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Characteristics of lumbar flexion rhythm at different arm positions.

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机构: [1]Department of Orthopedics, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration (Tongji University), Ministry of Education, Shanghai, P. R. China [3]Julius Wolff Institute, Charité e Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Germany
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关键词: Flexion Low back pain Lumbar spine Spine rhythm

摘要:
The lumbar spine displays its greatest mobility in ventral flexion, which is a potential risk factor for low back pain. The relative contribution of each segment to the complete flexion is denoted the spine rhythm, which is required to distinguish between normal and abnormal spinal profiles, and as well to calculate the spinal forces in musculoskeletal models. Nevertheless, different spine rhythms have been reported in literature and the effect of arm position has not been demonstrated. We therefore aimed to investigate the effects of different arm positions on spine rhythm during ventral flexion. A non-radiological back measurement device was used to determine the real-time back lordosis during ventral flexion while participants (10 males and 10 females without low back pain) held their arms at six different positions. During flexion with the arms naturally hanging down at both sides, the lumbar range of flexion were 52.6° ± 13.1°. Different arm positions displayed non-significant effect on lumbar range of flexion (P>0.05). The middle and lower levels contributed more to the whole lumbar range of flexion than the upper level (P<0.05), which is independently of arm position. The lumbar spine displayed greater flexion in the middle and lower levels and its flexion rhythm remained unchanged at different arm positions. These results strike importance to explore for more reasons explaining the different lumbar flexion rhythms reported in literature. Copyright © 2021. Published by Elsevier Inc.

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出版当年[2020]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 外科
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 外科
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出版当年[2019]版:
Q3 SURGERY Q3 CLINICAL NEUROLOGY
最新[2023]版:
Q2 SURGERY Q3 CLINICAL NEUROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者机构: [1]Department of Orthopedics, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration (Tongji University), Ministry of Education, Shanghai, P. R. China
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通讯机构: [1]Department of Orthopedics, Xuanwu Hospital, Capital Medical University, Beijing, China
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