Segmental spine mobility differences between lumbar flexion- and extension-based movement syndromes in patients with low back pain

2021 ◽  
pp. 1-9
Author(s):  
Jason Zafereo ◽  
Sharon Wang-Price ◽  
Tara Dickson
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Age Groups ◽  
Skin Surface ◽  
Added Value ◽  
Low Back ◽  
Older Individuals ◽  
Lumbar Flexion ◽  
Spine Mobility ◽  
Flexion And Extension

BACKGROUND: The Movement System Impairment (MSI) model is useful for identifying spine-hip mobility and motor control deficits that may contribute to low back pain (LBP). While previous studies have found differences in global spine-hip movement impairments between lumbar MSI subgroups, no studies have compared segmental spine movement impairments between these subgroups. Therefore, the purpose of this study is to analyze segmental lumbar mobility in participants with LBP and a lumbar flexion- or extension-based MSI. METHODS: Forty participants with subacute-chronic LBP were placed into one of three age groups (< 35, 35–54, or > 54 years-old) and then classified into a flexion- or extension-based MSI sub-group. Segmental lumbar range of motion (ROM) was measured in degrees using a skin-surface device. Total lumbar and segmental flexion and extension ROM of L1-L2 to L5-S1 was compared between MSI sub-groups for each age group using separate two-way ANOVAs. RESULTS: Significant main effects were found for the independent variables of MSI subgroup and age. Participants in all three age groups with a flexion-based MSI displayed significantly less lumbar extension (-0.6∘) at L4-5 as compared to participants with an extension-based MSI (-2.1∘), p= 0.03. In addition, lumbar total and segmental ROM was significantly less for older individuals in both subgroups. CONCLUSIONS: Individuals with LBP may demonstrate a pattern of lumbar segmental hypomobility in the opposite direction of their MSI. Future studies may investigate the added value of direction-specific spinal mobilization to a program of MSI-based exercise.

scholarly journals Low Back Pain in Athletes Is Associated with General and Sport Specific Risk Factors: A Comprehensive Review of Longitudinal Studies

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Vahideh Moradi ◽  
Amir-Hossein Memari ◽  
Monir ShayestehFar ◽  
Ramin Kordi
Keyword(s):  
Risk Factors ◽  
Body Weight ◽  
Low Back Pain ◽  
Back Pain ◽  
Longitudinal Studies ◽  
Methodological Quality ◽  
Low Back ◽  
Lumbar Flexion ◽  
High Body

We aimed to examine systematically the available evidence on risk factors of low back pain (LBP) in athletes. We performed search without language restriction in PubMed, Ovid, Google Scholar, Scopus, and CINAHL. Longitudinal studies that examined possible risk factors of LBP in athletes were included in this systematic review. Based on methodological quality of studies, a best-evidence synthesis was conducted. Seven longitudinal studies were included, four of which had high methodological quality. Results showed that previous LBP, decreased lumbar flexion, and decreased lumbar extension are positively associated with LBP. There was moderate evidence for hip flexor tightness and high body weight as a risk factor. We found insufficient evidence for association between forward bending, previous injury, and amount of training per week, active years, age, and sex with LBP. In conclusion this study would provide a list of risk factors for LBP in athletes, though it showed a strong evidence for only a few including decrease lumbar flexion or extension, previous LBP, and high body weight. This review indicated a high heterogeneity of study characteristics including assessed risk factors and statistical techniques might limit the quality of evidence.

scholarly journals Functional Analysis of the Spine with the Idiag SpinalMouse System among Sedentary Workers Affected by Non-Specific Low Back Pain

2020 ◽  
Vol 17 (24) ◽  
pp. 9259
Author(s):  
Éva Anett Csuhai ◽  
Attila Csaba Nagy ◽  
Zsuzsanna Váradi ◽  
Ilona Veres-Balajti
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Impact Analysis ◽  
White Collar ◽  
Skin Surface ◽  
Surface Measurement ◽  
Low Back ◽  
Cross Sectional ◽  
Exercise Interventions ◽  
Spinal Posture

WHO describes “low back pain” (LBP) as the most common problem in overall occupational-related diseases. The aim of this study was to evaluate characteristics of spinal functionality among sedentary workers and determine usability of the SpinalMouse® skin-surface measurement device in workplace settings in a risk population for LBP. The spinal examination was implemented at National Instruments Corporations’ Hungarian subsidiary, Debrecen in October, 2015, involving 95 white-collar employees as volunteers to assess spinal posture and functional movements. Data from the physical examination of 91 subjects (age: 34.22 ± 7.97 years) were analyzed. Results showed significant differences (p < 0.05) in posture and mobility of the spinal regions in sitting compared to standing position. Significant positive correlations were observed between values measured in standing and sitting positions in all observed regions and aspects of the spine (p < 0.05) except posture of lumbar extension (p = 0.07) and mobility of sacrum/hip in E-F (p = 0.818). Significant (p < 0.001) difference (5.70°) was found between the spinal inclination in sitting 6.47 ± 3.55° compared to standing 0.77 ± 2.53 position. Sitting position has a negative effect on the posture and mobility of the spine among white-collar employees. The SpinalMouse can be used effectively to determine spinal posture and mobility in cross-sectional studies and impact analysis of physical exercise interventions.

Pain-Related Fear, Lumbar Flexion, and Dynamic EMG Among Persons With Chronic Musculoskeletal Low Back Pain

2004 ◽  
Vol 20 (2) ◽  
pp. 61-69 ◽  
Author(s):  
Michael E. Geisser ◽  
Andrew J. Haig ◽  
Agnes S. Wallbom ◽  
Elizabeth A. Wiggert
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Lumbar Flexion

Effects of Spinal Flexion and Extension Exercises on Low-Back Pain and Spinal Mobility in Chronic Mechanical Low-Back Pain Patients

Spine ◽  
1991 ◽  
Vol 16 (8) ◽  
pp. 967-972 ◽  
Author(s):  
IBRAHIM MAGDY ELNAGGAR ◽  
MARGARETA NORDIN ◽  
ALI SHEIKHZADEH ◽  
MOHAMAD PARNIANPOUR ◽  
NEIL KAHANOVITZ
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Spinal Mobility ◽  
Low Back ◽  
Pain Patients ◽  
Flexion And Extension ◽  
Spinal Flexion

Lumbar Flexion and Dynamic EMG Among Persons with Single Level Disk Herniation Pre- and Postsurgery with Radicular Low-Back Pain

2009 ◽  
Vol 88 (4) ◽  
pp. 302-307 ◽  
Author(s):  
Agnes S. Wallbom ◽  
Michael E. Geisser ◽  
John Koch ◽  
Andrew J. Haig ◽  
Catherine Guido ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Disk Herniation ◽  
Single Level ◽  
Lumbar Flexion

scholarly journals A clinical registry of multisystemic presentation of hypovitaminosis D in hospital attendees in Kolkata

2022 ◽  
Vol 13 (1) ◽  
pp. 60-65
Author(s):  
Jayati Roy Choudhury ◽  
Debasmita Bandyopadhyay ◽  
Kheya Mukherjee ◽  
Debojyoti Bhattacharjee
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Age Groups ◽  
Hypovitaminosis D ◽  
The Body ◽  
Care Hospital ◽  
Low Back ◽  
Significant Difference ◽  
Study Population ◽  
Multisystemic Disorders

Background: Vitamin D (Vit D) is a steroid hormone essential for maintaining functional homeostasis in the body. Hypovitaminosis D has been a recognized worldwide problem affecting all age groups and sex. Its prevalence is very high in South Asia. Aims and Objectives: Therefore, this study was aimed to determine the spectrum of presentation of biochemical levels of hypovitaminosis D in Indian population in terms of age, sex, and multisystemic disorders. Materials and Methods: A cross-sectional study carried out on selective study population attending a tertiary care hospital from July 2019 to December 2020 with clinical presentations suspected to arise due to Vit D deficiency. Serum 25OH Vit D level was estimated by chemiluminescence method. Data were analyzed using GraphPad Prism 8. Results: Of the study population (n = 685), average serum 25(OH)D level in females and males was 24.13 ng/ml and 28.59 ng/ml, respectively. Significant difference in mean value of Vit D existed in males and females in the 21–40 years age group (p = 0.0048). Females in the Vit D deficient group (Vit D level<20) mostly presented with mastalgia (20.45%), low back pain (17.61%), and joint pain (11.36%). Common clinical presentation in males with Vit D levels less than 20 ng/ml was diabetes mellitus without CKD (18.34%), non-diabetic CKD (19.27%), and low back pain (16.51%). Conclusion: Low Vit D levels manifest itself as signs and symptoms involving various multisystemic disorders involving different age groups in both sexes. Early recognition and replacement can prevent the progress of complications which Vit D deficiency makes us prone to develop.

scholarly journals Nyeri Punggung Bawah Akibat Posisi Duduk yang Salah Pada Pesepeda

2020 ◽  
Vol 5 (2) ◽  
pp. 71-88
Author(s):  
Zahra Salsabila Hafid ◽  
Ummy Aisyah N ◽  
Parmono Dwi Putro
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lower Back Pain ◽  
Pelvic Tilt ◽  
Research Articles ◽  
Sitting Position ◽  
Low Back ◽  
Lumbar Flexion ◽  
Lower Back ◽  
Anterior Pelvic Tilt

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.

Chronic Low Back Pain in a Young Patient

2018 ◽  
Author(s):  
Nebojsa Nick Knezevic ◽  
Teresa M. Kusper ◽  
Kenneth D. Candido
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Correct Diagnosis ◽  
Age Groups ◽  
Health Care Expenditures ◽  
Health Concern ◽  
Low Back ◽  
Epidural Steroid Injections ◽  
Epidural Steroid

Chronic low back pain (CLBP) in young adults is a great public health concern. CLBP affects individuals across all age groups with varying frequency, and it is associated with significant disability and morbidity, missed school or work, loss of productivity, and substantial health care expenditures. It can occur suddenly as a result of injury, or develop gradually due to degenerative changes in the spine. Correct diagnosis and proper management, usually involving a multidisciplinary approach, are paramount for optimal pain management. Usually, combinations of conservative management (pharmacologic and nonpharmacologic) with epidural steroid injections can achieve long-term pain relief and relapse prevention.

scholarly journals Cardiovascular Responses to Repetitive McKenzie Lumbar Spine Exercises

2001 ◽  
Vol 81 (9) ◽  
pp. 1524-1533 ◽  
Author(s):  
Saud Al-Obaidi ◽  
Joseph Anthony ◽  
Elizabeth Dean ◽  
Nadia Al-Shuwai
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Cardiovascular Effects ◽  
Cardiovascular Responses ◽  
Low Back ◽  
Pulmonary Risk ◽  
Flexion And Extension

Abstract Background and Purpose. Repetitive exercises of the type recommended by McKenzie for the lumbar spine, such as flexion and extension exercises in standing (FIS and EIS) and lying positions (FIL and EIL), have been used in the management of low back pain for over 20 years. The cardiovascular effects of exercises that involve postural stabilization and the arms and of exercises performed in a lying position are well known. Therefore, the purpose of this study was to examine the cardiovascular effects of 4 exercises used in the McKenzie system. Subjects and Methods. One hundred subjects without cardiovascular or cardiopulmonary disease (mean age=31 years, SD=6.1, range=22–44) and who were representative of people susceptible to low back pain were studied. Subjects were randomly assigned to 1 of 4 exercise groups (ie, FIS, EIS, FIL, and EIL). Subjects performed sets of 10, 15, and 20 repetitions of the assigned exercise, with a 15-minute rest between sets. Heart rate, blood pressure, and rate-pressure product (an index of myocardial work) were recorded before and after each set of repetitions. Results. After 10 repetitions, flexion and extension in lying were more hemodynamically demanding than in standing. This trend persisted for 15 and 20 repetitions; however, at 20 repetitions, the hemodynamic demands were different across exercise groups (ie, FIL&gt;EIL&gt;FIS&gt;EIS). Discussion and Conclusion. Repetitive exercises of the type suggested by McKenzie for the lumbar spine can have cardiovascular effects in people with no cardiovascular or cardiopulmonary conditions. These effects may be important with respect to cardiac work, and patients for whom these exercises are indicated should have a cardiac and pulmonary risk factor assessment to determine whether heart rate and blood pressure should be monitored.

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