Document Type : Original Articles
Authors
- Neda Namnik 1
- Reza Salehi 2
- Mohammad jafar Shaterzadeh-Yazdi 1
- Fatemeh Esfandiarpour 1
- Mohammad Mehravar 1
- Neda Orakifar 1
1 Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
2 1. Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. 2. Rehabilitation Research Center, and School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
Abstract
Background: Decreased lumbar spine control may be associated with early and/or excessive lumbopelvic motion with trunk and lower extremity movementsduring functional and daily activities. This study investigated differences inlumbopelvic movement patterns in people with and without low back pain(LBP) during a stair descending (SD) task.Methods: A total of 36 subjects, 18 females with non-specific chronic low backpain (NSCLBP) and 18 healthy females, participated in this study. A threedimensionalmotion capture system was used to record kinematics during theSD task.Results: The results showed that in the LBP group, the start-time of the lumbarmuscles occurred early in the movement (P=0.015). Additionally, subjects withLBP showed excessive lumbar spine and pelvic movement during the SD task(P<0.05).Conclusion: LBP patients make early and excessive lumbopelvic movementsduring a SD task, and this can be an important factor contributing to thedevelopment or persistence of their LBP problem. This finding should beconsidered by clinicians when evaluating functional tasks as part of movementbasedexaminations and rehabilitation programs for people with LBP.
Keywords
- Sadeghisani M, Namnik N, Karimi M, et al. Evaluation of
- differences between two groups of low back pain patients with and
- without rotational demand activities based on hip and lumbopelvic
- movement patterns. Ortopedia, traumatologia, rehabilitacja.
- ;17(1):51-57.
- Hoffman SL, Johnson MB, Zou D, Van Dillen LR. Differences
- in end-range lumbar flexion during slumped sitting and forward
- bending between low back pain subgroups and genders. Manual
- therapy. 2012;17(2):157-63.
- Hoffman SL, Johnson MB, Zou D, Van Dillen LR. Gender
- differences in modifying lumbopelvic motion during hip medial
- rotation in people with low back pain. Rehabilitation Research
- and Practice 2012;2012.
- Sadeghisani M, Manshadi F, Kalantari K, et al. Correlation
- between Hip Rotation Range-of-Motion Impairment and Low
- Back Pain. A Literature Review. Ortopedia, traumatologia,
- rehabilitacja. 2015;17(5):455-62.
- Lee JK, Desmoulin GT, Khan AH, Park EJ. Comparison of 3D
- spinal motions during stair-climbing between individuals with
- and without low back pain. Gait & posture. 2011;34(2):222-26.
- Lee JK, Park EJ. 3D spinal motion analysis during staircase
- walking using an ambulatory inertial and magnetic sensing
- system. Medical & biological engineering & computing
- ;49(7):755-64.
- Riener R, Rabuffetti M, Frigo C. Stair ascent and descent at
- different inclinations. Gait & posture. 2002;15(1):32-44.
- Gombatto SP, Collins DR, Sahrmann SA, Engsberg JR, Van
- Dillen LR. Gender differences in pattern of hip and lumbopelvic
- rotation in people with low back pain. Clinical Biomechanics
- .2006;21(3):263-71.
- Hoffman SL, Harris-Hayes M, Van Dillen LR. Differences in
- activity limitation between 2 low back pain subgroups based on the
- movement system impairment model. PM&R 2010;2(12):1113-18.
- Sadeghisani M, Rezvani M, Rahmani P, Tabesh H, Nikouei F.
- Examining the lumbopelvic-hip movement pattern in a subgroup
- of patients with low back pain during the active straight leg
- raise test. Journal of Research in Medical and Dental Science.
- ;5(3):4-10.
- Sadeghisani M, Sobhani V, Kouchaki E, Bayati A, Asna
- Ashari A, Mousavi M. Comparison of Lumbopelvic and Hip
- Movement Patterns During Passive Hip External Rotation in Two
- Groups of Low Back Pain Patients with and without Rotational
- Demand Activities. Ortopedia, traumatologia, rehabilitacja.
- ;17(6):611-8.
- Sadeghisani M, Manshadi FD, Kalantari KK, et al. A Comparison
- Of The Lumbopelvic-Hip Complex Movement Patterns In People
- With And Without Non-Specific Low Back Pain During An
- Active Hip Test. Journal Of Mechanics In Medicine And Biology.
- ;17(01):1750004.
- Sahrmann S. Diagnosis and treatment of movement impairment
- syndromes: Elsevier Health Sciences, 2002.
- Hernandez A, Gross K, Gombatto S. Differences in lumbar spine
- and lower extremity kinematics during a step down functional
- task in people with and people without low back pain. Clinical
- Biomechanics. 2017;47:46-52.
- Gombatto S, Brock T, Delork A, et al. Lumbar Spine Kinematics
- During Walking In People With And Without Low Back Pain.
- journal of Orthopaedic & Sports Physical. 2015;45(1):A120.
- Mitchell K, Porter M, Anderson L, et al. Differences in lumbar
- spine and lower extremity kinematics in people with and without
- low back pain during a step-up task: a cross-sectional study. BMC
- musculoskeletal disorders. 2017;18(1):369.
- Sadeghisani M, Manshadi FD, Azimi H, Montazeri A. Validity
- and reliability of the Persian version of Baecke habitual physical
- activity questionnaire in healthy subjects. Asian journal of sports
- medicine. 2016;7(3).
- Mousavi SJ, Parnianpour M, Mehdian H, Montazeri A, Mobini
- B. The Oswestry disability index, the Roland-Morris disability
- questionnaire, and the Quebec back pain disability scale:
- translation and validation studies of the Iranian versions. Spine.
- ;31(14):E454-E59.
- Protopapadaki A, Drechsler WI, Cramp MC, Coutts FJ, Scott
- OM. Hip, knee, ankle kinematics and kinetics during stair ascent
- and descent in healthy young individuals. Clinical biomechanics.
- ;22(2):203-10.
- Marich AV, Hwang C-T, Salsich GB, Lang CE, Van Dillen LR.
- Consistency of a lumbar movement pattern across functional
- activities in people with low back pain. Clinical Biomechanics.
- ;44:45-51.
- Shum GL, Crosbie J, Lee RY. Symptomatic and asymptomatic
- movement coordination of the lumbar spine and hip during an
- everyday activity. Spine. 2005;30(23):E697-E702.
- Scholtes SA, Gombatto SP, Van Dillen LR. Differences in
- lumbopelvic motion between people with and people without
- low back pain during two lower limb movement tests. Clinical
- Biomechanics. 2009;24(1):7-12.
- Van Dillen LR, Gombatto SP, Collins DR, Engsberg JR, Sahrmann
- SA. Symmetry of timing of hip and lumbopelvic rotation motion
- in 2 different subgroups of people with low back pain. Archives
- of physical medicine and rehabilitation. 2007;88(3):351-60.
- Shum GL, Crosbie J, Lee RY. Effect of low back pain on the
- kinematics and joint coordination of the lumbar spine and hip
- during sit-to-stand and stand-to-sit. Spine. 2005;30(17):1998-2004.
- Hemming R. Regional spinal kinematics and muscle activity
- in non-specific chronic low back pain during functional tasks:
- evaluation of a sub-classification approach. Cardiff University,
- Pearcy M, Portek I, Shepherd J. The effect of low-back pain on
- lumbar spinal movements measured by three-dimensional X-ray
- analysis. Spine. 1985;10(2):150-53.
- Kim M-h, Yoo W-g, Choi B-r. Differences between two subgroups
- of low back pain patients in lumbopelvic rotation and symmetry
- in the erector spinae and hamstring muscles during trunk flexion
- when standing. Journal of Electromyography and Kinesiology.
- ;23(2):387-93.
- Kim S-h, Kwon O-y, Park K-n, Kim M-H. Comparison of erector
- spinae and hamstring muscle activities and lumbar motion during
- standing knee flexion in subjects with and without lumbar
- extension rotation syndrome. Journal of Electromyography and
- Kinesiology. 2013;23(6):1311-16.