Lumbar-Pelvic Rhythm in Patients with Lumbar Osteochondrosis and Degenerative Lumbar Spondylolisthesis at the Stages of Surgical Treatment

Cong, Ma, V.A Kolesnichenko

Abstract


Objective: to study of the lumbar-pelvic rhythm in patients with lumbar osteochondrosis and degenerative lumbar spondylolisthesis before and after posterior instrumental spondylosyndesis. Methods: 1) clinical — with the assessment of the active control tests and electronic goniometry of the body sagittal movements; 2) roentgenometrical — with estimation of the lumbar lordosis LL and the sacral flexion SS. Results. Before surgery in both groups patients we observed a decrease of the amplitude of the body sagittal movements, as well as excursion of lumbar segments and the hip joint. Change in the lumbar-pelvic rhythm during flexion in patients with lumbar osteochondrosis was mainly due to motor control disorders and body myofixation (flexion movement patterns), during the extension in patients from both groups — to lumbopelvic imbalance, in which the pelvic retroversion significantly restricts hip joints extensions. After surgery (posterior instrumental spondylosyndesis of L4-L5 and L4-L5-S1 segements), despite improvement of the spine sagittal alignment, in group of patients with lumbar osteochondrosis there preserved motor control changes due to unrepaired myotonic reactions; in patients with lumbar degenerative spondylolisthesis compensatory incorrect motor strategy formed, they changed synchronous movements of the spine and hip joints.


Keywords


lumbar-pelvic rhythm; lumbar osteochondrosis; degenerative lumbar spondylolisthesis; surgical treatment

References


Altered muscle recruitment during extension from trunk flexion in low back pain developers / E. Nelson-Wong, B. Alex, D. Csepe [et al.] // Clinical Biomechanics. — 2012. — Vol. 27. — P. 994-998.

A model of movement dysfunction provides a classification system guiding diagnosis and therapeutic care in spinal pain and related musculoskel et al. syndromes: A paradigm shift. Part 2 / J. Key, A. Clift, F. Condie et al. // J. Bodywork and Mov. Ther. — 2008. — Vol. 12. — P. 105-120.

Analysis of lumbar spine and hip motion during forward bending in subjects with and without a history of low back pain / M.A. Esola, P.W. McClure, G.K. Fitzgerald, S. Siegler // Spine. — 1996. — Vol. 21. — P. 71-78.

Back and hip extensor activities during trunk flexion/extension: effects of low back pain and rehabilitation / V. Leinonen, M. Kankaanpaa, O. Airaksinen, O. Hanninen //Arch. Phys. Med. Rehabil. — 2000. — Vol. 81. — P. 32-37.

Biomechanics and electromyography of a common idiopathic low back disorder / M. Solomonow, S. Hatipkarasulu, B.H. Zhou [et al.] // Spine. — 2003. — Vol. 28. — P. 1235-1248.

Biomechanics of increased exposure to lumbar injury caused by cyclic loading: part 1. Loss of reflexive muscular stabilization / M. Solomonow, B.H. Zhou, R.V. Baratta [et al.] // Spine. — 1999. — Vol. 24. — P. 2426-2434.

Bullock-Saxton J. Reflex activation of glutealmuscles in walking. An approach to restoration ofmuscle function for patientswith low-back pain / J. Bullock-Saxton, V. Janda, M. Bullock // Spine. — 1993. — Vol. 18. — P. 704-708.

Changes in the flexion relaxation response induced by lumbar muscle fatigue / M. Descarreaux, D. Lafond, R. Jeffrey-Gauthier [et al.] // BMC Musculoskel et Disord. — 2008. — Vol. 9. — 10 p.

Cobb J.R. Outline for the study of scoliosis / J.R. Cobb // Instruct. course lectures the Am. Acad. of orthop. surg. — 1948. — Vol. 5. — P. 261-275.

Colloca C.J. The biomechanical and clinical significance of the lumbar erector spinae flexion-ralaxation phenomen: a review of literature / C.J. Colloca, R.N. Hinrichs// J. Manipul. Physiol. Ther. — 2005. — Vol. 28, № 8. — P. 623-631.

Descarreaux M. Changes in the flexion — relaxation response induced by hip extensor and erector spinae muscle fatigue / M. Descarreaux, D. Lafond, V. Cantin // BMC Musculoskeletal Disorders. — 2010. — Vol. 11. — P. 112. doi:10.1186/1471-2474-11-112.

Duval-Beaupere G. A barycentremetric study of the sagittal shape of the spine and pelvis / G. Duval-Beaupere, C. Schmidt, P.H. Cosson // Ann. Biomech. Eng. — 1992. — Vol. 20. — P. 451-462.

Flexion-relaxation response to static lumbar flexion in males and females / M. Solomonow, R.V. Baratta, A. Banks [et al.] // Clin. Biomech. — 2003. — Vol. 18. — P. 273-279.

Granata K.P. Lumbar-pelvic coordination is influenced by lifting task parameters / K.P. Granata, A.H. Sanford // Spine. — 2000. —Vol. 25. — P. 1413-1418.

Gupta A. Analyses of myoelectrical silence of erectors spinae // J. Biomech. — 2001. — Vol. 34. — P. 491-496.

Hodges P.W. Pain and motor control of the lumbopelvic region:effect and possible mechanisms / P.W. Hodges, G.L. Moseley // J. Electromyogr. Kines. — 2003. — Vol. 13. — P. 361-370.

Hip and lumbar continuous motion characteristics during flexion and return in young healthy males / P. Pal, S. Milosavljevic, G. Sole, G. Johnson // Eur. Spine J. — 2007. — Vol. 16. — P.741-747.

Johnson E.N. Effect of hamstring flexibility on hip and lumbar spine joint excursions during forward-reaching tasks in participants with and without low back pain / E.N. Johnson, J.S. Thomas // Arch. Phys. Med. Rehab. — 2010. — Vol. 91. — P. 1140-1142.

Kinematic analysis of lumbar and hip motion while rising from a forward, flexed position in patients with and without a history of low back pain / P.W. McClure, M. Esola, R. Schreier, S. Siegler // Spine. — 1997. — Vol. 22. — P. 552-558.

Kinematic and temporal interactions of the lumbar spine and hip during trunk extension in healthy male subjects / S. Milosavljevic, P. Pal, D. Bain, G. Johnson // Eur. Spine J. — 2008. — Vol. 17. — P. 122-128.

Kippers V. Posture related to myoelectric silence of erector spinae during trunk flexion / V. Kippers, A.W. Parker // Spine. — 1984. — Vol. 9. — P.740-745.

Lee R.Y. Relationship between the movements of the lumbar spine and hip / R.Y. Lee, T.K. Wong // Hum. Mov. Sci. — 2002. — Vol. 21. — P. 481-494.

Leinonen V. Neuromuscular control in lumbar disorders // J. Sports Sci. Med. — 2004. — Suppl. 4. — P. 1-31.

Li Y. The effect of hamstring muscle stretching on standing posture and on lumbar and hip motions during forward bending / Y. Li, P.W. McClure, N. Pratt // Phys. Ther. — 1996. — Vol. 76. — P. 836-845; discussion 845-839.

McGill S.M. Transfer of loads between lumbar tissues during the flexion-relaxation phenomenon / S.M. McGill, V. Kippers // Spine. — 1994. — Vol. 19. — P. 2190-2196.

Muscular dysfunction elicited by creep of lumbar viscoelastic tissue / M. Solomonow, R.V. Baratta, B.H. Zhou [et al.] // J. Electromyogr. Kinesiol. — 2003. — Vol. 13. — P. 381-396.

O’Shaughnessy J. Changes in flexion-relaxation phenomenon and lumbo-pelvic kinematics following lumbar disc replacement surgery / J. O’Shaughnessy, J.-F. Roy, M. Descarreaux // J. NeuroEngineer. Rehab. — 2013. — Vol. 10. — P. 72.

Paquet N. Hip-spine movement interaction and muscle activation patterns during sagittal trunk movements in low back pain patients / N. Paquet, F. Malouin, C.L. Ri­chards // Spine. — 1994. — Vol. 19. — P. 596-603.

Porter J.L., Wilkinson A. Lumbar-hip flexion motion. A comparative study between asymptomatic and chronic low back pain in 18- to 36-year-old men / J.L. Porter, A. Wilkinson // Spine. — 1997. — Vol. 22. — P. 1508-1513; discussion 1513-1504.

Quantifying the lumbar flexion-relaxation phenomenon: theory, normative data, and clinical applications / R. Neblett, T.G. Mayer, R.J. Gatchel [et al.] // Spine (Phila Pa 1976). — 2003. — Vol. 28. — P. 1435-1446.

Quantitative studies of the flexion-relaxation phenomenon in the back muscles / A.B. Schultz, K. Haderspeck-Grib, G. Sinkora, D.N. Warwick // J. Orthop. Res. — 1985. — Vol. 3. — P. 189-197.

Reliability of movement control tests in the lumbar spine / H. Luomajoki, J. Kool, E.D. De Bruin, O. Airaksinen // BMC Musculoskel et. Disord. — 2007. — Vol. 8. — P. 90. doi:10.1186/1471-2474-8-90.

Roussouly P. Sagittal parameters of the spine: biomechanical approach / P. Roussouly, J.L. Pinheiro-Franco // Eur. Spine J. — 2011. — Vol. 20, № 5. — P. S578-S585.

Savic M. Is there a link between spine and hip mobility? // Exercise and quality of life / M. Savic, N. Sarabon // ­Exerc. quality life. — 2012. — Vol. 4. — P. 1-5.

Stabilization of the sacroiliac joint in vivo: verification of muscular contribution to force closure of the pelvis / J.P. van Wingerden, A. Vleeming, H.M. Buyruk, K. Raissadat // Eur. Spine J. — 2004. — Vol. 13. — P. 199-205.

The posterior layer of the thoracolumbar fascia. Its function in load transfer from spine to legs / A. Vleeming, A.L. Pool-Goudzwaard, R. Stoeckart [et al.] // Spine (Phila Pa 1976). — 1995. — Vol. 20. — P. 753-758.

The relationship between flexibility and EMG acti­vity pattern of the erector spinae muscles during trunk fle­xion-extension / F. Hashemirad, S. Talebian, B. Hatef, A.H. Kahlaee // J. Electromyogr. Kinesiol. — 2009. — Vol. 19. — P. 746-753.

Thomas J.S. Coordination and timing of spine and hip joints during full body reaching tasks / J.S. Thomas, G.E. Gibson // Hum. Mov. Sci. — 2007. — Vol. 26.— P. 124-140.




DOI: https://doi.org/10.22141/1608-1706.1.15.2014.81290

Refbacks

  • There are currently no refbacks.


Copyright (c) 2016 TRAUMA

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

 

© Publishing House Zaslavsky, 1997-2017

 

 Яндекс.МетрикаSeo анализ сайта Рейтинг@Mail.ru