scholarly journals Analysis of Coronal And Sagittal Spinopelvic Parameters In Developmental Dysplasia of The Hip

2022 ◽  
Author(s):  
Guangyang Zhang ◽  
Mufan Li ◽  
Hang Qian ◽  
Xu Wang ◽  
Xiaoqian Dang ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Scoring System ◽  
Oswestry Disability Index ◽  
Pearson Correlation ◽  
Developmental Dysplasia ◽  
Low Back ◽  
Spinopelvic Parameters ◽  
Pelvic Radiograph ◽  
Dysplasia Of The Hip

Abstract Background: The observational study aimed to investigate the change and correlations of the spinopelvic parameters as well as the relationships with the related symptoms in unilateral developmental dysplasia of the hip (DDH) patients. Methods: The clinical data of 22 unilateral DDH patients and 20 healthy volunteers were collected from 2016 to 2021. All patients and volunteers were taken the antero-posterior pelvic radiograph and the frontal and lateral radiography of the whole spine as a routine examination. And the clinical symptoms, signs and functions were measured according to Oswestry Disability Index and Low Back Pain Scoring System. Then the t test and Pearson correlation were used to analyze the data. Results: The Cobb(8.68±6.21°), L3(4.79±5.47°), CB(1.65±1.57cm), PT(15.02±9.55°) and TLK (7.69±6.66°) were significantly larger in the DDH patients, whereas LL(37.41±17.17°) were significantly smaller (P＜0.05). As for the coronal spinopelvic parameters, CB was found to be associated with L3 (R=0.58, P＜0.01). Of the sagittal spinopelvic parameters, SS was found to be associated with LL (R=0.48, P=0.02), and TLK was found to be related to ST and TK, respectively (R=0.49, P=0.02; R=-0.45, P=0.04). In terms of relations between the spinal and pelvic parameters, PI were found to be related to the SS (R=0.58, P＜0.01). An analysis of relations revealed a correlation between the Oswestry Disability Index and Cobb(R=0.59, P＜0.01), PT(R=0.49, P=0.02), TK(R=-0.46, P=0.03) and TLK(R=0.44, P=0.04). Furthermore, an analysis of relations revealed a correlation between Low Back Pain Scoring System and Cobb (R=-0.44, P=0.04), L3(R=-0.53, P=0.01), PT (R=-0.44, P=0.04), TK(R=0.46, P=0.03) and TLK(R=-0.43, P=0.05). Conclusion: The parameters are related to each other and compensate each other to maintain the balance of the coronal and sagittal planes of the spine. In addition, the change of some parameters is closely related to the quality of life of the patients, and can provide some clues for the clinical diagnosis and treatment of DDH.

scholarly journals Sagittal spinal-pelvic alignment in patients with Crowe type IV developmental dysplasia of the hip

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Peng Ren ◽  
Xiangpeng Kong ◽  
Wei Chai ◽  
Yan Wang
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Vertical Axis ◽  
Developmental Dysplasia ◽  
Sacral Slope ◽  
Low Back ◽  
Sagittal Vertical Axis ◽  
Type Iv ◽  
The Impact ◽  
Dysplasia Of The Hip

Abstract Background The impact of high dislocated dysplastic hips on spinal-pelvic alignment has not been well described. This study aims to evaluate compensatory spinal radiographic changes and presence of back pain in patients with Crowe type IV developmental dysplasia of the hip (DDH). Methods An observational study was conducted from July 2016 to December 2017, and 49 consecutive patients with Crowe IV DDH were enrolled. Forty-nine sex- and age-matched asymptomatic healthy adults were recruited as the controls. The sacral slope (SS), lumbar lordosis (LL), spino-sacral angle (SSA), C7 tilt (C7T), and sagittal vertical axis (SVA [C7]) were measured on lateral whole spine radiographs. The presence of low back pain and visual analogue scale (VAS) scores were recorded. Results The patients with Crowe IV DDH showed significantly greater SS (47.5 ± 7.5° vs. 40.4 ± 6.7°, p < 0.05), LL (− 63.7 ± 9.2° vs. − 53.3 ± 11.5°, P < 0.05), SSA (141.8° ± 7.2° vs. 130.6 ± 7.9°, p < 0.05), C7T (93.9 ± 3.6° vs. 91.1 ± 3.7°, P < 0.05), and lower SVA(C7) (− 16 mm[− 95–45] vs. 6.4 mm[− 52–47], p < 0.05) compared to the controls. The patients with bilateral Crowe IV DDH also exhibited larger SS, LL, SSA, and C7T and a smaller SVA (C7) than those with unilateral Crowe IV DDH. Sixty-three percent of the patients with Crowe IV DDH reported low back pain. Conclusion The patients with Crowe IV DDH exhibited abnormal spinal-pelvic alignment characterized by anterior pelvic tilt, lumbar hyperlordosis, and a backward-leaning trunk. Bilateral Crowe IV DDH had a greater impact on spinal-pelvic alignment than unilateral Crowe IV DDH.

scholarly journals Sagittal Spinal-pelvic Alignment in Patients with Crowe Type IV Developmental Dysplasia of the Hip

2020 ◽  
Author(s):  
Peng Ren ◽  
Xiangpeng Kong ◽  
Wei Chai ◽  
Yan Wang
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Developmental Dysplasia ◽  
Lower Limbs ◽  
Control Group ◽  
Sacral Slope ◽  
Low Back ◽  
Compensatory Mechanisms ◽  
Type Iv ◽  
Dysplasia Of The Hip

Abstract Background The compensatory mechanisms of the spine, pelvis, and lower limbs are essential to maintaining an upright posture. The effect of a high dislocated dysplastic hip on spinal-pelvic alignment has not been well described. The aim of this study was to investigate the sagittal spinal-pelvic alignment in patients with Crowe type IV developmental dysplasia of the hip(DDH). Methods A prospective study was conducted from July 2016 to December 2017, and 49 consecutive patients with unilateral or bilateral high dislocated dysplastic hips were enrolled. Forty-nine sex- and age-matched asymptomatic healthy adults were also recruited as a control group. The sacral slope (SS), lumbar lordosis (LL), spino-sacral angle (SSA), C7 tilt (C7T), and sagittal vertical axis (SVA[C7])were measured on lateral whole spine radiographs. The presence of low back pain and visual analogue scale (VAS) scores were recorded. Results Patients with high dislocated dysplastic hips showed significantly greater SS(47.5±7.5° vs. 40.4±6.7°, p<0.001), LL(-63.7±9.2° vs. -53.3±11.5°, P<0.001), SSA(141.8°±7.2° vs. 130.6±7.9°, p<0.001), C7T(93.9±3.6° vs. 91.1±3.7°, P<0.001), and lower SVA(C7) (-16mm[-95-45] vs. 6.4mm[-52-47], p<0.001) compared to normal controls. Patients with bilateral high dislocated dysplastic hips also exhibited larger SS, LL, SSA, and C7T and a smaller SVA(C7) than those of patients with unilateral hip dysplasia. 63.2% of the patients with high dislocated dysplastic hips reported low back pain. Conclusion Patients with Crowe type IV DDH exhibited abnormal spinal-pelvic alignment characterized by anterior pelvic tilt, lumbar hyperlordosis, and a backward-leaning trunk. Bilateral dislocated dysplastic hips had a greater impact on spinal-pelvic alignment than unilateral dislocated dysplastic hips.

scholarly journals Quality of sleep in pregnant woman with low back pain

2015 ◽  
Vol 28 (2) ◽  
pp. 319-326 ◽  
Author(s):  
Vanessa Patrícia Soares de Sousa ◽  
Silvia Oliveira Ribeiro ◽  
Carla Monique Ribeiro de Aquino ◽  
Elizabel de Souza Ramalho Viana
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Sleep Quality ◽  
Pearson Correlation ◽  
Control Group ◽  
Low Back ◽  
Quality Of Sleep ◽  
Pressure Algometer ◽  
The Relationship

Introduction Pregnancy is characterized by several changes in her body. These changes contribute to the emergence of low back pain, which may influence the quality of sleep during pregnancy. Objective To compare the quality of sleep among pregnant women with and without low back pain during pregnancy, examining the relationship between two variables. Materials methods Thirty volunteers aged between 19 and 36 years, divided into control group (CG – n = 16) and Study Group (SG – n = 14), residents in the cities of Natal, were evaluated in the second trimester of pregnancy. To sleep evaluation were used to index the Pittsburgh Sleep Quality and the Epworth Sleepiness Scale. Low back pain was evaluated using the pressure algometer, Visual Analogue Scale (VAS) and Oswestry Disability Index. Statistical analysis used the Shapiro Wilk test, Student’s T test for independent samples and Pearson correlation test. Results The mean gestational and chronological ages were 28.2 ± 3.4 years and 19.9 ± 3.7 weeks, respectively. Sleep quality was lower in SG (8.21 ± 4.8) when compared to CG (5.94 ± 1.7) and was statistically significant (P = 0.021). Analyzing the relationship between sleep quality and pain intensity, it was observed that the variables have a positive correlation between them (r = 0.372, P = 0.043). Conclusion Our findings indicate that sleep quality is decreased in women with low back pain compared to those without pain.

scholarly journals Assessment Low Back Pain and Sleep Quality among Pregnant Women: Cross Sectional Study

2020 ◽  
Vol 12 (4) ◽  
pp. 1037-1042
Author(s):  
M. Jamaluddin ◽  
Widiyaningsih Widiyaningsih ◽  
Dwi Kustriyanti
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Sleep Quality ◽  
Pregnant Women ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Abdominal Muscles ◽  
Low Back ◽  
Sectional Study ◽  
Cross Sectional

During pregnancy there are physiological and psychological changes that can cause discomfort such as leg cramps, difficulty breathing, back pain, depression, anxiety and sleep disorders. The prevalence of low back pain is around 60-80% which can lead to strain on the ligaments and fatigue in the abdominal muscles, as well as balance disorders. This will lead to disruption of activities during pregnancy, such as difficulty walking and sleep disturbances. To assess low back pain and sleep quality among pregnant women: cross sectional study. Cross-sectional data were collected by 37 pregnant women with inclusion criteria were third trimester pregnant women, willing to be a respondent, with normal blood pressure, and have not received any medication related sleep disorder. They completed the Pittsburgh Sleep Quality Index (PSQI) and Rolland-Morris Disability Questionaire (RDQ), statistical analysis was conducted using Pearson Correlation Product Moment. Research was conducted in Semarang and Kudus. Sleep quality among pregnant women demonstrated significanly poor overall sleep quality with PSQI score (mean 8.70 ± 3.511) and RDQ score (mean 8.97 ± 6.414). There was moderate correlation between low back pain with sleep quality (r correlation = 0.558). Low back pain have correlation to increase or decrease sleep quality among preganant women. 

scholarly journals Lumbar Lordosis, Pain Intensity and Type of Work in Women Participating in Fitness Activities

2019 ◽  
Vol 26 (4) ◽  
pp. 22-27
Author(s):  
Patrycja Proskura ◽  
Małgorzata Sobera
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Everyday Life ◽  
Oswestry Disability Index ◽  
Lumbar Lordosis ◽  
Daily Activities ◽  
Sitting Position ◽  
Low Back ◽  
Digital Inclinometer ◽  
Postural Muscles

AbstractIntroduction. The aim of this study was to examine women participating in fitness activities regarding their level of disability in daily activities and lumbar lordosis.Material and methods. Data were collected from 68 females between the ages of 25-70 participating in fitness exercises. The Oswestry Disability Index was applied to measure the level of disability due to the low back pain in everyday life. The angle of lumbar lordosis was measured using a Saunders’ digital inclinometer.Results. The results of the study confirmed the existence of problems related to low back pain in people performing sedentary work. There were no correlations between lumbar lordosis angle and the level of disability in daily activities of the groups. The low back pain increases especially among people performing sedentary work.Conclusions. The results of this study suggest that work in a sitting position is not associated with a decrease in the angle of lordosis in relation to another work than in a sitting position. Sitting work can be an indirect cause of back pain and slight disability in everyday life by weakening postural muscles.

Knowledge of physiotherapists on the use of Muscle Energy Technique in the management of Non-Specific Low Back Pain

2019 ◽  
Author(s):  
Usman Abba Ahmed ◽  
SONILL Sooknunan Maharaj ◽  
Nadasan Thaya ◽  
Bashir Kaka ◽  
Ashiyat Kahinde Akodu
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pearson Correlation ◽  
Descriptive Statistics ◽  
Low Back ◽  
Chi Square ◽  
Muscle Energy Technique ◽  
Significant Difference ◽  
Muscle Energy ◽  
Structured Questionnaire

Abstract Objective: The relevance and use of Muscle Energy Technique (MET) as a mode of treatment for Non-specific low back pain (NSLBP) over the last two decades has increased among physiotherapists and other health professionals. This supports the clinical relevance and efficacy of this technique. However, there are no studies to determine the level of MET knowledge among Nigerian physiotherapists. This study was designed to determine the MET knowledge among Nigerian physiotherapists.Method: A total of one hundred and twenty physiotherapists were recruited from the database of the Nigerian Society of Physiotherapy and participated in the study. They completed a semi-structured questionnaire containing 46-items. This was divided into four sections which sourced information on sociodemographic characteristics, work-profile, treatment activities and the knowledge of MET for the management of NSLBP. Data were analyzed using descriptive statistics for mean, frequency and percentages. Inferential statistics of Chi-square, Pearson Correlation, independent t-test and ANOVA were used to determine the significant difference with significance set at p<0.05.Result: The study revealed that 16.7% of the participants had knowledge of the application of MET in the management for NSLBP. Age, educational level, practice setting, area of specialization such as musculoskeletal therapy, ergonomics and additional training of low back pain (LBP) were factors that influenced respondents’ MET knowledge (p<0.05). However, gender, university of training, number of years of experience and the practice of managing of LBP in the physiotherapy department did not influence knowledge of MET for the management of NSLBP (p >0.05).Conclusion: This study showed that a small number of participants had knowledge of MET application in the management of NSLBP and certain factors influenced this knowledge. Keywords: Non-specific low back pain, Muscle Energy Technique, Physiotherapists knowledge, Nigeria

scholarly journals Efficacy of intradiscal ozone gas therapy combined with physical therapy in contained lumber disc prolapse

2016 ◽  
Vol 44 (3) ◽  
pp. 146-151
Author(s):  
Mohammad Moniruzzaman ◽  
Md Shahadat Hosssain ◽  
Md Ruhul Amin ◽  
Moshiur Rahman Khasru ◽  
Md Azizur Rahman ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Oswestry Disability Index ◽  
Positive Outcome ◽  
Outcome Variable ◽  
Low Back ◽  
Disc Prolapse ◽  
Ozone Therapy ◽  
College Hospital

Percutaneous intra-discal ozone therapy has promising results in contained lumber disc prolapse but the effectiveness of this treatment has been tested in large clinical studies show a positive outcome in 70%–80% of patients. To increase success rate of ozone discectomy and prevention of disc surgery, intradiscal ozone therapy combined with physical therapy may bring new options for the management of low back pain (LBP) due to lumber disc prolpase. This prospective experimental study was done from August 2014 to Octber 2014 at the Popular Medical College Hospital, Dhanmondi, Dhaka, Bangladesh with the intention to assess the efficacy of percutaneous intra-discal ozone therapy combined with physical therapy in acute and chronic low back pain due to contained prolapsed intervertebral lumber disc (PLID). Seven (7) ml of oxygen-ozone mixture at a concentration of 30 mc/ml was injected in the disc by ozone resistant syringe over a period of 15-20 seconds. All patients got physiotherapy for 30 minutes, two times/day, up to two weeks and strictly maintained activities of daily living (ADL). The main outcome variable was VAS(Visual Analogue Scale) & ODI (Oswestry Disability Index). 100% patient experienced radiation of pain in the leg before ozone gas & physical therapy and 90% had relieved radiation till 4th week. The reduction of VAS score from baseline to four weeks following treatment was 8.0±1.63 to 0.30±0.95. Reduction of Oswestry Disability Index (ODI) from baseline to four weeks following treatment was 37.7±6.5 to 15.8±1.0. Percutaneous intra-discal ozone therapy in combination with physical therapy is an effective treatment for management of low back pain (LBP) due to contained lumber disc prolpase.Bangladesh Med J. 2015 Sep; 44 (3): 146-151

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