The Second Affiliated Hospital of Harbin Medical University Orthopedic Surgery Three Ward, Harbin, Heilonjiang, China.
J Healthc Eng. 2022 Mar 19;2022:7369242. doi: 10.1155/2022/7369242. eCollection 2022.
Lumbopelvic kinematics has been observed to include different parameters and directly relate to the movement of the hip spine. In the current scenario, more than 65 million people have been suffering from spinal pain, and 18% of adults experience chronic spinal pain.
This systematic review and meta-analysis selected 9 studies for analysis via electronic databases like EMBASE, MEDLINE, Web of Science, Scopus, CINAHL, and Cochrane (CENTRAL). After collecting the data, the dataset has been systematically analyzed through statistical methodologies using RevMan and Stata.
Out of 116 studies initially scrutinized, nine were finally selected for the meta-analysis. When range of motion was studied via meta-analysis, it was noted that a considerable reduced movement was noted in the lumbar region of the spine when people were suffering from lower back pain in comparison to control group people. Hence, reduced lumbar range of motion, no difference in the angle of lordosis, and no significant difference in extension and rotation in people with lower back pain were found. However, variability was noted in people suffering from lower back pain for flexion and lateral flexion. A significant heterogeneity was found between the studies which lacked some details and standardization of the criteria which were used for defining patients with lower back pain or without them (control group). Results show that spinal pain is the main reason behind the limitation of lumbar range of motion. It is clear from the data set of mean and standard deviation, and this is clear to establish the relationship between the causes of pelvic and spinal pain. In flexion-based ROM, the mean difference was found to be -9.77 (95% CI: -21.86, 2.32). Similarly, for lateral flexion, the mean difference was found to be -5.58 (with 95% CI: -10.38, -0.79).
It can be concluded that spinal disease is too influential for people; thereby, it affects day-to-day life activities by creating painful and restricted movements. It is concluded that people suffering from lower back pain have reduced proprioception and range of movement in the lumbar region when compared to control groups with no lower back pain, which mainly focus on flexion and lateral flexion.
腰骨盆运动学被观察到包含不同的参数，并直接与髋关节的运动相关。在当前情况下，超过 6500 万人患有脊柱疼痛，18%的成年人患有慢性脊柱疼痛。
本系统综述和荟萃分析通过电子数据库（如 EMBASE、MEDLINE、Web of Science、Scopus、CINAHL 和 Cochrane（CENTRAL））选择了 9 项研究进行分析。在收集数据后，使用 RevMan 和 Stata 通过统计方法对数据集进行了系统分析。
在最初仔细审查的 116 项研究中，最终有 9 项被选入荟萃分析。当通过荟萃分析研究运动范围时，人们发现患有下腰痛的人腰椎运动范围明显减小，与对照组相比。因此，发现腰痛患者的腰椎运动范围减小，腰椎前凸角无差异，伸展和旋转无显著差异。然而，对于屈曲和侧屈，腰痛患者的变异性较大。在研究之间存在显著的异质性，这些研究缺乏一些细节和用于定义腰痛患者或无腰痛患者（对照组）的标准的标准化。结果表明，脊柱疼痛是限制腰椎运动范围的主要原因。从均值和标准差的数据集可以清楚地看出这一点，这清楚地建立了骨盆和脊柱疼痛的原因之间的关系。在基于屈曲的 ROM 中，平均差异为-9.77（95%CI：-21.86，2.32）。同样，对于侧屈，平均差异为-5.58（95%CI：-10.38，-0.79）。
可以得出结论，脊柱疾病对人们的影响太大；从而通过产生疼痛和受限的运动来影响日常生活活动。腰痛患者与无腰痛的对照组相比，腰椎的本体感觉和运动范围减小，主要集中在屈曲和侧屈。
