scholarly journals ¿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 ◽  
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.

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.

scholarly journals Topographic mapping of pain sensitivity of the lower back – a comparison of healthy controls and patients with chronic non-specific low back pain

2019 ◽  
Vol 19 (1) ◽  
pp. 25-37 ◽  
Author(s):  
Søren O’Neill ◽  
Johanne Brinch Larsen ◽  
Casper Nim ◽  
Lars Arendt-Nielsen
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Sensitivity ◽  
Heat Pain ◽  
Lumbar Region ◽  
Low Back ◽  
Pain Thresholds ◽  
Lower Back ◽  
Clinical Source ◽  
Pain Patients

AbstractBackground and aimsThe choice of testing site for quantitative sensory testing (QST) of pain sensitivity is important and previous studies have demonstrated patterns in pain sensitivity within discrete areas in different body regions. Some areas are characterized by a relatively high degree of spatial pain discrimination and recognizable patterns of pain referral, whilst others are not. The lumbar region is likely to have relatively low pain acuity and overlapping of pain referral. The current study was conducted to determine whether patterns of pain sensitivity (detection thresholds) could be identified in the lower back, whether differences in such patterns exist between different groups and whether such patterns could help identify a clinical source of pain and localized increased pain sensitivity.MethodsTwenty-one patients with non-specific chronic low back pain and 21 healthy controls were tested for pressure and heat pain thresholds on 30 pre-defined locations over the mid and lower back. Topographical maps of mean pain thresholds and variability were produced, inspected visually and analyzed statistically. Between group differences in pain threshold were analyzed statistically as an indicator of widespread increased pain sensitivity. Evidence of segmental increased pain sensitivity was examined by group statistical comparison of mid-line lower range.ResultsA clear pattern of higher pain thresholds in the mid-line was evident in both groups and for both pain modalities. No discernible patterns were evident for variability within groups, but marked differences were seen between groups: variability for pressure pain thresholds appeared similar between groups, however for heat pain threshold, variability was uniformly low in the control group and uniformly high in the patient group. A highly significant (p<0.0001) difference in pain thresholds for pressure and heat was found with patients exhibiting lower thresholds than controls. No between group difference was found for mid-line lower range for either modality (p>0.05).ConclusionsThe current study supports previous findings of widespread, increased pain sensitivity in chronic non-specific low-back pain patients. It also indicates that there are discernible and similar topographical patterns of pain sensitivity in the dorsal area in both groups, but that this pattern is related to the lateral position of the test site and not the segmental level. Specific segments with increased pain sensitivity could not be identified in the patient group, which casts doubt on the utility of pressure and heat pain thresholds as indicators of the clinical source of spinal pain – at least in a population of chronic non-specific low-back pain.ImplicationsIn a cohort of chronic non-specific low-back pain patients and with the chosen methodology, topographical QST mapping in the lumbar region does not appear useful for identifying the spinal segment responsible for clinical pain, but it does demonstrate widespread group differences in pain sensitivity.

CORE TRAINING UNDER SUSPENSION EXERCISE THERAPY ON TREATMENT OF LOW BACK PAIN

2021 ◽  
Vol 27 (7) ◽  
pp. 695-698
Author(s):  
Lei Ye ◽  
Chunyan Liu ◽  
Cunxi Jiang ◽  
Youshen Cao
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Exercise Therapy ◽  
Lower Back Pain ◽  
Core Stability ◽  
Control Group ◽  
Lumbar Region ◽  
Low Back ◽  
Lower Back ◽  
Experimental Group

ABSTRACT Introduction: The main clinical feature of chronic nonspecific low back pain (CNLBP) is lower back pain, and suspension sports therapy has a specific effect in this case. Objective: To investigate the changes of flexion-relaxation phenomenon in patients with lower back pain after core control training of suspension exercise therapy (SET). Methods: 84 subjects who met the inclusion and exclusion criteria of chronic low back pain in this experiment were randomly divided into an experimental group and a control group. The experimental group was treated with suspension training. The control group only received acupuncture. We then determined the muscle fascia tension and core stability of the lower lumbar region. Results: The visual analog scale (VAS) and Oswestry dysfunction index (ODI) evaluations of the two groups of patients were different. Conclusion: Suspended core stabilization training has a significant long-term effect in reducing lower back pain and improving waist function in patients with chronic nonspecific low back pain. Level of evidence II; Therapeutic studies - investigation of treatment results.

Critical analysis and unique management of Gridhrasi w.s.r. to Sciatica - A Case Report

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr. Rangarajan B. ◽  
Dr. Muralidhara .
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Total Population ◽  
The Body ◽  
Walking Distance ◽  
Common Symptom ◽  
Low Back ◽  
Short Term ◽  
Lower Back

Gridhrasi (Sciatica) is a disorder in which low back pain is found, that spreads through the hip, to the back of the thigh and down the inside of the leg. Mechanical low back pain (LBP) remains the second most common symptom related reason for seeing a physician. 85% of total population will experience an episode of mechanical LBP at some point during their lifetime. Fortunately, the LBP resolves for the vast majority within 2-4 weeks. There are many causes for low back pain, however true sciatica is a symptom of inflammation or compression of the sciatica nerve. The sciatica nerve carries impulses between nerve roots in the lower back and the muscles and nerve of the buttocks, thighs and lower legs. Compression of a nerve root often occurs as a result of damage to one of the discs between the vertebrae. In some cases, sciatic pain radiate from other nerves in the body. This is called referred pain. Pain associated with sciatica often is severe, sharp and shooting. It may be accompanied by other symptom, such as numbness, tingling, weakness and sensitivity to touch. There is only conservative treatment giving short term relief in pain or surgical intervention with side effect. But these are not successful and therefore those who are suffering from this are always in search of result oriented remedy. Walking distance and SLR test were taken for assessment parameter, VAS score was adopted for pain. Before treatment patient was not able to walk even 4 to 5 steps due to severe pain, was brought on stretcher and his SLR was 30° of right side. After 22 days of treatment he was able to walk up to 500 meters without any difficulty, SLR was changed to 60° and patient had got 80 % relief in pain. This case report showed that Ayurvedic protocol is potent and safe in the treatment of Gridhrasi.

PREVALENCE OF LOW BACK PAIN AND ASSOCIATED RISK FACTORS AMONG HIGH SCHOOL TEACHERS IN KERMAN, IRAN

2017 ◽  
Vol 20 (01) ◽  
pp. 1750005 ◽  
Author(s):  
Ghorbanali Mohammadi
Keyword(s):  
Risk Factors ◽  
High School ◽  
Low Back Pain ◽  
Back Pain ◽  
High School Teachers ◽  
Lower Back Pain ◽  
Low Back ◽  
School Teachers ◽  
Lower Back ◽  
Associate Risk

Low back pain (LBP) is one of the most frequent occupational health problems and accounts for a large number of losses in working days and disability for workers in modern industrialized countries. The aim of this paper was to investigate the prevalence of lower back problem and to associate risk factors among high school teachers. A cross-sectional study was conducted among high school teachers using self-administered questionnaires, which were distributed to randomly selected school teachers of 7 boys’ and 10 girls’ high schools across the city of Kerman and collected between October and November 2010. A total of 296 teachers returned completed questionnaires, yielding a response rate of 78.9%. The 12-month prevalence of LBP was 68.8%, which reporting with moderate disability. The results of multiple logistic regression analysis revealed that females [odds ratio (OR): 1.85, 95% confidence interval (CI): 1.51–2.00] were positively correlated to LBP. Awkward arm posture (OR: 1.81, 95% CI: 1.24–2.62) and awkward body posture (OR: 1.23, 95% CI: 0.87–1.49) were significantly associated with LBP. Psychosocial job demands and job dissatisfaction were also significantly associated with LBP. Smoking cigarette was three times more likely to develop lower back pain when compared with non-smokers. The prevalence of LBP was high among high school teachers. A wide variety of LBP risk factors were identified in the current study. The present study indicates that the high prevalence of lower back pain may lose difficulty to teachers in getting to work and “performing” the work required of them, resulting in work absenteeism, which may decrease work productivity.

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

2013 ◽  
Vol 25 (1) ◽  
pp. 65-68 ◽  
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

Effects of Tailored Motor Control Rehabilitation Vs Standard Exercise Program in Management Of Chronic Nonspecific LBP

2021 ◽  
Vol 15 (11) ◽  
pp. 3219-3221
Author(s):  
Maryam Liaquat ◽  
Wajida Perveen ◽  
Danish Hassan ◽  
Misbah Amanat Ali ◽  
Muhammad Akhtar ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Motor Control ◽  
Back Pain ◽  
Clinical Study ◽  
Exercise Program ◽  
Low Back ◽  
Randomized Clinical Study ◽  
Lower Back ◽  
Group A ◽  
Group B

Lower back pain is one of the most common problems in adults all over the world, and chances of having back pain increases with the age. Objectives: To determine the effect of tailored motor control rehabilitation versus standard exercise program in chronic nonspecific lower back pain. Study Design: Non randomized clinical study. Methodology: A non randomized clinical study was conducted in six-month during 2018 after ethical approval. 40 patients were enrolled through non-probability purposive sampling technique and allocated into two groups (Group A & B). Informed consent was obtained. Individuals between twenty to forty years with chronic nonspecific low back pain with intensity at least 3 on a 10cm visual analog scale (VAS) were included and individuals with past history of trauma of the spine and hip and with any red flags were excluded. Outcomes were measures by Modified Oswestry Disability Index (MODI) and Visual Analogue Scale (VAS). Statistical analysis: Data was analyzed by SPSS software, version 19 as qualitative variables were expressed as mean ± SD. Independent sample T test was also applied. Results: The mean age Group A was 29.05±8.58 and Group B, was 32.05±6.53 years. The result shows that there was a significant difference in outcomes among tailored motorcontrol rehabilitation (Group A) and standard exercise program (Group B). Conclusion: We concluded that motor control rehabilitation was more effective than standard exercise program in decreasing low back pain and improving quality of life. Key Words: Low Back Pain, Tailored Motor Control Rehabilitation, Standard Exercise Program and Modified Oswastry Disability Index.

Lumbar Facet–Mediated Pain

2016 ◽  
Author(s):  
Vikram B Patel
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lower Back Pain ◽  
Joint Pain ◽  
Facet Joint ◽  
Low Back ◽  
Lower Back ◽  
Facet Joint Pain ◽  
And Function ◽  
Lumbar Facet

Lumbar or lower back pain is a very debilitating condition that affects  almost one fifth of the adult population during a given year. Almost everyone walking on two feet is bound to suffer from some back pain during their lifetime. The health care burden for treating low back pain is enormous, especially if the lost work hours are combined with the amount used in diagnosing and treating low back pain. Lumbar facet (zygapophysial) joints are one of the major components involved in causing lower back pain. Diagnosing the pain generator is more of an art than a science. Combining various parameters in the patient’s history, physical examination, and diagnostic studies is not much different from solving a murder mystery. Although facet joint pain may be accompanied by other pain generators, that is, lumbar intervertebral disks, nerve roots, and vertebral bodies, once treated, the relief in pain is more helpful in performing proper rehabilitation and improving further deterioration in low back pain. Muscles are almost always painful due to myofascial pain syndrome that accompanies the facet joint–related pain. Treating one without addressing the other leads to failure in management and optimization of patient’s pain and function. Several treatments are available for treatment of facet joint–mediated pain, including steroid injections using a miniscule amount and radiofrequency ablation of the nerves supplying the facet joints (medial branches of the dorsal primary ramus of the lumbar nerve root). With proper diagnosis and treatment, a patient’s pain and function can be optimized to a level where it may not impact the day-to-day activities or even resumption of the patient’s routine job function. The following review describes the anatomy, pathophysiology, diagnosis, and treatment of lumbar facet joint–mediated pain.   Key words: facet joint pain, facet joint syndrome, low back pain, medial branch radiofrequency, spondylolisthesis

RESULTS RESEARCH OF LOWER BACK PAIN USING THE ORIGINAL LOW BACK PAIN CHARACTERIZATION QUESTIONNAIRE

2021 ◽  
Vol Special issue (3) ◽  
pp. 30-34
Author(s):  
Dilrabo Jalilovna Khalimova ◽  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lower Back Pain ◽  
Medical Institute ◽  
Low Back ◽  
Lower Back ◽  
The Republic ◽  
The City

In the polyclinics of the city of Bukhara and the Bukhara region, in the polyclinics of the city of Navoi and the Navoi region of the Republic of Uzbekistan, in the period for 2019, they were selectively interviewed using a questionnaire developed in the Bukhara Medical Institute of the Republic of Uzbekistan to determine the characteristics of LBP (for a patient). According to a survey on this questionnaire, specific characteristics of LBP were identified in patients living in urban and rural conditions

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