Low back pain and posture
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Date
1999
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Abstract
This study was designed to analyse postural aberrations of the back and lower back region in patients with acute and chronic low back pain and to investigate the accordance of clinical and radiological assessments. Fifty patients with acute and 50 with chronic low back pain and 50 controls were studied and a detailed spinal physical examination was performed. In addition, the angles of thoracic kyphosis, lumbar lordosis and sacral inclination were assessed radiologically. Differences among the three groups, correlations of radiological parameters with each other and with clinical parameters such as age, gender and body mass index, and the accordance of clinical and radiological postural assessments were investigated. It was concluded that there were no statistically significant differences among the groups for angles of thoracic kyphosis, lumbar lordosis and sacral inclination; however, we found significant correlations among all radiological parameters, especially between lumbar lordosis and sacral inclination. Both lumbar lordosis and sacral inclination were increased with body mass index, and lumbar lordosis and thoracic kyphosis were increased with age. Clinical assessments of thoracic kyphosis and lumbar lordosis were not in accordance with radiological assessments.
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Keywords
Adult , Ambulatory Care Facilities , Body Mass Index , Female , Humans , Kyphosis , Lordosis , Low Back Pain , Lumbar Vertebrae , Male , Middle Aged , Posture , Range of Motion, Articular , Thoracic Vertebrae , article , body mass , body posture , bone radiography , chronic pain , clinical examination , controlled study , correlation function , human , kyphosis , lordosis , low back pain , priority journal