Yıl: 2009 Cilt: 26 Sayı: 1 Sayfa Aralığı: 29 - 35 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Measurement of normal lumbar spine range of motion in the college-aged Turkish population using a 3D ultrasound-based motion analysis system

Öz:
Amaç: Bu çalışmanın amacı Türk toplumunda üç boyutlu hareket analiz metodunu kullanarak lumbal omurga hareket kapasitesi değerlerini tespit etmektir.Hastalar ve Yöntemler: Ölçümlere 100 gönüllü denek (50 erkek, 50 kadın; dağılım 18-22) alındı. Hareket ölçümleri için “Zebris© 3D Motion Analysis System” kullanıldı. Ölçümlerde lateral fleksiyon, fleksiyon, ekstansiyon, pelvik tilt hareketleri değerlendirildi.Bulgular: Lumbal bölge total lateral fleksiyon erkeklerde 51.3°±7.5, kadınlarda 52.7°±9.9 olarak bulundu. Total fleksiyon ekstansiyon hareketi erkeklerde 81.0°±11.1, kadınlarda 80.2°±10.2 idi. L4-L5 fleksiyon, L5-S1 ekstansiyon değerleri istatistiksel olarak kadınlar için daha yüksek iken (p<0.05), L3-L4 total fleksiyonekstansiyon ve L1-L2 total lateral fleksiyon değerleri istatistiksel olarak erkeklerde daha yüksekti. Pelvik tiltin total lumbosakral fleksiyon hareketine katkısı erkeklerde %46.6, kadınlarda %42.1 idi. Ekstansiyon hareketi esnasında katkısı erkeklerde %36.8, kadınlarda %26.2 olarak bulundu. Pelvik tilt fleksiyon ve ekstansiyon değerleri erkeklerde kadınlara göre anlamlı olarak daha yüksek bulundu (p<0.05).Sonuç: Türk toplumunda lumbal omurganın hareketlerinin normal değerleri üç boyutlu hareket analiz sistemi ile tespit edilmiştir.
Anahtar Kelime: Türkiye Pelvis Cinsiyet dağılımı Ultrasonografi Lumbar omurga Hareket açıklığı, eklem

Konular: Genel ve Dahili Tıp

Üniversite Çağındaki türk popülasyonunda normal lumbal omurga hareket kapasitesinin ultrason tabanlı üç boyutlu hareket analiz sistemi kullanılarak ölçümü

Öz:
Objectives: The aim of this study was to determine range of motion values of lumbar spine in Turkish people by using 3D motion analysis method.Patients and Methods: The study included 100 subjects (50 males, 50 females; range 18 to 22 years). The Zebris® 3D Motion Analysis System was used for the measurement. Lateral bending, flexion, extension, pelvic tilt were evaluated in the measurements.Results: The average value for total lateral flexion at lumbar spine was found to be 51.3°±7.5 in males and 52.7°±9.9 in females. Total flexion-extension was 81.0°±11.1 in males and 80.2°±10.2 in females. L4-L5 flexion, L5-S1 extension values were statistically high in women (p<0.05) while L3-L4 total flexion- extension and L1-L2 total lateral flexion values were statistically high in men (p<0.05). The support of pelvic tilt to total lumbosacral flexion was 46.6% in males and 42.1% in females. The support was 36.8% in males and 26.2% in females during extension. Flexion and extension of pelvic tilt values in men were found to be significantly higher than that in women (p<0.05).Conclusion: The normal values of movements of lumbar spine in Turkish people have been determined with 3D motion analysis system.
Anahtar Kelime: Turkey Pelvis Sex Distribution Ultrasonography Lumbar Vertebrae Range of Motion, Articular

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1) Ensink FB, Saur PM, Frese K, Seeger D, Hildebrandt J. Lumbar range of motion: influence of time of day and individual factors on measurements. Spine 1996;21:1339-43.
  • 2) Fathallah FA, Marras WS, Wright PL. Diurnal variation in trunk kinematics during a typical work shift. J Spinal Disord 1995;8:20-5.
  • 3) Cigali BS, Ulucam E, Yilmaz A, Cakiroglu M. Comparison of asymmetries in ground reaction force patterns between normal human gait and football players. Biol Sport 2004;21:241-8.
  • 4) Mellin G, Kiiski R, Weckström A. Effects of subject position on measurements of flexion, extension, and lateral flexion of the spine. Spine 1991;16:1108-10.
  • 5) White AA, Panjabi MM, editors. Clinical biomechanics of the spine. 2nd ed. Philadelphia: Lippincott; 1990.
  • 6) Humphreys SC, Hodges SD, Lumpkin KJ, Eck JC, Wurster R, Hagen J, et al. Assessing lumbar sagittal motion using videography in an in vivo pilot study. Int J Ind Ergon 2007;37:653-6.
  • 7) Al-Eisa E, Egan D, Deluzio K, Wassersug R. Effects of pelvic asymmetry and low back pain on trunk kinematics during sitting: a comparison with standing. Spine 2006;31:E135-43.
  • 8) Coates JE, McGregor AH, Beith ID, Hughes SP. The influence of initial resting posture on range of motion of the lumbar spine. Man Ther 2001;6:139-44.
  • 9) Pearcy M, Portek I, Shepherd J. The effect of low-back pain on lumbar spinal movements measured by threedimensional X-ray analysis. Spine 1985;10:150-3.
  • 10) Pearcy MJ, Tibrewal SB. Axial rotation and lateral bending in the normal lumbar spine measured by three-dimensional radiography. Spine 1984;9:582-7.
  • 11) Dvorák J, Panjabi MM, Chang DG, Theiler R, Grob D. Functional radiographic diagnosis of the lumbar spine. Flexion-extension and lateral bending. Spine 1991;16:562-71.
  • 12) Fitzgerald GK, Wynveen KJ, Rheault W, Rothschild B. Objective assessment with establishment of normal values for lumbar spinal range of motion. Phys Ther 1983;63:1776-81.
  • 13) Dillard J, Trafimow J, Andersson GB, Cronin K. Motion of the lumbar spine. Reliability of two measurement techniques. Spine 1991;16:321-4.
  • 14) Ng JK, Kippers V, Richardson CA, Parnianpour M. Range of motion and lordosis of the lumbar spine: reliability of measurement and normative values. Spine 2001;26:53-60.
  • 15) Bell JA, Stigant M. Development of a fibre optic goniometer system to measure lumbar and hip movement to detect activities and their lumbar postures. J Med Eng Technol 2007;31:361-6.
  • 16) Wong KW, Luk KD, Leong JC, Wong SF, Wong KK. Continuous dynamic spinal motion analysis. Spine 2006;31:414-9.
  • 17) Gajdosik RL, Albert CR, Mitman JJ. Influence of hamstring length on the standing position and flexion range of motion of the pelvic angle, lumbar angle, and thoracic angle. J Orthop Sports Phys Ther 1994;20:213-9.
  • 18) Hayes MA, Howard TC, Gruel CR, Kopta JA. Roentgenographic evaluation of lumbar spine flexion- extension in asymptomatic individuals. Spine 1989;14:327-31.
  • 19) Alaranta H, Hurri H, Heliövaara M, Soukka A, Harju R. Flexibility of the spine: normative values of goniometric and tape measurements. Scand J Rehabil Med 1994;26:147-54.
  • 20) Petersen CM, Johnson RD, Schuit D, Hayes KW. Intraobserver and interobserver reliability of asymptomatic subjects' thoracolumbar range of motion using the OSI CA 6000 Spine Motion Analyzer. J Orthop Sports Phys Ther 1994;20:207-12.
  • 21) Putto E, Tallroth K. Extension-flexion radiographs for motion studies of the lumbar spine. A comparison of two methods. Spine 1990;15:107-10.
  • 22) Robinson ME, O'Connor PD, Shirley FR, Mac Millan M. Intrasubject reliability of spinal range of motion and velocity determined by video motion analysis. Phys Ther 1993;73:626-31.
  • 23) Russell P, Pearcy MJ, Unsworth A. Measurement of the range and coupled movements observed in the lumbar spine. Br J Rheumatol 1993;32:490-7.
  • 24) Littlewood C, May S. Measurement of range of movement in the lumbar spine-what methods are valid? A systematic review. Physiotherapy 2007;93:201-11.
  • 25) Teyhen DS, Flynn TW, Bovik AC, Abraham LD. A new technique for digital fluoroscopic video assessment of sagittal plane lumbar spine motion. Spine 2005;30:E406-13.
  • 26) Kılınçer C, Cigali BS, Hamamcıoğlu MK, Çobanoğlu S. Omurgada hareket ölçümleri. Türk Nöroşirürji Derg 2002:12;119-24.
  • 27) Schreiber TU, Anders C, Uhlemann C, Bak P, Smolenski U, Scholle H.C. Mobility of lumbar spine recorder by three-dimensional motion analysis in patients with low back pain and controls. In: Vleeming A, Mooney V, Tilscher H, Dorman T, Snijders C, editors. Proceedings of the 3rd interdisciplinary world congress on low back and pelvic pain; 1998 Nov 19-21; Vienna: Austria; 1998. p. 446-50.
  • 28) Wang SF, Teng CC, Lin KH. Measurement of cervical range of motion pattern during cyclic neck movement by an ultrasound-based motion system. Man Ther 2005;10:68-72.
  • 29) Dvir Z, Prushansky T. Reproducibility and instrument validity of a new ultrasonography-based system for measuring cervical spine kinematics. Clin Biomech 2000;15:658-64.
  • 30) Lee RY, Wong TK. Relationship between the movements of the lumbar spine and hip. Hum Mov Sci 2002;21:481-94.
APA ULUÇAM E, Cığalı B (2009). Measurement of normal lumbar spine range of motion in the college-aged Turkish population using a 3D ultrasound-based motion analysis system. , 29 - 35.
Chicago ULUÇAM Enis,Cığalı Bülent Sabri Measurement of normal lumbar spine range of motion in the college-aged Turkish population using a 3D ultrasound-based motion analysis system. (2009): 29 - 35.
MLA ULUÇAM Enis,Cığalı Bülent Sabri Measurement of normal lumbar spine range of motion in the college-aged Turkish population using a 3D ultrasound-based motion analysis system. , 2009, ss.29 - 35.
AMA ULUÇAM E,Cığalı B Measurement of normal lumbar spine range of motion in the college-aged Turkish population using a 3D ultrasound-based motion analysis system. . 2009; 29 - 35.
Vancouver ULUÇAM E,Cığalı B Measurement of normal lumbar spine range of motion in the college-aged Turkish population using a 3D ultrasound-based motion analysis system. . 2009; 29 - 35.
IEEE ULUÇAM E,Cığalı B "Measurement of normal lumbar spine range of motion in the college-aged Turkish population using a 3D ultrasound-based motion analysis system." , ss.29 - 35, 2009.
ISNAD ULUÇAM, Enis - Cığalı, Bülent Sabri. "Measurement of normal lumbar spine range of motion in the college-aged Turkish population using a 3D ultrasound-based motion analysis system". (2009), 29-35.
APA ULUÇAM E, Cığalı B (2009). Measurement of normal lumbar spine range of motion in the college-aged Turkish population using a 3D ultrasound-based motion analysis system. Trakya Üniversitesi Tıp Fakültesi Dergisi, 26(1), 29 - 35.
Chicago ULUÇAM Enis,Cığalı Bülent Sabri Measurement of normal lumbar spine range of motion in the college-aged Turkish population using a 3D ultrasound-based motion analysis system. Trakya Üniversitesi Tıp Fakültesi Dergisi 26, no.1 (2009): 29 - 35.
MLA ULUÇAM Enis,Cığalı Bülent Sabri Measurement of normal lumbar spine range of motion in the college-aged Turkish population using a 3D ultrasound-based motion analysis system. Trakya Üniversitesi Tıp Fakültesi Dergisi, vol.26, no.1, 2009, ss.29 - 35.
AMA ULUÇAM E,Cığalı B Measurement of normal lumbar spine range of motion in the college-aged Turkish population using a 3D ultrasound-based motion analysis system. Trakya Üniversitesi Tıp Fakültesi Dergisi. 2009; 26(1): 29 - 35.
Vancouver ULUÇAM E,Cığalı B Measurement of normal lumbar spine range of motion in the college-aged Turkish population using a 3D ultrasound-based motion analysis system. Trakya Üniversitesi Tıp Fakültesi Dergisi. 2009; 26(1): 29 - 35.
IEEE ULUÇAM E,Cığalı B "Measurement of normal lumbar spine range of motion in the college-aged Turkish population using a 3D ultrasound-based motion analysis system." Trakya Üniversitesi Tıp Fakültesi Dergisi, 26, ss.29 - 35, 2009.
ISNAD ULUÇAM, Enis - Cığalı, Bülent Sabri. "Measurement of normal lumbar spine range of motion in the college-aged Turkish population using a 3D ultrasound-based motion analysis system". Trakya Üniversitesi Tıp Fakültesi Dergisi 26/1 (2009), 29-35.