratus posterior inferior (SPI) muscle originates from the spinous process of T11-L2 and inserts at the lower border of the 9-12th ribs. This muscle is involved in thoracolumbar rotation and stability. Several positions can be used to improve trunk stability; the quadruped position is a good position for easily maintaining a neutral spine. In particular, during one arm lifting, various muscles act to maintain a neutral trunk position, and the SPI is one of these muscles. If trunk stability is weakened, uncontrolled trunk rotation may occur at this time. Tape can be used to increase trunk stability. There have been no studies on the effect of taping applied to the SPI muscle on thoracolumbar junction (TLJ) stability.Objects: This study compared the TLJ rotation angle between three different conditions (without taping, transverse taping, and SPI muscle direction taping).Methods: Thirty subjects were recruited to the study (18 males and 12 females). The TLJ rotation angle was measured during one arm lifting in a quadruped position (ALQP). Two taping methods (transverse and SPI muscle direction taping) were applied, and the TLJ rotation angle was measured in the same movement.Results: SPI muscle direction taping significantly reduced TLJ rotation compared to that without taping (p < 0.001) and with transverse taping (p < 0.001). There was a significant difference in the TLJ rotation angle between transverse taping and SPI muscle direction taping (p < 0.017). Conclusion:SPI muscle direction taping reduces the TLJ rotation angle during ALQP. Therefore, SPI muscle direction taping is one method to improve TLJ stability and reduce uncontrolled TLJ rotation during ALQP.

show abstract

The effects of lumbo-pelvic postural taping on gait parameters in patients with lumbar spinal stenosis

Cited by 8 publications

References 23 publications

Severity of degenerative lumbar spinal stenosis affects pelvic rigidity during walking

Severity of degenerative lumbar spinal stenosis affects pelvic rigidity during walking

Effects Of Decompression Surgery On Pelvic Movements In Patients With Degenerative Lumbar Stenosis

Immediate Effect of Serratus Posterior Inferior Muscle Direction Taping on Thoracolumbar Junction Rotation Angle During One Arm Lifting in the Quadruped Position

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