Upper and lower lumbar segments move differently during sit-to-stand. 2013

Stephanie Parkinson, and Amity Campbell, and Wim Dankaerts, and Angus Burnett, and Peter O'Sullivan
School of Physiotherapy and Curtin Health Innovation Research Institute, Curtin University, Perth, Western Australia 6845, Australia. S.Parkinson@curtin.edu.au

Sit-to-stand (STS) is a functional dynamic task, requiring movement of the lumbar spine, however, little is known about whether regional differences or between-gender differences exist during this task. The aim of this study was to confirm whether kinematic differences existed within regions of the lumbar spine during STS and also to determine whether between-gender differences were evident. An electromagnetic measurement device, recording at 25 Hz, determined how different lumbar spine regions (combined, lower and upper) moved during STS in 29 healthy participants (16 males, 13 females). Discrete outputs including mean range of motion (ROM), maximum and minimum were calculated for each lumbar spine region. Analyses of covariance (ANCOVA) with repeated measures were used to determine whether regional differences and between-gender differences were evident in the lumbar spine during STS. With the lumbar spine modelled as two segments, the lower lumbar (LLx) and upper lumbar (ULx) regions made different contributions to STS: F1, 27 = 21.8; p < 0.001. No between-gender differences were found with the lumbar spine modelled as a single region (combined lumbar: CLx), however, modelled as two regions there was a significant gender difference between the LLx and ULx regions: F1, 27 = 7.3 (p = 0.012). The results indicate that modelling the lumbar spine as a single segment during STS does not adequately represent lumbar spine kinematics and there are important gender differences. These findings also need to be considered when investigating STS in clinical populations.

UI MeSH Term Description Entries
D008159 Lumbar Vertebrae VERTEBRAE in the region of the lower BACK below the THORACIC VERTEBRAE and above the SACRAL VERTEBRAE. Vertebrae, Lumbar
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009068 Movement The act, process, or result of passing from one place or position to another. It differs from LOCOMOTION in that locomotion is restricted to the passing of the whole body from one place to another, while movement encompasses both locomotion but also a change of the position of the whole body or any of its parts. Movement may be used with reference to humans, vertebrate and invertebrate animals, and microorganisms. Differentiate also from MOTOR ACTIVITY, movement associated with behavior. Movements
D011187 Posture The position or physical attitude of the body. Postures
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001696 Biomechanical Phenomena The properties, processes, and behavior of biological systems under the action of mechanical forces. Biomechanics,Kinematics,Biomechanic Phenomena,Mechanobiological Phenomena,Biomechanic,Biomechanic Phenomenas,Phenomena, Biomechanic,Phenomena, Biomechanical,Phenomena, Mechanobiological,Phenomenas, Biomechanic
D012737 Sex Factors Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances. Factor, Sex,Factors, Sex,Sex Factor

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