Rheumatology International

, Volume 23, Issue 4, pp 163–165 | Cite as

Lumbar lordosis in acute and chronic low back pain patients

Original Article

Abstract

Postural changes are sometimes a risk factor for low back pain. Abnormal posture creates a strain on ligaments and muscles that indirectly affects the curvature of the lumbar spine. This study was planned to investigate the relationship between the angles of the lower lumbar spine and spinal mobility in acute and chronic low back pain patients. Fifty patients (25 female, 25 male) with chronic low back pain and fifty (30 female, 20 male) with acute low back pain were included the study. Both groups were subjected to lumbosacral radiography in the lateral position while standing. Patients were assessed by parameters including spinal mobility, sacral inclination angle, lumbosacral angle, and sacral horizontal angle. Spinal mobility included the maximal range of motion of lumbar flexion and extension. The value of the sacral inclination angle was significantly higher and correlated with lumbar extension in chronic low back pain patients ( P <0.005, r =0.32). There was no statistical difference or correlation in lumbosacral and sacral horizontal angles and spinal mobility between the two groups ( P >0.05). Chronic low back pain affects the lower lumbar spine and limits the maximal range of ̇lumbar extension.

Keywords

Acute/chronic low back pain Lumbar lordosis angles Spinal mobility 

References

  1. 1.
    Lin RM, Jou IM, Yu CY (1992) Lumbar lordosis: normal adults. J Formos Med Assoc 9:329–333Google Scholar
  2. 2.
    Keegan JJ (1953) Alterations of the lumbar curve related to posture and seating. J Bone Joint Surg Am 35:589–603Google Scholar
  3. 3.
    Jackson RP, McManus AC (1994) Radiographic analysis of sagittal plane alignment and balance in standing volunteers and patients with low back pain matched for age, sex and size. A prospective controlled clinical study. Spine 19:1611–1618PubMedGoogle Scholar
  4. 4.
    During J, Goudfrooij H, Keessen W, Beeker TW, Crowe A (1985) Toward standards for posture. Postural characteristics of the lower back system in normal and pathologic conditions. Spine 10:83–87PubMedGoogle Scholar
  5. 5.
    Hansson T, Bigos S, Beecher P, Wortley M (1985) The lumbar lordosis in acute and chronic low-back pain. Spine 10:154–155PubMedGoogle Scholar
  6. 6.
    Fernand R, Fox DE (1985) Evaluation of lumbar lordosis: a prospective and retrospective study. Spine 10:799–803PubMedGoogle Scholar
  7. 7.
    Amonoo-Kuofi HS (1992) Changes in the lumbosacral angle, sacral inclination and the curvature of the lumbar spine during aging. Acta Anat 145:373–377Google Scholar
  8. 8.
    Ericksen MF (1978) Aging in the lumbar spine. Am J Phys Anthropol 48:241–246PubMedGoogle Scholar
  9. 9.
    Kendall FP, McCreary EK, Provance PG (1993) Muscles: testing and function. Fourth edn. Williams and Wilkins, BaltimoreGoogle Scholar
  10. 10.
    Walker ML, Rothstein JM, Finucane SD, Lamb RL (1987) Relationships between lumbar lordosis, pelvic tilt and abdominal muscle performance. Phys Ther 67:512–516PubMedGoogle Scholar
  11. 11.
    Youdas JW, Garrett TR, Harmsen S, Suman VJ, Carey JR (1996) Lumbar lordosis and pelvic inclination of asymptomatic adults. Phys Ther 76:1066–1081PubMedGoogle Scholar
  12. 12.
    Youdas JW, Garrett TR, Egan KS, Therneau TM (2000) Lumbar lordosis and pelvic inclination in adults with chronic low back pain. Phys Ther 80:261–275PubMedGoogle Scholar
  13. 13.
    Day JW, Smidt GL, Lehmann T (1984) Effect of pelvic tilt on standing posture. Phys Ther 64:510–516PubMedGoogle Scholar
  14. 14.
    Pope MH, Bevins T, Wilder DG, Frymoyer JW (1985) The relationship between anthropometric, postural, muscular and mobility characteristics of males ages 18–55. Spine 10:644–648PubMedGoogle Scholar
  15. 15.
    Harrison DD, Calliet R, Janik TJ, Troyanovich SJ, Harrison DE, Holland B (1998) Elliptical modeling of the sagittal lumbar lordosis and segmental rotation angles as a method to discriminate between normal and low back pain subjects. J Spinal Disord 11:430–439PubMedGoogle Scholar
  16. 16.
    Korovessis P, Stamatakis M, Baikousis A (1998) Reciprocal angulation of vertebral bodies in the sagittal plane in an asymptomatic Greek population. Spine 23:700–705CrossRefPubMedGoogle Scholar
  17. 17.
    Korovessis P, Stamatakis M, Baikousis A (1999) Segmental roentgenographic analysis of vertebral inclination on sagittal plane in asymptomatic versus chronic low back pain patients. J Spinal Disord 12:131–137PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  1. 1.Kocatepe University School of MedicineDepartment of Physical Medicine and RehabilitationAfyonTurkey
  2. 2.Kocatepe University School of MedicineDepartment of RadiologyAfyonTurkey
  3. 3.Fiziksel Tıp ve RehabilitasyonKocatepe ÜniversitesiAfyonTurkey

Personalised recommendations