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Measurement of Normal Lumbar Spine Range of Motion in the College-Aged Turkish Population Using a 3D Ultrasound-Based Motion Analysis System

Year 2009, Volume: 2009 Issue: 1, 29 - 35, 01.01.2009

Enis Uluçam Enis Uluçam Bülent Sabri Cığalı Bülent Sabri Cigalı

Abstract

Objectives: The aim of this study was to determine range of motion values of lumbar spine in Turkish people by using 3D motion analysis method. Patients and Methods: The study included 100 subjects (50 males, 50 females; range 18 to 22 years). The Zebris® 3D Motion Analysis System was used for the measurement. Lateral bending, flexion, extension, pelvic tilt were evaluated in the measurements. Results: The average value for total lateral flexion at lumbar spine was found to be 51.3°±7.5 in males and 52.7°±9.9 in females. Total flexion-extension was 81.0°±11.1 in males and 80.2°±10.2 in females. L4-L5 flexion, L5-S1 extension values were statistically high in women (p<0.05) while L3-L4 total flexion- extension and L1-L2 total lateral flexion values were statistically high in men (p<0.05). The support of pelvic tilt to total lumbosacral flexion was 46.6% in males and 42.1% in females. The support was 36.8% in males and 26.2% in females during extension. Flexion and extension of pelvic tilt values in men were found to be significantly higher than that in women (p<0.05). Conclusion: The normal values of movements of lumbar spine in Turkish people have been determined with 3D motion analysis system Turkish Başlık: Üniversite Çağındaki Türk Popülasyonunda Normal Lumbal Omurga Hareket Kapasitesinin Ultrason Tabanlı Üç Boyutlu Hareket Analiz Sistemi Kullanılarak Ölçümü Anahtar Kelimeler: Hareket kapasitesi; pelvik salınım; lumbal omurga; Türkiye Amaç: Bu çalışmanın amacı Türk toplumunda üç boyutlu hareket analiz metodunu kullanarak lumbal omurga hareket kapasitesi değerlerini tespit etmektir. Hastalar ve Yöntemler: Ölçümlere 100 gönüllü denek (50 erkek, 50 kadın; dağılım 18-22) alındı. Hareket ölçümleri için “Zebris© 3D Motion Analysis System” kullanıldı. Ölçümlerde lateral fleksiyon, fleksiyon, ekstansiyon, pelvik tilt hareketleri değerlendirildi. Bulgular: Lumbal bölge total lateral fleksiyon erkeklerde 51.3°±7.5, kadınlarda 52.7°±9.9 olarak bulundu. Total fleksiyon ekstansiyon hareketi erkeklerde 81.0°±11.1, kadınlarda 80.2°±10.2 idi. L4-L5 fleksiyon, L5-S1 ekstansiyon değerleri istatistiksel olarak kadınlar için daha yüksek iken (p<0.05), L3-L4 total fleksiyonekstansiyon ve L1-L2 total lateral fleksiyon değerleri istatistiksel olarak erkeklerde daha yüksekti. Pelvik tiltin total lumbosakral fleksiyon hareketine katkısı erkeklerde %46.6, kadınlarda %42.1 idi. Ekstansiyon hareketi esnasında katkısı erkeklerde %36.8, kadınlarda %26.2 olarak bulundu. Pelvik tilt fleksiyon ve ekstansiyon değerleri erkeklerde kadınlara göre anlamlı olarak daha yüksek bulundu (p<0.05). Sonuç: Türk toplumunda lumbal omurganın hareketlerinin normal değerleri üç boyutlu hareket analiz sistemi ile tespit edilmiştir.

Keywords

Range of motion; pelvic tilt; lumbar spine; Turkey

References

  • Ensink FB, Saur PM, Frese K, Seeger D, Hildebrandt J. Lumbar range of motion: influence of time of day and individual factors on measurements. Spine 1996;21:1339-43.
  • Fathallah FA, Marras WS, Wright PL. Diurnal varia- tion in trunk kinematics during a typical work shift. J Spinal Disord 1995;8:20-5.
  • Cigali BS, Ulucam E, Yilmaz A, Cakiroglu M. Comparison of asymmetries in ground reaction force patterns between normal human gait and football players. Biol Sport 2004;21:241-8.
  • Mellin G, Kiiski R, Weckström A. Effects of subject position on measurements of flexion, extension, and lateral flexion of the spine. Spine 1991;16:1108-10.
  • White AA, Panjabi MM, editors. Clinical biomechan- ics of the spine. 2nd ed. Philadelphia: Lippincott; 1990.
  • Humphreys SC, Hodges SD, Lumpkin KJ, Eck JC, Wurster R, Hagen J, et al. Assessing lumbar sagittal motion using videography in an in vivo pilot study. Int J Ind Ergon 2007;37:653-6.
  • Al-Eisa E, Egan D, Deluzio K, Wassersug R. Effects of pelvic asymmetry and low back pain on trunk kine- matics during sitting: a comparison with standing. Spine 2006;31:E135-43.
  • Coates JE, McGregor AH, Beith ID, Hughes SP. The influence of initial resting posture on range of motion of the lumbar spine. Man Ther 2001;6:139-44.
  • Pearcy M, Portek I, Shepherd J. The effect of low-back pain on lumbar spinal movements measured by three- dimensional X-ray analysis. Spine 1985;10:150-3.
  • Pearcy MJ, Tibrewal SB. Axial rotation and lateral bending in the normal lumbar spine measured by three-dimensional radiography. Spine 1984;9:582-7.
  • Dvorák J, Panjabi MM, Chang DG, Theiler R, Grob D. Functional radiographic diagnosis of the lumbar spine. Flexion-extension and lateral bending. Spine 1991;16:562-71.
  • Fitzgerald GK, Wynveen KJ, Rheault W, Rothschild B. Objective assessment with establishment of nor- mal values for lumbar spinal range of motion. Phys Ther 1983;63:1776-81.
  • Dillard J, Trafimow J, Andersson GB, Cronin K. Motion of the lumbar spine. Reliability of two mea- surement techniques. Spine 1991;16:321-4.
  • Ng JK, Kippers V, Richardson CA, Parnianpour M. Range of motion and lordosis of the lumbar spine: reliability of measurement and normative values. Spine 2001;26:53-60.
  • Bell JA, Stigant M. Development of a fibre optic goni- ometer system to measure lumbar and hip move- ment to detect activities and their lumbar postures. J Med Eng Technol 2007;31:361-6.
  • Wong KW, Luk KD, Leong JC, Wong SF, Wong KK. Continuous dynamic spinal motion analysis. Spine 2006;31:414-9.
  • Gajdosik RL, Albert CR, Mitman JJ. Influence of hamstring length on the standing position and flex- ion range of motion of the pelvic angle, lumbar angle, and thoracic angle. J Orthop Sports Phys Ther 1994;20:213-9.
  • Hayes MA, Howard TC, Gruel CR, Kopta JA. Roentgenographic evaluation of lumbar spine flex- ion-extension in asymptomatic individuals. Spine 1989;14:327-31.
  • Alaranta H, Hurri H, Heliövaara M, Soukka A, Harju R. Flexibility of the spine: normative values of gonio- metric and tape measurements. Scand J Rehabil Med 1994;26:147-54.
  • Petersen CM, Johnson RD, Schuit D, Hayes KW. Intraobserver and interobserver reliability of asymp- tomatic subjects' thoracolumbar range of motion using the OSI CA 6000 Spine Motion Analyzer. J Orthop Sports Phys Ther 1994;20:207-12.
  • Putto E, Tallroth K. Extension-flexion radiographs for motion studies of the lumbar spine. A compari- son of two methods. Spine 1990;15:107-10.
  • Robinson ME, O'Connor PD, Shirley FR, Mac Millan M. Intrasubject reliability of spinal range of motion and velocity determined by video motion analysis. Phys Ther 1993;73:626-31.
  • Russell P, Pearcy MJ, Unsworth A. Measurement of the range and coupled movements observed in the lumbar spine. Br J Rheumatol 1993;32:490-7.
  • Littlewood C, May S. Measurement of range of move- ment in the lumbar spine-what methods are valid? A systematic review. Physiotherapy 2007;93:201-11.
  • Teyhen DS, Flynn TW, Bovik AC, Abraham LD. A new technique for digital fluoroscopic video assess- ment of sagittal plane lumbar spine motion. Spine 2005;30:E406-13.
  • Kılınçer C, Cigali BS, Hamamcıoğlu MK, Çobanoğlu S. Omurgada hareket ölçümleri. Türk Nöroşirürji Derg 2002:12;119-24.
  • Schreiber TU, Anders C, Uhlemann C, Bak P, Smolenski U, Scholle H.C. Mobility of lumbar spine recorder by three-dimensional motion analysis in patients with low back pain and controls. In: Vleeming A, Mooney V, Tilscher H, Dorman T, Snijders C, editors. Proceedings of the 3rd interdisci- plinary world congress on low back and pelvic pain; 1998 Nov 19-21; Vienna: Austria; 1998. p. 446-50.
  • Wang SF, Teng CC, Lin KH. Measurement of cervical range of motion pattern during cyclic neck move- ment by an ultrasound-based motion system. Man Ther 2005;10:68-72.
  • Dvir Z, Prushansky T. Reproducibility and instru- ment validity of a new ultrasonography-based sys- tem for measuring cervical spine kinematics. Clin Biomech 2000;15:658-64.
  • Lee RY, Wong TK. Relationship between the move- ments of the lumbar spine and hip. Hum Mov Sci 2002;21:481-94.

Üniversite Çağındaki Türk Popülasyonunda Normal Lumbal Omurga Hareket Kapasitesinin Ultrason Tabanlı Üç Boyutlu Hareket Analiz Sistemi Kullanılarak Ölçümü

Year 2009, Volume: 2009 Issue: 1, 29 - 35, 01.01.2009

Enis Uluçam Enis Uluçam Bülent Sabri Cığalı Bülent Sabri Cigalı

Abstract

Amaç: Bu çalışmanın amacı Türk toplumunda üç
boyutlu hareket analiz metodunu kullanarak lumbal
omurga hareket kapasitesi değerlerini tespit etmektir.
Hastalar ve Yöntemler: Ölçümlere 100 gönüllü denek
(50 erkek, 50 kadın; dağılım 18-22) alındı. Hareket
ölçümleri için “Zebris© 3D Motion Analysis System”
kullanıldı. Ölçümlerde lateral fleksiyon, fleksiyon, ekstansiyon,
pelvik tilt hareketleri değerlendirildi.
Bulgular: Lumbal bölge total lateral fleksiyon erkeklerde
51.3°±7.5, kadınlarda 52.7°±9.9 olarak bulundu.
Total fleksiyon ekstansiyon hareketi erkeklerde
81.0°±11.1, kadınlarda 80.2°±10.2 idi. L4-L5 fleksiyon,
L5-S1 ekstansiyon değerleri istatistiksel olarak kadınlar
için daha yüksek iken (p

Keywords

Hareket kapasitesi pelvik salınım lumbal omurga Türkiye.

References

  • Ensink FB, Saur PM, Frese K, Seeger D, Hildebrandt J. Lumbar range of motion: influence of time of day and individual factors on measurements. Spine 1996;21:1339-43.
  • Fathallah FA, Marras WS, Wright PL. Diurnal varia- tion in trunk kinematics during a typical work shift. J Spinal Disord 1995;8:20-5.
  • Cigali BS, Ulucam E, Yilmaz A, Cakiroglu M. Comparison of asymmetries in ground reaction force patterns between normal human gait and football players. Biol Sport 2004;21:241-8.
  • Mellin G, Kiiski R, Weckström A. Effects of subject position on measurements of flexion, extension, and lateral flexion of the spine. Spine 1991;16:1108-10.
  • White AA, Panjabi MM, editors. Clinical biomechan- ics of the spine. 2nd ed. Philadelphia: Lippincott; 1990.
  • Humphreys SC, Hodges SD, Lumpkin KJ, Eck JC, Wurster R, Hagen J, et al. Assessing lumbar sagittal motion using videography in an in vivo pilot study. Int J Ind Ergon 2007;37:653-6.
  • Al-Eisa E, Egan D, Deluzio K, Wassersug R. Effects of pelvic asymmetry and low back pain on trunk kine- matics during sitting: a comparison with standing. Spine 2006;31:E135-43.
  • Coates JE, McGregor AH, Beith ID, Hughes SP. The influence of initial resting posture on range of motion of the lumbar spine. Man Ther 2001;6:139-44.
  • Pearcy M, Portek I, Shepherd J. The effect of low-back pain on lumbar spinal movements measured by three- dimensional X-ray analysis. Spine 1985;10:150-3.
  • Pearcy MJ, Tibrewal SB. Axial rotation and lateral bending in the normal lumbar spine measured by three-dimensional radiography. Spine 1984;9:582-7.
  • Dvorák J, Panjabi MM, Chang DG, Theiler R, Grob D. Functional radiographic diagnosis of the lumbar spine. Flexion-extension and lateral bending. Spine 1991;16:562-71.
  • Fitzgerald GK, Wynveen KJ, Rheault W, Rothschild B. Objective assessment with establishment of nor- mal values for lumbar spinal range of motion. Phys Ther 1983;63:1776-81.
  • Dillard J, Trafimow J, Andersson GB, Cronin K. Motion of the lumbar spine. Reliability of two mea- surement techniques. Spine 1991;16:321-4.
  • Ng JK, Kippers V, Richardson CA, Parnianpour M. Range of motion and lordosis of the lumbar spine: reliability of measurement and normative values. Spine 2001;26:53-60.
  • Bell JA, Stigant M. Development of a fibre optic goni- ometer system to measure lumbar and hip move- ment to detect activities and their lumbar postures. J Med Eng Technol 2007;31:361-6.
  • Wong KW, Luk KD, Leong JC, Wong SF, Wong KK. Continuous dynamic spinal motion analysis. Spine 2006;31:414-9.
  • Gajdosik RL, Albert CR, Mitman JJ. Influence of hamstring length on the standing position and flex- ion range of motion of the pelvic angle, lumbar angle, and thoracic angle. J Orthop Sports Phys Ther 1994;20:213-9.
  • Hayes MA, Howard TC, Gruel CR, Kopta JA. Roentgenographic evaluation of lumbar spine flex- ion-extension in asymptomatic individuals. Spine 1989;14:327-31.
  • Alaranta H, Hurri H, Heliövaara M, Soukka A, Harju R. Flexibility of the spine: normative values of gonio- metric and tape measurements. Scand J Rehabil Med 1994;26:147-54.
  • Petersen CM, Johnson RD, Schuit D, Hayes KW. Intraobserver and interobserver reliability of asymp- tomatic subjects' thoracolumbar range of motion using the OSI CA 6000 Spine Motion Analyzer. J Orthop Sports Phys Ther 1994;20:207-12.
  • Putto E, Tallroth K. Extension-flexion radiographs for motion studies of the lumbar spine. A compari- son of two methods. Spine 1990;15:107-10.
  • Robinson ME, O'Connor PD, Shirley FR, Mac Millan M. Intrasubject reliability of spinal range of motion and velocity determined by video motion analysis. Phys Ther 1993;73:626-31.
  • Russell P, Pearcy MJ, Unsworth A. Measurement of the range and coupled movements observed in the lumbar spine. Br J Rheumatol 1993;32:490-7.
  • Littlewood C, May S. Measurement of range of move- ment in the lumbar spine-what methods are valid? A systematic review. Physiotherapy 2007;93:201-11.
  • Teyhen DS, Flynn TW, Bovik AC, Abraham LD. A new technique for digital fluoroscopic video assess- ment of sagittal plane lumbar spine motion. Spine 2005;30:E406-13.
  • Kılınçer C, Cigali BS, Hamamcıoğlu MK, Çobanoğlu S. Omurgada hareket ölçümleri. Türk Nöroşirürji Derg 2002:12;119-24.
  • Schreiber TU, Anders C, Uhlemann C, Bak P, Smolenski U, Scholle H.C. Mobility of lumbar spine recorder by three-dimensional motion analysis in patients with low back pain and controls. In: Vleeming A, Mooney V, Tilscher H, Dorman T, Snijders C, editors. Proceedings of the 3rd interdisci- plinary world congress on low back and pelvic pain; 1998 Nov 19-21; Vienna: Austria; 1998. p. 446-50.
  • Wang SF, Teng CC, Lin KH. Measurement of cervical range of motion pattern during cyclic neck move- ment by an ultrasound-based motion system. Man Ther 2005;10:68-72.
  • Dvir Z, Prushansky T. Reproducibility and instru- ment validity of a new ultrasonography-based sys- tem for measuring cervical spine kinematics. Clin Biomech 2000;15:658-64.
  • Lee RY, Wong TK. Relationship between the move- ments of the lumbar spine and hip. Hum Mov Sci 2002;21:481-94.
There are 30 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Enis Uluçam This is me

Enis Uluçam This is me

Bülent Sabri Cığalı This is me

Bülent Sabri Cigalı This is me

Publication Date January 1, 2009
Published in Issue Year 2009 Volume: 2009 Issue: 1

Cite

APA Uluçam, E., Uluçam, E., Cığalı, B. S., Cigalı, B. S. (2009). Üniversite Çağındaki Türk Popülasyonunda Normal Lumbal Omurga Hareket Kapasitesinin Ultrason Tabanlı Üç Boyutlu Hareket Analiz Sistemi Kullanılarak Ölçümü. Balkan Medical Journal, 2009(1), 29-35.
AMA Uluçam E, Uluçam E, Cığalı BS, Cigalı BS. Üniversite Çağındaki Türk Popülasyonunda Normal Lumbal Omurga Hareket Kapasitesinin Ultrason Tabanlı Üç Boyutlu Hareket Analiz Sistemi Kullanılarak Ölçümü. Balkan Medical Journal. January 2009;2009(1):29-35.
Chicago Uluçam, Enis, Enis Uluçam, Bülent Sabri Cığalı, and Bülent Sabri Cigalı. “Üniversite Çağındaki Türk Popülasyonunda Normal Lumbal Omurga Hareket Kapasitesinin Ultrason Tabanlı Üç Boyutlu Hareket Analiz Sistemi Kullanılarak Ölçümü”. Balkan Medical Journal 2009, no. 1 (January 2009): 29-35.
EndNote Uluçam E, Uluçam E, Cığalı BS, Cigalı BS (January 1, 2009) Üniversite Çağındaki Türk Popülasyonunda Normal Lumbal Omurga Hareket Kapasitesinin Ultrason Tabanlı Üç Boyutlu Hareket Analiz Sistemi Kullanılarak Ölçümü. Balkan Medical Journal 2009 1 29–35.
IEEE E. Uluçam, E. Uluçam, B. S. Cığalı, and B. S. Cigalı, “Üniversite Çağındaki Türk Popülasyonunda Normal Lumbal Omurga Hareket Kapasitesinin Ultrason Tabanlı Üç Boyutlu Hareket Analiz Sistemi Kullanılarak Ölçümü”, Balkan Medical Journal, vol. 2009, no. 1, pp. 29–35, 2009.
ISNAD Uluçam, Enis et al. “Üniversite Çağındaki Türk Popülasyonunda Normal Lumbal Omurga Hareket Kapasitesinin Ultrason Tabanlı Üç Boyutlu Hareket Analiz Sistemi Kullanılarak Ölçümü”. Balkan Medical Journal 2009/1 (January 2009), 29-35.
JAMA Uluçam E, Uluçam E, Cığalı BS, Cigalı BS. Üniversite Çağındaki Türk Popülasyonunda Normal Lumbal Omurga Hareket Kapasitesinin Ultrason Tabanlı Üç Boyutlu Hareket Analiz Sistemi Kullanılarak Ölçümü. Balkan Medical Journal. 2009;2009:29–35.
MLA Uluçam, Enis et al. “Üniversite Çağındaki Türk Popülasyonunda Normal Lumbal Omurga Hareket Kapasitesinin Ultrason Tabanlı Üç Boyutlu Hareket Analiz Sistemi Kullanılarak Ölçümü”. Balkan Medical Journal, vol. 2009, no. 1, 2009, pp. 29-35.
Vancouver Uluçam E, Uluçam E, Cığalı BS, Cigalı BS. Üniversite Çağındaki Türk Popülasyonunda Normal Lumbal Omurga Hareket Kapasitesinin Ultrason Tabanlı Üç Boyutlu Hareket Analiz Sistemi Kullanılarak Ölçümü. Balkan Medical Journal. 2009;2009(1):29-35.