Effects of Pelvic Asymmetry and Low Back Pain on Trunk Kinematics During Sitting: A Comparison With Standing
Notice bibliographique
Résumé
In Brief Study Design. A prospective study was conducted on a group of patients with unilateral nonspecific low back pain (LBP) and healthy controls. Objectives. To answer 3 questions: (1) Does pelvic asymmetry measured in standing affect the dynamics of motion performed in sitting? (2) Do patients with LBP perform trunk motions differently from non-LBP participants in sitting position? and (3) Do the kinematics of lateral flexion and axial rotation differ between sitting and standing positions? Summary of Background Data. The effect of pelvic asymmetry on trunk motion while sitting remains unclear. LBP has been associated with altered trunk kinematics in standing; however, there is limited information available describing trunk kinematics in sitting position in comparison to standing. Methods. Pelvic asymmetry was measured in 54 patients with unilateral nonspecific LBP and 59 control subjects. A motion-analysis system was used to test the range and symmetry of lateral flexion and axial rotation in sitting and standing positions. Bivariate correlations, regression, multivariate analysis of variance, and paired sample t tests were used to test for associations between variables and differences between groups. Results. We found significant: (1) correlations between pelvic asymmetry and asymmetric trunk motion performed in sitting, (2) differences between the LBP and control groups in patterns of trunk motion performed in a sitting posture, and (3) differences between kinematics of motions performed in sitting versus standing postures. Conclusions. This study shows a link between pelvic asymmetry and altered trunk motion in sitting position. We suggest that people with LBP may have a distinct compensatory mechanism, secondary to pelvic asymmetry, which puts the lumbar spine under higher stress. Movement asymmetry, rather than range of motion, may be a better indicator of disturbed function for people with LBP. Structural and functional asymmetries are factors that may be considered in the seating design and work environment. We examined the association between subtle pelvic asymmetry and patterns of trunk motion in sitting subjects with low back pain (LBP) versus asymptomatic controls. The LBP group had higher movement asymmetry in the lumbar region, which correlated with pelvic asymmetry. It seems that compensation secondary to pelvic asymmetry may be excessive in the lumbar region in people with LBP, which may put the lumbar spine under higher stress.
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
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