The most commonly reported outcome was range of motion .
Interpretation : The literature to date offers limited and inconsistent evidence of kinematic/kinetic measures in low back pain patients that could be used clinical ly .
HighlightsCurrent low back pain assessment relies on subjective measures .Use of objective measures ( kinematics/kinetics ) is encouraged in low back pain assessment .This review highlights the heterogeneity of studies with low back pain and healthy subjects .
Background : Currently , there is a widespread reliance on self‐reported question naires to assess low back pain patients .
However , it has been suggested that objective measures of low back pain patients ' functional status should be used to aid clinical assessment .
The aim of this study is to systematic ally review which kinematic /kinetic parameters have been used to assess low back pain patients against healthy controls and to propose clinical kinematic/kinetic measures .
Effect of obesity and low back pain on spinal mobility: a cross sectional study in women
Background obesity is nowadays a p and emic condition . Obese subjects are commonly characterized by musculoskeletal disorders and particularly by non-specific chronic low back pain ( cLBP ) . However , the relationship between obesity and cLBP remains to date unsupported by an objective measurement of the mechanical behaviour of the spine and its morphology in obese subjects . Such analysis may provide a deeper underst and ing of the relationships between function and the onset of clinical symptoms . Purpose to objective ly assess the posture and function of the spine during st and ing , flexion and lateral bending in obese subjects with and without cLBP and to investigate the role of obesity in cLBP . Study design Cross-sectional study Patient sample thirteen obese subjects , thirteen obese subjects with cLBP , and eleven healthy subjects were enrolled in this study . Outcome measures we evaluated the outcome in terms of angles at the initial st and ing position ( START ) and at maximum forward flexion ( MAX ) . The range of motion ( ROM ) between START and MAX was also computed . Methods we studied forward flexion and lateral bending of the spine using an optoelectronic system and passive retroreflective markers applied on the trunk . A biomechanical model was developed in order to analyse kinematics and define angles of clinical interest . Results obesity was characterized by a generally reduced ROM of the spine , due to a reduced mobility at both pelvic and thoracic level ; a static postural adaptation with an increased anterior pelvic tilt . Obesity with cLBP is associated with an increased lumbar lordosis . In lateral bending , obesity with cLBP is associated with a reduced ROM of the lumbar and thoracic spine , whereas obesity on its own appears to affect only the thoracic curve . Conclusions obese individuals with cLBP showed higher degree of spinal impairment when compared to those without cLBP . The observed obesity-related thoracic stiffness may characterize this sub-group of patients , even if prospect i ve studies should be carried out to verify this hypothesis
The most commonly reported outcome was range of motion .
Interpretation : The literature to date offers limited and inconsistent evidence of kinematic/kinetic measures in low back pain patients that could be used clinical ly .
HighlightsCurrent low back pain assessment relies on subjective measures .Use of objective measures ( kinematics/kinetics ) is encouraged in low back pain assessment .This review highlights the heterogeneity of studies with low back pain and healthy subjects .
Background : Currently , there is a widespread reliance on self‐reported question naires to assess low back pain patients .
However , it has been suggested that objective measures of low back pain patients ' functional status should be used to aid clinical assessment .
The aim of this study is to systematic ally review which kinematic /kinetic parameters have been used to assess low back pain patients against healthy controls and to propose clinical kinematic/kinetic measures .