Cargando…
Relationship between Lower Limb Pain Intensity and Dynamic Lumbopelvic-Hip Alignment in Patients with Degenerative Lumbar Spinal Canal Stenosis: A Cross-Sectional Study
STUDY DESIGN: This cross-sectional study was conducted in a single hospital. PURPOSE: To clarify the relationship between lower limb pain intensity and dynamic lumbopelvic-hip alignment in patients with lumbar spinal canal stenosis (LSS), using a three-dimensional (3D) motion analysis system. OVERVI...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Spine Surgery
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9827212/ https://www.ncbi.nlm.nih.gov/pubmed/35527537 http://dx.doi.org/10.31616/asj.2021.0399 |
_version_ | 1784867025635508224 |
---|---|
author | Miura, Takuya Tominaga, Ryoji Sato, Keita Endo, Tatsuya Iwabuchi, Masumi Ito, Toshikazu Shirado, Osamu |
author_facet | Miura, Takuya Tominaga, Ryoji Sato, Keita Endo, Tatsuya Iwabuchi, Masumi Ito, Toshikazu Shirado, Osamu |
author_sort | Miura, Takuya |
collection | PubMed |
description | STUDY DESIGN: This cross-sectional study was conducted in a single hospital. PURPOSE: To clarify the relationship between lower limb pain intensity and dynamic lumbopelvic-hip alignment in patients with lumbar spinal canal stenosis (LSS), using a three-dimensional (3D) motion analysis system. OVERVIEW OF LITERATURE: Although it is well known that leg symptoms have a close relationship with posture in patients with LSS, the relationship under dynamic conditions, such as gait, remain unclear. METHODS: Thirty patients with LSS scheduled for spine surgery participated in this study. Lower limb pain was assessed using the Visual Analog Scale (VAS), and the patients were divided into two groups based on the mean scores (patients with scores above and below the mean were classified as the high-VAS and low-VAS groups, respectively). The kinematics of the spine, pelvis, and hip joints during gait were then measured using a 3D motion analysis system. Student paired t-tests were used to compare the angles of the spine, pelvis, and hip during gait between the two groups. RESULTS: Compared to those in the low-VAS group, the spine was significantly extended and bent toward the more painful lower limb side, and the pelvis was significantly anteriorly tilted among individuals in the high-VAS group. CONCLUSIONS: Patients with LSS experiencing severe pain in their lower limb tend to keep the spine in a more extended position, bend laterally toward the painful side, and have an anteriorly tilted pelvic posture. The dynamic spinal and pelvic alignment was closely related to the intensity of the lower limb pain. |
format | Online Article Text |
id | pubmed-9827212 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Korean Society of Spine Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-98272122023-01-09 Relationship between Lower Limb Pain Intensity and Dynamic Lumbopelvic-Hip Alignment in Patients with Degenerative Lumbar Spinal Canal Stenosis: A Cross-Sectional Study Miura, Takuya Tominaga, Ryoji Sato, Keita Endo, Tatsuya Iwabuchi, Masumi Ito, Toshikazu Shirado, Osamu Asian Spine J Clinical Study STUDY DESIGN: This cross-sectional study was conducted in a single hospital. PURPOSE: To clarify the relationship between lower limb pain intensity and dynamic lumbopelvic-hip alignment in patients with lumbar spinal canal stenosis (LSS), using a three-dimensional (3D) motion analysis system. OVERVIEW OF LITERATURE: Although it is well known that leg symptoms have a close relationship with posture in patients with LSS, the relationship under dynamic conditions, such as gait, remain unclear. METHODS: Thirty patients with LSS scheduled for spine surgery participated in this study. Lower limb pain was assessed using the Visual Analog Scale (VAS), and the patients were divided into two groups based on the mean scores (patients with scores above and below the mean were classified as the high-VAS and low-VAS groups, respectively). The kinematics of the spine, pelvis, and hip joints during gait were then measured using a 3D motion analysis system. Student paired t-tests were used to compare the angles of the spine, pelvis, and hip during gait between the two groups. RESULTS: Compared to those in the low-VAS group, the spine was significantly extended and bent toward the more painful lower limb side, and the pelvis was significantly anteriorly tilted among individuals in the high-VAS group. CONCLUSIONS: Patients with LSS experiencing severe pain in their lower limb tend to keep the spine in a more extended position, bend laterally toward the painful side, and have an anteriorly tilted pelvic posture. The dynamic spinal and pelvic alignment was closely related to the intensity of the lower limb pain. Korean Society of Spine Surgery 2022-12 2022-05-10 /pmc/articles/PMC9827212/ /pubmed/35527537 http://dx.doi.org/10.31616/asj.2021.0399 Text en Copyright © 2022 by Korean Society of Spine Surgery https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Miura, Takuya Tominaga, Ryoji Sato, Keita Endo, Tatsuya Iwabuchi, Masumi Ito, Toshikazu Shirado, Osamu Relationship between Lower Limb Pain Intensity and Dynamic Lumbopelvic-Hip Alignment in Patients with Degenerative Lumbar Spinal Canal Stenosis: A Cross-Sectional Study |
title | Relationship between Lower Limb Pain Intensity and Dynamic Lumbopelvic-Hip Alignment in Patients with Degenerative Lumbar Spinal Canal Stenosis: A Cross-Sectional Study |
title_full | Relationship between Lower Limb Pain Intensity and Dynamic Lumbopelvic-Hip Alignment in Patients with Degenerative Lumbar Spinal Canal Stenosis: A Cross-Sectional Study |
title_fullStr | Relationship between Lower Limb Pain Intensity and Dynamic Lumbopelvic-Hip Alignment in Patients with Degenerative Lumbar Spinal Canal Stenosis: A Cross-Sectional Study |
title_full_unstemmed | Relationship between Lower Limb Pain Intensity and Dynamic Lumbopelvic-Hip Alignment in Patients with Degenerative Lumbar Spinal Canal Stenosis: A Cross-Sectional Study |
title_short | Relationship between Lower Limb Pain Intensity and Dynamic Lumbopelvic-Hip Alignment in Patients with Degenerative Lumbar Spinal Canal Stenosis: A Cross-Sectional Study |
title_sort | relationship between lower limb pain intensity and dynamic lumbopelvic-hip alignment in patients with degenerative lumbar spinal canal stenosis: a cross-sectional study |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9827212/ https://www.ncbi.nlm.nih.gov/pubmed/35527537 http://dx.doi.org/10.31616/asj.2021.0399 |
work_keys_str_mv | AT miuratakuya relationshipbetweenlowerlimbpainintensityanddynamiclumbopelvichipalignmentinpatientswithdegenerativelumbarspinalcanalstenosisacrosssectionalstudy AT tominagaryoji relationshipbetweenlowerlimbpainintensityanddynamiclumbopelvichipalignmentinpatientswithdegenerativelumbarspinalcanalstenosisacrosssectionalstudy AT satokeita relationshipbetweenlowerlimbpainintensityanddynamiclumbopelvichipalignmentinpatientswithdegenerativelumbarspinalcanalstenosisacrosssectionalstudy AT endotatsuya relationshipbetweenlowerlimbpainintensityanddynamiclumbopelvichipalignmentinpatientswithdegenerativelumbarspinalcanalstenosisacrosssectionalstudy AT iwabuchimasumi relationshipbetweenlowerlimbpainintensityanddynamiclumbopelvichipalignmentinpatientswithdegenerativelumbarspinalcanalstenosisacrosssectionalstudy AT itotoshikazu relationshipbetweenlowerlimbpainintensityanddynamiclumbopelvichipalignmentinpatientswithdegenerativelumbarspinalcanalstenosisacrosssectionalstudy AT shiradoosamu relationshipbetweenlowerlimbpainintensityanddynamiclumbopelvichipalignmentinpatientswithdegenerativelumbarspinalcanalstenosisacrosssectionalstudy |