Document Type : Original Articles


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


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.


  1. Sadeghisani M, Namnik N, Karimi M, et al. Evaluation of
  2. differences between two groups of low back pain patients with and
  3. without rotational demand activities based on hip and lumbopelvic
  4. movement patterns. Ortopedia, traumatologia, rehabilitacja.
  5. ;17(1):51-57.
  6. Hoffman SL, Johnson MB, Zou D, Van Dillen LR. Differences
  7. in end-range lumbar flexion during slumped sitting and forward
  8. bending between low back pain subgroups and genders. Manual
  9. therapy. 2012;17(2):157-63.
  10. Hoffman SL, Johnson MB, Zou D, Van Dillen LR. Gender
  11. differences in modifying lumbopelvic motion during hip medial
  12. rotation in people with low back pain. Rehabilitation Research
  13. and Practice 2012;2012.
  14. Sadeghisani M, Manshadi F, Kalantari K, et al. Correlation
  15. between Hip Rotation Range-of-Motion Impairment and Low
  16. Back Pain. A Literature Review. Ortopedia, traumatologia,
  17. rehabilitacja. 2015;17(5):455-62.
  18. Lee JK, Desmoulin GT, Khan AH, Park EJ. Comparison of 3D
  19. spinal motions during stair-climbing between individuals with
  20. and without low back pain. Gait & posture. 2011;34(2):222-26.
  21. Lee JK, Park EJ. 3D spinal motion analysis during staircase
  22. walking using an ambulatory inertial and magnetic sensing
  23. system. Medical & biological engineering & computing
  24. ;49(7):755-64.
  25. Riener R, Rabuffetti M, Frigo C. Stair ascent and descent at
  26. different inclinations. Gait & posture. 2002;15(1):32-44.
  27. Gombatto SP, Collins DR, Sahrmann SA, Engsberg JR, Van
  28. Dillen LR. Gender differences in pattern of hip and lumbopelvic
  29. rotation in people with low back pain. Clinical Biomechanics
  30. .2006;21(3):263-71.
  31. Hoffman SL, Harris-Hayes M, Van Dillen LR. Differences in
  32. activity limitation between 2 low back pain subgroups based on the
  33. movement system impairment model. PM&R 2010;2(12):1113-18.
  34. Sadeghisani M, Rezvani M, Rahmani P, Tabesh H, Nikouei F.
  35. Examining the lumbopelvic-hip movement pattern in a subgroup
  36. of patients with low back pain during the active straight leg
  37. raise test. Journal of Research in Medical and Dental Science.
  38. ;5(3):4-10.
  39. Sadeghisani M, Sobhani V, Kouchaki E, Bayati A, Asna
  40. Ashari A, Mousavi M. Comparison of Lumbopelvic and Hip
  41. Movement Patterns During Passive Hip External Rotation in Two
  42. Groups of Low Back Pain Patients with and without Rotational
  43. Demand Activities. Ortopedia, traumatologia, rehabilitacja.
  44. ;17(6):611-8.
  45. Sadeghisani M, Manshadi FD, Kalantari KK, et al. A Comparison
  46. Of The Lumbopelvic-Hip Complex Movement Patterns In People
  47. With And Without Non-Specific Low Back Pain During An
  48. Active Hip Test. Journal Of Mechanics In Medicine And Biology.
  49. ;17(01):1750004.
  50. Sahrmann S. Diagnosis and treatment of movement impairment
  51. syndromes: Elsevier Health Sciences, 2002.
  52. Hernandez A, Gross K, Gombatto S. Differences in lumbar spine
  53. and lower extremity kinematics during a step down functional
  54. task in people with and people without low back pain. Clinical
  55. Biomechanics. 2017;47:46-52.
  56. Gombatto S, Brock T, Delork A, et al. Lumbar Spine Kinematics
  57. During Walking In People With And Without Low Back Pain.
  58. journal of Orthopaedic & Sports Physical. 2015;45(1):A120.
  59. Mitchell K, Porter M, Anderson L, et al. Differences in lumbar
  60. spine and lower extremity kinematics in people with and without
  61. low back pain during a step-up task: a cross-sectional study. BMC
  62. musculoskeletal disorders. 2017;18(1):369.
  63. Sadeghisani M, Manshadi FD, Azimi H, Montazeri A. Validity
  64. and reliability of the Persian version of Baecke habitual physical
  65. activity questionnaire in healthy subjects. Asian journal of sports
  66. medicine. 2016;7(3).
  67. Mousavi SJ, Parnianpour M, Mehdian H, Montazeri A, Mobini
  68. B. The Oswestry disability index, the Roland-Morris disability
  69. questionnaire, and the Quebec back pain disability scale:
  70. translation and validation studies of the Iranian versions. Spine.
  71. ;31(14):E454-E59.
  72. Protopapadaki A, Drechsler WI, Cramp MC, Coutts FJ, Scott
  73. OM. Hip, knee, ankle kinematics and kinetics during stair ascent
  74. and descent in healthy young individuals. Clinical biomechanics.
  75. ;22(2):203-10.
  76. Marich AV, Hwang C-T, Salsich GB, Lang CE, Van Dillen LR.
  77. Consistency of a lumbar movement pattern across functional
  78. activities in people with low back pain. Clinical Biomechanics.
  79. ;44:45-51.
  80. Shum GL, Crosbie J, Lee RY. Symptomatic and asymptomatic
  81. movement coordination of the lumbar spine and hip during an
  82. everyday activity. Spine. 2005;30(23):E697-E702.
  83. Scholtes SA, Gombatto SP, Van Dillen LR. Differences in
  84. lumbopelvic motion between people with and people without
  85. low back pain during two lower limb movement tests. Clinical
  86. Biomechanics. 2009;24(1):7-12.
  87. Van Dillen LR, Gombatto SP, Collins DR, Engsberg JR, Sahrmann
  88. SA. Symmetry of timing of hip and lumbopelvic rotation motion
  89. in 2 different subgroups of people with low back pain. Archives
  90. of physical medicine and rehabilitation. 2007;88(3):351-60.
  91. Shum GL, Crosbie J, Lee RY. Effect of low back pain on the
  92. kinematics and joint coordination of the lumbar spine and hip
  93. during sit-to-stand and stand-to-sit. Spine. 2005;30(17):1998-2004.
  94. Hemming R. Regional spinal kinematics and muscle activity
  95. in non-specific chronic low back pain during functional tasks:
  96. evaluation of a sub-classification approach. Cardiff University,
  97. Pearcy M, Portek I, Shepherd J. The effect of low-back pain on
  98. lumbar spinal movements measured by three-dimensional X-ray
  99. analysis. Spine. 1985;10(2):150-53.
  100. Kim M-h, Yoo W-g, Choi B-r. Differences between two subgroups
  101. of low back pain patients in lumbopelvic rotation and symmetry
  102. in the erector spinae and hamstring muscles during trunk flexion
  103. when standing. Journal of Electromyography and Kinesiology.
  104. ;23(2):387-93.
  105. Kim S-h, Kwon O-y, Park K-n, Kim M-H. Comparison of erector
  106. spinae and hamstring muscle activities and lumbar motion during
  107. standing knee flexion in subjects with and without lumbar
  108. extension rotation syndrome. Journal of Electromyography and
  109. Kinesiology. 2013;23(6):1311-16.