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Normal motion of the lumbar spine as related to age and gender

Summary

The CA-6000 Spine Motion analyzer was used to measure the lumbar spine's range of motion (ROM). One hundred and four asymptomatic volunteers were examined to obtain normal values for flexion/extension, lateral bending, and axial rotation. A detailed error analysis was conducted to investigate the inter- and intraobserver reliability of the measurement equipment, the differences between passive and active examination, the effects of stretching exercises before examination, and the diurnal changes related to lumbar spine ROM. Subjects were divided into groups by age and gender. Values for each group were compared with respect to age and gender. The measurements were found to be consistent and repeatable. Stretching exercises were observed to increase ROM. Passive examination was recommended to achieve maximum ROM. ROM was observed to increase during the course of the day. A normative database was established showing significantly decreased motion as age increased, but no gender differences were discovered. The validity of the axial rotation values due to fixation difficulties is questioned.

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References

  1. American Medical Association (1988) Guides to the evaluation of permanent impairment, 3rd edn. AMA Press, Chicago

    Google Scholar 

  2. Chiarello CM, Savidge R (1993) Interrater reliability of the Cybes EDI-320 and fluid goniometer in normals and patients with low back pain. Arch Phys Med Rehabil 74:32–37

    Google Scholar 

  3. Dillard J, Trafimow J, Andersson GB, Cronin K (1991) Motion of the lumbar spine. Reliability of two measurement techniques. Spine 16:321–324

    Google Scholar 

  4. Dvořák J, Panjabi M, Chang D (1991) Functional radiographic diagnosis of the lumbar spine. Spine 16:562–571

    Google Scholar 

  5. Dvořák J, Antinnes JA, Panjabi MM, Loustalot D, Bonomo M (1992) Age and gender related normal motion of the cervical spine. Spine 17:S393-S398

    Google Scholar 

  6. Gerhardt JJ, Rippstein JR (1992) Gelenk und Bewegung. Hans Huber, Bern

    Google Scholar 

  7. Gomez T, Beach G, Cooke C, Hrudey W, Goyert P (1991) Normative database for trunk range of motion, strength, velocity, and endurance with the Isostation B-200 Lumbar Dynamometer. Spine 16:15–21

    Google Scholar 

  8. Mayer T (1985) Using physical measurement to assess low back pain. J Musculoskeletal Med 6:44–59

    Google Scholar 

  9. Miller SA, Mayer T, Cox P, Gatchel RJ (1992) Reliability problems associated with the modified Shöber technique for true lumbar flexion measurement. Spine 17:345–348

    Google Scholar 

  10. Rondinelli R, Murphy J, Esler A, Marciano T, Cholmakjian C (1992) Estimation of normal lumbar flexion with surface inclinometry. A comparison of three methods. Am J Phys Med Rehabil 71:219–224

    Google Scholar 

  11. Simpson G, Roe A, Lewontin R (1960) Quantitative zoology, revised edn. Harcourt, Brace, New York

    Google Scholar 

  12. Wing P, Tsang I, Gagnon F, Susak L, Gagnon R (1992) Diurnal changes in the profile shape and range of motion of the back. Spine 17:761–766

    Google Scholar 

  13. Yamamoto I, Panjabi M, Crisco T, Oxland T (1989) Three dimensional movements of the whole lumbar spine and lumbosacral joint. Spine 14:1256–1260

    Google Scholar 

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Dvořák, J., Vajda, E.G., Grob, D. et al. Normal motion of the lumbar spine as related to age and gender. Eur Spine J 4, 18–23 (1995). https://doi.org/10.1007/BF00298413

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  • DOI: https://doi.org/10.1007/BF00298413

Key words

  • Lumbar spine
  • Range of motion
  • Diurnal changes