Standardized Provocation of Lumbar Spine Mobility: Three Methods Compared by Radiostereometric Analysis

Study Design: Systematic review of literature. Objectives: This systematic review was conducted to investigate the accuracy of radiostereometric analysis (RSA), its assessment of spinal motion and disorders, and to investigate the limitations of this technique in spine assessment. Methods: Systematic review in all current literature to invesigate the role of RSA in spine. Results: The results of this review concluded that RSA is a very powerful tool to detect small changes between 2 rigid bodies such as a vertebral segment. The technique is described for animal and human studies for cervical and lumbar spine and can be used to analyze range of motion, inducible displacement, and fusion of segments. However, there are a few disadvantages with the technique; RSA percutaneous procedure needs to be performed to implant the markers (and cannot be used preoperatively), one needs a specific knowledge to handle data and interpret the results, and is relatively time consuming and expensive. Conclusions: RSA should be looked at as a very powerful research instrument and there are many questions suitable for RSA studies.

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

10.21203/rs.2.14571/v3 ◽

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.

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Influence of estrogen-progestin replacement therapy and exercise on lumbar spine mobility and low back symptoms in a healthy early postmenopausal female population: a 2-year randomized controlled trial

European Spine Journal ◽

10.1007/s005860050094 ◽

1998 ◽

Vol 7 (5) ◽

pp. 381-386 ◽

Cited By ~ 14

Author(s):

E. S. Kyllönen ◽

J. E. Heikkinen ◽

H. K. Väänänen ◽

E. Kurttila-Matero ◽

G. Wilen-Rosenqvist ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Lumbar Spine ◽

Replacement Therapy ◽

Controlled Trial ◽

Low Back ◽

Female Population ◽

Randomized Controlled ◽

Spine Mobility ◽

Postmenopausal Female

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Twelve-Month Follow-up of Lumbar Spine Range of Motion Following Intervertebral Disc Replacement Using Radiostereometric Analysis

The International Journal of Spine Surgery ◽

10.1016/sasj-2007-0115-rr ◽

2008 ◽

Vol 2 (1) ◽

pp. 9-15

Author(s):

Nathaniel R. Ordway ◽

Amir H. Fayyazi ◽

Celeste Abjornson ◽

Jerry Calabrese ◽

Soo-An Park ◽

...

Keyword(s):

Lumbar Spine ◽

Intervertebral Disc ◽

Range Of Motion ◽

Disc Replacement ◽

Radiostereometric Analysis

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

Reabilitacijos mokslai slauga kineziterapija ergoterapija ◽

10.33607/rmske.v1i18.750 ◽

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.

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

Fisioterapia em Movimento ◽

10.1590/1980-5918.033.ao34 ◽

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.

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

Rheumatology ◽

10.1093/rheumatology/31.5.329 ◽

1992 ◽

Vol 31 (5) ◽

pp. 329-332 ◽

Cited By ~ 21

Author(s):

P. RUSSELL ◽

A. WELD ◽

M. J. PEARCY ◽

R. HOGG ◽

A. UNSWORTH

Keyword(s):

Lumbar Spine ◽

Spine Mobility

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

Modern Rheumatology Journal ◽

10.14412/1996-7012-2021-6-67-71 ◽

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.

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