Lumbopelvic rhythm analysis by quartiles: Identification of differences in lumbar and pelvic contribution during trunk flexion and extension in subjects with low back pain of different origin. A case-control study.

Autor: Alcaraz-Clariana S; Department of Nursing, Pharmacology and Physical Therapy, Faculty of Medicine and Nursing, University of Córdoba, 14004 Córdoba, Spain. Electronic address: m72alcls@uco.es., García-Luque L; Department of Nursing, Pharmacology and Physical Therapy, Faculty of Medicine and Nursing, University of Córdoba, 14004 Córdoba, Spain. Electronic address: z12galul@uco.es., Garrido-Castro JL; Department of Computer Science and Numerical Analysis, Rabanales Campus, University of Córdoba, 14071 Córdoba, Spain; Maimonides Biomedical Research Institute of Cordoba (IMIBIC), 14004 Córdoba, Spain. Electronic address: cc0juanl@uco.es., Carmona-Pérez C; Department of Nursing, Pharmacology and Physical Therapy, Faculty of Medicine and Nursing, University of Córdoba, 14004 Córdoba, Spain. Electronic address: z62capec@uco.es., Rodrigues-de-Souza DP; Department of Nursing, Pharmacology and Physical Therapy, Faculty of Medicine and Nursing, University of Córdoba, 14004 Córdoba, Spain; Maimonides Biomedical Research Institute of Cordoba (IMIBIC), 14004 Córdoba, Spain. Electronic address: drodrigues@uco.es., Ladehesa Pineda ML; Maimonides Biomedical Research Institute of Cordoba (IMIBIC), 14004 Córdoba, Spain; Rheumatology Department Reina Sofia University Hospital. 14004 Córdoba, Spain. Electronic address: lourdesladehesapineda@gmail.com., Alburquerque-Sendín F; Department of Nursing, Pharmacology and Physical Therapy, Faculty of Medicine and Nursing, University of Córdoba, 14004 Córdoba, Spain; Maimonides Biomedical Research Institute of Cordoba (IMIBIC), 14004 Córdoba, Spain. Electronic address: falburquerque@uco.es.
Jazyk: angličtina
Zdroj: Journal of biomechanics [J Biomech] 2024 Nov 21; Vol. 177, pp. 112438. Date of Electronic Publication: 2024 Nov 21.
DOI: 10.1016/j.jbiomech.2024.112438
Abstrakt: Low back pain (LBP) can alters spinal kinematics. However, for adequate clinical care, a better understanding of lumbopelvic biomechanical behaviour according to the type of LBP is required. Our objectives were to identify differences in lumbopelvic rhythm (LPR) between subjects with acute low back pain (aLBP), axial spondyloarthritis (axSpA) and healthy subjects. As well as to identify correlations between LPR and sociodemographic and clinical data. In each group of 39 subjects, LPR total and by quartiles (Q) and metrological and clinical data were evaluated. No differences were found in relation to total flexion and LPR extension. However, study by Q showed less movement in aLBP compared to axSpA and healthy subjects at the Lumbar level in Q2 (p = 0.001), Pelvis in Q3 and Q4 and Trunk in Q3 (p=<0.001). In Q4 the aLBP moved the Trunk less than axSpA exclusively [-3,64°(95 % confidence interval - 6.53,-0.74), p = 0.011]. For the extension movement, the Pelvic motion of Q2 was lower for the aLBP group compared to axSpA group [-3,11°(-6.00,-0.22), p = 0.030], and Trunk motion of Q2 and Q3 (p = 0.001, p = 0.007, respectively), and Lumbar mobility of Q3 were also lower compared to axSpA and control groups (p = 0.031). Specific correlations were found for each group. aLBP with BMI, axSpA with metrology and Healthy subjects with age. Subjects with aLBP showed less lumbar, pelvic or trunk movement in Q2 and Q3 of trunk flexion and extension movements than axSpA and controls. RPL and its interrelationships with sociodemographic and clinical variables depend on the lumbar condition.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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