• The Journal of Korean Physical Therapy
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• v.16 no.1
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• pp.14-31
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• 2004

The Purpose of this study was to investigate the change of lumbar extensor strength according to lumbosacral angle on chronic lumbar back pain patients. For this investigation lumbar extensor strength was administered to 60 patients who were diagnosed chronic lumbar back pain The subjects was to investigate lumbosacral angle in standing position and it were calculated lumbar extensor strength by using Medex. The result of this study summarized are as follows ; 1. Total experimental group exhibited significantly higher difference than control group in lumbar extensor strength among all degree lumbosacral angle. 2. In the relationship between experimental group and control group in lumbar extensor strength among lumbosacral angle, all degree difference was revealed II, I, III order. 3. In the relationship between experimental group and control group in lumbar extensor strength among lumbosacral angle, I group difference was did not. 4. In the relationship between experimental group and control group in lumbar extensor strength among lumbosacral angle, all degree among II group was noted significantly difference except 24, 72 angle. 5. In the relationship between experimental group and control group in lumbar extensor strength among lumbosacral angle, control group was revealed higher muscle strength 48, 60, 72 angle, however no significantly difference was noted 0, 12, 24 angle. The study was objected difference of other group in both of experimental and control group. Because lumbar extensor weakness with bad position was gradually increased back pain, to Maintain normal lumbosacral angle befor exercising lumbar extensor strength was most important.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.5 no.1
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• pp.5-16
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• 1999

PURPOSE: The purpose of this study was to investigate the influences of lumbosacral angle, lumbar lordosis, pelvic level and symptoms after standing lumbar traction on HIVD patients. METHOD: For this investigation standing lumbar traction was administered to 22 patient who were diagnosed of HIVD. Standing lumbar traction was given to the subject patients for 3 weeks, times a week and each standng lumbar traction lasted 25 minutes. RESULT: For lumbosacral angle statistically significant different was not found although the lumbosacral angle was normalized. For lumbar lordosis statistically significant different was not found although the lumbar lordosis angle was decreased. For pelvic level statistically significant different was not found although the pelvic level was equalized. Statistically significant improvement in symptoms was found after standing lumbar traction. There was significant correlation between lumbar lordosis and lumbosacral angle. CONCLUSION: This study was found that the influences of standing lumbar traction was to decrease symptoms than lumbosacral angle of patients with HIVD. Therefore, it is necessary that to treat the patients with HIVD applied the method to correct spine angle and pelvic level with standing lumbar traction.

• Journal of the Ergonomics Society of Korea
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• v.34 no.4
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• pp.303-312
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• 2015

Objective: The aim of this study is to investigate the effect of insole height change in the lumbosacral angle and physical functions in healthy males. Background: In order to release male's dissatisfaction with his height and to increase satisfaction with his body, using insole is generalized. There have been researches on female's body change in accordance with function of insole and heel height, whereas there are few researches on males. Method: Participants were divided into three groups. A control group had 10 participants who wore 0cm insole. Experimental group I had 10 participants who wore 2cm insole. Experimental group II had 10 participants who wore 4cm insole. All participants wore insoles during their daily lives for a trial period of 8 weeks. The results were evaluated before and after comparison, and we measured lumbosacral angle, balance (dynamic balance, agility, quickness) and lumbar pain (LBP). Results: This study showed that insole height affected lumbosacral angle and dynamic balance and pain. In particular, there were significant differences in the 4cm group among the three groups (p<.05). The 2cm group did show a significant difference in lumbosacral angle and pain (p<.05). Furthermore, no significant difference was observed within the control group. Conclusion: The 4cm insole height suggests that the increase of lumbosacral angle contributes to some changes in LBP, balance, pain and physical functions, probably leading to negative effects on variety of activities of daily life. Application: The results of wearing insoles with proper height will help to prevent musculoskeletal disorders.

• Physical Therapy Korea
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• v.6 no.1
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• pp.23-34
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• 1999

The purposes of this study were to investigate biomechanical variables of the lumbar spine for women who enjoy recreational exercises regularly, and to determine the factors that influence these variables. These variables were determined by the X-ray pictures of the lumbar area of 80 housewives who visited the department of rehabilitation at the Y Hospital from October 1997 to March 1998. The sacral inclination angle, the sacrohorizontal angle, the lumbosacral joint angle, and the lumbar lordotic angle were analysed. The t-test, correlation analysis, and multiple regression analysis were used to determine the significant differences and relationships among variables. The result were as follows: 1) There was a significant difference in the sacral inclination angle (p<0.01), the sacrohorizontal angle (p<0.05) and the lumbar lordotic angle (p<0.05) between the bilateral and the unilateral exercise group. 2) With the sacral inclination angle, the sacrohorizontal angle, the lumbosacral joint angle and the lumbar lordotic angle, correlation was found between the sacral inclination angle and the sacrohorizontal angle (p<0.01), the sacral inclination angle and the lumbosacral joint angle (p<0.05), the sacral inclination angle and the lumbar lordotic angle (p<0.05), and the sacrohorizontal angle and the lumbosacral joint angle (p<0.01). 3) In the bilateral exercise group, the sacral inclination angle correlated with age (p<0.01). The sacrohorizontal angle correlated with age (p<0.01) and exercise time (p<0.01). The lumbar lordotic angle correlated with age (p<0.05) and exercise duration (p<0.05). In the unilateral exercise group, the sacral inclination angle correlated with age (p<0.01), while the sacrohorizontal angle correlated with age (p<0.01) and exercise duration (p<0.05). The lumbar lordotic angle correlated with age (p<0.05).

• Journal of the Korean Data and Information Science Society
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• v.20 no.2
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• pp.339-348
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• 2009

This study is to examine effects of motorized flexion-distraction treatment on the pain, lumbosacral angle, lumbar lordosis angle, and lumbar 5 (L5) intervertebral disc angle in patients with chronic low back pain. We selected 30 cases of chronic low back pain, which were evenly divided into two groups: experimental group and control group. We applied the same hot pack, interferential current therapy, and ultrasound therapy to both groups. The experimental group had additional treatment of motrized flexion-distraction therapy and control group had additional of stretching exercise. For each subject, the pain, lumbosacral angle, lumbar lordosis angle, and lumbar 5 (L5) intervertebral disc angle were measured before and after treatment, While experimental groups showed significant improvements after treatment, more significant effects were found in the experimental group.

• Journal of Korean Medicine Rehabilitation
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• v.19 no.2
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• pp.289-302
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• 2009

Objectives : This study was performed in order to investigate the relation of body composition analysis and radiological parameter(lumbosacral angle, lumbar lordortic angle, lumbar gravity line). Methods : This study was carried out with the data from comprehensive medical testing. 75 subject aged 20-59 performed the segmental bioelectrical impedance analysis, questionnaire. And lumbosacral angle, lumbar lordortic angle and lumbar gravity line were measured in the standing position x-ray. Then we analyzed the data. Results : Low back pain(LBP) prevalence in high obesity index(Body Mass Index(BMI), Percentage of Body Fat(PBF), Waist Hip Ratio(WHR)) group was higher than LBP prevalence in normal obesity index group(p<0.01). In LBP group, lumbosacral angle, lumbar lordortic angle were significantly lager than Non-LBP group(p<0.001). And 75% of LBP group indicated abnormal lumbar gravity line ratio(0.67 < Normal lumbar gravity line ratio <1.00). When it comes to analyze relation between obesity index and radiological parameter, no-significant change was seen. Conclusions : This study carried as following research after the study on relation of obesity, LBP and trunk muscle strength. Results from this investigation showed positive correlation between obesity and LBP prevalence. But obesity index didn't indicate significant correlation with structural changes of lumbar vertebrae. When considering prior research, trunk muscle strength changes were more related to LBP prevelence in obese people. This results are expected to explain causes of LBP in obese group.

• Journal of Korean Physical Therapy Science
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• v.5 no.4
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• pp.763-775
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• 1998

Some segment or segments of the body must compensate for the heel, and the higher the heel the greater the compensation. Such compensation was once generally thought to take place in the lumbar region and therefore to increase the lumbar lordosis. The purpose of this study is to analyze changes of lumbar sagittal curvature in barefoot and 6cm 12cm high-heel stance. We selected 19 subjects(11 males, 8 females} without history of lower back pain, significant spinal abnormality. And lateral view X-ray of lumbar region from T12 to S1 was taken of each individual. On each X-ray film, lumbar lordotic angle lumbosacral angle and lumbar segmental angles were measured by Cobb method. We drew the following interpretations from the analysis of measured variables of the lumbar region. 1. In comparison of barefoot 6cm heel 12cm heel stance, lumbar lordotic angle had a tendency to decrease according as the heel height was higher. The change in lumbar lordosis measured in high-heel stance was inconsistent with clinical forkelord of hyperlordosis in wearers of high-heeled. 2. Lumbar lordotic angle from T12 to L5 showed sex difference, and was more lordotic in female(p<0.05). 3. There was no sex difference in lumbosacral angle and lumbar segmental angles(p>0.05). 4. There was a significant correlation between lumbar lordotic angle and lumbosacral angle(r>0.60).

• Journal of Korean Physical Therapy Science
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• v.18 no.4
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• pp.73-79
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• 2011

Purpose : This study is to know how position change in high-heels affects sacral tilt angle. 15 healthy women aged 21.87(standard deviation=3.54) were tested. Method : Lumbar and sacral tilt angle was measured by radiography barefooted, and after 15 mins of application time, they were measured in the same way in high-heels. Result : There was not notable difference in lumbar lordosis, lumbosacral angle, and sacral tilt angle. However, there was differences in change degree, which was measured by estimation data of [post-pre)/pre]${\times}$100. Conclusion : There was no notable difference in lumbar lordosis, lumbosacral angle, and sacral tilt angle, but as there were differences in change degree, research about how women's lumbar change when heel height increases is needed.

• Journal of Korean Medicine Rehabilitation
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• v.21 no.1
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• pp.115-123
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• 2011

Objectives : This study was designed to investigate the correlation coefficients among Oswestry low-back pain disability index(ODI), Roland-Morris disability questionnaire (RMD), visual analogue scale(VAS), lumbar lordosis angle(LLA), Cobb's angle and Ferguson's angle(FA). Methods : We measured LLA, Cobb's angle, and FA of 42 students. Then we researched ODI, RMD and VAS of all students, and analyzed correlations coefficient among all of them. Results : 1. There was significant correlation among VAS, RMD, ODI. 2. There was significant correlation between ODI and Cobb's angle. 3. There was no significant correlation between LLA, FA, Cobb's angle and VAS. 4. There was no significant correlation among LLA, FA, Cobb's angle and RMD. Conclusions : According to above results, there was no significant correlation between lumbosacral balance and low back pain except between ODI and Cobb's angle. On the other hand, there was significant correlation among RMD, ODI and VAS.

• The Journal of Korean Physical Therapy
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• v.13 no.1
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• pp.127-137
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• 2001

Low back pain is significant problem in today's society, with lifetime incidence rate reported between 50% and 90%. Many factors associated with LBP are reported. The purpose of this studies were to be evaluated static standing posture aberrations in chronic LBP in comparison with healthy individuals. The samples including 80 subjects recruited to the following two groups:patients and control(normal) Questionnaires were completed by 40 LBP patients and 40 controls at the department of Physical Therapy, Saejong neurosurgical clinic in Taegu city from October 1, 1999 to March 30, 2000. The angle of lumbar lordosis was measured on lateral x-ray films with standing position. In LBP groups. the mean degree of lumbar lordosis, sacral inclination, and lumbosacral joint angle were 29.9 ${\pm}$ 9.3, 34.8 ${\pm}$ 8.2, and 12.7 ${\pm}$ 5.7 respectively. Control groups, the mean degree of lumbar lordosis, sacral inclination and lumbosacral joint angle were 35.3 ${\pm}$ 7.8, 34.9 ${\pm}$ 6.4 and 12.5 ${\pm}$ 4.3 respectively. there were significantly decreaseds in lumbar lordosis in Low back pain group. lumbar lordosis on the working posture had significant differences among groups(sitting position patients 31.4 ${\pm}$ 9.3, standing position patients 29.4 ${\pm}$ 9.3, sitting position control 35.0 ${\pm}$ 6.4, standing position control 35.5 ${\pm}$ 8.8, respectively) (p=0.034). sacral inclination on the working posture had differences among groups(sitting position patients 35.9 ${\pm}$ 8.7.standing position patients 33.6 ${\pm}$ 7.6, sitting position control 33.9 ${\pm}$ 5.9. standing position control 35.6 ${\pm}$ 6.8, respectively). lumbersacral joint angle on the working Posture had differences among groups(sitting position patients 12.0 ${\pm}$ 5.6, standing position patients 13.4 ${\pm}$ 5.9, sitting position control 11.2 ${\pm}$ 3.0. standing position control 13.4$^{\circ}$, respectively).