RESEARCH PAPER
Prognostic value of measuring the angles of lumbar lordosis and thoracic kyphosis with the Saunders inclinometer in patients with low back pain
 
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1
Institute of Physical Education, Tourism and Physiotherapy, Jan Dlugosz University in Częstochowa, Poland
 
2
Podhale State Higher Vocational School in Nowy Targ, Poland
 
3
Department of Rehabilitation, Faculty of Medical Sciences, University of Warmia and Mazury in Olsztyn, Poland
 
 
Submission date: 2016-08-19
 
 
Acceptance date: 2016-10-18
 
 
Online publication date: 2016-11-19
 
 
Publication date: 2019-12-15
 
 
Corresponding author
Marek Kluszczyński   

Troniny 5, 42-165 Lipie, Poland. Tel.: +48 603370328; fax: +48 034 3188520.
 
 
Pol. Ann. Med. 2017;24(1):31-35
 
KEYWORDS
ABSTRACT
Introduction:
The objective of the study is evaluation of usefulness of measuring angles of lumbar lordosis and thoracic kyphosis in adults suffering from the low back pain (LBP).

Aim:
The aim of this paper is to show the usefulness of measuring the angles of anteroposterior curvatures of the spine with the Saunders electronic inclinometer, using a direct method of measurement, in the LBP patients treated in a rehabilitation outpatient clinic.

Material and methods:
The sample group included 87 people suffering from LBP, treated in the outpatient rehabilitation clinic. The angle of lumbar lordosis (LL) and the angle of thoratic kyphosis (TK) were measured with the use of the Saunders inclinometer. The differences between the compared groups were assessed on the basis of the Pearson χ2 significance test.

Results and discussion:
The LL angular values were mostly included within the 208–408 in both, men and women, and they were found in 72%–78% of the examined patients. Lower LL was found to occur more often in men, but the difference was not statistically significant. Statistically significant functional shortenings of lower limbs above 1 cm were more often found in men (62.5%).

Conclusions:
(1) An alteration of the spine shape in the sagittal plane can be regarded as one of the potential factors of the LBP risk. (2) Measurements of the LL and TK angular values seem to be a legitimate element of the orthopedic examination of the patients suffering from LBP. (3) Reduction of lumbar lordosis can be an LBP risk factor, particularly in men.

CONFLICT OF INTEREST
None declared.
 
REFERENCES (31)
1.
Nakipoğlu GF, Karagöz A, Ozgirgin N. The biomechanics of the lumbosacral region in acute and chronic low back pain patients. Pain Physician. 2008;11(4):505–511.
 
2.
Chanplakorn P, Sa-Ngasoongsong P, Wongsak S, Woratanarat P, Wajanavisit W, Laohacharoensombat W. The correlation between the sagittal lumbopelvic alignments in standing position and the risk factors influencing low back pain. Orthop Rev (Pavia). 2012;4(1):e11. http://dx.doi.org/10.4081/or.2....
 
3.
van Tulder MW, Koes BW, Bouter LM. Conservative treatment of acute and chronic non-specific low back pain: a systematic review of randomized controlled trials of the most common interventions. Spine. 1997;22(18):2128–2156.
 
4.
Karahan A, Kav S, Abbsoglu A, Dogan N. Low back pain: prevalence and associated risk factors among hospital staff. J Adv Nur. 2009;65(5):516–524.
 
5.
Heuch I, Hagen K, Heuch I, Nygaard Ø, Zwart JA. The impact of body mass index on the prevalence of low back pain: the HUNT study. Spine. 2010;35(7):764–768.
 
6.
Shiri R, Solovieva S, Husgafvel-Pursiainen K, et al. The association between obesity and the prevalence of low back pain in young adults: the cardiovascular risk in young Finns study. Am J Epidemiol. 2008;167(9):1110–1119.
 
7.
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(14):1611–1618.
 
8.
Kowalski IM, Protasiewicz-Fałdowska H, Siwik P, et al. Analysis of the sagittal plane in standing and sitting position in girls with left lumbar idiopathic scoliosis. Pol Ann Med. 2013;20(1):30–34.
 
9.
Haakstad LA, Bø K. Effect of a regular exercise program ME on Pelvic Girdle and Low Back Pain in previously inactive pregnant women: a randomized controlled trial. J Rehabil Med. 2015;47(3):229–234.
 
10.
Mac-Thiong JM, Roussouly P, Berthonnaud É, Guigui P. Ageand sex-related variations in sagittal sacropelvic morphology and balance in asymptomatic adults. Eur Spine J. 2011;20(suppl 5):572–577.
 
11.
Glassman SD, Bridwell K, Dimar JR, Horton W, Berven S, Schwab F. The impact of positive sagittal balance in adult spinal deformity. Spine. 2005;30(18):2024–2029.
 
12.
Smith A, O'Sullivan P, Straker L. Classification of sagittal thoraco-lumbo-pelvic alignment of the adolescent spine in standing and its relationship to low back pain. Spine. 2008;33(19):2101–2107.
 
13.
Maciejak A, Jabłońska K. The State-of-art knowledge on isthmic spondylalisthesis. Prz Med Uniw Rzesz Inst Leków. 2010;4:451–462 [in Polish].
 
14.
Barrey C, Jund J, Noseda O, Roussouly P. Sagittal balance of the pelvis–spine complex and lumbar degenerative diseases. A comparative study about 85 cases. Eur Spine J. 2007;16(9):1459–1467.
 
15.
Kowalski IM, Kotwicki T, Siwik P. Analysis of diagnostic methods in trunk deformities in the developmental age. Pol Ann Med. 2013;20(1):43–50.
 
16.
Technomex. [Saunders Digital Inclinometer. User Manual]. 1998. Gliwice [in Polish].
 
17.
Andersson GBJ, Cocchiarella L. American Medical Association. Guides to the Evaluation of Permanent Impairments. 5th ed. Chicago: American Medical Association; 2004.
 
18.
Vialle R, Levassor N, Rillardon L, Templier A, Skalli W, Guigui P. Radiographic analysis of the sagittal alignment and balance of the spine in asymptomatic subjects. J Bone Joint Surg Am. 2005;87(2):260–267.
 
19.
Mitchell T, O'Sullivan PB, Burnett AF, Straker L, Smith A. Reginal differences in lumbar spinal posture and the influence of low back pain. BMC Musculoskelet Disord. 2008;9:152.
 
20.
Janssen MMA, Drevelle X, Humbert L, Skalli W, Castelein RM. Different in male and female spino-pelvic alignment in asymptomatic young adults: a three-dimensional analysis using upright low-dose digital biplanar X-rays. Spine. 2009;34(23):E826–E832.
 
21.
Rajnic P, Templier A, Skalli W, Lavaste F, Illes T. The importance of spinopelvic parameters in patients with lumbar disc lesions. Int Orthop. 2002;26(2):104–108.
 
22.
Laird RA, Gilbert J, Kent P, Keating JL. Comparing lumbopelvic kinematics in people with and without back pain: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2014;15:229.
 
23.
Sagy I, Friger M, Sagy TP, Rudich Z. [Gender-based differences in the management of low back pain]. Harefuah. 2014;153(7):380–384. 434 [in Hebrew].
 
24.
Norton BJ, Sahrmann SA, Van Dillen FL. Differences in measurements of lumbar curvature related to gender and low back pain. J Orthop Sports Phys Ther. 2004;34(9):524–534.
 
25.
Gardocki RJ, Watkins RG, Williams LA. Measurements of lumbopelvic lordosis using the pelvic radius technique as it correlates with sagittal spinal balance and sacral translation. Spine J. 2002;2(6):421–429.
 
26.
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 (Phila Pa 1976). 1994;19(14):1611–1618.
 
27.
D'Amico M, Roncoletta P, Di Felice F, Porto D, Bellomo R, Saggini R. LBP and lower limb discrepancy: 3D evaluation of postural rebalancing via underfoot wedge correction. Stud Health Technol Inform. 2012;176:108–112.
 
28.
Kluszczyński M, Czernicki J, Kubacki J. The plurimetric assessment of spinal curvature changes in the sagittal plane in children and youths, measured during 10 years' observation. Post Rehabil. 2013;2:5–13.
 
29.
Meškaitė A, Dadalienė R, Kowalski IM, et al. The research of physical activity and physical fitness for 11–15 years old teenagers. Health Sci. 2012;22(6):49–53 [in Lithuanian].
 
30.
Kowalski IM, Protasiewicz-Fałdowska H. Trunk measurements in the standing and sitting posture according to Evidence Based Medicine (EBM). J Spine Surg. 2013;1(5):66–79.
 
31.
Kowalski IM, Giżewski T, Zaborowska-Sapeta K, Protasiewicz-Fałdowska H, Siwik P. Assessment of trunk asymmetry in transversal plane by geometric outline of trunk deformation (GOTD). Stud Health Technol Inform. 2012;176:277–281.
 
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