Association between anterior pelvic tilt, posterior Pelvic tilt and low back pain

Background: Lower back pain still occurs in many cyclists. The sitting position is considered to be one of the factors causing complaints of low back pain. This study was conducted to determine the correlation between sitting position and complaints of low back pain in cyclists. Methods: This study employed the narrative review method by collecting ten research articles from the Google Scholar and PubMed databases, identifying keywords using the PEOs format, so that the keywords "Cyclist", "Sitting Position", "Lower Back Pain", and "All Study Design" were used. Results: All articles used were articles published starting in 2010. Seven articles stated that lower back pain occurred more frequently in a sitting position with large lumbar flexion. Six articles stated that the sitting position of a cyclist was affected by the position of the handlebars. Five articles stated that sitting with the lower handlebars resulted in greater lumbar flexion and anterior pelvic tilt. Five articles stated that prolonged lumbar flexion and anterior pelvic tilt resulted in a lower crossed syndrome. Four articles found that lower crossed syndrome contributes to lower back pain. Conclusion: There is a correlation between sitting position and complaints of low back pain in cyclists. However, there are limitations to the article which states that the statistical closeness of the correlation between sitting position and complaints of low back pain in cyclists.

Download Full-text

MEASUREMENT OF ANTERIOR PELVIC TILT IN LOW BACK PAIN- AN OBSERVATIONAL STUDY

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2017.v10i4.16254 ◽

2017 ◽

Vol 10 (4) ◽

pp. 115

Author(s):

Devadhason Malarvizhi ◽

Sai Kishore Varma ◽

Sivakumar Vpr

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Visual Analogue Scale ◽

Analogue Scale ◽

Pelvic Tilt ◽

Low Back ◽

Anterior Pelvic Tilt ◽

Males And Females ◽

Highly Correlated ◽

Pain Patients

OBJECTIVE: The objective of the study was to measure the anterior pelvic tilt for both males and females of low back pain patients. STUDY DESIGN: Observational type. PROCEDURE: 120 subjects were approached. In that 70 male and 50 females . Using i@handy application in mobile anterior pelvic tilt was calculated among low back pain patients.RESULTS: Anterior pelvic tilt was increased in low back pain patients . In that correlation between males and Visual analogue scale was not significant. But there was a significant correlation found in female anterior pelvic tilt and Visual analogue scale.CONCLUSION: This study concluded that there was increase in anterior pelvic tilt among low back pain patients. Anterior pelvic tilt and Visual analogue scale was highly correlated in females not in males.KEYWORDS: i@handy, Anterior pelvic tilt, low back pain.

Download Full-text

Understanding regional activation of thoraco-lumbar muscles in chronic low back pain and its relationship to clinically relevant domains

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-04287-5 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Francesca Serafino ◽

Marco Trucco ◽

Adele Occhionero ◽

Giacinto Luigi Cerone ◽

Alessandro Chiarotto ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Pelvic Tilt ◽

Pearson Correlation ◽

Neuromuscular Control ◽

Low Back ◽

Emg Amplitude ◽

Extensor Muscles ◽

Anterior Pelvic Tilt

Abstract Background Altered regional activation of the lumbar extensors has been previously observed in individuals with low back pain (LBP) performing high-effort and fatiguing tasks. It is currently unknown whether similar alterations can be observed during low-effort functional tasks. Similarly, previous studies did not investigate whether side differences in regional activation are present in individuals with LBP. Finally, there is limited evidence of whether the extent of the alteration of regional activation is associated with clinical factors. Therefore, the aim of this study was to investigate whether individuals with LBP exhibit asymmetric regional activation of the thoraco-lumbar extensor muscles during functional tasks, and if the extent of neuromuscular control alteration is associated with clinical and psychosocial outcome domains. Methods 21 participants with and 21 without LBP performed five functional tasks (gait, sit-to-stand, forward trunk flexion, shoulder flexion and anterior pelvic tilt). The spatial distribution of activation of the thoraco-lumbar extensor muscles was assessed bilaterally using high-density electromyography. For each side, the distribution of electromyographic (EMG) amplitude was characterized in terms of intensity, location and size. Indices of asymmetry were calculated from these features and comparisons between groups and tasks were performed using ANOVA. The features that significantly differed between groups were correlated with self-reported measures of pain intensity and other outcome domains. Results Indices of asymmetry did not differ between participants with and without LBP (p > 0.11). The cranio-caudal location of the activation differed between tasks (p < 0.05), but not between groups (p = 0.64). Participants with LBP showed reduced EMG amplitude during anterior pelvic tilt and loading response phase during gait (both p < 0.05). Pearson correlation revealed that greater pain intensity was associated with lower EMG amplitude for both tasks (R<-0.5, p < 0.05). Conclusions Despite clear differences between tasks, individuals with and without LBP exhibited similar distributions of EMG amplitude during low-effort functional activities, both within and between sides. However, individuals with LBP demonstrated lower activation of the thoraco-lumbar muscles during gait and anterior pelvic tilt, especially those reporting higher pain intensity. These results have implications in the development or refinement of assessment and intervention strategies focusing on motor control in patients with chronic LBP.

Download Full-text

The Relationship between Pelvic Tilt Angle and Disability Associated with Low Back Pain

Journal of Physical Therapy Science ◽

10.1589/jpts.25.65 ◽

2013 ◽

Vol 25 (1) ◽

pp. 65-68 ◽

Cited By ~ 6

Author(s):

Hee Sung Lim ◽

Su Yeon Roh ◽

Suk Min Lee

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Tilt Angle ◽

Pelvic Tilt ◽

Low Back ◽

The Relationship

Download Full-text

Rasterstereographic Analysis of Lateral Shift in Patients with Lumbar Disc Herniation: A Case Control Study

Advances in Orthopedics ◽

10.1155/2018/6567139 ◽

2018 ◽

Vol 2018 ◽

pp. 1-8

Author(s):

Britta K. Krautwurst ◽

Jürgen R. Paletta ◽

Sylvia Mendoza ◽

Adrian Skwara ◽

Melvin Mohokum

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Pelvic Tilt ◽

Lumbar Disc ◽

Lateral Shift ◽

Healthy Controls ◽

Low Back

Objective. Detection of a lateral shift (LS) in patients with diagnosed disc herniation compared to healthy controls. Summary of Background Data. A specific lateral shift (LS) pattern is observed in patients with disc herniation and low back pain, as shown in earlier studies. Methods. Rasterstereography (RS) was used to investigate the LS. Thirty-nine patients with lumbar disc herniation diagnosed by radiological assessment and low back pain and/or leg pain (mean age 48.2 years, mean BMI 28.5, 28 males and 11 females) and 36 healthy controls (mean age 47.4 years, mean BMI 25.7, 25 males and 11 females) were analysed. LS, pelvic tilt, pelvic inclination, lordotic angle, and trunk torsion were assessed. Results. The patient group showed a nonsignificant increase in LS, that is, 5.6 mm compared to the healthy controls with 5.0 mm (p = 0.693). However, significant differences were found between groups regarding pelvic tilt in degrees (patients 5.9°, healthy controls 2.0°; p = 0.016), trunk torsion (patients 7.5°, controls 4.5°; p = 0.017), and lordotic angle (patients 27.5°, healthy controls 32.7°; p = 0.022). The correlation between pain intensity and the FFbH-R amounted 0.804 (p = < 0.01), and that between pain intensity and the pain disability index was 0.785 (p < 0.01). Discussion. Although some studies have illustrated LS with disc herniation and low back pain, the present findings demonstrate no significant increase in LS in the patient group compared to healthy controls. Conclusion. The patients with lumbar disc herniation did not demonstrate an increased LS compared to healthy controls. Other parameters like pelvic tilt and inclination seemed to be more suitable to identify changes in posture measured by RS in patients with low back pain or disc herniation.

Download Full-text

Identifying relations between posture and pain in lower back pain patients: a narrative review

Bulletin of Faculty of Physical Therapy ◽

10.1186/s43161-021-00052-w ◽

2021 ◽

Vol 26 (1) ◽

Author(s):

Sai Kripa ◽

Harmanpreet Kaur

Keyword(s):

Health Care ◽

Low Back Pain ◽

Back Pain ◽

Health Care Professionals ◽

Low Back ◽

Strenuous Activity ◽

Anterior Pelvic Tilt ◽

Unpleasant Feeling ◽

Flat Back ◽

Pain Patients

AbstractPosture is a “body’s attitude or the positioning of the limbs when standing or sitting.” There are many examples of different postures which include lordotic posture, swayback posture, flat back, and anterior pelvic tilt. Everyone in some of the other parts of their life considers pain as an unpleasant feeling or sensation that is experienced. Specifically, low back pain can be relentless and daunting to many people who often recovered without the need of a health care professional or any treatment by changing their posture or performing the movement. Various factors are leading to low back pain other than the postural fault, for instance, age, sedentary lifestyle, anxiety, and sleep. However, for back pain, posture has become deep-rooted in people’s thoughts. Health care professionals have instructed people to correct their posture to fight back pain. As people become older, the posture becomes worse, but this does not appear to cause pain. If any person cannot move his/her body, that does not mean that they are having a problem involving posture; that is actually because of a problem relating to movement. A study proved that there is no difference in the lordotic angle of the populace having an issue with LBP. There is a decrease in the range and speed of the movement performed. What matters is the movement rather than the appearance of standing or sitting. The primary aim of this paper is to improve knowledge and understanding of the association between posture and LBP, as, speaking about recent researches, they have observed no association between posture and LBP. There are many studies published to support this evidence. People call the importance of posture and alignment for while performing a heavy deadlift, land a jump, or any strenuous activity. Therefore, an urge to write a paper on this topic is to change the mindset of many people worrying out there about their postural faults or their appearances by providing information about varying their static posture to conform to some ideal and keep moving to improve their function.

Download Full-text

¿Existe alguna relación entre la posición del ciclismo y la aparición de dolor lumbar? Una revisión sistematizada (Is there any relation between the position of cycling and the appearance of lower pain? A systematized Review)

Retos ◽

10.47197/retos.v43i0.89363 ◽

2021 ◽

Vol 43 ◽

pp. 651-659

Author(s):

Andrés Fuentes ◽

Luciano Martínez ◽

Esteban Aedo-Muñoz ◽

Ciro Brito ◽

Bianca Miarka ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pelvic Tilt ◽

Web Of Science ◽

Lumbar Region ◽

Low Back ◽

The Road ◽

Lower Back ◽

Maximum Angle ◽

Lower Pain

Este trabajo analizó la relación entre la posición de flexión mantenida durante la práctica de ciclismo y la posible relación con dolor lumbar. Se llevó a cabo una revisión sistematizada a través del proceso PRISMA® entre 2015-2020, en las bases de datos PubMed, PEDro, Scopus y Web of Science, empleando los términos; “cycling”, “cyclist”, “position”, “positioning”, “overuse injury”, “spinal biomechanic”, “lower back”, “lower back pain”. Se seleccionaron 5 artículos que cumplieron con todos los criterios de inclusión. Los artículos seleccionados mostraron cambios en la inclinación pélvica, ángulos de flexión de tronco en tomadas medias y bajas del manillar de bicicleta de ruta y bicicleta de montaña, variaciones del asiento más arriba o atrás de la posición adecuada según longitud entrepiernas, la posición de rodilla 40º y tronco 35º de manera simultánea cuando el pedal está en 180º, mientras que en posición anatómica se describieron; ángulo máximo de inclinación de pelvis en anteversión, ángulo máximo de inclinación de pelvis en retroversión y ángulo máximo de flexión lumbar se asocian con molestias o dolor lumbar. Sin embargo, es posible establecer que la asociación entre la práctica de ciclismo y el dolor lumbar no ha sido suficientemente estudiada, lo que nos hace inferir que surge la necesidad de actualizar la información con el objetivo de prevenir este tipo de lesiones asociadas a la posición en ciclismo. Abstract. This article analyzed the relationship between the flexion position maintained during cycling and the possible relationship with low back pain. A systematic review was carried out through the PRISMA process between 2015-2020, in the PubMed, PEDro, Scopus and Web of Science databases, using the terms; "cycling", "cyclist", "position", "positioning", "injury from overuse", "biomechanics of the spine", "lumbar region", "low back pain". Five articles were selected that met all the inclusion criteria. Selected articles showed changes in pelvic tilt, torso flexion angles in medium and low strokes of the handlebars of the road bike and mountain bike, variations of the highest seat or the appropriate backrest according to the groin length, knee position 40 and trunk 35º simultaneously when the pedal is at 180º, while in anatomical position they have been described; The maximum angle of pelvic tilt in anteversion, the maximum angle of pelvic tilt in retroversion and the maximum angle of lumbar flexion are associated with pain or discomfort in the lumbar region. However, it is possible to establish that the association between cycling and low back pain has not been sufficiently studied, which leads us to infer that there is a need to update the information in order to prevent this type of injury associated with the position in cycling.

Download Full-text