Lumbar Lordosis in Prone Position and Prone Hip Extension Test: Comparison Between Subjects with and Without Low Back Pain

Overview

Journal Chiropr Man Therap

Publisher Biomed Central

Date 2017 Mar 24

PMID 28331575

Citations 6

Authors

Amir Massoud Arab

Arash Haghighat

Zahra Amiri

Fariba Khosravi

Affiliations

Soon will be listed here.

Abstract

Background: Prone hip extension (PHE) is a common and widely accepted test used for assessment of the lumbo-pelvic movement pattern. Considerable increased in lumbar lordosis during this test has been considered as impairment of movement patterns in lumbo-pelvic region. The purpose of this study was to investigate the change of lumbar lordosis in PHE test in subjects with and without low back pain (LBP).

Method: A two-way mixed design with repeated measurements was used to investigate the lumbar lordosis changes during PHE in two groups of subjects with and without LBP. An equal number of subjects ( = 30) were allocated to each group. A standard flexible ruler was used to measure the size of lumbar lordosis in prone-relaxed position and PHE test in each group.

Result: The result of two-way mixed-design analysis of variance revealed significant health status by position interaction effect for lumbar lordosis ( < 0.001). The main effect of test position on lumbar lordosis was statistically significant ( < 0.001). The lumbar lordosis was significantly greater in the PHE compared to prone-relaxed position in both subjects with and without LBP. The amount of difference in positions was statistically significant between two groups ( < 0.001) and greater change in lumbar lordosis was found in the healthy group compared to the subjects with LBP.

Conclusions: Greater change in lumbar lordosis during this test may be due to more stiffness in lumbopelvic muscles in the individuals with LBP.

Citing Articles

Examining Movement Patterns, Skeletal Muscle Mass, and Hip Mobility in Office Workers With or Without Lower Back Pain: An Analytical Cross-Sectional Study.

Miyachi R, Fujii Y, Nishimura T, Goda A, Nagamori Y, Kanazawa Y Cureus. 2024; 16(7):e64721.

PMID: 39156309 PMC: 11328160. DOI: 10.7759/cureus.64721.

The Effects of Kinesio Taping on Muscle Interplay within the Lumbo-Pelvic-Hip Complex: A Randomized Placebo-Controlled Trial.

Kiseljak D, Medved V Sports (Basel). 2023; 11(3).

PMID: 36976956 PMC: 10051875. DOI: 10.3390/sports11030070.

Relationships among lumbar hip motion angle, perceptual awareness, and low back pain in young adults.

Miyachi R, Sano A, Tanaka N, Tamai M, Miyazaki J J Phys Ther Sci. 2021; 33(12):880-886.

PMID: 34873367 PMC: 8636914. DOI: 10.1589/jpts.33.880.

Relationship Between Lumbar Motor Control Ability and Spinal Curvature in Elderly Individuals.

Miyachi R, Miyazaki J Healthcare (Basel). 2020; 8(2).

PMID: 32397367 PMC: 7349748. DOI: 10.3390/healthcare8020130.

Immediate effect of application of the pressure technique to the psoas major on lumbar lordosis.

Otsudo T, Mimura K, Akasaka K J Phys Ther Sci. 2018; 30(10):1323-1328.

PMID: 30349172 PMC: 6181670. DOI: 10.1589/jpts.30.1323.

References

Link C, Nicholson G, Shaddeau S, Birch R, Gossman M . Lumbar curvature in standing and sitting in two types of chairs: relationship of hamstring and hip flexor muscle length. Phys Ther. 1990; 70(10):611-8. DOI: 10.1093/ptj/70.10.611. View

Fritz J, George S . Identifying psychosocial variables in patients with acute work-related low back pain: the importance of fear-avoidance beliefs. Phys Ther. 2002; 82(10):973-83. View

Scholtes S, Gombatto S, van Dillen L . Differences in lumbopelvic motion between people with and people without low back pain during two lower limb movement tests. Clin Biomech (Bristol). 2008; 24(1):7-12. PMC: 2643272. DOI: 10.1016/j.clinbiomech.2008.09.008. View

Vogt L, Pfeifer K, Banzer W . Neuromuscular control of walking with chronic low-back pain. Man Ther. 2003; 8(1):21-8. DOI: 10.1054/math.2002.0476. View

van der Hulst M, Vollenbroek-Hutten M, Rietman J, Schaake L, Groothuis-Oudshoorn K, Hermens H . Back muscle activation patterns in chronic low back pain during walking: a "guarding" hypothesis. Clin J Pain. 2009; 26(1):30-7. DOI: 10.1097/AJP.0b013e3181b40eca. View

Hodges P, Moseley G . Pain and motor control of the lumbopelvic region: effect and possible mechanisms. J Electromyogr Kinesiol. 2003; 13(4):361-70. DOI: 10.1016/s1050-6411(03)00042-7. View

Brox J, Storheim K, Holm I, Friis A, Reikeras O . Disability, pain, psychological factors and physical performance in healthy controls, patients with sub-acute and chronic low back pain: a case-control study. J Rehabil Med. 2005; 37(2):95-9. DOI: 10.1080/16501970410017738. View

Boersma K, Linton S . How does persistent pain develop? An analysis of the relationship between psychological variables, pain and function across stages of chronicity. Behav Res Ther. 2005; 43(11):1495-507. DOI: 10.1016/j.brat.2004.11.006. View

Oh J, Cynn H, Won J, Kwon O, Yi C . Effects of performing an abdominal drawing-in maneuver during prone hip extension exercises on hip and back extensor muscle activity and amount of anterior pelvic tilt. J Orthop Sports Phys Ther. 2007; 37(6):320-4. DOI: 10.2519/jospt.2007.2435. View

10.

Newcomer K, Jacobson T, Gabriel D, Larson D, Brey R, An K . Muscle activation patterns in subjects with and without low back pain. Arch Phys Med Rehabil. 2002; 83(6):816-21. DOI: 10.1053/apmr.2002.32826. View

11.

Nourbakhsh M, Arab A . Relationship between mechanical factors and incidence of low back pain. J Orthop Sports Phys Ther. 2002; 32(9):447-60. DOI: 10.2519/jospt.2002.32.9.447. View

12.

Cholewicki J, van Dieen J, Arsenault A . Muscle function and dysfunction in the spine. J Electromyogr Kinesiol. 2003; 13(4):303-4. DOI: 10.1016/s1050-6411(03)00038-5. View

13.

Marras W, Allread W, Burr D, Fathallah F . Prospective validation of a low-back disorder risk model and assessment of ergonomic interventions associated with manual materials handling tasks. Ergonomics. 2000; 43(11):1866-86. DOI: 10.1080/00140130050174518. View

14.

Youdas J, Garrett T, Harmsen S, Suman V, Carey J . Lumbar lordosis and pelvic inclination of asymptomatic adults. Phys Ther. 1996; 76(10):1066-81. DOI: 10.1093/ptj/76.10.1066. View

15.

Arab A, Talimkhani A, Karimi N, Ehsani F . Change in lumbar lordosis during prone lying knee flexion test in subjects with and without low back pain. Chiropr Man Therap. 2015; 23:18. PMC: 4450612. DOI: 10.1186/s12998-015-0061-z. View

16.

Hungerford B, Gilleard W, Hodges P . Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. Spine (Phila Pa 1976). 2003; 28(14):1593-600. View

17.

Arab A, Ghamkhar L, Emami M, Nourbakhsh M . Altered muscular activation during prone hip extension in women with and without low back pain. Chiropr Man Therap. 2011; 19:18. PMC: 3188886. DOI: 10.1186/2045-709X-19-18. View

18.

Johnson E, Thomas J . Effect of hamstring flexibility on hip and lumbar spine joint excursions during forward-reaching tasks in participants with and without low back pain. Arch Phys Med Rehabil. 2010; 91(7):1140-2. PMC: 2909693. DOI: 10.1016/j.apmr.2010.04.003. View

19.

Al-Obaidi S, Nelson R, Al-Awadhi S . The role of anticipation and fear of pain in the persistence of avoidance behavior in patients with chronic low back pain. Spine (Phila Pa 1976). 2000; 25(9):1126-31. DOI: 10.1097/00007632-200005010-00014. View

20.

Kim M, Yoo W, Choi B . Differences between two subgroups of low back pain patients in lumbopelvic rotation and symmetry in the erector spinae and hamstring muscles during trunk flexion when standing. J Electromyogr Kinesiol. 2013; 23(2):387-93. DOI: 10.1016/j.jelekin.2012.11.010. View