Lumbar spinal moments in chronic back pain patients during supported lifting: a dynamic analysis.

Abstract:

OBJECTIVES:The main objective of this study was to test the hypothesis that peak L4/L5 moments (torque) placed on the lumbar spine by chronic back pain subjects are reduced using pain-reducing postural adaptations. A secondary objective was to determine the relation between lumbar moments while lifting and self-reported ratings of lower back pain. STUDY DESIGN:Cohort using seven men with a history of chronic lower back pain. An inverse dynamic model was used to calculate L4/L5 forces and moments while performing five trials each of two lifting styles. Subjective ratings of lumbar back pain were taken before and after the lifts. RESULTS:Significant (p < .001) differences were found between lifting postures on peak L4/L5 net reaction moments. Two distinct lifting profiles emerged characterized by the amount of lumbar spinal extensor musculature involved. Significant (p < .05) increases in pain were found after a bowed-back lifting style. CONCLUSIONS:Peak L4/L5 net reaction moments were less (spine extensor loading) for a lifting posture that produced lower levels of self-reported lower back pain. The dynamic model proved reliable and useful for future study of the pathomechanics of lower back pain.

journal_name

Arch Phys Med Rehabil

authors

Wilson DJ,Hickey KM,Gorham JL,Childers MK

doi

10.1016/s0003-9993(97)90059-9

subject

Has Abstract

pub_date

1997-09-01 00:00:00

pages

967-72

issue

9

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(97)90059-9

journal_volume

78

pub_type

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