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http://dx.doi.org/10.18857/jkpt.2019.31.2.117

Comparison of Lumbopelvic Motions During Hip Medial Rotation Depending on Sex Differences and Chronic Lower Back Pain  

Kim, ChiHwan (Jaseng Hospital of Korean Medicine)
Han, JinTae (Department of Physical Therapy, College of Science, Kyungsung University)
Publication Information
The Journal of Korean Physical Therapy / v.31, no.2, 2019 , pp. 117-121 More about this Journal
Abstract
Purpose: Hip rotation testing is important in the evaluation of chronic back pain. The purpose of this study was to investigate hip and lumbopelvic movement during hip medial rotation (HMR) in individuals with chronic lower back pain (CLBP). Methods: This study targeted 112 subjects in total: 28 healthy males and 28 healthy females, and 27 males with CLBP and 29 females with CLBP. Motion-capture device was used to measure the hip medial rotation angle (HMRA), lumbopelvic rotation angle (LPRA), and the rotation angle of the hip when lumbopelvic rotation starts during hip medial rotation. Results: When evaluating the healthy males and females using the hip medial rotation test (HMRT), healthy males showed a smaller HMRA than did healthy females (p<0.05). When evaluating the healthy males and the males with CLBP using the HMRT, males with CLBP showed a smaller HMRA and more lumbopelvic movements than did healthy males (p<0.05) in addition, their lumbopelvic movements occurred earlier during HMR (p<0.05). Finally, when evaluating the males and the females with CLBP using the HMRT, males with CLBP showed a smaller HMRA and more lumbopelvic movements (p<0.05), and their lumbopelvic movements occurred earlier during HMR (p<0.05). Conclusion: The HMRT is an important test for the evaluation of males, and especially males with CLBP, as they often experience an increased LPRA and decreased HMRA, with lumbopelvic movement occurring earlier during HMR when compared to other groups.
Keywords
Chronic lower back pain; hip medial rotation; lumbopelvic movement;
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1 Harris-Hayes M, Sahrmann SA, Van Dillen LR. Relationship between the hip and low back pain in athletes who participate in rotation-related sports. J Sport Rehabil. 2009;18(1):60-75.   DOI
2 Sahrmann, SA. Diagnosis and treatment of movement impairment syndromes, 3th edition, seoul, jungdam media, 2005;79-151.
3 Van Dillen LR, Sahrmann SA, Wagner JM. Classification, intervention, and outcomes for a person with lumbar rotation with flexion syndrome. Physical therapy. 2005;85(4):336-51.   DOI
4 Van Dillen LR, Maluf KS, Sahrmann SA. Further examination of modifying patient-preferred movement and alignment strategies in patients with low back pain during symptomatic tests. Man Ther. 2009;14(1):52-60.   DOI
5 Hoffman SL, Johnson MB, Zou D et al. Effect of classification-specific treatment on lumbopelvic motion during hip rotation in people with low back pain. Man Ther. 2011;16(4):344-50.   DOI
6 Hoffman SL, Johnson MB, Zou D et al. Gender differences in modifying lumbopelvic motion during hip medial rotation in people with low back pain. Rehabil Res Prat. 2012;2012.
7 Scholtes SA, Norton BJ, Lang CE et al. The effect of within-session instruction on lumbopelvic motion during a lower limb movement in people with and people without low back pain. Man Ther. 2010;15(5):496-501.   DOI
8 Han H, Kubo A, Kurosawa K et al. Hip rotation range of motion in sitting and prone positions in healthy japanese adults. J Phys Ther Sci. 2015;27(2):441-5.   DOI
9 Gombatto SP, Collins DR, Sahrmann SA et al. Gender differences in pattern of hip and lumbopelvic rotation in people with low back pain. Clin Biomech. 2006;21(3):263-71.   DOI
10 Hoffman SL, Johnson MB, Zou D et al. Sex differences in lumbopelvic movement patterns during hip medial rotation in people with chronic low back pain. Arch Phys Med Rehabil. 2011;92(7):1053-9.   DOI
11 Phelps E, Smith LJ, Hallum A. Normal ranges of hip motion of infants between nine and 24 months of age. Developmental Medicine & Child Neurology. 1985;27(6):785-92.   DOI
12 Sankar WN, Laird CT, Baldwin KD. Hip range of motion in children: What is the norm? J Pediatr Orhop. 2012;32(4):399-405.   DOI
13 Wang JM, Kim DJ. Assessment of the spinal pain using visual analogue. Korean Society of Spine Surgery. 1995. 2(2):177-184.
14 Kim RB, Jo JH, Kim SJ. The Effects of oriental sedentary and western sand-up meal life style on gait. Journal of sports and leisure stuies. 2016;63 : 683-690.   DOI
15 Mulholland SJ, Wyss UP. Activities of daily living in non-western cultures: range of motion requirements for hip and knee joint implants. Int J Rehabil Res. 2001;24(3):191-198.   DOI
16 Saber-Sheikh, K., Bryant, E. C., Glazzard, C. et al. Feasibility of using inertial sensors to assess human movement. Man Ther. 2010;15(1):122-125.   DOI
17 Braten M, Terjesen T, Rossvoll I. Femoral anteversion in normal adults: ultrasound measurements in 50 men and 50 women. Acta Orthop Scand. 1992;63(1):29-32.   DOI
18 Kim CH, Han JT. Comparison of hip and lumbopelvic movement while hip lateral rotating in individual with chronic low back pain. J Kor Phys Ther. 2017; 29(5):241-5.   DOI
19 Lee JY, Han SY, Nam HW et al. Comparison of hip internal rotation angle in chronic low back pain patients according to the gender. The journal of korea CHUNA manual medicine for spine & nerves. 2010;5(2):9-16.