JournalJournal of sport rehabilitation
BACKGROUND CONTEXT: Clinical evaluation of the spine is commonplace in musculoskeletal therapies such as physiotherapy, physical medicine/rehabilitation, osteopathic, and chiropractic clinics. Sit-to-stand (STS) is one of the most mechanically demanding of daily activities and crucial to independence. Difficulty or inability to perform STS is common in individuals with a variety of motor disabilities such as low back pain.
OBJECTIVE: The purpose of this systematic review was to evaluate available evidence in literature to determine 2D and 3D kinematics of the spine during STS in patients with LBP and healthy young adult participants using motion analysis systems (electromagnetic and marker based).
METHODS: Electronic databases PubMed/Medline (NLM), Scopus, Science Direct, and Google scholar were searched between January 2002 and February 2017. Additionally, the reference lists of the articles that met the inclusion criteria were also searched. Prospective studies published in peer-reviewed journals, with full text available in English, investigating the kinematics of the spine during STS in healthy subjects (mean ages between 18-50 years) or in patients with low back pain (LBP) using motion analysis systems, were included. Sixteen studies fulfilled the eligibility criteria. All information relating to methodology and kinematic modelling of the spine segments along with the outcome measures were extracted from the studies identified for synthesis.
RESULTS: The results indicated that the kinematics of the spine are greatly changed in LBP patients. In order to better understanding of spine kinematics, studies recommended that the trunk should be analyzed as a multi-segment. It has been shown that there is no difference between the kinematics of LBP patients and healthy population when the spine is analyzed as a single-segment. Furthermore, between-gender differences are present during STS movement.
CONCLUSION: This review provided a valuable summary of the research to date examining the kinematics of the spine during STS.
Epistemonikos ID: 7d70c2d568bef2661603e34af15d483cfb31d636
First added on: Sep 29, 2017