The Relationship of Lumbar Dysfunction and Range of Motion Limitation

Authors

  • Dedchawin Laisirirungrai Physical Therapy Center, Faculty of Physical Therapy, Mahidol University
  • Siriwan Yotsungnoen Physical Therapy Center, Faculty of Physical Therapy, Mahidol University
  • Worawan Ekabutr Physical Therapy Center, Faculty of Physical Therapy, Mahidol University
  • Prasert Sakulsriprasert Division of Physical Therapy, Faculty of Physical Therapy, Mahidol University

Keywords:

lumbar dysfunction; facet joint syndrome; low back pain

Abstract

Background and objectives: Low back pain is a health problem affecting daily living in terms of pain, movement and functional limitations. Lumbar dysfunction is commonly found and diagnosed by physical therapists. However, the relationships of lumbar dysfunction and related factors are not yet established. This study therefore aimed to investigate the relationships between the diagnosis of lumbar dysfunction and range of motion limitation, and posture.

Methods: Study design and setting: The data of low back pain patients were obtained from medical records of Physical Therapy Center, Mahidol University, 252 cases totally, by which 131 cases were diagnosed as lumbar dysfunction and 121 cases diagnosed as other pathologies. The relationships between lumbar dysfunction and range of motion, posture were investigated by chi-square test and the characteristics of subjects were investigated by independent t-test.

Results: Age, weight, and body mass index (BMI) were not significantly different between the two groups. Lumbar dysfunction group was correlated with range of motion limitation in all directions especially lumbar flexion and lumbar extension (p = 0.002, 0.006), but lumbar dysfunction group was not correlated with flat back posture

Conclusion: Lumbar dysfunction had a relationship with range of motion limitation in all directions. Therefore, physical therapists should emphasize on physical examination and interventions regarding to range of motion for holistic approach.

References

1. Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380(9859): 2163-96.
2. Ansari M, Subedi K, Panta O, Suwal S. MRI pattern of lumbosacral degeneration in Tribhuvan University Teaching Hospital, Nepal. J Inst Med 2015; 38: 51-5.
3. Preventing back injuries in health care settings [Internet]. 2008 [cited Jan 28, 2019]. Available from: https://blogs.cdc.gov/niosh-science-blog/2008/09/22/lifting/.
4. Golob A, Wipf J. Low back pain. Med Clin North Am 2014; 98(3): 405-28.
5. McGorry R, Webster B, Snook S, Hsiang S. The relation between pain intensity, disability, and the episodic nature of chronic and recurrent low back pain. Spine 2000; 25: 834-41.
6. Saidu I, Maduagwu S, Abbas A, Adetunji O, Jajere A. Lumbar spinal mobility changes among adults with advancing age. J Midlife Health 2011; 2: 65-71.
7. McGregor A, McCarthy I, Dore C, Hughes S. Quantitative assessment of the motion of the lumbar spine in the low back pain population and the effect of different spinal pathologies on this motion. Eur Spine J 1997; 6: 308-15.
8. Prakash, Prabhu LV, Saralaya VV, Pai MM, Ranade AV, Singh G, et al. Vertebral body integrity: a review of various anatomical factors involved in the lumbar region. Osteoporos Int 2007; 18: 891-903.
9. Holder LE, Machin JL, Asdourian PL, Links JM, Sexton CC. Planar and high-resolution SPECT bone imaging in the diagnosis of facet syndrome. J Nucl Med Technol 1995; 36: 37-44.
10. Ghormley RK. Low back pain: with special reference to the articular facets, with presentation of an operative procedure. J Am Med Assoc 1933;101: 1773-7.
11. McKenzie R, May S. Dysfunction syndrome the lumbar spine mechanical diagnosis & therapy 2. 2nd ed2003: 647-67.
12. Suri P, Miyakoshi A, Hunter DJ, Jarvik JG, Rainville J, Guermazi A, et al. Does lumbar spinal degeneration begin with the anterior structures? A study of the observed epidemiology in a community-based population. BMC Musculoskelet Disord 2011; 12: 202.
13. Wilde V, Ford J, McMeeken J. Indicators of lumbar zygapophyseal joint pain: survey of an expert panel with the Delphi technique. Phys Ther 2007; 87: 1348-61.
14. Intolo P, Milosavljevic S, Baxter DG, Carman AB, Pal P, Munn J. The effect of age on lumbar range of motion: a systematic review. Man Ther. 2009; 14: 596-604.
15. Christenson R. Effectiveness of specific soft tissue mobilizations for the management of Achilles tendinosis: single case study--experimental design. Man Ther 2007; 12: 63-71.
16. Wilke H, Volkheimer D. Basic biomechanics of the lumbar spine. Cambridge: Academic Press. 2018.
17. Siegel M, Jerome H. Risk of repetitive-use syndromes and musculoskeletal injuries. Tech Gastrointest Endosc 2007; 9: 200-4.

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Published

2020-09-08

How to Cite

1.
Laisirirungrai D, Yotsungnoen S, Ekabutr W, Sakulsriprasert P. The Relationship of Lumbar Dysfunction and Range of Motion Limitation. SRIMEDJ [Internet]. 2020 Sep. 8 [cited 2024 Nov. 22];35(5):545-51. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/246673

Issue

Vol. 35 No. 5 (2020): September-October

Section

Original Articles