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
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...
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| creator | Alcaraz-Clariana, Sandra García-Luque, Lourdes Garrido-Castro, Juan Luis Carmona-Pérez, Cristina Rodrigues-de-Souza, Daiana Priscila Ladehesa Pineda, María Lourdes Alburquerque-Sendín, Francisco |
| description | 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= |
| doi_str_mv | 10.1016/j.jbiomech.2024.112438 |
| format | Article |
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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.</description><identifier>ISSN: 0021-9290</identifier><identifier>ISSN: 1873-2380</identifier><identifier>EISSN: 1873-2380</identifier><identifier>DOI: 10.1016/j.jbiomech.2024.112438</identifier><identifier>PMID: 39581166</identifier><language>eng</language><publisher>United States: Elsevier Ltd</publisher><subject>Adult ; Arthritis ; Back pain ; Back surgery ; Biomechanical engineering ; Biomechanical Phenomena ; Biomechanics ; Case-Control Studies ; Female ; Humans ; Inflammatory diseases ; Kinematics ; Low back pain ; Low Back Pain - physiopathology ; Lumbar backward extension ; Lumbar forward flexion ; Lumbar Vertebrae - physiopathology ; Lumbopelvic angles ; Lumbopelvic kinematics ; Lumbosacral Region - physiopathology ; Male ; Middle Aged ; Movement ; Movement - physiology ; Pain ; Patients ; Pelvis ; Pelvis - physiopathology ; Physical therapy ; Quartiles ; Questionnaires ; Range of Motion, Articular - physiology ; Rheumatic diseases ; Rhythm ; Sensors ; Sociodemographics ; Spinal disorders ; Torso - physiopathology ; Variance analysis</subject><ispartof>Journal of biomechanics, 2024-12, Vol.177, p.112438, Article 112438</ispartof><rights>2024 Elsevier Ltd</rights><rights>Copyright © 2024 Elsevier Ltd. All rights reserved.</rights><rights>2024. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c273t-ad3f35c06f31b82b4b76f5467a5b00e4995e6c841dbae7545b3cb5cae8ca29113</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jbiomech.2024.112438$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39581166$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alcaraz-Clariana, Sandra</creatorcontrib><creatorcontrib>García-Luque, Lourdes</creatorcontrib><creatorcontrib>Garrido-Castro, Juan Luis</creatorcontrib><creatorcontrib>Carmona-Pérez, Cristina</creatorcontrib><creatorcontrib>Rodrigues-de-Souza, Daiana Priscila</creatorcontrib><creatorcontrib>Ladehesa Pineda, María Lourdes</creatorcontrib><creatorcontrib>Alburquerque-Sendín, Francisco</creatorcontrib><title>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</title><title>Journal of biomechanics</title><addtitle>J Biomech</addtitle><description>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.</description><subject>Adult</subject><subject>Arthritis</subject><subject>Back pain</subject><subject>Back surgery</subject><subject>Biomechanical engineering</subject><subject>Biomechanical Phenomena</subject><subject>Biomechanics</subject><subject>Case-Control Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Inflammatory diseases</subject><subject>Kinematics</subject><subject>Low back pain</subject><subject>Low Back Pain - physiopathology</subject><subject>Lumbar backward extension</subject><subject>Lumbar forward flexion</subject><subject>Lumbar Vertebrae - physiopathology</subject><subject>Lumbopelvic angles</subject><subject>Lumbopelvic kinematics</subject><subject>Lumbosacral Region - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Movement</subject><subject>Movement - physiology</subject><subject>Pain</subject><subject>Patients</subject><subject>Pelvis</subject><subject>Pelvis - physiopathology</subject><subject>Physical therapy</subject><subject>Quartiles</subject><subject>Questionnaires</subject><subject>Range of Motion, Articular - physiology</subject><subject>Rheumatic diseases</subject><subject>Rhythm</subject><subject>Sensors</subject><subject>Sociodemographics</subject><subject>Spinal disorders</subject><subject>Torso - physiopathology</subject><subject>Variance analysis</subject><issn>0021-9290</issn><issn>1873-2380</issn><issn>1873-2380</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkctu1DAYhSMEokPhFSpLbNgk9SVXVlRVgUojsYG1ZTt_Ok4Te-pL2zwo74PTmSKVDd5Ytr5zjnROlp0RXBBM6vOxGKW2M6hdQTEtC0JoydpX2Ya0Dcspa_HrbIMxJXlHO3ySvfN-xBg3ZdO9zU5YV7WE1PUm-72Ns7R7mO61Qm63hN2MhBHT4rVHckF3UbigJ_Cf0XUPJuhBKxG0NcgOqNfDAA6MAo-0QVOyEi7Je3Q0VNYEp2V8EvTRaXODgovmFg0TPK6fKwyPAYxfX8nERzmCCh496LBDk31AUqhbtBf6RWRA1ukbbQp0gZTwkD9F2Qn5EPvlffZmEJOHD8f7NPv19ern5fd8--Pb9eXFNle0YSEXPRtYpXA9MCJbKkvZ1ENV1o2oJMZQdl0FtWpL0ksBTVVWkilZKQGtErQjhJ1mnw6-e2fvIvjAZ-0VTJMwYKPnjDBa464mZUI__oOONrrU9EqVpKLpVImqD5Ry1nsHA987PQu3cIL5Ojwf-fPwfB2eH4ZPwrOjfZQz9H9lz0sn4MsBgNTHvQbHvdLrdL12qW_eW_2_jD_CocfG</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Alcaraz-Clariana, Sandra</creator><creator>García-Luque, Lourdes</creator><creator>Garrido-Castro, Juan Luis</creator><creator>Carmona-Pérez, Cristina</creator><creator>Rodrigues-de-Souza, Daiana Priscila</creator><creator>Ladehesa Pineda, María Lourdes</creator><creator>Alburquerque-Sendín, Francisco</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TB</scope><scope>7TS</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>202412</creationdate><title>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</title><author>Alcaraz-Clariana, Sandra ; García-Luque, Lourdes ; Garrido-Castro, Juan Luis ; Carmona-Pérez, Cristina ; Rodrigues-de-Souza, Daiana Priscila ; Ladehesa Pineda, María Lourdes ; Alburquerque-Sendín, Francisco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c273t-ad3f35c06f31b82b4b76f5467a5b00e4995e6c841dbae7545b3cb5cae8ca29113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Arthritis</topic><topic>Back pain</topic><topic>Back surgery</topic><topic>Biomechanical engineering</topic><topic>Biomechanical Phenomena</topic><topic>Biomechanics</topic><topic>Case-Control Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Inflammatory diseases</topic><topic>Kinematics</topic><topic>Low back pain</topic><topic>Low Back Pain - physiopathology</topic><topic>Lumbar backward extension</topic><topic>Lumbar forward flexion</topic><topic>Lumbar Vertebrae - physiopathology</topic><topic>Lumbopelvic angles</topic><topic>Lumbopelvic kinematics</topic><topic>Lumbosacral Region - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Movement</topic><topic>Movement - physiology</topic><topic>Pain</topic><topic>Patients</topic><topic>Pelvis</topic><topic>Pelvis - physiopathology</topic><topic>Physical therapy</topic><topic>Quartiles</topic><topic>Questionnaires</topic><topic>Range of Motion, Articular - physiology</topic><topic>Rheumatic diseases</topic><topic>Rhythm</topic><topic>Sensors</topic><topic>Sociodemographics</topic><topic>Spinal disorders</topic><topic>Torso - physiopathology</topic><topic>Variance analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alcaraz-Clariana, Sandra</creatorcontrib><creatorcontrib>García-Luque, Lourdes</creatorcontrib><creatorcontrib>Garrido-Castro, Juan Luis</creatorcontrib><creatorcontrib>Carmona-Pérez, Cristina</creatorcontrib><creatorcontrib>Rodrigues-de-Souza, Daiana Priscila</creatorcontrib><creatorcontrib>Ladehesa Pineda, María Lourdes</creatorcontrib><creatorcontrib>Alburquerque-Sendín, Francisco</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Physical Education Index</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of biomechanics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alcaraz-Clariana, Sandra</au><au>García-Luque, Lourdes</au><au>Garrido-Castro, Juan Luis</au><au>Carmona-Pérez, Cristina</au><au>Rodrigues-de-Souza, Daiana Priscila</au><au>Ladehesa Pineda, María Lourdes</au><au>Alburquerque-Sendín, Francisco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Journal of biomechanics</jtitle><addtitle>J Biomech</addtitle><date>2024-12</date><risdate>2024</risdate><volume>177</volume><spage>112438</spage><pages>112438-</pages><artnum>112438</artnum><issn>0021-9290</issn><issn>1873-2380</issn><eissn>1873-2380</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Ltd</pub><pmid>39581166</pmid><doi>10.1016/j.jbiomech.2024.112438</doi></addata></record> |
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| subjects | Adult Arthritis Back pain Back surgery Biomechanical engineering Biomechanical Phenomena Biomechanics Case-Control Studies Female Humans Inflammatory diseases Kinematics Low back pain Low Back Pain - physiopathology Lumbar backward extension Lumbar forward flexion Lumbar Vertebrae - physiopathology Lumbopelvic angles Lumbopelvic kinematics Lumbosacral Region - physiopathology Male Middle Aged Movement Movement - physiology Pain Patients Pelvis Pelvis - physiopathology Physical therapy Quartiles Questionnaires Range of Motion, Articular - physiology Rheumatic diseases Rhythm Sensors Sociodemographics Spinal disorders Torso - physiopathology Variance analysis |
| title | 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 |
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