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Measurement of the number of lumbar spinal movements in the sagittal plane in a 24-hour period
- 作者:Antonius Rohlmann (1)
Tobias Consmüller (2) Marcel Dreischarf (1) Maxim Bashkuev (1) Alexander Disch (3) Esther Pries (1) Georg N. Duda (1) Hendrik Schmidt (1)
- 关键词:Spine ; Back shape ; Dynamic functional assessment ; Number of movements ; Spinal movements
- 刊名:European Spine Journal
- 出版年:2014
- 出版时间:November 2014
- 年:2014
- 卷:23
- 期:11
- 页码:2375-2384
- 全文大小:1,540 KB
- 参考文献:1. Cobian DG, Daehn NS, Anderson PA, Heiderscheit BC (2013) Active cervical and lumbar range of motion during performance of activities of daily living in healthy young adults. Spine 38:1754-763. doi:10.1097/BRS.0b013e3182a2119c
2. White AA 3rd, Panjabi MM (1990) Clinical biomechanics of the spine. J. B. Lippincott Company, Philadelphia-Toronto 3. Wong TK, Lee RY (2004) Effects of low back pain on the relationship between the movements of the lumbar spine and hip. Hum Mov Sci 23:21-4. doi:10.1016/j.humov.2004.03.004 CrossRef 4. Abenhaim L, Rossignol M, Valat JP, Nordin M, Avouac B, Blotman F, Charlot J, Dreiser RL, Legrand E, Rozenberg S, Vautravers P (2000) The role of activity in the therapeutic management of back pain. Report of the International Paris Task Force on Back Pain. Spine 25:1S-3S CrossRef 5. Bassett DR Jr, Wyatt HR, Thompson H, Peters JC, Hill JO (2010) Pedometer-measured physical activity and health behaviors in US adults. Med Sci Sports Exerc 42:1819-825. doi:10.1249/MSS.0b013e3181dc2e54 CrossRef 6. Bravata DM, Smith-Spangler C, Sundaram V, Gienger AL, Lin N, Lewis R, Stave CD, Olkin I, Sirard JR (2007) Using pedometers to increase physical activity and improve health: a systematic review. JAMA 298:2296-304 CrossRef 7. Motl RW, Weikert M, Suh Y, Sosnoff JJ, Pula J, Soaz C, Schimpl M, Lederer C, Daumer M (2012) Accuracy of the actibelt(?) accelerometer for measuring walking speed in a controlled environment among persons with multiple sclerosis. Gait Posture 35:192-96 CrossRef 8. Marras WS, Knapik GG, Ferguson S (2009) Lumbar spine forces during manoeuvring of ceiling-based and floor-based patient transfer devices. Ergonomics 52:384-97 CrossRef 9. Allread WG, Marras WS, Burr DL (2000) Measuring trunk motions in industry: variability due to task factors, individual differences, and the amount of data collected. Ergonomics 43:691-01 CrossRef 10. Busser HJ, de Korte WG, Glerum EB, van Lummel RC (1998) Method for objective assessment of physical work load at the workplace. Ergonomics 41:1519-526 CrossRef 11. Wunderlich M, Eger T, Rüther T, Leyk D (2010) Analysis of spine loads in dentistry—impact of an altered sitting position of the dentist. J Biomed Sci Eng 3:664-71 CrossRef 12. Taylor WR, Consmüller T, Rohlmann A (2010) A novel system for the dynamic assessment of back shape. Med Eng Phys 32:1080-083. doi:10.1016/j.medengphy.2010.07.011 CrossRef 13. Consmüller T, Rohlmann A, Weinland D, Druschel C, Duda GN, Taylor WR (2012) Comparative evaluation of a novel measurement tool to assess lumbar spine posture and range of motion. Eur Spine J 21:2170-180. doi:10.1007/s00586-012-2312-1 CrossRef 14. Consmüller T, Rohlmann A, Weinland D, Druschel C, Duda GN, Taylor WR (2012) Velocity of lordosis angle during spinal flexion and extension. PLoS One 7:e50135. doi:10.1371/journal.pone.0050135 CrossRef 15. Roussouly P, Nnadi C (2010) Sagittal plane deformity: an overview of interpretation and management. Eur Spine J 19:1824-836. doi:10.1007/s00586-010-1476-9 Cros - 作者单位:Antonius Rohlmann (1)
Tobias Consmüller (2) Marcel Dreischarf (1) Maxim Bashkuev (1) Alexander Disch (3) Esther Pries (1) Georg N. Duda (1) Hendrik Schmidt (1)
1. Julius Wolff Institute, Charité - Universit?tsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany 2. Epionics Medical GmbH, Am Luftschiffhafen 1, 14471, Potsdam, Germany 3. Center for Musculoskeletal Surgery, Charité - Universit?tsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany
- ISSN:1432-0932
文摘
Purpose Little is known about the number of spinal movements in the sagittal plane in daily life, mainly due to the lack of adequate techniques to assess these movements. Our aim was to measure these movements in asymptomatic volunteers. Methods Two sensor strips based on strain gauge technology (Epionics SPINE system) were fixed on the skin surface of the back parallel to the spine on a total of 208 volunteers without back pain. First, the lordosis angle was determined during relaxed standing. The volunteers were then released to daily life. The increases and decreases in the back lumbar lordosis angle over a period of 24?h were determined and classified into 5° increments. Changes in the lordosis angle greater than 5° were considered. Results The median number of spinal movements performed within 24?h was approximately 4,400. Of these movements, 66?% were between 5° and 10°. The proportions of higher-magnitude lordosis angle changes were much lower (e.g., 3?% for the 20-5° movement bin). Surprisingly, the median total number of movements was significantly higher (29?%) in women than in men. Large inter-individual differences were observed in the number of movements performed. The volunteers spent a median of 4.9?h with the lumbar spine flexed between 20° and 30° and only 24?min with the spine extended relative to the reference standing position. A median of 50 movements reached or exceeded full-flexion angle and zero movements full-extension angle. Conclusions These data illustrate the predominantly small range of movement of the spine during daily activities and the small amount of time spent in extension. These unique data strongly contribute to the understanding of patients-everyday behavior, which might affect the development and testing of spinal implants and the evaluation of surgical and nonsurgical treatments.
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