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Published in: European Spine Journal 1/2014

01-01-2014 | Original Article

Lumbopelvic motion during seated hip flexion in subjects with low-back pain accompanying limited hip flexion

Authors: Si-hyun Kim, Oh-yun Kwon, Chung-hwi Yi, Heon-seock Cynn, Sung-min Ha, Kyue-nam Park

Published in: European Spine Journal | Issue 1/2014

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Abstract

Purpose

Limited hip flexion may lead to a poor lumbopelvic motion during seated active hip flexion in people with low-back pain (LBP). The purpose of this study was to compare lumbopelvic motion during seated hip flexion between subjects with and without LBP accompanying limited hip flexion.

Methods

Fifteen patients with LBP accompanying limited hip flexion and 16 healthy subjects were recruited. The subjects performed seated hip flexion with the dominant leg three times. A three-dimensional motion-analysis system was used to measure lumbopelvic motion during seated hip flexion.

Results

During seated active hip flexion, the angle of hip flexion was significantly lower in patients with LBP accompanying limited hip flexion (17.4 ± 4.4 in the LBP group, 20.8 ± 2.6 in the healthy group; t = 2.63, p = 0.014). The angle of the lumbar flexion (4.8 ± 2.2 in the LBP group, 2.6 ± 2.0 in the healthy group; t = −2.96, p = 0.006) and posterior pelvic tilting (5.0 ± 2.6 in the LBP group, 2.9 ± 2.0 in the healthy group; t = 2.48 p = 0.019), however, were significantly greater in patients with this condition.

Conclusions

The results of this study suggest that limited hip flexion in LBP can contribute to excessive lumbar flexion and posterior pelvic tilting during hip flexion in the sitting position. Further studies are required to confirm whether improving the hip flexion range of motion can reduce excessive lumbar flexion in patients with LBP accompanying limited hip flexion.
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Metadata
Title
Lumbopelvic motion during seated hip flexion in subjects with low-back pain accompanying limited hip flexion
Authors
Si-hyun Kim
Oh-yun Kwon
Chung-hwi Yi
Heon-seock Cynn
Sung-min Ha
Kyue-nam Park
Publication date
01-01-2014
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal / Issue 1/2014
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-013-2973-4

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