Journal of Manipulative and Physiological Therapeutics
Volume 31, Issue 8 , Pages 563-569 , October 2008

A Comparison of the Torsional Stiffness of the Lumbar Spine in Flexion and Extension

  • Kim J. Garges, MD

      Affiliations

    • Associate Professor and Chief, Division of Spine Surgery, Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, Texas
    • Corresponding Author InformationSubmit requests for reprints to: Kim Garges, MD, Associate Professor and Chief, Division of Spine Surgery, Department of Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch, Galveston, TX 77555-0165.
    • ,
  • Ali Nourbakhsh, MD

      Affiliations

    • Research Fellow, Division of Spine Surgery, Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, Texas
    • ,
  • Randall Morris, BS

      Affiliations

    • Biomechanics Engineering Specialist, Division of Spine Surgery, Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, Texas
    • ,
  • Jinping Yang, PhD

      Affiliations

    • Research Fellow, Division of Spine Surgery, Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, Texas
    • ,
  • Milan Mody, MD

      Affiliations

    • Resident, Division of Spine Surgery, Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, Texas; Willis Knighton Orthopaedic Clinic, Shreveport, Louisiana
    • ,
  • Rita Patterson, PhD

      Affiliations

    • Professor and Director, Osteopathic Heritage Foundation, Physical Medicine Core Research Facility, University of North Texas Health Science Center, Fort Worth, Texas

Received 17 March 2008 ,Revised 26 March 2008 ,Accepted 20 May 2008.

References 

  1. Korovessis P, Stamatakis M, Baikousis A. Segmental roentgenographic analysis of vertebral inclination on sagittal plane in asymptomatic versus chronic low back pain patients. J Spinal Disord. 1999;12:131–137
  2. Jackson RP, McManus AC. 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. 1994;19:1611–1618
  3. Jackson RP, Peterson MD, McManus AC, et al. Compensatory spinopelvic balance over the hip axis and better reliability in measuring lordosis to the pelvic radius on standing lateral radiographs of adult volunteers and patients. Spine. 1998;23:1750–1767
  4. Harrison DD, Cailliet R, Janik TJ, et al. 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. 1998;11:430–439
  5. Gunzburg R, Hutton W, Fraser R. Axial rotation of the lumbar spine and the effect of flexion. An in vitro and in vivo biomechanical study. Spine. 1991;16:22–28
  6. Shirazi-Adl A. Biomechanics of the lumbar spine in sagittal/lateral moments. Spine. 1994;19:2407–2414
  7. Goel VK, Voo LM, Weinstein JN, et al. Response of the ligamentous lumbar spine to cyclic bending loads. Spine. 1988;13:294–300
  8. Yamamoto I, Panjabi MM, Crisco T, et al. Three-dimensional movements of the whole lumbar spine and lumbosacral joint. Spine. 1989;14:1256–1260
  9. Aspden RM. The spine as an arch. A new mathematical model. Spine. 1989;14:266–274
  10. Torgerson WR, Dotter WE. Comparative roentgenographic study of the asymptomatic and symptomatic lumbar spine. J Bone Joint Surg. 1976;58A:850–853
  11. Hadjipavlou AG, Simmons JW, Pope MH, et al. Pathomechanics and clinical relevance of disc degeneration and annular tear: a point-of-view review. Am J Orthop. 1999;28:561–571
  12. Shirazi-Adl A. Strain in fibers of a lumbar disc. Analysis of the role of lifting in producing disc prolapse. Spine. 1989;14:96–103
  13. Dvorak J, Panjabi MM, Chang DG, et al. Functional radiographic diagnosis of the lumbar spine. Flexion-extension and lateral bending. Spine. 1991;16:562–571
  14. Pearcy MJ. Stereo radiography of lumbar spine motion. Acta Orthop Scand Suppl. 1985;212:1–45
  15. Plamondon A, Gagnon M, Maurais G. Application of a stereoradiographic method for the study of intervertebral motion. Spine. 1988;13:1027–1032
  16. Burnett A, O'sullivan P, Ankarberg L, et al. Lower lumbar spine axial rotation is reduced in end-range sagittal postures when compared to a neutral spine posture. Man Ther. 2007;17395521;[Epub ahead of print]
  17. Haberl H, Cripton PA, Orr TE, et al. Kinematic response of lumbar functional spinal units to axial torsion with and without superimposed compression and flexion/extension. Eur Spine J. 2004;13:560–566
  18. Richardson CA, Jull GA. Muscle control–pain control. What exercises would you prescribe?. Man Ther. 1995;1:2–10
  19. Booth KC, Bridwell KH, Lenke LG, et al. Complications and predictive factors for the successful treatment of flatback deformity (fixed sagittal imbalance). Spine. 1999;24:1712–1720
  20. La Grone MO. Loss of lumbar lordosis. A complication of spinal fusion for scoliosis. Orthop Clin North Am. 1988;19:383–393
  21. Lazennec JY, Ramare S, Arafati N, et al. Sagittal alignment in lumbosacral fusion: relations between radiological parameters and pain. Eur Spine J. 2000;9:47–55
  22. Harrison DE, Cailliet R, Harrison DD, et al. Changes in sagittal lumbar configuration with a new method of extension traction: nonrandomized clinical controlled trial. Arch Phys Med Rehabil. 2002;83:1585–1591
  23. Nelson BW, Carpenter DM, Dreisinger TE, et al. Can spinal surgery be prevented by aggressive strengthening exercises? A prospective study of cervical and lumbar patients. Arch Phys Med Rehabil. 1999;80:20–25
  24. Itoi E, Sinaki M. Effect of back-strengthening exercise on posture in healthy women 49 to 65 years of age. Mayo Clin Proc. 1994;69:1054–1059
  25. Sinaki M, Itoi E, Rogers JW, Bergstralh EJ, Wahner HW. Correlation of back extensor strength with thoracic kyphosis and lumbar lordosis in estrogen-deficient women. Am J Phys Med Rehabil. 1996;75:370–374

PII: S0161-4754(08)00236-4

doi: 10.1016/j.jmpt.2008.09.002

Journal of Manipulative and Physiological Therapeutics
Volume 31, Issue 8 , Pages 563-569 , October 2008

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