Comparison of Lumbar Kinematics with a History of Low Back Pain During Baseball Hitting

2020 ◽  
Vol 41 (02) ◽  
pp. 119-127
Author(s):  
Tomoki Oshikawa ◽  
Koji Kaneoka ◽  
Yasuhiro Morimoto ◽  
Hiroshi Akuzawa
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Three Dimensional ◽  
Flexion Angle ◽  
Control Group ◽  
Low Back ◽  
Lumbar Flexion ◽  
Spine Pain ◽  
History Of

AbstractThe purpose of this study was to examine the influence of a history of low back pain (LBP) on pelvic and lumbar kinematics during baseball hitting. Twenty collegiate male baseball players (age, 21±1 years; height, 172.8±4.7 cm; weight, 72.7±6.2 kg; baseball experience, 13±1 years) performed 5 bat swings. Participants were categorized into the LBP group (n=10) or control group (n=10) based on having experienced lumbar spine pain due to bat swing that lasted more than 24 h within the last 12 months. Three-dimensional kinematic data of the pelvis and lumbar spine during bat swing were measured. Two-way ANOVAs were used to compare pelvic and lumbar kinematics throughout the bat swing between groups, and independent t-tests were used to compare the other outcomes between groups. There was a significant main effect between groups in lumbar flexion angle throughout the bat swing (p=0.047). The mean lumbar flexion angle of the LBP group throughout the bat swing was less than that of the control group. Additionally, the peak angular velocity of lumbar flexion of the LBP group was significantly faster than that of control group (p=0.047). These results can be helpful for longitudinal studies that identify the risk factors of LBP due to bat swing.

Influences of Nonspecific Low Back Pain on Three-Dimensional Lumbar Spine Kinematics in Locomotion

Spine ◽  
2001 ◽  
Vol 26 (17) ◽  
pp. 1910-1919 ◽  
Author(s):  
Lutz Vogt ◽  
Klaus Pfeifer ◽  
Martin Portscher ◽  
Winfried Banzer
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Three Dimensional ◽  
Low Back ◽  
Spine Kinematics

scholarly journals Atraumatic Bilateral Lumbar Pedicle Fractures in a Patient with Back Pain and History of Long- Term Bisphosphonate Therapy: A Case Report

2020 ◽  
pp. 97-102
Author(s):  
Alec L. Meleger
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Lumbar Spine ◽  
Conservative Management ◽  
Chronic Low Back Pain ◽  
Bisphosphonate Therapy ◽  
Low Back ◽  
History Of ◽  
Lumbar Pedicle

of atypical femoral fractures is a known complication of chronic bisphosphonate therapy; however, the finding of atraumatic lumbar pedicle fractures without a prior history of spinal surgery or contralateral spondylolysis is rare. While a few cases of osteoporotic pedicle fractures associated with adjacent vertebral compression fractures have been reported, only a single case of isolated atraumatic bilateral pedicle fractures has been published in a patient who had been on chronic risedronate therapy of 10-year duration. Case Report: The present case report illustrates a 63-year-old man who developed isolated atraumatic bilateral lumbar pedicle fractures after 3 years and 5 months on alendronate treatment. The patient’s past medical history had been significant for osteoporosis with a lumbar spine T-score of -2.7. At the time of initial diagnosis, a comprehensive work-up for secondary causes of osteoporosis proved to be negative; this was followed by initiation of bisphosphonate treatment with 70 mg of alendronate once per week. Ten months after starting bisphosphonate therapy, he underwent magnetic resonance imaging (MRI) of the lumbar spine for low back pain that had not responded to conservative management, with imaging not revealing any evidence of pedicle fractures or pedicle stress reaction. He was again seen in the spine clinic, for atraumatic exacerbation of his chronic low back pain with concurrent right lower extremity radiation, 6 months after stopping bisphosphonate therapy. Since the patient failed to respond to conservative management over the ensuing 6 months, a repeat MRI was obtained, which showed new acute/subacute bilateral L5 pedicle fractures. Conclusion: An isolated atraumatic lumbar pedicle fracture may be an additional type of atypical fracture associated with chronic bisphosphonate therapy in an osteoporotic patient. Key words: Chronic low back pain, bisphosphonate, alendronate, pedicle fracture Pain Medicine

scholarly journals A randomised controlled trial of ‘clockwise’ ultrasound for low back pain

2016 ◽  
Vol 72 (1) ◽  
Author(s):  
Adriaan Louw ◽  
Kory Zimney ◽  
Merrill R. Landers ◽  
Mark Luttrell ◽  
Bob Clair ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Controlled Trial ◽  
Numeric Rating Scale ◽  
Leg Pain ◽  
Control Group ◽  
Low Back ◽  
Lumbar Flexion ◽  
Experimental Group

Aims: To examine how the choice of words explaining ultrasound (US) may influence the outcome of physiotherapy treatment for low back pain (LBP).Methods: Sixty-seven patients with LBP < 3 months were randomly allocated to one of three groups – traditional education about US (control group [CG]), inflated education about US (experimental group [EG]) or extra-inflated education about US (extra-experimental group [EEG]). Each patient received the exact same application of US that has shown clinical efficacy for LBP (1.5 Watts/cm2 for 10 minutes at 1 Megahertz, pulsed 20% over a 20 cm2 area), but received different explanations (CG, EG or EEG). Before and immediately after US,measurements of LBP and leg pain (numeric rating scale), lumbar flexion (distance to floor) and straight leg raise (SLR) (inclinometer) were taken. Statistical analysis consisted of mixed-factorial analyses of variance and chi-square analyses to measure differences between the three groups, as well as meeting or exceeding minimal detectable changes (MDCs) for pain, lumbar flexion and SLR.Results: Both EG and EEG groups showed a statistically significant improvement for SLR (p < 0.0001), while the CG did not. The EEG group participants were 4.4 times (95% confidence interval: 1.1 to 17.5) more likely to improve beyond the MDC than the CG. No significant differences were found between the groups for LBP, leg pain or lumbar flexion.Conclusion: The choice of words when applying a treatment in physiotherapy can alter the efficacy of the treatment.

scholarly journals Three-dimensional evaluation of pelvic posture in adolescents with and without a history of low back pain*

2017 ◽  
Vol 47 ◽  
pp. 1885-1893 ◽  
Author(s):  
Seher ÖZYÜREK ◽  
Arzu GENÇ ◽  
Hayriye KUL KARAALİ ◽  
Zeliha Candan ALGUN
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Three Dimensional ◽  
Low Back ◽  
History Of ◽  
Pelvic Posture

Three-Dimensional Trunk Kinematics and Low Back Pain in Elite Female Fast Bowlers

2010 ◽  
Vol 26 (1) ◽  
pp. 52-61 ◽  
Author(s):  
Max C. Stuelcken ◽  
René E.D. Ferdinands ◽  
Peter J. Sinclair
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Three Dimensional ◽  
Support Staff ◽  
Low Back ◽  
Lateral Flexion ◽  
Kinematic Data ◽  
History Of ◽  
Mixed Action ◽  
Analysis System

This study aimed to investigate the bowling techniques of female fast bowlers and identify any association between a history of low back pain (LBP) and the movement patterns of the thorax relative to the pelvis during the delivery stride of the bowling action. Three-dimensional kinematic data were collected from 26 elite Australian female fast bowlers using an eight-camera Vicon motion analysis system. Nineteen bowlers used a mixed action, 6 bowlers used a semiopen action, and 1 bowler used a side-on action. Fourteen bowlers had a history of LBP. Eight of these 14 bowlers used a mixed action, and bowlers with more shoulder counterrotation were no more likely to have a history of LBP. Bowlers with a history of LBP positioned the thorax in more left lateral flexion relative to the pelvis between 73–79% of the delivery stride, and moved the thorax through a significantly greater range of lateral flexion relative to the pelvis during the delivery stride compared with bowlers with no history of LBP. This information will give coaches and support staff a better understanding of female bowling technique and may facilitate better screening practices for elite female cricketers.

The Ergonomic Implications of Controlling Early Morning Lumbar Flexion to Reduce Chronic, Non-Specific Low Back Pain

2000 ◽  
Vol 44 (30) ◽  
pp. 5-591-5-594
Author(s):  
Barbara S. Webster ◽  
Stover H. Snook ◽  
Raymond W. McGorry
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Early Morning ◽  
Physical Work ◽  
Control Group ◽  
Low Back ◽  
Lumbar Flexion ◽  
Increased Risk ◽  
Heavy Physical Work

Previous studies have indicated an increased risk of low back pain when bending forward in the early morning, because of increased fluid in the intervertebral discs. This randomized controlled, partial crossover study tested the hypothesis that control of early morning lumbar flexion will significantly reduce chronic, non-specific low back pain. Diaries were used to record daily levels of pain intensity, disability, impairment, and medication usage. Significant reductions in pain intensity (p<0.01) were recorded for the treatment group, but not for the control group. After receiving the experimental treatment, the control group responded with similar reductions (p<0.05). The only subjects who did not benefit as well were those who performed heavy physical work; with a statistically significant lower reduction in mean pain intensity from those with light to moderate work (p<0.05). It was concluded that controlling lumbar flexion in the early morning has the potential for reducing chronic, non-specific low back pain. The poorer results found for subjects with heavy physical work requirements emphasize the ergonomic implications of this study.

scholarly journals Dynamics of Changes in Isometric Strength and Muscle Imbalance in the Treatment of Women with Low back Pain

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Jacek Wilczyński ◽  
Alicja Kasprzak
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Muscle Strength ◽  
Control Group ◽  
Study Group ◽  
Low Back ◽  
Flexor Muscles ◽  
Group A ◽  
Group B

The aim of the study was to evaluate the dynamics of isometric changes in strength and muscular lumbar-pelvic imbalances in the treatment of women with low back pain. Forty-one women, nineteen in the study group (A) and twenty-two in the control group (B), participated in the study. Magnetic resonance imaging (MRI) was performed to assess the degree of degenerative changes in the lumbar spine. The diagnosis of isometric muscle strength and their imbalances was performed with the Tergumed 700 device. After six weeks of therapy in the study group (A), there was a significant improvement in the strength of all the examined muscle groups. However, in the control group (B), significant improvement occurred only in the strength of the lumbar flexor muscles and the flexor muscles on the left side. Furthermore, there was a significant intensification of the imbalance of left flexor muscle strength compared to right flexor strength in group B. Significant differences in favour of the study group (A) concerned the strength of the rotator muscles to the left, the strength of the extensor muscles of the lumbar spine, the strength of the flexors of the lumbar spine to the right, and the balance of the strength of the lumbar spine flexors to the left compared to the strength of the flexor muscles to the right. Therapy with the Tergumed 700 system leads to an increase in the muscle strength of the lumbar and pelvic complex, compensating for its imbalance, bringing beneficial effects in the treatment of low back pain.

Landing Stiffness Between Individuals With and Without a History of Low Back Pain

2020 ◽  
Vol 29 (1) ◽  
pp. 28-36 ◽  
Author(s):  
Mark A. Sutherlin ◽  
L. Colby Mangum ◽  
Shawn Russell ◽  
Susan Saliba ◽  
Jay Hertel ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Lower Extremity ◽  
Previous History ◽  
Joint Stiffness ◽  
Low Back ◽  
Vertical Stiffness ◽  
Landing Mechanics ◽  
History Of

Context: Reduced spinal stabilization, delayed onset of muscle activation, and increased knee joint stiffness have been reported in individuals with a history of low back pain (LBP). Biomechanical adaptations resulting from LBP may increase the risk for future injury due to suboptimal loading of the lower-extremity or lumbar spine. Assessing landing mechanics in these individuals could help identify which structures might be susceptible to future injury. Objective: To compare vertical and joint stiffness of the lower-extremity and lumbar spine between individuals with and without a previous history of LBP. Design: Cross-sectional study. Setting: Research laboratory. Participants: There were 45 participants (24 without a previous history of LBP—age 23 [8] y, height 169.0 [8.5] cm, mass 69.8 [13.8] kg; 21 with a previous history of LBP—age 25[9] y, height 170.0 [8.0] cm, mass 70.2 [11.8] kg). Interventions: Single-limb landing trials on the dominant and nondominant limb from a 30-cm box. Main Outcome Measures: Vertical stiffness and joint stiffness of the ankle, knee, hip, and lumbar spine. Results: Individuals with a previous history of LBP had lower vertical stiffness (P = .04), but not joint stiffness measures compared with those without a previous history of LBP (P > .05). Overall females had lower vertical (P = .01), ankle (P = .02), and hip stiffness (P = .04) compared with males among all participants. Males with a previous history of LBP had lower vertical stiffness compared with males without a previous history LBP (P = .01). Among all individuals without a previous history of LBP, females had lower vertical (P < .01) and ankle stiffness measures (P = .04) compared with males. Conclusions: Landing stiffness may differ among males and females and a previous history of LBP. Comparisons between individuals with and without previous LBP should be considered when assessing landing strategies, and future research should focus on how LBP impacts landing mechanics.

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