Back Pain and Spinal Curvatures

2021 ◽  
pp. 124-135
Author(s):  
Steve Bedford
Keyword(s):  
Back Pain ◽  
Spinal Curvatures

scholarly journals Sitting Posture, Sagittal Spinal Curvatures and Back Pain in 8 to 12-Year-Old Children from the Region of Murcia (Spain): ISQUIOS Programme

2020 ◽  
Vol 17 (7) ◽  
pp. 2578 ◽  
Author(s):  
Pilar Sainz de Baranda ◽  
Antonio Cejudo ◽  
María Teresa Martínez-Romero ◽  
Alba Aparicio-Sarmiento ◽  
Olga Rodríguez-Ferrán ◽  
...  
Keyword(s):  
Back Pain ◽  
Pelvic Tilt ◽  
Sitting Position ◽  
Spinal Alignment ◽  
Cross Sectional ◽  
Spinal Curvatures ◽  
Mean Values ◽  
Sitting Posture ◽  
Sagittal Spinal Alignment ◽  
Lumbar Kyphosis

To explore sagittal spinal alignment and pelvic disposition of schoolchildren in a slump sitting position is needed in order to establish preventive educational postural programs. The purposes of this study were to describe sagittal spinal alignment and pelvic tilt (LSA) in a slump sitting position and to explore the association of sagittal spine and pelvic tilt with back pain (BP) among 8–12-year-old children. It was a cross-sectional study. Sagittal spinal curvatures, BP and pelvic tilt were assessed in 582 students from 14 elementary schools. It was found that 53.44% of children had slight thoracic hyperkyphosis and that 48.80% presented moderate lumbar hyperkyphosis and 38.66% presented slight lumbar hyperkyphosis. Those who did not suffer from BP in any part of the back had a higher lumbar kyphosis (24.64 ± 7.84) or a greater LSA (107.27 ± 5.38) than children who had some type of BP in the previous year or week (lumbar kyphosis: 23.08 ± 8.06; LSA: 105.52 ± 6.00), although with no clinically relevant differences. In fact, neither sufferers nor those who did not have BP presented normal mean values for lumbar kyphosis or LSA according to normality references. This study demonstrates the need to assess sagittal morphotype in childhood since schoolchildren remain incorrectly seated for many hours and it greatly affects their spinal curvatures.

scholarly journals Comportamento da Lordose Lombar no Exercício Resistido / Lumbar lordosis behavior in Resisted Exercise

2016 ◽  
Vol 6 (3) ◽  
pp. 82-93
Author(s):  
Nathália Beatriz Manara Lellis ◽  
Paulo José Oliveira Cortez
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Lumbar Lordosis ◽  
Physical Exertion ◽  
Weight Lifting ◽  
Low Back ◽  
Spinal Curvatures ◽  
Leg Press ◽  
Regular Practice

Objetivo: Analisar a curvatura lombar durante a execução de exercícios resistidos. Materiais e Métodos: Foram analisadas 81 pessoas, durante a execução de cinco aparelhos diferentes de exercício resistido. Fez-se um registro fotográfico da coluna lombar durante os exercícios, seguido da análise de quatro variáveis: manutenção da lordose fisiológica, hiperlordose, retificação da curvatura e inversão da curvatura. Resultados: Em todos os aparelhos houve a modificação do comportamento da lordose lombar durante a execução dos exercícios. A manutenção da lordose fisiológica, correspondendo a uma posição não errônea ou aceitável, não foi significativa. No aparelho Cadeira Extensora, a manutenção correta da curvatura lombar durante o exercício resistido esteve presente em apenas 35,8%, sendo o aparelho em que menos se manteve a curvatura fisiológica e em que houve a inversão da curva como a modificação mais presente. O Aparelho Voador foi o que mais demonstrou a preservação da postura com uma porcentagem pequena de alteração (76,5%), seguido pelo aparelho Leg Press (preservação de 65,4%) e pelo Pulley Alto (64,2%). No aparelho Cadeira Flexora, pode-se observar um menor número de variedade dos tipos de curvaturas, estando presente apenas a hiperlordose e a lordose fisiológica, com predomínio de 61,7%, estando ausentes a retificação da curva e a inversão da curva. Conclusão: A prática do exercício resistido sem a manutenção da lordose lombar, seja ela por má orientação ou por carga excessiva, está presente na prática regular dos alunos submetidos a análise do presente estudo.Palavras-chave: Curvaturas da Coluna Vertebral, Dor Lombar, Postura, Exercício, Esforço Físico, Levantamento de PesoABSTRACTObjective: To analyze the lumbar curvature while executing resisted exercises. Material and Methods: A total of 81 subjects were analyzed during execution of five different resistance exercise devices. A photographic register of the lumbar spine during the exercise was performed, followed by data analysis of four variables: maintenance of physiological lordosis, hyperlordosis, rectified curvature and reversal of curvature. Results: It was found modification in lumbar lordosis behavior during the execution of all exercises. The maintenance of the physiological lordosis, which would be a not erroneous and acceptable position, was not significant. On the “Stretcher Chair” device, the correct maintenance of the lumbar curvature during resisted exercise was present in only 35.8%. It was the apparatus in which few remained physiological curvature and the most  inversion of the curve was present. The “Flying” machine showed the most preservation of posture with a small percentage of change (76.5%), and was followed by the “Leg” unit (65.4%) and “High Pulley” set (64.2%). The “Flexor Chair” device showed the fewer variety in types of curvatures, the hyperlordosis and physiologic lordosis, with a prevalence of 61.7%.  Rectification and reversal of the curvature was not observed in this device. Conclusion: The practice of resisted exercise without the maintenance of lumbar lordosis, whether by misdirection or stress, is the regular practice of students subjected to analysis of this study.Keywords: Spinal Curvatures, Low Back Pain, Posture, Exercise, Physical Exertion, Weight Lifting 

Association between bag weight, carrying style and low back pain and spinal curvatures among school children in Ablekuma South

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e1243
Author(s):  
N.A.B. Baidoo ◽  
J. Quartey ◽  
K.P. Essuman ◽  
J.E. Armah ◽  
D.P. Asamoah
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
School Children ◽  
Low Back ◽  
Spinal Curvatures ◽  
Weight Carrying

scholarly journals Back Pain Related with Age, Anthropometric Variables, Sagittal Spinal Curvatures, Hamstring Extensibility, Physical Activity and Health Related Quality of Life in Male and Female High School Students

2020 ◽  
Vol 17 (19) ◽  
pp. 7293
Author(s):  
Noelia González-Gálvez ◽  
Raquel Vaquero-Cristóbal ◽  
Abraham López-Vivancos ◽  
Mario Albaladejo-Saura ◽  
Pablo Jorge Marcos-Pardo
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
High School Students ◽  
Back Pain ◽  
Health Related Quality ◽  
School Students ◽  
Spinal Curvatures ◽  
Related Quality ◽  
Health Related

Spinal pain (SP) is widely extended among adolescents. The origin of SP can be multifactorial; thus, the present study aimed to estimate the prevalence and risk of SP in high school students and to determine the differences in sagittal spinal curvatures and pelvic tilt, hamstring extensibility, age, anthropometric variables and healthy lifestyle habits dependent on SP between sexes. Two hundred seventy-three teenagers took part in this cross-sectional study. Age, sagittal spinal curvatures, hamstring extensibility, physical activity, sedentary lifestyle, anthropometric variables and health related quality of life (HRQL) were recorded. SP was reported by 16.12% of adolescents. Differences were observed in the HRQL according to SP (p < 0.05). Participants without SP were less sedentary (22.12%) and younger (13.10 years old) than participants with SP (40.91% and 13.66, respectively) (p < 0.05). A logistic regression model showed that both variables were significantly collinear (VIF = 1.01; Durbin-Watson = 2.10). Subjects with low back pain (LBP) had a higher weight, body max index, and hip girth than subjects without pain (p < 0.05). A misalignment in the lumbar spine was associated with LBP for males (Cramer’s V = 0.204, p = 0.022). In conclusion, adolescents with SP were older and had a lower HRQL in all dimensions. SP could be predicted according to age and sedentary habits.

Sagittal standing spinal alignment and back pain in 8 to 12-year-old children from the Region of Murcia, Spain: The ISQUIOS Program

2020 ◽  
Vol 33 (6) ◽  
pp. 1003-1014 ◽  
Author(s):  
Pilar Sainz de Baranda ◽  
Pilar Andújar ◽  
Mónica Collazo-Diéguez ◽  
Antonio Pastor ◽  
Fernando Santonja-Renedo ◽  
...  
Keyword(s):  
Back Pain ◽  
Thoracic Kyphosis ◽  
Standing Position ◽  
Cross Sectional Study ◽  
Mean Value ◽  
Spinal Alignment ◽  
Cross Sectional ◽  
Spinal Curvatures ◽  
Sagittal Spinal Alignment ◽  
The Mean

BACKGROUND: The child’s spine shows changes in posture and balance of its curvatures during growth and musculoskeletal spinal conditions are likely to develop, such as back pain (BP). OBJECTIVE: The purposes of this study were (a) to describe the sagittal spinal alignment in a relaxed standing position and (b) to analyze its association with BP among 8 to 12-year-old children. METHODS: This was a cross-sectional study. A total of 731 elementary schoolchildren (379 girls and 352 boys), from 16 Spanish schools, participated. An unilevel inclinometer was used to quantify the sagittal spinal curvatures (thoracic and lumbar) in a relaxed standing position. Sagittal spinal morphotype was analyzed by sex, age, weight, height, and BMI. Children’s parents or legal guardians filled in a questionnaire according to the children’s responses about the BP suffered in the previous week and the preceding year. RESULTS: The mean angular value of thoracic kyphosis was 36.08 ± 8.99∘ and significantly higher in males than in females (p= 0.036). In contrast, the mean value of lumbar lordosis was 32.11 ± 7.46∘, being higher in females than in men (p< 0.01). The thoracic curve tends to increase by age (p= 0.003). Children who had low back pain (LBP) in the previous week had a significantly greater lumbar curve (35.88 ± 8.20∘) than those who did not have LBP in the preceding week (32.24 ± 7.30∘). The angle for lumbar curvature was a small predictor of LBP occurrence in the assessed children (OR = 1.082 [small]; 95% CI = 1.009–1.160, p= 0.028). CONCLUSIONS: To conclude, almost 3/4 of the students were classified with normal thoracic kyphosis; however, 27.36% of the students had thoracic hyperkyphosis. Lumbar hyperlordosis was identified in 9.05% of the students, and was 2.5 times more frequent in girls. The lumbar curvature was a small predictor of LBP occurrence in the assessed children and the angle of lumbar curvature that most accurately identified individuals at risk of developing LBP was determined to be 33∘. The results of this study indicate the need to assess sagittal spinal curvatures at school during development ages.

Nonspecific Chronic Back Pain: Sixth Edition Approaches

2019 ◽  
Vol 24 (5) ◽  
pp. 14-15
Author(s):  
Jay Blaisdell ◽  
James B. Talmage
Keyword(s):  
Back Pain ◽  
Chronic Back Pain ◽  
Intervertebral Disk ◽  
Key Factors ◽  
Sixth Edition ◽  
Whole Person ◽  
Class 1 ◽  
A Cell ◽  
Intervertebral Disk Herniation ◽  
The Individual

Abstract Ratings for “non-specific chronic, or chronic reoccurring, back pain” are based on the diagnosis-based impairment method whereby an impairment class, usually representing a range of impairment values within a cell of a grid, is selected by diagnosis and “specific criteria” (key factors). Within the impairment class, the default impairment value then can be modified using non-key factors or “grade modifiers” such as functional history, physical examination, and clinical studies using the net adjustment formula. The diagnosis of “nonspecific chronic, or chronic reoccurring, back pain” can be rated in class 0 and 1; the former has a default value of 0%, and the latter has a default value of 2% before any modifications. The key concept here is that the physician believes that the patient is experiencing pain, yet there are no related objective findings, most notably radiculopathy as distinguished from “nonverifiable radicular complaints.” If the individual is found not to have radiculopathy and the medical record shows that the patient has never had clinically verifiable radiculopathy, then the diagnosis of “intervertebral disk herniation and/or AOMSI [alteration of motion segment integrity] cannot be used.” If the patient is asymptomatic at maximum medical improvement, then impairment Class 0 should be chosen, not Class 1; a final whole person impairment rating of 1% indicates incorrect use of the methodology.

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