• Physical Therapy Korea
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• v.6 no.2
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• pp.43-55
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• 1999

In today's society, many women wear high-heeled shoes, but the effect of heel height on lumbar lordosis has not been clearly defined. The objective of this study was to identify the influence of heel height and general characteristics of subjects on lumbar lordosis. The subjects of this study were 40 healthy women who were students of the Department of Physical Therapy, College of Rehabilitation Science, Taegu University. Flexible ruler measurement was used to measure the lumbar lordosis at barefoot, 3 cm and 7 cm high-heeled standing positions. The results were as follows: 1) Significant statistical decrease in lumbar lordosis was observed as heel heights were increased from barefoot to 7 cm high heel. 2) There were no statistically significant differences between lumbar lordosis according to three different heel heights and weight, body mass index. 3) Lumbar lordosis measured at different heel heights was related to subject's height. With increasing subject's height, lumbar lordosis that measured from each heel height was significantly decreased. As heel heights were increased from barefoot to 7 cm high heel, significant statistical decrease in lumbar lordosis was observed in the subjects whose height were 151~160 cm. 4) Intrarater reliability on lumbar lordosis taken with a flexible ruler was good, with Cronbach ${\alpha}$ values of 0.8971 for barefoot, 0.8107 for 3 cm and 0.9002 for 7 cm high-heeled standing positions.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.6 no.1
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• pp.121-127
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• 2011

Objectives : To introduce the Jeongham Therapy which means a mandibul-rectifying treatment. And to show meaningful changes of thoracic kypkosis and lumbar lordosis by the Jeongham Therapy. Methods : We reviewed 8 patients having abnormal thoracic kyphosis and lumbar lordosis who were treated at the JeongHam Korean Medical Clinic. We measured thoracic kyphosis and lumbar lordosis by 3D Body Analyzer 'IBS 2000'. Results : Between before and after the Jeongham Therapy, statically significant differences were found in the thoracic kyphosis and lumbar lordosis. And in these values of measurements, the thoracic kyphosis and lumbar lordosis diminish after the Jeongham Therapy. Conclusion : These results suggest that the Jeongham Therapy is a meaningful therapy to diminish the thoracic kyphosis and lumbar lordosis.

• Journal of the Korean Society for Precision Engineering
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• v.26 no.10
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• pp.116-121
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• 2009

It is important to consider lumbar lordotic angle for setup of training program in field of sports and rehabilitaton to prevent unexpected posture deviation and back pain. The purpose of this study was to analyze the biomechanical impact of the level of lumbar lordosis angle during isokinetic exercise through dynamic analysis using a 3-dimensional musculoskeletal model. We made each models for normal lordosis, excessive lordosis, lumbar kyphosis, and hypo-lordosis according to lordotic angle and inputted experimental data as initial values to perform inverse dynamic analysis. Comparing the joint torques, the largest torque of excessive lordosis was 16.6% larger and lumbar kyphosis was 11.7% less than normal lordosis. There existed no significant difference in the compressive intervertebral forces of each lumbar joint (p>0.05), but statistically significant difference in the anterioposterior shear force (p<0.05). For system energy lumbar kyphosis required the least and most energy during flexion and extension respectively. Therefore during the rehabilitation process, more efficient training will be possible by taking into consideration not simply weight and height but biomechanical effects on the skeletal muscle system according to lumbar lordosis angles.

• Journal of Acupuncture Research
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• v.26 no.2
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• pp.15-29
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• 2009

Objectives: This study was designed to investigate the correlation between cervical, lumbar lordosis and low back pain(LBP), sex, age and duration of LBP. Methods : Cervical, lumbar lordosis(by Cobb's Method) and Ferguson's angle were measured and evaluated in LBP group and control. Radiograph was taken in lateral direction, erect position. Cobb's angle between C1-C7, C2-C7, L1-L5, L1-S1 and Ferguson's angle were measured and investigated with statistical program. Results: 1. Cervical lordosis have no relation to LBP, sex and age. 2. Lumbar lordosis and Ferguson's angle have no relation to LBP and sex. 3. Cobb's angle L1-L5 have no relation to age. Lumbar lordosis from L1 to S1(Cobb's angle L1-S1) increased in old group(Age>40) compared to young group(Age${\leq}$40). 4. In LBP group, Cobb's angle L1-S1 have no relation to duration of LBP. Lumbar lordosis from L1 to L5(Cobb's angle L1-L5) decreased in acute LBP group compared to Chronic group. Conclusions : Cervical, lumbar lordosis and Ferguson's angle have no relation to LBP and sex. As far as age is concerned, old group have larger lumbosacral lordosis than young group. Acute LBP group have smaller lumbar lordosis(Cobb's angle L1-L5) than chronic group.

• 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.

• Asian Spine Journal
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• v.12 no.6
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• pp.1037-1042
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• 2018

Study Design: Retrospective study. Purpose: This study aimed to investigate whether segmental lumbar hyperlordosis of the affected vertebra in patients with spondylolysis occurs only at L5 or also occurs at L4. Overview of Literature: To the best of our knowledge, increase in segmental lordosis of the spondylolytic vertebrae has only been investigated in bilateral L5 spondylolysis; it has not been examined at different levels of bilateral spondylolysis. According to the characteristics of segmental lordosis in bilateral L5 spondylolysis, patients with bilateral L4 spondylolysis may also have increased segmental lordosis of the L4 vertebra. Methods: Patients with bilateral spondylolysis of the L5 or L4 vertebra in 2013-2015 were retrospectively identified from the hospital database. Standing lateral lumbar radiographs were assessed for the angle of segmental lordosis of the L5 and L4 vertebra, sacral slope, and lumbar lordosis. The differences in segmental lordosis of the L5 and L4 vertebra, sacral slope, and lumbar lordosis were determined using non-paired Student t-test. Results: Overall, 15 cases of bilateral L4 spondylolysis and 41 cases of bilateral L5 spondylolysis satisfied the inclusion and exclusion criteria. Lordosis of the L4 vertebra was significantly greater in the bilateral L4 spondylolysis group ($24.2^{\circ}{\pm}7.0^{\circ}$) than that in the L5 spondylolysis group ($20.3^{\circ}{\pm}6.1^{\circ}$, p=0.047). Lordosis of the L5 vertebra was significantly lower in the L4 spondylolysis group ($27.7^{\circ}{\pm}8.2^{\circ}$) than that in the L5 spondylolysis group ($32.5^{\circ}{\pm}7.3^{\circ}$, p=0.040). The sacral slope and lumbar lordosis did not significantly differ between the groups. Conclusions: Adolescent patients with bilateral spondylolysis have segmental hyperlordosis of the affected vertebra not only at the L5 level but also at the L4 level.

• Journal of The Korean Society of Integrative Medicine
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• v.6 no.1
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• pp.83-89
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• 2018

Purpose : The purpose of this study was to examine the effects of the trunk stabilization exercise in the musical tempo on lumbar lordosis angle, muscle activity and pain. Methods : For the 30 people with lumbar lordosis angle legion and back pain, a random selection was made with MLSE (15) and LSE (15) to measure VAS, lumbar lordosis angle and Muscle Activity. Result : There were significant decreases in intra group comparisons to lumbar lordosis angle were seen in MLSE and LSE groups, and significant decreases in inter group comparisons in MLSE groups. significant decreases in intra group comparisons to VAS were seen in MLSE and LSE groups, and significant decreases in inter group comparisons in MLSE groups. Significant intra-group comparison of muscle activity, MLSE groups increases were rectus obdominis(right/left) and erector spinae muscle(right/left), LSE groups increases were erector spinae muscle(right/left), and significant increases in inter group comparisons rectus obdominis(right) and erector spinae muscle(left) in MLSE groups Conclusion : Based on the above findings, a program to restore the lumbar lordosis angle, and increase muscle strength should be developed at by applying the combine existing trunk stabilization physical therapy technique and musical tempo.

• Journal of Korean Neurosurgical Society
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• v.40 no.5
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• pp.346-350
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• 2006

Objective : The ability to induce segmental lordosis has been reported to be marginal with transforaminal lumbar interbody fusion[TLIF]. Therefore, we analyzed the short-term radiological outcomes of TLIF using $8^{\circ}$ wedged cages for isthmic spondylolisthesis. Methods : Twenty-seven patients with isthmic spondylolisthesis who underwent single level TLIF with pedicle screw fixation[PSF] using $8^{\circ}$ wedged cages were retrospectively evaluated. Changes in disc height, degree of anterolisthesis, segmental lumbar lordosis, whole lumbar lordosis and L1 axis S1 distance were evaluated using standing lateral radiographs before surgery, at 6 weeks follow-up and at the final follow-up. Results : The mean age of the patients was 49.9 years [range, 38 to 64 years]. The affected levels were L4-5 in 17 cases and L5-S1 in 10. There were 18 cases of Grade I isthmic spondylolisthesis and 9 cases of Grade II. At a mean follow-up duration of 9.9 months [range, 6 to 18 months], the disc height [p< 0.001] was significantly increased, and the degree of anterolisthesis was significantly reduced [p< 0.001]. Regarding the sagittal balance, the segmental lumbar lordosis was significantly increased [p=0.01], but other parameters were not significantly changed after surgery. Conclusion : TLIF with PSF using $8^{\circ}$ wedged cages significantly increased the segmental lumbar lordosis.

• Journal of the Korean Society of Physical Medicine
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• v.14 no.2
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• pp.21-28
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• 2019

PURPOSE: This study was conducted to compare different standing postures with the use of standing aids for lumbar spine posture and muscle activity, and to identify the most desirable standing posture. METHODS: The lumbopelvic angle was assessed based on static radiographic measurement on the sagittal plane. Lumbar lordosis, lumbosacral lordosis, and the intervertebral joint angle at L1/L5 and L5/S1 were measured using radiography in three standing postures (standing on level ground, standing with one foot on a platform, and standing on a sloped surface). In addition, muscle activity was measured using surface electromyography to examine the co-contraction of the lumbar and hip muscles. RESULTS: Lumbar lordosis, lumbosacral lordosis, and L5/S1 intervertebral joint flexion occurred with one foot on the platform. No significant differences were found between standing on a sloped surface and standing on level ground. However, muscle co-contraction was reduced with the use of standing aids. CONCLUSION: This study demonstrated that standing with a foot on a platform induced lumbar lordosis, but that there was no significant difference between standing on a sloped surface and standing on level ground. However, muscle co-contraction was reduced with the use of standing aids. Based on the motor control pattern as a predictor of LBP, the use of standing aids would help workers during prolonged standing.

• The Journal of Korean Medicine
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• v.25 no.4
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• pp.43-50
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• 2004

Objective : Obesity is associated with degenerative arthropathy giving stress on joints. It also amplifies loads of weight bearing joints by changing the gravity line of the body. Our aim is to investigate the correlation between obesity and lumbar lordosis in obese pre-menopausal Korean females. The hypothesis was tested that there is a correlation between obesity and lumbar lordosis. Methods : A cross-sectional evaluation of 44 Females (baseline age 30.77 ± 6.46) with BMI 31.53 ± 3.82 (kg/㎡) was done. Body composition was measured using bio-impedance analysis (BIA), and anthropometry was done by the same observer. A lateral whole spine X-ray was taken in standing position to measure the lumbar lordotic angle (LLA), Ferguson angle (FA) and lumbar gravity line (LGL). A Pearson correlation was used to measure the correlation between obesity and lumbar lordosis (SPSS 10.0 for windows). Results : Body mass index (BMI kg/㎡) had a negative relationship with LLA((equation omitted)=-0.469), FA((equation omitted) =-0.347) and LGL((equation omitted)=-0.389). Body fat rate had a negative relationship with LLA only(γ=-0.385). Waist circumference had a negative relationship with LLA((equation omitted)=-0.345) and LGL((equation omitted)=-0.346). WH ratio had no relationship with lumbar lordosis. Conclusion : These data show that obesity is related to mechanical structures, such as lumbar lordosis. BMI was the most useful index, which reflects a change of mechanical structure of lumbar, more than other variables in this study.