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KMID : 1211620100050030363
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Journal of the Korean Society of Physical Medicine
2010 Volume.5 No. 3 p.363 ~ p.373
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Comparison of Ranges of Motion in The Thoracolumbar Region for Clinical Diagnoses of Patients with Chronic Low Back Pain
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Lee Sang-Wook
Kim Suhn-Yeop
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Abstract
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Purpose: The purpose of this study was to compare differences in thoracolumbar ranges of motions by comparing ratios among 4 type diagnosis for patient with chronic low back pain.
Methods: The subjects were 58 chronic low back pain patients. A motion analysis program (Global Postural System) was used after photography for posture measurement. To analyze differences in mobility percentages and ratios of thoracolumbar ranges of motion, one-way ANOVA was used.
Results: Regional difference spinal posture and movement were found to diagnosis patients with chronic low back pain. Comparison of thoracolumbar ranges of motion revealed significant differences in the thoracic region during forward-bending of the trunk (p<.05). In the upper thoracic region, the herniated intervertebral lumbar disc (HILD) group was significantly larger than the spinal stenosis/herniated intervertebral lumbar disc (SS/HILD) group (p<.05). In the lower thoracic region, chronic sprains (CS) were significantly greater than in the spinal stenosis (SS) group and in the (SS/HJLD) group (p<.05). Comparative analysis of thoracic/lumbar mobility ratio showed the CS group’s ratio during forward bending was largest: 1.66, while the HILD group’s ratio was smallest: 84 a significant difference between the two groups (p<.01). Diagnosis was not associated with difference in thoracolumbar backward-bending range of motion (p>.05).
Conclusion: Theses results indicate the clinical efficacy of diagnosing for chronic low back pain by evaluating spinal mobility.
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KEYWORD
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Chronic low back pain, Thoracolumbar region, Range of motion, Mobility percentile, Mobility ratio
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