tailieunhanh - báo cáo hóa học: "Effect of obesity and low back pain on spinal mobility: a cross sectional study in women"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành hóa học dành cho các bạn yêu hóa học tham khảo đề tài: Effect of obesity and low back pain on spinal mobility: a cross sectional study in women | Vismara et al. Journal of NeuroEngineering and Rehabilitation 2010 7 3 http content 7 1 3 l dl JOURNAL OF NEUROENGINEERING NCR AND REHABILITATION RESEARCH Open Access Effect of obesity and low back pain on spinal mobility a cross sectional study in women Luca Vismara 1 Francesco Menegoni1 2 Fabio Zaina3 Manuela Galli2 Stefano Negrini3 Paolo Capodaglio2 Abstract Background obesity is nowadays a pandemic 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 understanding of the relationships between function and the onset of clinical symptoms. Purpose to objectively assess the posture and function of the spine during standing 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 standing 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 .