LUMBOPELVIC STABILITY, LUMBOPELVIC MOBILITY AND
SPINOPELVIC PARAMETERS IN PATIENTS WITH LUMBAR
DISC HERNIATION

Kuru Çolak, Tuğba; ÖZALP, BEYZA

doi:10.4274/jtss.galenos.2022.63935

LUMBOPELVIC STABILITY, LUMBOPELVIC MOBILITY AND SPINOPELVIC PARAMETERS IN PATIENTS WITH LUMBAR DISC HERNIATION

Beyza ÖZALP, (Özel Otağtepe Tıp Merkezi, Fizyoterapi ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Tuğba KURU ÇOLAK (Marmara Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, İstanbul, Türkiye)

Journal of Turkish Spinal Surgery

0 0

Yıl: 2022 Cilt: 33 Sayı: 2 Sayfa Aralığı: 62 - 67 Metin Dili: İngilizce DOI: 10.4274/jtss.galenos.2022.63935 İndeks Tarihi: 25-06-2022

LUMBOPELVIC STABILITY, LUMBOPELVIC MOBILITY AND SPINOPELVIC PARAMETERS IN PATIENTS WITH LUMBAR DISC HERNIATION

Öz:

Objective: This study aimed to evaluate lumbopelvic stability, lumbopelvic mobility, and spinopelvic parameters in patients with lumbar disc hernia (LDH). Materials and Methods: The study included 20 patients with LDH who met the study inclusion criteria and 20 age and gender-matched healthy volunteers. All the subjects were evaluated using a visual analog scale for pain intensity assessment, trunk flexor, and right/left lateral trunk flexor muscle endurance tests and Sorensen tests for lumbopelvic stability, Schober and sit-and-reach tests for lumbopelvic mobility, lateral radiography for spinopelvic parameters and the Oswestry Disability Index for physical functionality. Results: There was a significant difference between the groups with respect to lumbopelvic stability, lumbopelvic mobility, lumbosacral angle, pain, and physical functionality (p<0.05). A highly significant moderate to good negative correlation was obtained between endurance tests and pain and functionality scores. A highly statistically significant moderate to good negative correlation was found between pain scores, Oswestry functionality questionnaire results and Schober test values. Conclusion: The results of this study showed that lumbopelvic stability, lumbopelvic mobility and lumbosacral angle values were decreased in patients with LDH compared with healthy individuals. Therefore, lumbopelvic stability and mobility exercises, and postural control exercises to correct the protective mechanisms that will improve spinopelvic parameters as well as optimal posture, should be included in rehabilitation programs for patients with LDH.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Tanriverdi S, Saritaş S. The effect of acupressure on postoperative pain of lumbar disc hernia: A quasi-experimental study. Complement Ther Clin Pract. 2018;32:12-16.
2. Furtado RN, Ribeiro LH, Abdo Bde A, Descio FJ, Martucci CE Jr, Serruya DC. [Nonspecific low back pain in young adults: associated risk factors]. Rev Bras Reumatol. 2014;54:371-7.
3. Jordan J, Konstantinou K, O’Dowd J. Herniated lumbar disc. BMJ Clin Evid. 2011;2011:1118.
4. Stoll T, Germann D, Hagmann H. [Physiotherapy in lumbar disc herniation ]. Ther Umsch. 2001;58:487-92.
5. Shamsi MB, Rezaei M, Zamanlou M, Sadeghi M, Pourahmadi MR. Does core stability exercise improve lumbopelvic stability (through endurance tests) more than general exercise in chronic low back pain? A quasi-randomized controlled trial. Physiother Theory Pract. 2016;32:171-8.
6. Panjabi MM. Clinical spinal instability and low back pain. J Electromyogr Kinesiol. 2003;13:371-9.
7. Ebrahimi I, Reza G, Hosseini S, Salavati M, Farahini H, Massoud A. Clinical Trunk Muscle Endurance Tests in Subjects With And Without Low Back Pain. MJIRI. 2005;19:95-101.
8. Abdelraouf OR, Abdel-aziem AA. The Relationship Between Core Endurance And Back Dysfunction In Collegiate Male Athletes With And Without Nonspecific Low Back Pain. Int J Sports Phys Ther. 2016;11:337-44.
9. Nourbakhsh MR, Arab AM. Relationship between mechanical factors and incidence of low back pain. J Orthop Sports Phys Ther. 2002;32:447-60.
10. Swain C, Redding E. Trunk muscle endurance and low back pain in female dance students. J Dance Med Sci. 2014;18:62-6.
11. Hosseinifar M, Akbari M, Akbari A, Ghiasi F. Comparison of LumboPelvic Stability between Patients with Chronic Low Back Pain and Healthy Subjects. International Journal of Medical Research & Health Sciences. 2018;5:122-7.
12. Hashemirad F, Talebian S, Hatef B, Kahlaee AH. The relationship between flexibility and EMG activity pattern of the erector spinae muscles during trunk flexion-extension. J Electromyogr Kinesiol. 2009;19:746-53.
13. Kim MH, Yi CH, Kwon OY, Cho SH, Cynn HS, Kim YH, et al. Comparison of lumbopelvic rhythm and flexion-relaxation response between 2 different low back pain subtypes. Spine (Phila Pa 1976). 2013;38:1260-7.
14. Pries E, Dreischarf M, Bashkuev M, Putzier M, Schmidt H. The effects of age and gender on the lumbopelvic rhythm in the sagittal plane in 309 subjects. J Biomech. 2015;48:3080-7.
15. Vazirian M, Van Dillen L, Bazrgari B. Lumbopelvic rhythm during trunk motion in the sagittal plane: A review of the kinematic measurement methods and characterization approaches. Phys Ther Rehabil. 2016;3:5.
16. Shum GL, Crosbie J, Lee RY. Movement coordination of the lumbar spine and hip during a picking up activity in low back pain subjects. Eur Spine J. 2007;16:749-58.
17. Zawadka M, Skublewska-Paszkowska M, Gawda P, Lukasik E, Smolka J, Jablonski M. What factors can affect lumbopelvic flexion-extension motion in the sagittal plane?: A literature review. Hum Mov Sci. 2018;58:205-18.
18. Tojima M, Torii S. Comparison of lumbopelvic rhythm among adolescent soccer players with and without low back pain. Int J Sports Phys Ther. 2018;13:171-6.
19. Laird RA, Keating JL, Ussing K, Li P, Kent P. Does movement matter in people with back pain? Investigating ‘atypical’ lumbo-pelvic kinematics in people with and without back pain using wireless movement sensors. BMC Musculoskelet Disord. 2019;20:28.
20. Oskay D, Yakut Y. Bel ağrısı olan ve olmayan kadınların fiziksel uygunluk parametrelerinin karşılaştırılması. Göztepe Tıp Dergisi. 2011;26:117-22.
21. Wu W, Chen Y, Yu L, Li F, Guo W. Coronal and sagittal spinal alignment in lumbar disc herniation with scoliosis and trunk shift. J Orthop Surg Res. 2019;14:264.
22. Wang Q, Sun CT. Characteristics and correlation analysis of spinopelvic sagittal parameters in elderly patients with lumbar degenerative disease. J Orthop Surg Res. 2019;14:127.
23. Endo K, Suzuki H, Tanaka H, Kang Y, Yamamoto K. Sagittal spinal alignment in patients with lumbar disc herniation. Eur Spine J. 2010;19:435-8.
24. Rajnics P, Templier A, Skalli W, Lavaste F, Illes T. The importance of spinopelvic parameters in patients with lumbar disc lesions. Int Orthop. 2002;26:104-8.
25. George SZ, Hicks GE, Nevitt MA, Cauley JA, Vogt MT. The relationship between lumbar lordosis and radiologic variables and lumbar lordosis and clinical variables in elderly, African-American women. J Spinal Disord Tech. 2003;16:200-6.
26. Ghasemi A, Haddadi K, Khoshakhlagh M, Ganjeh HR. The Relation Between Sacral Angle and Vertical Angle of Sacral Curvature and Lumbar Disc Degeneration: A Case-Control Study. Medicine (Baltimore). 2016;95:e2746.
27. Hides JA, Stanton WR, McMahon S, Sims K, Richardson CA. Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain. J Orthop Sports Phys Ther. 2008;38:101-8.
28. McGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil. 1999;80:941-4.
29. Waldhelm A, Li L. Endurance tests are the most reliable core stability related measurements. Journal of Sport and Health Science. 2012;1:121-8.
30. Bliss LS, Teeple P. Core stability: the centerpiece of any training program. Curr Sports Med Rep. 2005;4:179-83.
31. Ince G, Sarpel T, Durgun B, Erdogan S. Effects of a multimodal exercise program for people with ankylosing spondylitis. Phys Ther. 2006;86:924-35.
32. Özer K. Fiziksel Uygunluk. Nobel Yayıncılık; Ankara: 2019;pp:153-66.
33. Been E, Gómez-Olivencia A, Ann Kramer P. Spinal Evolution: Morphology, Function, and Pathology of the Spine in Hominoid Evolution. Springer, Switzerland 2019;pp:348.
34. Singh D, Hashemi-Nejad A. (Ed.). Management of Spinal Disorders. 1998;pp:155.
35. Chaléat-Valayer E, Mac-Thiong JM, Paquet J, Berthonnaud E, Siani F, Roussouly P. Sagittal spino-pelvic alignment in chronic low back pain. Eur Spine J. 2011;20(Suppl 5):634-40.
36. Nakipoğlu GF, Karagöz A, Ozgirgin N. The biomechanics of the lumbosacral region in acute and chronic low back pain patients. Pain Physician. 2008;11:505-11.
37. Evcik D, Yücel A. Lumbar lordosis in acute and chronic low back pain patients. Rheumatol Int. 2003;23:163-5.
38. Boonstra AM, Schiphorst Preuper HR, Reneman MF, Posthumus JB, Stewart RE. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. Int J Rehabil Res. 2008;31:165-9.
39. Yakut E, Düger T, Oksüz C, Yörükan S, Ureten K, Turan D, et al. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine (Phila Pa 1976). 2004;29:581-5.
40. Fritz JM, Irrgang JJ. A comparison of a modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale. Phys Ther. 2001;81:776-88.
41. Shamsi MB, Sarrafzadeh J, Jamshidi A. Comparing core stability and traditional trunk exercise on chronic low back pain patients using three functional lumbopelvic stability tests. Physiother Theory Pract. 2015;31:89-98.
42. Hoffman SL, Johnson MB, Zou D, Harris-Hayes M, Van Dillen LR. Effect of classification-specific treatment on lumbopelvic motion during hip rotation in people with low back pain. Man Ther. 2011;16:344-50.
43. Liang C, Sun J, Cui X, Jiang Z, Zhang W, Li T. Spinal sagittal imbalance in patients with lumbar disc herniation: its spinopelvic characteristics, strength changes of the spinal musculature and natural history after lumbar discectomy. BMC Musculoskelet Disord. 2016;17:305.
44. Kim D, Vaccaro A, Whang P, Kim S, Kim S. Lumbosacral & Pelvic Prosedures. Radiographic Evaluation and Spinopelvic Measurements. Taylor & Francis Journal. 2014;1:35-42.
45. Yochum T, Rowe L. Essentials of Skeletal Radıology. Measurements in Skeletal Radiology. Philadelphia: 2005;pp:219.

APA	ÖZALP B, Kuru Çolak T (2022). LUMBOPELVIC STABILITY, LUMBOPELVIC MOBILITY AND SPINOPELVIC PARAMETERS IN PATIENTS WITH LUMBAR DISC HERNIATION. , 62 - 67. 10.4274/jtss.galenos.2022.63935
Chicago	ÖZALP BEYZA,Kuru Çolak Tuğba LUMBOPELVIC STABILITY, LUMBOPELVIC MOBILITY AND SPINOPELVIC PARAMETERS IN PATIENTS WITH LUMBAR DISC HERNIATION. (2022): 62 - 67. 10.4274/jtss.galenos.2022.63935
MLA	ÖZALP BEYZA,Kuru Çolak Tuğba LUMBOPELVIC STABILITY, LUMBOPELVIC MOBILITY AND SPINOPELVIC PARAMETERS IN PATIENTS WITH LUMBAR DISC HERNIATION. , 2022, ss.62 - 67. 10.4274/jtss.galenos.2022.63935
AMA	ÖZALP B,Kuru Çolak T LUMBOPELVIC STABILITY, LUMBOPELVIC MOBILITY AND SPINOPELVIC PARAMETERS IN PATIENTS WITH LUMBAR DISC HERNIATION. . 2022; 62 - 67. 10.4274/jtss.galenos.2022.63935
Vancouver	ÖZALP B,Kuru Çolak T LUMBOPELVIC STABILITY, LUMBOPELVIC MOBILITY AND SPINOPELVIC PARAMETERS IN PATIENTS WITH LUMBAR DISC HERNIATION. . 2022; 62 - 67. 10.4274/jtss.galenos.2022.63935
IEEE	ÖZALP B,Kuru Çolak T "LUMBOPELVIC STABILITY, LUMBOPELVIC MOBILITY AND SPINOPELVIC PARAMETERS IN PATIENTS WITH LUMBAR DISC HERNIATION." , ss.62 - 67, 2022. 10.4274/jtss.galenos.2022.63935
ISNAD	ÖZALP, BEYZA - Kuru Çolak, Tuğba. "LUMBOPELVIC STABILITY, LUMBOPELVIC MOBILITY AND SPINOPELVIC PARAMETERS IN PATIENTS WITH LUMBAR DISC HERNIATION". (2022), 62-67. https://doi.org/10.4274/jtss.galenos.2022.63935

APA	ÖZALP B, Kuru Çolak T (2022). LUMBOPELVIC STABILITY, LUMBOPELVIC MOBILITY AND SPINOPELVIC PARAMETERS IN PATIENTS WITH LUMBAR DISC HERNIATION. Journal of Turkish Spinal Surgery, 33(2), 62 - 67. 10.4274/jtss.galenos.2022.63935
Chicago	ÖZALP BEYZA,Kuru Çolak Tuğba LUMBOPELVIC STABILITY, LUMBOPELVIC MOBILITY AND SPINOPELVIC PARAMETERS IN PATIENTS WITH LUMBAR DISC HERNIATION. Journal of Turkish Spinal Surgery 33, no.2 (2022): 62 - 67. 10.4274/jtss.galenos.2022.63935
MLA	ÖZALP BEYZA,Kuru Çolak Tuğba LUMBOPELVIC STABILITY, LUMBOPELVIC MOBILITY AND SPINOPELVIC PARAMETERS IN PATIENTS WITH LUMBAR DISC HERNIATION. Journal of Turkish Spinal Surgery, vol.33, no.2, 2022, ss.62 - 67. 10.4274/jtss.galenos.2022.63935
AMA	ÖZALP B,Kuru Çolak T LUMBOPELVIC STABILITY, LUMBOPELVIC MOBILITY AND SPINOPELVIC PARAMETERS IN PATIENTS WITH LUMBAR DISC HERNIATION. Journal of Turkish Spinal Surgery. 2022; 33(2): 62 - 67. 10.4274/jtss.galenos.2022.63935
Vancouver	ÖZALP B,Kuru Çolak T LUMBOPELVIC STABILITY, LUMBOPELVIC MOBILITY AND SPINOPELVIC PARAMETERS IN PATIENTS WITH LUMBAR DISC HERNIATION. Journal of Turkish Spinal Surgery. 2022; 33(2): 62 - 67. 10.4274/jtss.galenos.2022.63935
IEEE	ÖZALP B,Kuru Çolak T "LUMBOPELVIC STABILITY, LUMBOPELVIC MOBILITY AND SPINOPELVIC PARAMETERS IN PATIENTS WITH LUMBAR DISC HERNIATION." Journal of Turkish Spinal Surgery, 33, ss.62 - 67, 2022. 10.4274/jtss.galenos.2022.63935
ISNAD	ÖZALP, BEYZA - Kuru Çolak, Tuğba. "LUMBOPELVIC STABILITY, LUMBOPELVIC MOBILITY AND SPINOPELVIC PARAMETERS IN PATIENTS WITH LUMBAR DISC HERNIATION". Journal of Turkish Spinal Surgery 33/2 (2022), 62-67. https://doi.org/10.4274/jtss.galenos.2022.63935