Impact of corset bracing on 3D spine kinematics during ADL in children with Spondylolysis

2021 ◽  
Author(s):  
C Hays ◽  
S Fehr ◽  
XC Liu ◽  
R Haddas
Keyword(s):  
Back Pain ◽  
Lumbar Spine ◽  
Motion Capture ◽  
Thoracic Spine ◽  
Return To Sports ◽  
Motion Capture System ◽  
Spine Kinematics ◽  
Pars Interarticularis ◽  
Before And After ◽  
Lumbar Range Of Motion

Spondylolysis is a stress fracture of the vertebral pars interarticularis that frequently affects adolescents involved in sports. Conservative bracing methods may assist the clinician in treating spondylolysis, though there is a need to further validate these techniques. The goal of this study was to evaluate differences in the 3D movements of the thoracic and lumbar spine before and after bracing. Five patients (mean age 14.4 ± 1.3 years) with spondylogenic back pain were evaluated for kinematic measurements using a Vicon motion capture system. Patients performed activities both with and without a lumbar corset brace including walking, kneeling, standing from a chair, standing from the floor, ascending and descending stairs, and lifting. Patients were evaluated for differences in thoracic and lumbar range of motion (ROM) in the braced and unbraced condition. While wearing the brace, patients demonstrated reduced extension ROM of the thoracic spine while walking (mean reduction = 0.4°), ascending stairs (3.0°), descending stairs (2.1°), lifting (14.8°), standing from a chair (4.1°), standing from the floor (16.7°), and kneeling (8.4°). Patients also exhibited reduced extension ROM of the total lumbar spine while ascending stairs (mean reduction = 1.8°), lifting (12.7°), standing from a chair (9.5°), standing from the floor (11.8°), and kneeling (4.7°). These results provide evidence that bracing reduces stress on the pars interarticularis and relieves symptoms in the athlete with spondylogenic back pain, thereby facilitating a return to sports.

Experimentally Validated Computational Simulation of Lumbar Spine Intervertebral Disc Puncture

2011 ◽  
Author(s):  
Kristen E. Lipscomb ◽  
Nesrin Sarigul-Klijn
Keyword(s):  
Back Pain ◽  
Lumbar Spine ◽  
Intervertebral Disc ◽  
Nucleus Pulposus ◽  
Chronic Back Pain ◽  
Medical Condition ◽  
Computational Simulation ◽  
Element Model ◽  
Before And After ◽  
Spine Model

Back pain is a debilitating medical condition, often with an unclear source. Over time, back pain can affect the work and lifestyle of an individual by reducing job productivity and time spent on enjoyable activities. Discography of the intervertebral disc (IVD) is often used to diagnose pathology of the disc and determine if it may be a source for chronic back pain. It has recently been suggested that discography may lead to IVD degeneration, and has been a cause of controversy among spine care physicians. Using the results from a cadaveric experimental model, a finite element model was first validated. Then, a study was conducted to better understand the changes caused by discography on human spine mechanics. An anatomically accurate L3-L5 lumbar spine model was developed using computed tomography scans. Discography was simulated in the model as an area in the disc affected by needle puncture. The material properties in the nucleus pulposus were adjusted to match experimental data both before and after puncture. The results show that puncture of the IVD leads to increased deformation as well as increased stresses in the disc. Pressure in the nucleus pulposus found to decrease after puncture, and was calculated in the course of this study. Puncturing the IVD changes disc mechanics and may lead to progressive spine issues in the future such as disc degeneration. While discography has been the gold standard to determine if the disc was a source of back pain in patients for many years, the potential long-term degenerative effects of the procedure are only now coming into light, and must be closely examined.

Influences of Nonspecific Low Back Pain on Three-Dimensional Lumbar Spine Kinematics in Locomotion

Spine ◽  
2001 ◽  
Vol 26 (17) ◽  
pp. 1910-1919 ◽  
Author(s):  
Lutz Vogt ◽  
Klaus Pfeifer ◽  
Martin Portscher ◽  
Winfried Banzer
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Three Dimensional ◽  
Low Back ◽  
Spine Kinematics

The Relationship Between Lumbar Spine Kinematics during Gait and Low-Back Pain in Transfemoral Amputees

2010 ◽  
Vol 89 (8) ◽  
pp. 635-643 ◽  
Author(s):  
David C. Morgenroth ◽  
Michael S. Orendurff ◽  
Ali Shakir ◽  
Ava Segal ◽  
Jane Shofer ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Low Back ◽  
Spine Kinematics ◽  
Transfemoral Amputees ◽  
The Relationship

Lumbar Spine Kinematics and Spondylosis Vary by Motion Segment Level in Individuals with Low Back Pain

2016 ◽  
Vol 16 (10) ◽  
pp. S364
Author(s):  
Bryce Basques ◽  
Grant Shifflett ◽  
Michael Fice ◽  
Alejandro Espinoza Orias ◽  
Gunnar B. Andersson ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Low Back ◽  
Motion Segment ◽  
Spine Kinematics

Lumbar spine kinematics during walking in people with and people without low back pain

2015 ◽  
Vol 42 (4) ◽  
pp. 539-544 ◽  
Author(s):  
Sara P. Gombatto ◽  
Tricia Brock ◽  
Anthony DeLork ◽  
Glynis Jones ◽  
Erin Madden ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Low Back ◽  
Spine Kinematics

scholarly journals In-Hospital Clinical Outcomes in Patients with Fragility Fractures of the Lumbar Spine, Thoracic Spine, and Pelvic Ring: A Comparison of Data before and after Certification as a DGU® Geriatric Trauma Centre

Medicina ◽  
2021 ◽  
Vol 57 (11) ◽  
pp. 1197
Author(s):  
Markus Laubach ◽  
Laura Christine Gruchow ◽  
Tobias Hafner ◽  
Filippo Migliorini ◽  
Matthias Knobe ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Thoracic Spine ◽  
Pelvic Ring ◽  
Fragility Fractures ◽  
Trauma Centre ◽  
Geriatric Trauma ◽  
Trauma Patients ◽  
Initial Management ◽  
Before And After ◽  
Management Plans

Background and Objectives: The implementation of orthogeriatric co-management (OGCM) reflects the demand for interdisciplinary collaborations due to the increasing comorbidities of geriatric trauma patients. This study aimed to assess clinical in-hospital outcomes in lumbar spine, thoracic spine, and pelvic ring fragility fracture patients before and after the implementation of a Geriatric Trauma Centre (GTC) certified by the German Trauma Society (DGU®). Materials and Methods: In this observational, retrospective cohort study, geriatric trauma patients (>70 years of age) were stratified into either a pre-GTC group (hospital admission between 1 January 2012 and 31 December 2013) or a post-GTC group (hospital admission between 1 January 2017 and 31 December 2018). Patients’ pre-injury medical complexity was measured by ASA class (American Society of Anaesthesiologists classification), the use of anticoagulant medication, and the ACCI (Age-adjusted Charlson Comorbidity Index). Outcome parameters were patients’ in-hospital length of stay (LOS) and mortality rates, as well as new in-hospital findings and diagnoses. Further, the necessity of deviation from initial management plans due to complications was assessed using the Adapted Clavien–Dindo Scoring System in Trauma (ACDiT score of ≥1). Results: Patients in the post-GTC group (n = 111) were older (median age 82.0 years) compared to the pre-GTC group (n = 108, median age 80.0 years, p = 0.016). No differences were found in sex, body mass index, ASA class, or ACCI (all p > 0.05). Patients in the post-GTC group used vitamin K antagonists or direct oral anticoagulants more frequently (21.3% versus 10.8%). The incidence of non-surgical treatment and mortality was comparable between groups, while LOS tended to be shorter in the post-GTC group (7.0 days versus 9.0 days, p = 0.076). In the post-GTC group, the detection of urinary tract infections (UTI) increased (35.2% versus 16.2%, p = 0.001), and the delirium diagnoses tended to increase (13.0% versus 6.3%, p = 0.094), while an ACDiT score of ≥1 was comparable between groups (p = 0.169). Conclusions: In this study including lumbar spine, thoracic spine, and pelvic ring geriatric fragility fractures, patients in the post-GTC group were more medically complex. More UTIs and the tendency for increased delirium detection was observed in the post-GTC group, likely due to improved diagnostic testing. Nonetheless, the necessity of deviation from initial management plans (ACDiT score of ≥1) was comparable between groups, potentially a positive result of OGCM.

scholarly journals Effects of crochet technique associated with kinesiotherapy in patients with chronic low back pain

2020 ◽  
pp. 1-4
Author(s):  
Angélica Castilho Alonso ◽  
Michele Figueira Nunes ◽  
Flávia Domingues Alves ◽  
Michele Oio Rodrigues de Souza ◽  
Cristina Prota ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Chronic Low Back Pain ◽  
Daily Life ◽  
Low Back ◽  
Trunk Flexion ◽  
Before And After ◽  
Flexion And Extension ◽  
Abdominal Strength

Background: The chronic low back pain (LBP) had been considered an important occupational disorder with several strategy available to treatment, however, few studies had been evaluated the treatment combination. Objectives: The aim of present study was compared the effects of combination of crocheting associated to Kinesiotherapy treatment and Kinesiotherapy isolated treatment on function of lumbar spine and pain during achievement of daily life in patients with chronic LBP. Methods: Forty subjects were distributed randomly in two groups: Crochetagem + Kinesioterapy (C; n: 18; 47.5 ± 7.75 years) and Kinesiotherapy (K, n: 18; 45.3 ± 8.93 years). The C group was treated by crocheting technique associated with kinesiotherapy using therapeutic ball. The K group performed a kinesiotherapy treatment using just a therapeutic ball. The following parameters were evaluated: abdominal strength, articular range motion and the data of Rolland Morris and Oswestry Disability Index questionnaires were evaluated before and after 8 weeks of treatment. Both groups performed all therapeutic sessions for 50 minutes, three times a week. Results: Significant differences (p<0.05) were found just on time to trunk flexion and extension, right and left lateral trunk, pain and abdominal strength. However, significant differences on time (p<0.05) was found on Rolland Morris and Oswestry data questionaries parameters just on C group, additionally the values of C group were lower than K group after treatment. Conclusion: Both kinesiotherapy isolated and association of crocheting and kinesiotherapy were useful to improve functional parameters, however the data from Rolland Morris and Oswestry questionaries were lower just on crocheting associated to kinesiotherapy group indicating increment on function of lumbar spine and decrease on pain during achievement of daily life.

LUMBAR KINEMATIC PATTERN AMONG ADULTS WITH LOW BACK PAIN: A STUDY PROTOCOL

2016 ◽  
Vol 78 (6-8) ◽  
Author(s):  
Nancy G. J ◽  
Devinder Kaur Ajit Singh ◽  
Nor Azlin Mohd Nordin ◽  
T. H. Ha ◽  
Sabarul Afian Mokhtar ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Extended Period ◽  
Study Groups ◽  
Low Back ◽  
Limited Information ◽  
Cross Sectional ◽  
Spine Kinematics ◽  
Simulated Home Environment

Non-Specific Low back pain (NSLBP) is associated with lumbar spine kinematics and curvature changes. However, there is limited information regarding lumbar spine kinematics and curvature in normal daily living when both static and dynamic postures are adopted interchangeably during extended periods. The aim of this study is to evaluate the differences in lumbar kinematic patterns and curvature when adopting various static and dynamic postures over an extended period of time among adults with acute, chronic and without NSLBP. Lumbar kinematic patterns and curvature of adults with chronic and acute NSLBP will also be reassessed at six weeks and three months follow-up. This is a cross-sectional and prospective design study. Seventy-two adults aged between 20 and 45 years will be recruited for three study groups (acute, chronic and without NSLBP).  Kinematic parameters that include a lumbar range of movements, velocities, accelerations and lumbar curvature changes will be assessed for a continuous two-hour period using an inertial measurement system. During the two hours of monitoring, participants will be required to perform a list of functional tasks in a simulated home environment. Participants will be free to adopt any postures as in a normal home/work environment during performing these tasks. Lumbar curvature angles and kinematic patterns of lumbar spine will be analysed and compared between three groups. This study will add to the knowledge regarding lumbar curvature and kinematic patterns of lumbar spine when adopting various static and dynamic postures interchangeably over an extended period among adults with NSLBP. 

Gender differences in the Achilles tendon load during the fencing lunge

2014 ◽  
Vol 6 (3) ◽  
Author(s):  
Jonathan Kenneth Sinclair ◽  
Lindsay Bottoms
Keyword(s):  
Gender Differences ◽  
Achilles Tendon ◽  
Motion Capture ◽  
Tendon Injury ◽  
Force Platform ◽  
Motion Capture System ◽  
3D Motion ◽  
Loading Rates ◽  
Tendon Pathology ◽  
3D Motion Capture

AbstractRecent epidemiological analyses in fencing have shown that injuries and pain linked specifically to fencing training/competition were evident in 92.8% of fencers. Specifically the prevalence of Achilles tendon pathology has increased substantially in recent years, and males have been identified as being at greater risk of Achilles tendon injury compared to their female counterparts. This study aimed to examine gender differences in Achilles tendon loading during the fencing lunge.Achilles tendon load was obtained from eight male and eight female club level epee fencers using a 3D motion capture system and force platform information as they completed simulated lunges. Independent t-tests were performed on the data to determine whether differences existed.The results show that males were associated with significantly greater Achilles tendon loading rates in comparison to females.This suggests that male fencers may be at greater risk from Achilles tendon pathology as a function of fencing training/ competition.

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