Effects of Pelvic-Tilt Imbalance on Disability, Muscle Performance, and Range of Motion in Office Workers with Non-Specific Low-Back Pain

Overview

Journal Healthcare (Basel)

Specialty Health Services

Date 2023 Mar 29

PMID 36981550

Authors

Won-Deuk Kim

DooChul Shin

Affiliations

Soon will be listed here.

Abstract

Imbalance in the pelvic tilt is considered to be a major variable in low back pain. The purpose of this study was to investigate the effects of pelvic-tilt imbalance on trunk- and hip-muscle performance, range of motion, low-back pain, and the degree of disability in office workers. This was a cross-sectional study conducted in a physical therapy clinic on forty-one office workers diagnosed with non-specific low-back pain. Among the office workers with non-specific low-back pain, 25 were assigned to the pelvic-tilt-imbalance group and 16 to the normal group without pelvic-tilt imbalance. In order to determine the differences according to the imbalance in pelvic tilt, the pain intensity and disability indices were compared between the groups. In addition, the muscle performance and range of motion of the trunk and hip joints and foot pressure were measured and compared. There were differences between the groups in the disability indices and the ratio of internal and external rotation of the hip joint. However, there were no differences in the other variables. Pelvic-tilt imbalance in office workers with non-specific chronic low-back pain may exacerbate the degree of disability and be related to hip-joint rotational range of motion.

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References

Del Pozo-Cruz B, Mocholi M, Del Pozo-Cruz J, Parraca J, Adsuar J, Gusi N . Reliability and validity of lumbar and abdominal trunk muscle endurance tests in office workers with nonspecific subacute low back pain. J Back Musculoskelet Rehabil. 2014; 27(4):399-408. DOI: 10.3233/BMR-140460. View

von Korff M, BARLOW W, Cherkin D, Deyo R . Effects of practice style in managing back pain. Ann Intern Med. 1994; 121(3):187-95. DOI: 10.7326/0003-4819-121-3-199408010-00005. View

Childs J, Piva S, Fritz J . Responsiveness of the numeric pain rating scale in patients with low back pain. Spine (Phila Pa 1976). 2005; 30(11):1331-4. DOI: 10.1097/01.brs.0000164099.92112.29. View

Fairbank J, Pynsent P . The Oswestry Disability Index. Spine (Phila Pa 1976). 2000; 25(22):2940-52; discussion 2952. DOI: 10.1097/00007632-200011150-00017. View

San Juan J, Suprak D, Roach S, Lyda M . Lower Extremity Strength and Range of Motion in High School Cross-Country Runners. Appl Bionics Biomech. 2018; 2018:6797642. PMC: 6109511. DOI: 10.1155/2018/6797642. View

Thorborg K, Petersen J, Magnusson S, Holmich P . Clinical assessment of hip strength using a hand-held dynamometer is reliable. Scand J Med Sci Sports. 2009; 20(3):493-501. DOI: 10.1111/j.1600-0838.2009.00958.x. View

Arab A, Soleimanifar M, Nourbakhsh M . Relationship Between Hip Extensor Strength and Back Extensor Length in Patients With Low Back Pain: A Cross-Sectional Study. J Manipulative Physiol Ther. 2019; 42(2):125-131. DOI: 10.1016/j.jmpt.2019.03.004. View

Larsson U . Acute low back pain in industry. A controlled prospective study with special reference to therapy and confounding factors. Acta Orthop Scand. 1977; (170):1-117. DOI: 10.3109/ort.1977.48.suppl-170.01. View

Alsufiany M, Lohman E, Daher N, Gang G, Shallan A, Jaber H . Non-specific chronic low back pain and physical activity: A comparison of postural control and hip muscle isometric strength: A cross-sectional study. Medicine (Baltimore). 2020; 99(5):e18544. PMC: 7004720. DOI: 10.1097/MD.0000000000018544. View

10.

Vleeming A, Schuenke M . Form and Force Closure of the Sacroiliac Joints. PM R. 2019; 11 Suppl 1:S24-S31. DOI: 10.1002/pmrj.12205. View

11.

Cejudo A, Centenera-Centenera J, Santonja-Medina F . The Potential Role of Hamstring Extensibility on Sagittal Pelvic Tilt, Sagittal Spinal Curves and Recurrent Low Back Pain in Team Sports Players: A Gender Perspective Analysis. Int J Environ Res Public Health. 2021; 18(16). PMC: 8393976. DOI: 10.3390/ijerph18168654. View

12.

Bardin L, King P, Maher C . Diagnostic triage for low back pain: a practical approach for primary care. Med J Aust. 2017; 206(6):268-273. DOI: 10.5694/mja16.00828. View

13.

Chuang C, Liaw M, Wang L, Huang Y, Pong Y, Chen C . Spino-pelvic alignment, balance, and functional disability in patients with low-grade degenerative lumbar spondylolisthesis. J Rehabil Med. 2018; 50(10):898-907. DOI: 10.2340/16501977-2489. View

14.

Parreira P, Maher C, Steffens D, Hancock M, Ferreira M . Risk factors for low back pain and sciatica: an umbrella review. Spine J. 2018; 18(9):1715-1721. DOI: 10.1016/j.spinee.2018.05.018. View

15.

Hamberg-van Reenen H, Ariens G, Blatter B, van Mechelen W, Bongers P . A systematic review of the relation between physical capacity and future low back and neck/shoulder pain. Pain. 2007; 130(1-2):93-107. DOI: 10.1016/j.pain.2006.11.004. View

16.

Maher C, Underwood M, Buchbinder R . Non-specific low back pain. Lancet. 2016; 389(10070):736-747. DOI: 10.1016/S0140-6736(16)30970-9. View

17.

Salt E, Wiggins A, Rayens M, Hooker Q, Shojaei I, Bazrgari B . The relationship between indicators of lumbo-pelvic coordination and pain, disability, pain catastrophizing and depression in patients presenting with non-chronic low back pain. Ergonomics. 2020; 63(6):724-734. PMC: 7340113. DOI: 10.1080/00140139.2020.1755059. View

18.

Degenhardt B, Starks Z, Bhatia S . Reliability of the DIERS Formetric 4D Spine Shape Parameters in Adults without Postural Deformities. Biomed Res Int. 2020; 2020:1796247. PMC: 7040381. DOI: 10.1155/2020/1796247. View

19.

Patel R, Han S, Lenherr C, Harris J, Noble P . Pelvic Tilt and Range of Motion in Hips With Femoroacetabular Impingement Syndrome. J Am Acad Orthop Surg. 2019; 28(10):e427-e432. DOI: 10.5435/JAAOS-D-19-00155. View

20.

Jeon H, McGrath M, Grandgenett N, Rosen A . Clinical Measures and Their Contribution to Dysfunction in Individuals With Patellar Tendinopathy. J Sport Rehabil. 2017; 28(2):165-170. DOI: 10.1123/jsr.2017-0196. View