scholarly journals Effects of a Verbal Intervention for Head and Neck Posture on Lumbar Lordosis Angles in Healthy Young and Older Adults: a Preliminary Study

2022 ◽  
Author(s):  
Meiling Zhai ◽  
Yongchao Huang ◽  
Shi Zhou ◽  
Jiayun Feng ◽  
Chaolei Pei ◽  
...  
Keyword(s):  
Older Adults ◽  
Head And Neck ◽  
Inclination Angle ◽  
Lumbar Lordosis ◽  
Thoracic Kyphosis ◽  
Standing Posture ◽  
Kyphosis Angle ◽  
Preliminary Study ◽  
Rehabilitation Strategy ◽  
Anterior Angle

Abstract Background Postural rehabilitation plays an important role in the treatment of non-specific low back pain. Although pelvic inclination has been widely used to improve lumbar lordosis, the effect of cervical anterior inclination on lumbar lordosis in young and older adults, in sitting and standing posture is still unclear. This preliminary study was designed to examine the influence of changing the cervical anterior angle on the lumbar lordosis angle, through alterations of the head position under the natural sitting and standing conditions, aiming to provide a basis for establishing a new postural rehabilitation strategy.Methods Thirty-eight older (68.4 ± 5.9 years old) and 36 young (24.0 ± 2.2 years old) healthy adults participated in this study. The four spinal regional angles - cervical anterior angle, thoracic kyphosis angle, lumbar lordosis angle, and pelvic foreword inclination angle were measured in standing and relaxed sitting postures to determine the effects of a postural cueing, “inclining head backward and performing chin tuck”, for the head and neck posture on lumbar lordosis angle.Results In the standing posture, the pelvic foreword inclination angle in the older group was significantly smaller (P <0.001) than that in the young group, and increased significantly (P <0.001) post the postural cueing. In addition, the thoracic kyphosis angle in the standing (P = 0.001) and sitting (P = 0.003) positions was significantly reduced post the postural cueing. However, the lumbar lordosis angle post postural cueing increased significantly in both the standing position (P <0.001) and sitting position (P <0.001).Conclusion The results suggest that increasing the cervical anterior angle can indeed increase the lumbar lordosis angle, and the cervical anterior inclination can be used as an alternative to pelvic foreward inclination to improve the lumbar lordosis angle. Furthermore, the change of head and neck posture can reduce the thoracic kyphosis angle, making it possible to establish a new non-invasive body posture rehabilitation strategy.(approval number TJUS2019032)

scholarly journals The influence of elongation exercises on the anterior-posterior spine curvatures

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Justyna Drzał-Grabiec ◽  
Sławomir Snela ◽  
Justyna Rykała ◽  
Justyna Podgórska ◽  
Aleksandra Truszczyńska
Keyword(s):  
Lumbar Lordosis ◽  
Thoracic Kyphosis ◽  
The Body ◽  
Kyphosis Angle ◽  
Spinal Curvatures ◽  
Upper Thoracic Spine ◽  
Posterior Spine ◽  
Pair Sequence ◽  
Upper Thoracic ◽  
Anterior Posterior

Summary Introduction: Elongation exercises are designed to reduce existing pathological or increased physiological curvatures of the spine. The aim of the study was to evaluate the changes occurring in the parameters describing the anterior-posterior spinal curvatures during the performance of symmetric elongation exercises. Material and methods: The study included 150 children aged 7-10 years: 82 girls and 68 boys. It was performed in June 2012, following prior parental and the subjects’ consent. The study design was approved by the Bioethical Committee of the Medical Faculty of Rzeszow University (number 05/07/2012). In each subject, an examination of the body posture was performed twice - first in a relaxed position and second during an elongation exercise. The Wilcoxon pair sequence test was used for statistical analysis. Results: The lumbosacral angle was significantly higher during the performance of an elongation exercise (p < 0.001), and so was the thoracolumbar angle (p < 0.001). The angle of the upper thoracic spine (p < 0.01) was significantly reduced. In the case of parameters describing thoracic kyphosis, a significant increase was observed both for the thoracic kyphosis angle (p < 0.01) and the depth of this part of the spine. As for the parameters describing lumbar lordosis, both the lordosis angle and its depth were significantly reduced (p < 0.001 and p < 0.001). Conclusions: 1. Elongation exercises reduce the depth of lumbar lordosis. 2. During elongation exercises thoracic kyphosis becomes deeper

scholarly journals Sagittal spine disposition and pelvic tilt during outdoor fitness equipment use and their associations with kinanthropometry proportions in middle-aged and older adults

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e12657
Author(s):  
Tomás Abelleira-Lamela ◽  
Raquel Vaquero-Cristóbal ◽  
Noelia González-Gálvez ◽  
Francisco Esparza-Ros ◽  
Alejandro Espeso-García ◽  
...  
Keyword(s):  
Older Adults ◽  
Lumbar Lordosis ◽  
Thoracic Kyphosis ◽  
Pelvic Tilt ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Standing Position ◽  
Initial Position ◽  
Middle Aged ◽  
Public Areas

Background Outdoor fitness training has become popular as a tool for improving the health, especially middle-aged and older adults. For this purpose, outdoor fitness equipment (OFE) have been installed in public areas. However, their safety and effectiveness are still unknown. The aim of the present research was to analyze the sagittal disposition of the spine and pelvic tilt during the use of OFE, and to determine the influence of anthropometric variables on these factors in middle-aged and older adults. Methods Seventy healthy volunteers, 56 women and 14 men (age: 63.14 ± 8.19 years) participated in the study. Sagittal spine disposition and pelvic tilt were measured using a Spinal Mouse®, in the relaxed standing position, and during the use of the OFE. In addition, kinanthropometry variables were also measured according to the guidelines of the International Society for the Advancement of Kinanthropometry. Results Regarding thoracic kyphosis, a significant decrease was found in thoracic kyphosis in the initial position (IP) in single bonny rider (SBR) (p = 0.006) and row (p = 0.046), and a significant increase in the final position (FP) in the row (p = 0.011), surfboard (p < 0.001) and air walker (p = 0.027) machines. In relation to the lumbar curvature and pelvic tilt, a significant decrease in lumbar lordosis and a decrease in pelvic anteversion were observed in the IP and FP in SBR and row; and in the bike (p < 0.001) machine. In the surfboard machine, a significant decrease in lumbar lordosis was found (p = 0.002), with no changes in pelvic tilt. According to the multiple linear regression analysis, the subjects with a higher cormic index and height were more at risk of increasing their thoracic kyphosis, decreasing lumbar lordosis and/or decreasing pelvic anteversion towards pelvic retroversion. Conclusions Middle-aged and older adults show spinal misalignments when using the OFE with respect to the standing position, showing a decrease in the thoracic kyphosis in IP of SBR and ROW, and a significant increase in the surfboard and air walker, and in the FP of Row, in the lumbar lordosis in all the OFE in sitting and some in standing, and in the pelvic anteversion in all the OFE in sitting. The variables height and the cormic index explained most of the changes in sagittal spine disposition.

scholarly journals The Effect of Reduction Mammaplasty on the Vertebral Column: A Radiologic Study

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Onder Karaaslan ◽  
H. Gokhan Demirkiran ◽  
Ozlem Silistreli ◽  
Erhan Sonmez ◽  
Yagmur Kaan Bedir ◽  
...  
Keyword(s):  
Vertebral Column ◽  
Lumbar Lordosis ◽  
Thoracic Kyphosis ◽  
White Women ◽  
Reduction Mammaplasty ◽  
Body Posture ◽  
Breast Size ◽  
Kyphosis Angle ◽  
Significant Difference ◽  
The Mean

Some studies emphasized that anatomic mechanisms of vertebral aberrations could be associated with large breasts. The effect of mammaplasty operation on the vertebral column and body posture seems to be beneficial; in this trial, it was planned to investigate the objective radiologic effect of reduction mammaplasty on the posture of the vertebral column in a group of patients operated due to the large breasts. Thirty-four white women with large breasts were enrolled in this study. The patients were divided into three groups according to their breast cup sizes. Anteroposterior and lateral radiographs of the lumbosacral and thoracic spine were taken at baseline preoperatively, and the same radiographic images were taken in an average of 12 months later than the reduction mammaplasty operation. All were evaluated and compared for thoracic kyphosis angle and lumbar lordosis angle both preoperatively and postoperatively. The mean thoracic kyphosis angle was 40,53 preoperatively and 39,38 postoperatively. However, there was no statistically significant difference between the preoperative and postoperative measurements in all groups (P>0,05). The mean lumbar lordosis angle was 54,71 preoperatively and 53,18 postoperatively. Regarding the preoperative and postoperative measurements of lumbar lordosis angles, no statistically significant difference was found between the groups (P>0,05). Although breast size may be an important factor that affects body posture, reduction mammaplasty operations have little or no radiologic effect on the vertebral column.

scholarly journals Effectiveness of deformity-correction surgery for primary degenerative sagittal imbalance: a meta-analysis

2017 ◽  
Vol 27 (5) ◽  
pp. 540-551 ◽  
Author(s):  
Chang-Hyun Lee ◽  
Chun Kee Chung ◽  
Jee-Soo Jang ◽  
Sung-Min Kim ◽  
Dong-Kyu Chin ◽  
...  
Keyword(s):  
Lumbar Lordosis ◽  
Thoracic Kyphosis ◽  
Meta Analysis ◽  
Deformity Correction ◽  
Vertical Axis ◽  
Sagittal Imbalance ◽  
Kyphosis Angle ◽  
Sagittal Vertical Axis ◽  
Correction Surgery ◽  
The Mean

OBJECTIVEAs life expectancy continues to increase, primary degenerative sagittal imbalance (PDSI) is diagnosed in an increasing number of elderly people. Although corrective surgery for this sagittal deformity is becoming more popular, the effectiveness of the procedure remains unclear. The authors aimed to collate the available evidence on the effectiveness and complications of deformity-correction surgery in patients with PDSI.METHODSThe authors carried out a meta-analysis of clinical studies regarding deformity correction in patients with PDSI. The studies were identified through searches of the PubMed, Embase, Web of Science, and Cochrane databases. Surgery outcomes were evaluated and overall treatment effectiveness was assessed in terms of the minimum clinically important difference (MCID) in Oswestry Disability Index (ODI) values and pain levels according to visual analog scale (VAS) scores and in terms of restoration of spinopelvic parameters to within a normal range. Data are expressed as mean differences with 95% CIs.RESULTSTen studies comprising 327 patients were included. The VAS and ODI values improved after deformity-correction surgery. The smallest treatment effect exceeded the MCID for VAS values (4.15 [95% CI 3.48–4.82]) but not for ODI values (18.11 [95% CI 10.99–25.23]). At the final follow-up visit, the mean lumbar lordosis angle (−38.60° [95% CI −44.19° to −33.01°]), thoracic kyphosis angle (31.10° [95% CI 24.67°–37.53°]), C-7 sagittal vertical axis (65.00 mm [95% CI 35.27–94.72 mm]), and pelvic tilt angle (30.82° [95% CI 24.41°–37.23°]) remained outside their normal ranges. Meta-regression analyses revealed a significant effect of ODI change in relation to lumbar lordosis change (p = 0.004). After a mean of 2 years after deformity correction, the mean lumbar lordosis angle and C-7 sagittal vertical axis decreased by 5.82° and 38.91 mm, respectively, and the mean thoracic kyphosis angle increased by 4.7°. The incidences of proximal junctional kyphosis and pseudarthrosis were 23.7% and 12.8%, respectively.CONCLUSIONSDeformity correction substantially relieves back pain for about 2 years in adult patients with PDSI. Sufficient surgical restoration of lumbar lordosis can lead to substantial improvement in patient disability and reduced decompensation. Deformity correction represents a viable therapeutic option for patients with PDSI, but further technical advancements are necessary to achieve sufficient lumbar lordosis and reduce complication rates.

A preliminary study of adaptations of interpersonal psychotherapy for older adults at risk for suicide

2009 ◽  
Author(s):  
M. J. Heisel ◽  
P. R. Duberstein ◽  
N. L. Talbot ◽  
D. A. King ◽  
X. M. Tu
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Interpersonal Psychotherapy ◽  
Preliminary Study

scholarly journals The involvement of the styloid process in head and neck pain-a preliminary study

2000 ◽  
Vol 27 (4) ◽  
pp. 275-287 ◽  
Author(s):  
P. Palesy ◽  
G. M. Murray ◽  
J. De Boever ◽  
I. Klineberg
Keyword(s):  
Neck Pain ◽  
Head And Neck ◽  
Styloid Process ◽  
Preliminary Study

scholarly journals Adolescent idiopathic scoliosis: sagital plane and low density pedicle screws

2014 ◽  
Vol 13 (1) ◽  
pp. 13-15
Author(s):  
Rodrigo Augusto do Amaral ◽  
Robert Meves ◽  
Maria Fernanda Silber Caffaro ◽  
Ricardo Shigueaki Galhego Umeta ◽  
Luciano Antônio Nassar Pelegrino ◽  
...  
Keyword(s):  
Medical Records ◽  
Lumbar Lordosis ◽  
Thoracic Kyphosis ◽  
Sagittal Plane ◽  
Pedicle Screws ◽  
Low Density ◽  
Kyphosis Correction ◽  
Pearson Coefficient ◽  
Analysis Of Dispersion

OBJECTIVE: To examine the sagittal curves of patients treated with CD instrumentation using exclusively pedicle screws. METHODS: Image analysis of medical records of 27 patients (26 M and 1 F) with a minimum follow-up of 6 months, who underwent surgical treatment in our service between January 2005 and December 2010. The curves were evaluated on coronal and sagittal planes, taking into account the potential correction of the technique. RESULTS: In the coronal plan the following curves were evaluated: proximal thoracic (TPx), main thoracic (TPp), and thoracolumbar; lumbar (TL, L), and the average flexibility was 52%, 52%, and 92% and the capacity of correction was 51%, 72%, and 64%, respectively. In the sagittal plane there was a mean increase in thoracic kyphosis (CT) of 41% and an average reduction of lumbar lordosis (LL) of 17%. Correlation analysis between variables showed Pearson coefficient of correlation of 0.053 and analysis of dispersion of R2 = <0.001. CONCLUSION: The method has shown satisfactory results with maintenance of kyphosis correction in patients with normal and hyper kyphotic deformities.

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