Vazirian Milad, Van Dillen Linda R, Bazrgari Babak
F. Joseph Halcomb III, M.D. Department of Biomedical Engineering, University of Kentucky, Lexington, KY, USA.
Program in Physical Therapy, Washington University School of Medicine in St. Louis, MO, USA.
Int Musculoskelet Med. 2016;38(2):51-58. doi: 10.1080/17536146.2016.1241525. Epub 2016 Nov 28.
Abnormalities of lumbopelvic coordination have been suggested to relate to risk of developing low back pain. The objective of this study is to review and summarize the findings of studies that have implemented and reported on lumbopelvic rhythm during trunk forward bending and backward return.
The PUBMED and CINAHL databases were searched for studies related to LPR using appropriate keywords. The references of each study from the database search were further investigated to identify any missed study.
The findings includes results related to lumbopelvic rhythm, and how it varies due to participant characteristics such as age, gender, and presence of low back pain as well as due to variations in the experimental procedures such as pace of motion, presence of external load, and muscle fatigue.
In general, the magnitude of lumbar contribution is smaller in people with low back pain, in the elderly and females, as well as with greater pace of motion, but is larger with greater external load or back muscle fatigue. The compiled data in this review are expected to serve as a foundation for implementation of this kinematic-based measure in the conduct of future research.
有人提出腰骶部协调性异常与下腰痛的发生风险有关。本研究的目的是回顾和总结在躯干前屈和后伸过程中实施并报告腰骶节律的研究结果。
使用适当的关键词在PUBMED和CINAHL数据库中搜索与腰骶节律相关的研究。对数据库搜索中每项研究的参考文献进行进一步调查，以确定是否有遗漏的研究。
研究结果包括与腰骶节律相关的结果，以及它如何因年龄、性别和下腰痛等参与者特征，以及运动速度、外部负荷和肌肉疲劳等实验程序的变化而有所不同。
一般来说，下腰痛患者、老年人和女性的腰椎贡献程度较小，运动速度较快时也较小，但外部负荷较大或背部肌肉疲劳时则较大。本综述中汇编的数据有望为在未来研究中实施这种基于运动学的测量方法奠定基础。
