Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz,Iran.
Department of Physiotherapy, School of Rehabilitation Science, Ahvaz Jundishapur University of Medical Sciences, Ahvaz,Iran.
J Appl Biomech. 2022 Sep 12;38(5):346-354. doi: 10.1123/jab.2022-0064. Print 2022 Oct 1.
The purpose of study was to compare the kinematic patterns of the thoracic, lumbar, and pelvis segments and hip joints between 2 low back pain subgroups and healthy women during sit-to-stand and stand-to-sit. Kinematic data of 44 healthy women and 2 subgroups of females with low back pain in 2 subgroups of movement system impairment model (rotation-extension [Rot.Ext] and rotation-flexion [Rot.Flex]) were recorded. Participants performed sit-to-stand and stand-to-sit at a preferred speed. Each task was divided into a pre buttock lifted off/on (pre-BOff/n) phase and a post-BOff/n phase. The Rot.Ext subgroup showed greater range of motion in the thoracic during pre-BOff phase of sit-to-stand (P < .001) and pre-BOn phase of stand-to-sit (P = .01) compared to the other 2 groups. The Rot.Flex subgroup displayed limited left hip joint excursion during sit-to-stand pre-BOff (P = .04) and stand-to-sit post-BOn phases (P = .02). The Rot.Flex subgroup showed greater pelvis tilt excursion during sit-to-stand post-BOff (P = .04) and stand-to-sit pre-BOn (P = .01) and post-BOn phases (P = .01). In subgroups of women with chronic low back pain, there were kinematic changes in adjacent body segments/joints of lumbar spine during sit-to-stand and stand-to-sit tasks.
研究目的是比较 2 个腰痛亚组和健康女性在从坐到站和站到站过程中胸、腰和骨盆节段以及髋关节的运动模式。记录了 44 名健康女性和腰痛运动系统损伤模型(旋转-伸展[Rot.Ext]和旋转-屈曲[Rot.Flex])2 个亚组中 2 个腰痛亚组女性的运动学数据。参与者以自己喜欢的速度进行从坐到站和站到站的动作。每个任务分为臀部抬起前/后(pre-BOff/n)阶段和臀部抬起后/后阶段。与其他 2 组相比,Rot.Ext 亚组在从坐到站的 pre-BOff 阶段(P <.001)和站到站的 pre-BOn 阶段(P =.01)中胸段的活动范围更大。Rot.Flex 亚组在从坐到站的 pre-BOff 阶段(P =.04)和站到站的 post-BOn 阶段(P =.02)时,左侧髋关节活动度受限。Rot.Flex 亚组在从坐到站的 post-BOff 阶段(P =.04)、站到站的 pre-BOn 阶段(P =.01)和 post-BOn 阶段(P =.01)时骨盆倾斜度更大。在慢性腰痛的女性亚组中,在从坐到站和站到站的任务中,腰椎相邻节段/关节的运动发生了变化。