Development of lumbar spine mobility in humans aged 3–25 years

2013 ◽  
Vol 38 ◽  
pp. S106
Author(s):  
Jacek Lewandowski ◽  
Małgorzata B. Ogurkowska
Keyword(s):  
Lumbar Spine ◽  
Spine Mobility

scholarly journals Biomechanical Changes of Degenerated Adjacent Segment and Intact lumbar Spine after lumbosacral Topping-off surgery: A Three-dimensional Finite Element Analysis

2020 ◽  
Author(s):  
Liangliang Cao ◽  
Yumei Liu ◽  
Wei Mei ◽  
Jian-guang Xu ◽  
Shi Zhan
Keyword(s):  
Lumbar Spine ◽  
Intervertebral Disc ◽  
Nucleus Pulposus ◽  
Adjacent Segment ◽  
Fusion Model ◽  
Fusion Surgery ◽  
Flexion Extension ◽  
Spine Mobility ◽  
Health Model ◽  
Topping Off

Abstract Background : Previous studies have revealed positive effect of Topping-off technique on upper adjacent segment after fusion surgery, while for the cases with fusion surgery on L5-S1 segment, owning maximal range of motion, and preexisting degenerated upper adjacent disc, it is necessary to clarify the superiority of Topping-ff technique and the effect exerted on the lumbar spine. Methods: A young healthy male volunteer was selected for thin-slice CT scanning. Then the image information was imported into the computer to establish the whole lumbar spine model as the health model. The medium degeneration model of intervertebral disc was established by changing the material properties of L4-S1 disc on the basis of the health model, and the fusion model and Topping-off model were respectively established on the basis of the degenerated model. The variation trend of ROM of L2-L5 and the stress changes of L4-L5 intervertebral disc, nucleus pulposus and facet joints were calculated respectively. Results: The L4-L5 ROM of fusion model increased significantly but the ROM of L2-L3 and L3-L4 segments did not change significantly. Compared with the degenerated model, L4-L5 activity of the Topping-off model decreased, and ROM of the L2-L3 and L3-L4 increased to some extent in the flexion and extension positions. the stress on the disc, nucleus pulposus and facet joint of the fusion model L4-L5 increased in four positions of flexion, extension, rotation and bending compared with the degenerated model, while the fiber stress on the Topping-off model decreased significantly in all four positions. Conclusion: Topping-off technology can decrease the stress and ROM of the adjacent upper degenerated segment, and increase the ROM of other upper segments, thereby protecting the degenerated upper adjacent segments and compensating the lumbar spine mobility.

scholarly journals Effect of Different Physiotherapy Programs on Pain and Functional State of the Torso in Individuals with Chronic Non-Specific Lower Back Pain

2019 ◽  
Vol 1 (18) ◽  
Author(s):  
Erika Prišmontaitė ◽  
Saulė Sipavičienė
Keyword(s):  
Back Pain ◽  
Lumbar Spine ◽  
Functional State ◽  
Lower Back Pain ◽  
Functional Disability ◽  
Labour Productivity ◽  
Nordic Walking ◽  
Lower Back ◽  
Spine Mobility ◽  
Walking Group

Research background. In the modern society, lower back pain is the most widespread health disorder with negative economic consequences for healthcare costs and labour productivity. According to the epidemiological research, lower back pain is ranked 6th out of 291 diseases and conditions, that cause the highest rate worldwide of incapacity to work. The aim of the research was to establish the effect of different physoiotherapy methods on pain, torso functional of people with chronic non-specifc lower back pain. Methods. Forty patients were included in the study. Subjects were divided into control and three experimental groups: back-stabilization exercises group; physiotherapy in water group; Nordic walking group. We measured intensity of lower back pain, functional state of the torso, mobility of lumbar spine, active movements amplitudes and the static endurance of the torso. Results. It was found that all the analysed parameters statistically significantly (p < 0.05) improved in all examined groups. While assessing the results of the investigated groups interdependently, it was determined that the parameters such as: the intensity of the pain, the functional state and the mobility of the torso, statistically signifcantly (p < 0.05) improved more effectively in the physiotherapy in water and back-stabilization exercise groups in comparison with the Nordic walking group. Conclusions. Physiotherapy procedures in water and back-stabilization exercises decreased the intensity of the pain and functional disability, improved the lumbar spine mobility and active movements amplitudes, more efciently than the programme of Nordic walking, for people with chronic non-specifc lower back pain. However, all three types of exercises equally increased the static endurance of the torso.Keywords: chronic non-specifc lower back pain, spinal stabilization exercises, physiotherapy in water, Nordic walking.

scholarly journals Trunk muscular endurance, lumbar spine mobility and hip flexibility in sailors with and without low back pain

2020 ◽  
Vol 33 ◽  
Author(s):  
Laís Marinho de Araújo ◽  
Elisa Dell’Antonio ◽  
Marcel Hubert ◽  
Caroline Ruschel ◽  
Helio Roesler ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
National Level ◽  
Spinal Mobility ◽  
Trunk Muscles ◽  
Normative Values ◽  
Low Back ◽  
Spine Mobility ◽  
The Right

Abstract Introduction: Low back pain is one of the most common injuries in sailors. Findings in the literature indicate that poor trunk endurance, flexibility and muscle strength are common in individuals with low back pain (LBP). Objective: Analyze trunk muscle endurance, lumbar spine mobility and hip flexibility in windsurfers with and without low back pain. Method: Sailors of both sexes with at least three years’ experience in the sport answered the Nordic Musculoskeletal Questionnaire and were submitted to Schober’s test, the passive straight leg raise (PSLR), the modified Thomas test, and isometric endurance assessment of the flexor, extensor and lateral flexor muscles of the torso. The sailors were divided into two groups (with and without LBP) and compared using the Student’s t-test or Mann Whitney U test. Results: Participants were 22 national-level sailors, 11 with low back pain (LBP) and 11 without (NLBP). The LBP group obtained longer holding times for the trunk extensors (p=0.028) and a greater difference in endurance between the right and left sides for lateral trunk muscles (p=0.030). Both groups obtained results below normative values in most of the tests performed. Conclusion: Sailors with low back pain exhibited greater trunk extensor endurance and a larger imbalance between lateral trunk muscles when compared to those with no LBP. Spinal mobility and hip flexibility were similar between groups.

VARIATION IN LUMBAR SPINE MOBILITY MEASURED OVER A 24-HOUR PERIOD

Rheumatology ◽  
1992 ◽  
Vol 31 (5) ◽  
pp. 329-332 ◽  
Author(s):  
P. RUSSELL ◽  
A. WELD ◽  
M. J. PEARCY ◽  
R. HOGG ◽  
A. UNSWORTH
Keyword(s):  
Lumbar Spine ◽  
Spine Mobility

Assessment of spine mobility in patients with ankylosing spondylitis by ultrasound scanning (preliminary data)

2021 ◽  
Vol 15 (6) ◽  
pp. 67-71
Author(s):  
M. K. Kurbanmagomedov ◽  
K. V. Sakharova ◽  
A. B. Demina ◽  
Sh. F. Erdes
Keyword(s):  
Lumbar Spine ◽  
Ankylosing Spondylitis ◽  
Negative Relationship ◽  
Analysis Data ◽  
Initial Position ◽  
Initial Examination ◽  
Limited Mobility ◽  
Spinous Processes ◽  
Spine Mobility ◽  
Spinal Ultrasound

Spine involvement in ankylosing spondylitis (AS) resulting in limited mobility requires a search for accurate, quantitatively methods of assessment of the decline of its function and monitoring of its dynamics. One of the promising methods for assessing movements in the spine in AS is ultrasound examination (US).Objective: to determine the relationship between the mobility of the spine measured sonographically, and the activity and functional status of patients with AS.Patients and methods. Spinal ultrasound was performed in 15 patients (10 men and 5 women, mean age 40.8±11.4 years, mean duration of the disease 5.5±3.5 years) with a confirmed diagnosis of AS, admitted to the V.A. Nasonova Research Institute of Rheumatology from April to August 2019. All patients underwent a double examination (at baseline and after 2 weeks) according to a specially developed protocol.Results and discussion. A comparative analysis of the results of sonographic measurements of the distance between the spinous processes of the vertebrae of the studied spine segment at baseline and after 2 weeks revealed a tendency towards an increase in these parameters both in the initial position and during flexion. There was no relationship between age, body mass index, duration of the disease and the distance between the spinous processes in all parts of the spine measured by sonography in initial position and during flexion. Correlation analysis data indicate the presence of a correlation between an increase in the distance between the spinous processes in the cervical and lumbar spine and a decrease in ESR, and i increase in the distance between the spinous processes in the lumbar spine and level of CRP. A weak negative relationship was found between the BASDAI index and the mobility of the spine at the LIV–V level and between sonographic measurements in all segment of the spine and the BASMI index.Conclusion. The sonographic method of determining the mobility of the spine can be recommended in patients with AS, both for initial examination and during follow-up, but it can't substitute the BASMI metrological index. Further research is needed to confirm the findings.

scholarly journals Biomechanical Changes of Degenerated Adjacent Segement and Intact lumbar Spine after lumbosacral Topping-off surgery: A Three-dimensional Finite Element Analysis

2019 ◽  
Author(s):  
Liangliang Cao ◽  
Yumei Liu ◽  
Wei Mei ◽  
Jian-guang Xu ◽  
Shi Zhan
Keyword(s):  
Lumbar Spine ◽  
Intervertebral Disc ◽  
Nucleus Pulposus ◽  
Fusion Model ◽  
Fusion Surgery ◽  
Flexion Extension ◽  
Spine Mobility ◽  
Stress Changes ◽  
Health Model ◽  
Topping Off

Abstract Background: Previous studies have revealed positive effect of Topping-off technique on upper adjacent segment after fusion surgery, while for the cases with fusion surgery on L5-S1 segment, owning maximal range of motion, and pre-exsiting degenerated upper adjacent disc, it is necessary to clarify the superiority of Topping-ff technique and the effect exerted on the lumbar spine. Methods: A young healthy male volunteer was selected for thin-slice CT scanning. Then the image information was imported into the computer to establish the whole lumbar spine model as the health model. The medium degeneration model of intervertebral disc was established by changing the material properties of L4-S1 disc on the basis of the health model, and the fusion model and Topping-off model were respectively established on the basis of the degenerated model. The variation trend of ROM of L2-L5 and the stress changes of L4-L5 intervertebral disc, nucleus pulposus and facet joints were calculated respectively. Results: The L4-L5 ROM of fusion model increased significantly but the ROM of L2-L3 and L3-L4 segments did not change significantly. Compared with the degenerated model, L4-L5 activity of the Topping-off model decreased, and ROM of the L2-L3 and L3-L4 increased to some extent in the flexion and extension positions. the stress on the disc, nucleus pulposus and facet joint of the fusion model L4-L5 increased in four positions of flexion, extension, rotation and bending compared with the degenerated model, while the fiber stress on the Topping-off model decreased significantly in all four positions. Conclusion: Topping-off technology can decrease the stress and ROM of the adjacent upper degenerated segment, and increase the ROM of other upper segments, thereby delaying the degeneration of upper adjacent segments and compensating the lumbar spine mobility.

scholarly journals Effect of Physiotherapy on Back Pain and Function after the L4/L5 Disc Hernia Surgery

2019 ◽  
Vol 2 (15) ◽  
Author(s):  
Eglė Štafėlaitė ◽  
Saulė Sipavičienė
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Physical Therapy ◽  
Intervertebral Disc ◽  
Functional Disability ◽  
Low Back ◽  
Hernia Surgery ◽  
Disc Hernia ◽  
Spine Mobility

Research background. A popular physiotherapy mean is spine stability exercises, but still not so many studies have been carried out about the benefts of this technique in patients after L4/L5 spinal hernia surgery during the acute period. The aim was to assess the effectiveness of spine stabilizing exercises in patients after spinal L4/L5 intervertebral disc hernia surgery for back pain and functional status. Methods. The motion of fear evaluation, using physical therapy questionnaire (TAMPA), functional disability evaluation, using Oswestry functional disability index questionnaire, pain assessment using a symptom assessment scale (SAS), lumbar spine motility measurement, using Sober test, static endurance measurement of the waist muscles. Results. After physical therapy program back pain and functional disability decreased, back and abdominal muscle endurance and lumbar spine mobility increased. Conclusions. The patients after spinal L4/L5 intervertebral disc hernia surgery low back pain decreased and functional disability increased after applied to the spine stabilization exercises.Keywords: intervertebral disc hernia, low back pain, spine stabilizing exercises. 

scholarly journals Association of lumbar spine mobility and hamstring tightness in dental practitioners

Biomedicine ◽  
2021 ◽  
Vol 41 (1) ◽  
pp. 146-149
Author(s):  
S. Divyashri ◽  
Lavanya Prathap ◽  
S Preetha
Keyword(s):  
Lumbar Spine ◽  
Correlation Coefficient ◽  
Mean Value ◽  
P Value ◽  
Positive Correlation ◽  
Lumbar Flexion ◽  
Dental Practitioners ◽  
Significant Difference ◽  
Spine Mobility ◽  
Awkward Posture

  Introduction and Aim: The decrease in lumbar spine mobility and hamstring tightness can be caused due to the lack of regular exercise and awkward postures exposed at the workplace due to an individual's occupation. It can be expressed due to the awkward posture during dental practice as well and this can be controlled by doing regular exercises.The aim of the present study is to analyze the association of lumbar spine mobility and hamstring tightness in dental practitioners.   Materials and Methods: The study is conducted in a Private dental college and hospital for the dental practitioners who work for more than 4 hours in a day.  The hamstring tightness is measured using the goniometer and lumbar spine flexibility is measured using an inch tape. The measurements are tabulated and analyzed statistically for the correlation of lumbar spine flexibility with hamstring tightness using the SPSS tool.   Results: The collected data are analyzed statistically using correlation coefficient and the findings concluded that they have a low positive correlation. The mean value of lumbar flexion range is 19.37 cm and mean value of the hamstring tightness is 27.8°, the correlation coefficient r is 0.473. Majority of female participants have increased hamstring tightness with a maximum range of 30° and around 11% of male participants have a restriction range of 25°. Similarly, around 8% of female participants have a lumbar flexion range of around 21cm, However, there is no significant difference between the gender in both the variables with p value equals 0.35 and 0.53 (p > 0.05) respectively.    Conclusion: From the obtained results it can be concluded that there is a low positive correlation between hamstring tightness and the lumbar flexion range.  The findings suggest that the dental practitioners are prone to hamstring tightness which in turn can induce reduced lumbar spine mobility and impacts stress on the lumbar spine leading to low back pain.

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