Fukushima Journalof Medical Science

Fukushima Society of Medical Science

Contact usPrivacy Policy

Abstract/References

Current issue
Archive

Reference values of lumbar spine range of motion by sex and age based on the assessment of supine trunk lateral bending-A preliminary study

Shigetaka Nakanishi, Kazuyuki Watanabe, Kazuo Ouchi, Michiyuki Hakozaki, Naoyuki Oi, Shinichi Konno

Author information

  • Shigetaka Nakanishi

    Department of Rehabilitation Medicine, Fukushima Medical University School of Medicine

  • Kazuyuki Watanabe

    Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine

  • Kazuo Ouchi

    Department of Rehabilitation Medicine, Fukushima Medical University School of Medicine

  • Michiyuki Hakozaki

    Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine

  • Naoyuki Oi

    Department of Rehabilitation Medicine, Fukushima Medical University School of Medicine

  • Shinichi Konno

    Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine

Abstract

[Purpose] The purpose of this study was to clarify the preliminary reference values for the lumbar spine range of motion associated with lateral bending exercises by gender and age group. [Methods] Subjects were 82 volunteers without low back pain, including five males and five females in each age group from 16-19 to 80-89 years. All subjects underwent radiographs of the lumbar spine with lateral flexion; the range of lateral flexion of the vertebrae from T12 to the sacrum (ROLB) was measured twice by three observers. [Results] The ROLB of the entire T12-S1 of all subjects showed a significant negative correlation with age in both sexes (p < 0.01). The ROLB of the lumbar spine tended to be greater in females, with a statistically significant difference between those aged 16-19 and 70-79 (p < 0.05). Lateral flexion angles for each intervertebral segment were largest at L3-L4 and smallest at L5-S1 (0.7°). [Conclusion] Lumbar ROLB reference values were examined by gender and age group; ROLB was greatest in L3-L4, and ROLB tended to be lower in older age groups.

The cintent of reseach paper

References

1. Household Statistics Office, Director-General for Statistics and Information Policy Director Toshiaki Hosoi, Deputy Director Chiharu Hashimoto, Yasuhiro Koike, et al. Summary Report of Comprehensive Survey of Living Conditions 2019. Ministry of Health, Labor and Welfare. 2020.


2. Deyo RA, Rainville J, Kent DL. What Can the History and Physical Examination Tell Us About Low Back Pain? JAMA 12, 268(6):760-765, 1992.


3. McCulloch JA. Focus issue on lumbar disc herniation:macro- and microdiscectomy. Spine (Phila Pa 1976), 21(24 Suppl):45S-56S, 1996.


4. Heliovaara M. Occupation and risk of herniated lumbar intervertebral disc or sciatica leading to hospitalization. J Chronic Dis, 40(3):259-264, 1987.


5. Abudurexiti T, Qi L, Muheremu A, et al. Micro-endoscopic discectomy versus percutaneous endoscopic surgery for lumbar disk herniation. J Int Med Res, 46(9):3910-3917, 2018.


6. Saruhashi Y, Mori K, Katsuura A, et al. Evaluation of standard nucleotomy for lumbar disc herniation using the Love method:results of follow-up studies after more than 10 years. Eur Spine J, 13(7):626-30, 2004.


7. Lumbar disc herniation guideline development group, Lumbar disc herniation guideline development committee. Lumbar disc herniation guideline. Nankoudo:57-58, 2005.


8. Tojima M, Ogata N, Yozu A, et al. Novel 3-dimensional motion analysis method for measuring the lumbar spine range of motion:repeatability and reliability compared with an electrogoniometer. Spine (Phila Pa 1976), 38(21):1327-1333, 2013.


9. Bible JE, Biswas D, Miller CP, et al. Normal functional range of motion of the lumbar spine during 15 activities of daily living. J Spinal Disord Tech, 23(2):106-112, 2010.


10. Huang RC, Tropiano P, Marnay T, et al. Range of motion and adjacent level degeneration after lumbar total disc replacement. Spine J, 6(3):242-247, 2006.


11. Yukawa Y, Matsumoto T, Kollor H, et al. Local Sagittal Alignment of the Lumbar Spine and Range of Motion in 627 Asymptomatic Subjects:Age-Related Changes and Sex-Based Differences. Asian Spine J 26, 13(4):663-671, 2019.


12. Arshad R, Pan F, Reitmaier S, et al. Effect of age and sex on lumbar lordosis and the range of motion. A systematic review and meta-analysis. J Biomech 3, 82:1-19, 2019.


13. Dvorák J, Panjabi MM, Chang DG, et al. Functional radiographic diagnosis of the lumbar spine. Flexion-extension and lateral bending. Spine (Phila Pa 1976), 16(5):562-571, 1991.


14. Ochia RS, Inoue N, Renner SM, et al. Three-Dimensional In Vivo Measurement of Lumbar Spine Segmental Motion. Spine (Phila Pa 1976), 31(18):2073-2078, 2006.


15. Hashemirad F, Hatef B, Jaberzadeh S, et al. Validity and reliability of skin markers for measurement of intersegmental mobility at L2-3 and L3-4 during lateral bending in healthy individuals:a fluoroscopy study. J Bodyw Mov Ther, 17(1):46-52, 2013.


16. Cook DJ, Yeager MS, Cheng BC. Range of motion of the intact lumbar segment:a multivariate study of 42 lumbar spines. Int J Spine Surg 5, 9:5, 2015.


17. Wilke J, Macchi V, Caro RD, et al. Fascia thickness, aging and flexibility:is there an association? J Anat, 234(1):43-49, 2019.

Figures