Change in lumbar lordosis during prone lying knee flexion test in subjects with and without low back pain
BY ADMIN / TUESDAY, 15 DECEMBER 2015 /
Change in lumbar lordosis during
prone lying knee flexion test in subjects with and without low back pain
Prone lying knee flexion (PLKF) is
one of the clinical tests used for assessment of the lumbo-pelvic movement
pattern. Considerable increase in lumbar lordosis during this test has been
considered as impairment of movement patterns in lumbar-pelvic region.
However, no study has directly
evaluated the change in lordosis during active PLKF test in subjects with low
back pain (LBP). The purpose of this study was to investigate the change of
lumbar lordosis in PLKF test in subjects with and without LBP.
Methods: A convenience sample of
80 subjects participated in the study.
Subjects were categorized into two
groups: those with chronic non-specific LBP (N = 40, mean age: 40.84 ±17.59)
and with no history of LBP (N = 40, mean age: 23.57 ±10.61). Lumbar lordosis
was measured with flexible ruler, first in prone position and then on active
PKF test in both subjects with and without LBP.
Data was analyzed by using
statistical methods such as, independent t-test and paired t-test.
Results: There were statistically
significant differences in lumbar lordosis between prone position and after
active PLKF in both subjects with and without LBP (P <0.0001). The amount of
change in lordosis during PLKF test was not significant between the two groups
(P = 0.65).
However these changes were greater
among patients with LBP.
Conclusion: Increase in lumbar
lordosis during this test may be due to excessive flexibility of movement of
the lumbar spine in the direction of extension and abnormal movement patterns
in the individuals with LBP.
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