Reference values of lumbar spine range of motion by sex and age based on the assessment of supine trunk lateral bending-A preliminary study
[Purpose] The purpose of this study was to clarify the preliminary reference values for the lumbar spine range of motion associated with lateral bending exercises by gender and age group. [Methods] Subjects were 82 volunteers without low back pain, including five males and five females in each age g...
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| Published in | FUKUSHIMA JOURNAL OF MEDICAL SCIENCE Vol. 70; no. 1; pp. 25 - 33 |
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| Format | Journal Article |
| Language | English |
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Japan
THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
01.01.2024
The Fukushima Society of Medical Science |
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| Abstract | [Purpose] The purpose of this study was to clarify the preliminary reference values for the lumbar spine range of motion associated with lateral bending exercises by gender and age group. [Methods] Subjects were 82 volunteers without low back pain, including five males and five females in each age group from 16-19 to 80-89 years. All subjects underwent radiographs of the lumbar spine with lateral flexion; the range of lateral flexion of the vertebrae from T12 to the sacrum (ROLB) was measured twice by three observers. [Results] The ROLB of the entire T12-S1 of all subjects showed a significant negative correlation with age in both sexes (p < 0.01). The ROLB of the lumbar spine tended to be greater in females, with a statistically significant difference between those aged 16-19 and 70-79 (p < 0.05). Lateral flexion angles for each intervertebral segment were largest at L3-L4 and smallest at L5-S1 (0.7°). [Conclusion] Lumbar ROLB reference values were examined by gender and age group; ROLB was greatest in L3-L4, and ROLB tended to be lower in older age groups. |
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| AbstractList | [Purpose] The purpose of this study was to clarify the preliminary reference values for the lumbar spine range of motion associated with lateral bending exercises by gender and age group. [Methods] Subjects were 82 volunteers without low back pain, including five males and five females in each age group from 16-19 to 80-89 years. All subjects underwent radiographs of the lumbar spine with lateral flexion; the range of lateral flexion of the vertebrae from T12 to the sacrum (ROLB) was measured twice by three observers. [Results] The ROLB of the entire T12-S1 of all subjects showed a significant negative correlation with age in both sexes (p < 0.01). The ROLB of the lumbar spine tended to be greater in females, with a statistically significant difference between those aged 16-19 and 70-79 (p < 0.05). Lateral flexion angles for each intervertebral segment were largest at L3-L4 and smallest at L5-S1 (0.7°). [Conclusion] Lumbar ROLB reference values were examined by gender and age group; ROLB was greatest in L3-L4, and ROLB tended to be lower in older age groups. [Purpose] The purpose of this study was to clarify the preliminary reference values for the lumbar spine range of motion associated with lateral bending exercises by gender and age group. [Methods] Subjects were 82 volunteers without low back pain, including five males and five females in each age group from 16-19 to 80-89 years. All subjects underwent radiographs of the lumbar spine with lateral flexion; the range of lateral flexion of the vertebrae from T12 to the sacrum (ROLB) was measured twice by three observers. [Results] The ROLB of the entire T12-S1 of all subjects showed a significant negative correlation with age in both sexes ( p < 0.01). The ROLB of the lumbar spine tended to be greater in females, with a statistically significant difference between those aged 16-19 and 70-79 ( p < 0.05). Lateral flexion angles for each intervertebral segment were largest at L3-L4 and smallest at L5-S1 (0.7°). [Conclusion] Lumbar ROLB reference values were examined by gender and age group; ROLB was greatest in L3-L4, and ROLB tended to be lower in older age groups. |
| ArticleNumber | 2023-24 |
| Author | Watanabe, Kazuyuki Oi, Naoyuki Konno, Shinichi Nakanishi, Shigetaka Hakozaki, Michiyuki Ouchi, Kazuo |
| Author_xml | – sequence: 1 fullname: Watanabe, Kazuyuki organization: Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine – sequence: 1 fullname: Konno, Shinichi organization: Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine – sequence: 1 fullname: Nakanishi, Shigetaka organization: Department of Rehabilitation Medicine, Fukushima Medical University School of Medicine – sequence: 1 fullname: Hakozaki, Michiyuki organization: Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine – sequence: 1 fullname: Oi, Naoyuki organization: Department of Rehabilitation Medicine, Fukushima Medical University School of Medicine – sequence: 1 fullname: Ouchi, Kazuo organization: Department of Rehabilitation Medicine, Fukushima Medical University School of Medicine |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38123298$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1111/joa.12902 10.1097/00007632-199612151-00005 10.1016/0021-9681(87)90162-7 10.1016/j.jbmt.2012.04.010 10.1097/BSD.0b013e3181981823 10.1007/s00586-004-0690-8 10.1016/j.spinee.2005.04.013 10.31616/asj.2018.0187 10.1016/j.jbiomech.2018.11.022 10.1001/jama.268.6.760 10.1097/00007632-199105000-00014 10.1097/01.brs.0000231435.55842.9e 10.1177/0300060518781694 10.14444/2005 10.1097/BRS.0b013e3182a0dbc5 |
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| Keywords | radiography Lumbar spine lateral bending exercise lumbar disc herniation range of motion |
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| References | 5. Abudurexiti T, Qi L, Muheremu A, et al. Micro-endoscopic discectomy versus percutaneous endoscopic surgery for lumbar disk herniation. J Int Med Res, 46(9):3910-3917, 2018. 14. Ochia RS, Inoue N, Renner SM, et al. Three-Dimensional In Vivo Measurement of Lumbar Spine Segmental Motion. Spine (Phila Pa 1976), 31(18):2073-2078, 2006. 1. Household Statistics Office, Director-General for Statistics and Information Policy Director Toshiaki Hosoi, Deputy Director Chiharu Hashimoto, Yasuhiro Koike, et al. Summary Report of Comprehensive Survey of Living Conditions 2019. Ministry of Health, Labor and Welfare. 2020. 16. Cook DJ, Yeager MS, Cheng BC. Range of motion of the intact lumbar segment:a multivariate study of 42 lumbar spines. Int J Spine Surg 5, 9:5, 2015. 7. Lumbar disc herniation guideline development group, Lumbar disc herniation guideline development committee. Lumbar disc herniation guideline. Nankoudo:57-58, 2005. 4. Heliovaara M. Occupation and risk of herniated lumbar intervertebral disc or sciatica leading to hospitalization. J Chronic Dis, 40(3):259-264, 1987. 8. Tojima M, Ogata N, Yozu A, et al. Novel 3-dimensional motion analysis method for measuring the lumbar spine range of motion:repeatability and reliability compared with an electrogoniometer. Spine (Phila Pa 1976), 38(21):1327-1333, 2013. 2. Deyo RA, Rainville J, Kent DL. What Can the History and Physical Examination Tell Us About Low Back Pain? JAMA 12, 268(6):760-765, 1992. 3. McCulloch JA. Focus issue on lumbar disc herniation:macro- and microdiscectomy. Spine (Phila Pa 1976), 21(24 Suppl):45S-56S, 1996. 12. Arshad R, Pan F, Reitmaier S, et al. Effect of age and sex on lumbar lordosis and the range of motion. A systematic review and meta-analysis. J Biomech 3, 82:1-19, 2019. 9. Bible JE, Biswas D, Miller CP, et al. Normal functional range of motion of the lumbar spine during 15 activities of daily living. J Spinal Disord Tech, 23(2):106-112, 2010. 15. Hashemirad F, Hatef B, Jaberzadeh S, et al. Validity and reliability of skin markers for measurement of intersegmental mobility at L2-3 and L3-4 during lateral bending in healthy individuals:a fluoroscopy study. J Bodyw Mov Ther, 17(1):46-52, 2013. 11. Yukawa Y, Matsumoto T, Kollor H, et al. Local Sagittal Alignment of the Lumbar Spine and Range of Motion in 627 Asymptomatic Subjects:Age-Related Changes and Sex-Based Differences. Asian Spine J 26, 13(4):663-671, 2019. 10. Huang RC, Tropiano P, Marnay T, et al. Range of motion and adjacent level degeneration after lumbar total disc replacement. Spine J, 6(3):242-247, 2006. 13. Dvorák J, Panjabi MM, Chang DG, et al. Functional radiographic diagnosis of the lumbar spine. Flexion-extension and lateral bending. Spine (Phila Pa 1976), 16(5):562-571, 1991. 17. Wilke J, Macchi V, Caro RD, et al. Fascia thickness, aging and flexibility:is there an association? J Anat, 234(1):43-49, 2019. 6. Saruhashi Y, Mori K, Katsuura A, et al. Evaluation of standard nucleotomy for lumbar disc herniation using the Love method:results of follow-up studies after more than 10 years. Eur Spine J, 13(7):626-30, 2004. 11 12 13 14 15 16 17 1 2 3 4 5 6 7 8 9 10 |
| References_xml | – reference: 9. Bible JE, Biswas D, Miller CP, et al. Normal functional range of motion of the lumbar spine during 15 activities of daily living. J Spinal Disord Tech, 23(2):106-112, 2010. – reference: 15. Hashemirad F, Hatef B, Jaberzadeh S, et al. Validity and reliability of skin markers for measurement of intersegmental mobility at L2-3 and L3-4 during lateral bending in healthy individuals:a fluoroscopy study. J Bodyw Mov Ther, 17(1):46-52, 2013. – reference: 4. Heliovaara M. Occupation and risk of herniated lumbar intervertebral disc or sciatica leading to hospitalization. J Chronic Dis, 40(3):259-264, 1987. – reference: 12. Arshad R, Pan F, Reitmaier S, et al. Effect of age and sex on lumbar lordosis and the range of motion. A systematic review and meta-analysis. J Biomech 3, 82:1-19, 2019. – reference: 10. Huang RC, Tropiano P, Marnay T, et al. Range of motion and adjacent level degeneration after lumbar total disc replacement. Spine J, 6(3):242-247, 2006. – reference: 16. Cook DJ, Yeager MS, Cheng BC. Range of motion of the intact lumbar segment:a multivariate study of 42 lumbar spines. Int J Spine Surg 5, 9:5, 2015. – reference: 5. Abudurexiti T, Qi L, Muheremu A, et al. Micro-endoscopic discectomy versus percutaneous endoscopic surgery for lumbar disk herniation. J Int Med Res, 46(9):3910-3917, 2018. – reference: 13. Dvorák J, Panjabi MM, Chang DG, et al. Functional radiographic diagnosis of the lumbar spine. Flexion-extension and lateral bending. Spine (Phila Pa 1976), 16(5):562-571, 1991. – reference: 2. Deyo RA, Rainville J, Kent DL. What Can the History and Physical Examination Tell Us About Low Back Pain? JAMA 12, 268(6):760-765, 1992. – reference: 11. Yukawa Y, Matsumoto T, Kollor H, et al. Local Sagittal Alignment of the Lumbar Spine and Range of Motion in 627 Asymptomatic Subjects:Age-Related Changes and Sex-Based Differences. Asian Spine J 26, 13(4):663-671, 2019. – reference: 14. Ochia RS, Inoue N, Renner SM, et al. Three-Dimensional In Vivo Measurement of Lumbar Spine Segmental Motion. Spine (Phila Pa 1976), 31(18):2073-2078, 2006. – reference: 7. Lumbar disc herniation guideline development group, Lumbar disc herniation guideline development committee. Lumbar disc herniation guideline. Nankoudo:57-58, 2005. – reference: 1. Household Statistics Office, Director-General for Statistics and Information Policy Director Toshiaki Hosoi, Deputy Director Chiharu Hashimoto, Yasuhiro Koike, et al. Summary Report of Comprehensive Survey of Living Conditions 2019. Ministry of Health, Labor and Welfare. 2020. – reference: 3. McCulloch JA. Focus issue on lumbar disc herniation:macro- and microdiscectomy. Spine (Phila Pa 1976), 21(24 Suppl):45S-56S, 1996. – reference: 17. Wilke J, Macchi V, Caro RD, et al. Fascia thickness, aging and flexibility:is there an association? J Anat, 234(1):43-49, 2019. – reference: 6. Saruhashi Y, Mori K, Katsuura A, et al. Evaluation of standard nucleotomy for lumbar disc herniation using the Love method:results of follow-up studies after more than 10 years. Eur Spine J, 13(7):626-30, 2004. – reference: 8. Tojima M, Ogata N, Yozu A, et al. Novel 3-dimensional motion analysis method for measuring the lumbar spine range of motion:repeatability and reliability compared with an electrogoniometer. Spine (Phila Pa 1976), 38(21):1327-1333, 2013. – ident: 17 doi: 10.1111/joa.12902 – ident: 3 doi: 10.1097/00007632-199612151-00005 – ident: 4 doi: 10.1016/0021-9681(87)90162-7 – ident: 1 – ident: 15 doi: 10.1016/j.jbmt.2012.04.010 – ident: 9 doi: 10.1097/BSD.0b013e3181981823 – ident: 6 doi: 10.1007/s00586-004-0690-8 – ident: 10 doi: 10.1016/j.spinee.2005.04.013 – ident: 11 doi: 10.31616/asj.2018.0187 – ident: 12 doi: 10.1016/j.jbiomech.2018.11.022 – ident: 2 doi: 10.1001/jama.268.6.760 – ident: 13 doi: 10.1097/00007632-199105000-00014 – ident: 14 doi: 10.1097/01.brs.0000231435.55842.9e – ident: 5 doi: 10.1177/0300060518781694 – ident: 16 doi: 10.14444/2005 – ident: 7 – ident: 8 doi: 10.1097/BRS.0b013e3182a0dbc5 |
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| SubjectTerms | lateral bending exercise lumbar disc herniation Lumbar spine Original radiography range of motion |
| Title | Reference values of lumbar spine range of motion by sex and age based on the assessment of supine trunk lateral bending-A preliminary study |
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