Lumbar spine side bending is reduced in end range extension compared to neutral and end range flexion postures

Lumbar side bending movements coupled with extension or flexion is a known low back pain (LBP) risk factor in certain groups, for example, athletes participating in sports such as hockey, tennis, gymnastics, rowing and cricket. Previous research has shown that sagittal spinal postures influence the...

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Main Authors: Ebert, Ryan, Campbell, Amity, Kemp-Smith, Kevin, O'Sullivan, Peter
Format: Journal Article
Published: Churchill Livingstone 2014
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/7622
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author Ebert, Ryan
Campbell, Amity
Kemp-Smith, Kevin
O'Sullivan, Peter
author_facet Ebert, Ryan
Campbell, Amity
Kemp-Smith, Kevin
O'Sullivan, Peter
author_sort Ebert, Ryan
building Curtin Institutional Repository
collection Online Access
description Lumbar side bending movements coupled with extension or flexion is a known low back pain (LBP) risk factor in certain groups, for example, athletes participating in sports such as hockey, tennis, gymnastics, rowing and cricket. Previous research has shown that sagittal spinal postures influence the degree of spinal rotation, with less rotation demonstrated at end of range extension and flexion. To date it is unknown whether sagittal spinal postures influence side bending. The aim of this study was to determine whether side bend range of motion (ROM) of the lumbar spine is decreased in end-range flexion and extension postures compared to a neutral spine. Twenty subjects between 18 and 55 years of age [mean age = 22.8 yrs (6.8)] with no history of LBP were recruited for this study. Upper (L1–L3) and lower (L3–L5) lumbar side bend, were measured utilising a 14 camera system (Vicon, Oxford metrics, inc.) in end-range flexion, extension and neutral postures, in both sitting and standing positions. The results revealed no statistically significant difference in upper and lower lumbar side bend ROM in an end-range flexion posture compared to a neutral spinal posture. A reduction was found in the range of upper and lower lumbar side bend ROM in an end-range extended posture (p < 0.05), compared to neutral and end range flexion postures. This ROM reduction was found in sitting and standing. These findings allow clinicians to better interpret combined movements involving side bending of the lumbar spine in clinical and real life settings.
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spelling curtin-20.500.11937-76222017-09-13T14:37:53Z Lumbar spine side bending is reduced in end range extension compared to neutral and end range flexion postures Ebert, Ryan Campbell, Amity Kemp-Smith, Kevin O'Sullivan, Peter Lumbar spine Side bend range of motion Neutral zone Sagittal posture Lumbar side bending movements coupled with extension or flexion is a known low back pain (LBP) risk factor in certain groups, for example, athletes participating in sports such as hockey, tennis, gymnastics, rowing and cricket. Previous research has shown that sagittal spinal postures influence the degree of spinal rotation, with less rotation demonstrated at end of range extension and flexion. To date it is unknown whether sagittal spinal postures influence side bending. The aim of this study was to determine whether side bend range of motion (ROM) of the lumbar spine is decreased in end-range flexion and extension postures compared to a neutral spine. Twenty subjects between 18 and 55 years of age [mean age = 22.8 yrs (6.8)] with no history of LBP were recruited for this study. Upper (L1–L3) and lower (L3–L5) lumbar side bend, were measured utilising a 14 camera system (Vicon, Oxford metrics, inc.) in end-range flexion, extension and neutral postures, in both sitting and standing positions. The results revealed no statistically significant difference in upper and lower lumbar side bend ROM in an end-range flexion posture compared to a neutral spinal posture. A reduction was found in the range of upper and lower lumbar side bend ROM in an end-range extended posture (p < 0.05), compared to neutral and end range flexion postures. This ROM reduction was found in sitting and standing. These findings allow clinicians to better interpret combined movements involving side bending of the lumbar spine in clinical and real life settings. 2014 Journal Article http://hdl.handle.net/20.500.11937/7622 10.1016/j.math.2013.08.004 Churchill Livingstone restricted
spellingShingle Lumbar spine
Side bend range of motion
Neutral zone
Sagittal posture
Ebert, Ryan
Campbell, Amity
Kemp-Smith, Kevin
O'Sullivan, Peter
Lumbar spine side bending is reduced in end range extension compared to neutral and end range flexion postures
title Lumbar spine side bending is reduced in end range extension compared to neutral and end range flexion postures
title_full Lumbar spine side bending is reduced in end range extension compared to neutral and end range flexion postures
title_fullStr Lumbar spine side bending is reduced in end range extension compared to neutral and end range flexion postures
title_full_unstemmed Lumbar spine side bending is reduced in end range extension compared to neutral and end range flexion postures
title_short Lumbar spine side bending is reduced in end range extension compared to neutral and end range flexion postures
title_sort lumbar spine side bending is reduced in end range extension compared to neutral and end range flexion postures
topic Lumbar spine
Side bend range of motion
Neutral zone
Sagittal posture
url http://hdl.handle.net/20.500.11937/7622