DOI QR코드

DOI QR Code

Relationship between Hip Medial Rotation Range of Motion and Weight Distribution in Patients with Low Back Pain

  • Received : 2014.07.10
  • Accepted : 2014.08.18
  • Published : 2014.08.31

Abstract

PURPOSE: This study intended to verify whether there was actual correlation between weight-bearing asymmetry and a limitation in hip joint rotation range in patients with low back pain. METHODS: Thirty five low back pain patients voluntarily participated this study. For each participant, hip joint medial rotation symmetry rate and the weight-bearing symmetry rate were calculated. The correlation between the two variables was investigated. RESULTS: A decrease in the left hip joint medial rotation range of motion (ROM) was observed more often than a reduction in the right hip joint medial rotation ROM. However, similar number between right and left side was observed in ground reaction force more weighted. The coefficient between the passive hip joint medial rotation symmetry rate and the weight loading symmetry ratio was -0.19 (p < 0.05). CONCLUSION: The present study demonstrated a weak correlation between the hip joint medial rotation ROM and the weight distribution of both feet. Such result suggests that careful evaluation by separating each element is needed in treating patients with low back pain. Future research should take into account asymmetric alignment and abnormal movement in different joints of the body as well as asymmetry in the bilateral hip joint rotation and the unilateral weight supporting posture.

Keywords

References

  1. Andersson GB. Epidemiological features of chronic low-back pain. Lancet. 1999;354(1978):581-5. https://doi.org/10.1016/S0140-6736(99)01312-4
  2. Chesworth BM, Padfield BJ, Helewa A et al. A comparison of hip mobility in patients with low back pain and matched healthy subjects. Physiotherapy Canada. 1994;46:267-74.
  3. Childs JD, Piva SR, Erhard RE et al. Side-to-side weight-bearing asymmetry in subjects with low back pain. Manual Therapy. 2003;8(3):166-9. https://doi.org/10.1016/S1356-689X(03)00014-6
  4. Cibulka MT, Sinacore DR, Cromer GS et al. Unilateral hip rotation range of motion asymmetry in patients with sacroiliac joint regional pain. Spine. 1998;23(9):1009-15. https://doi.org/10.1097/00007632-199805010-00009
  5. Ellison JB, Rose SJ, Sahrmann SA. Patterns of hip rotation range of motion: A comparison between healthy subjects and patients with low back pain. Physical Therapy. 1990;70(9):537-41. https://doi.org/10.1093/ptj/70.9.537
  6. Kim HI, Kim SS, Kim GS, et al. Case study of application on pelvic manipulation which low back pain patient in unilateral weight bearing due to pelvic imbalance. Korean J Orthop Manu Ther. 2009;15(1):72-8.
  7. Klenerman L, Slade PD, Stanley IM. The prediction of chronicity in patients with an acute attack of low back pain in a general practice setting. Spine. 1995;20:478-84. https://doi.org/10.1097/00007632-199502001-00012
  8. Linda R, Nancy J, Sara P et al. Hip rotation range of motion in people with and without low back pain who participate in rotation related sports. Phys Ther Sport. 2008;9(2):72-81. https://doi.org/10.1016/j.ptsp.2008.01.002
  9. Murray E, Birley E, Twycross-Lewis R et al. The relationship between hip rotation range of movement and low back pain prevalence in amateur golfers: an observational study. Phys Ther Sport. 2009;10(4):131-5. https://doi.org/10.1016/j.ptsp.2009.08.002
  10. Vad VB, Bhat AL, Basrai D et al. Low back pain in professional golfers: The role of associated hip and low back range-of-motion deficits. Am J Sports Med. 2004;32(2):494-7. https://doi.org/10.1177/0363546503261729
  11. Vad VB, Gebeh A, Dines D et al. Hip and shoulder internal rotation range of motion deficits in professional tennis players. J Sci Med Sport. 2003;6(1):71-5.
  12. Van Dillen LR, Sahrmann SA, Norton BJ et al. Effect of active limb movements on symptoms in patients with low back pain. J Orthop Sports Phys Ther. 2001; 31(8):402-13 https://doi.org/10.2519/jospt.2001.31.8.402
  13. Von Korff M. Studying the natural history of back pain. Spine. 1994;19:2041-6 https://doi.org/10.1097/00007632-199409150-00004

Cited by

  1. Immediate Effect of Hip Joint Exercise Program on Low Back Pain and Performance Level in Amateur Golfers with Chronic Low Back Pain vol.13, pp.1, 2018, https://doi.org/10.13066/kspm.2018.13.1.49