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Clinical assessment of lumbar mobility: Height of the lumbar spine and localization of L1 by ultrasound

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Název: Clinical assessment of lumbar mobility: Height of the lumbar spine and localization of L1 by ultrasound
Autoři: Jacquemin, Denis, Demoulin, Christophe, Dorban, G, Tubez, François, Vanderthommen, Marc
Zdroj: Journal of Back and Musculoskeletal Rehabilitation. 38:633-639
Informace o vydavateli: SAGE Publications, 2025.
Rok vydání: 2025
Témata: Male, Adult, Range of Motion, Articular/physiology, Lumbar Vertebrae, Lumbar Vertebrae/diagnostic imaging, Lumbosacral Region, Lumbar Vertebrae/physiology, Middle Aged, physical examination, Sciences de la santé humaine, Spine, Body Height, articular arthrometry, range of motion, Humans, Female, Human health sciences, Range of Motion, Articular, low back pain, Ultrasonography
Popis: Background Various tools for clinical assessment of lumbar mobility in the sagittal plane coexist. Their validity has been called into question in particular because of their fixed distances between their skin markers whatever the height of the subject. Objective To measure the distance between the lower margin of the Postero Superior Iliac Spines (PSIS) and the middle of the L1 spinous process and to analyze the characteristics that influence it. To check whether these new skin marks could be more reliable for developing a new clinical assessment tool for lumbar mobility. Method The distance between the lower margin of the PSIS and the L1, located by ultrasound, was taken in the standing position and analyzed on 200 participants. Results The mean PSIS-L1 distance was 13.3 ± 1.8 cm, influenced mainly by standing height. A ratio or the regression line equation, based on the relationship between standing height and PSIS-L1, were highlighted. Conclusions The actual mode of placement of skin markers for the clinical assessment tools to evaluate lumbar mobility is not valid. The PSIS-L1/standing height ratio or the regression equation are the most effective ways for predicting the location of the upper skin marker (L1) for developing a new tool.
Druh dokumentu: Article
Jazyk: English
ISSN: 1878-6324
1053-8127
DOI: 10.1177/10538127241310594
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/39973281
Rights: URL: https://journals.sagepub.com/page/policies/text-and-data-mining-license
Přístupové číslo: edsair.doi.dedup.....0cfedbf0f8d2ff71ee80fa00836845d1
Databáze: OpenAIRE
Popis
Abstrakt:Background Various tools for clinical assessment of lumbar mobility in the sagittal plane coexist. Their validity has been called into question in particular because of their fixed distances between their skin markers whatever the height of the subject. Objective To measure the distance between the lower margin of the Postero Superior Iliac Spines (PSIS) and the middle of the L1 spinous process and to analyze the characteristics that influence it. To check whether these new skin marks could be more reliable for developing a new clinical assessment tool for lumbar mobility. Method The distance between the lower margin of the PSIS and the L1, located by ultrasound, was taken in the standing position and analyzed on 200 participants. Results The mean PSIS-L1 distance was 13.3 ± 1.8 cm, influenced mainly by standing height. A ratio or the regression line equation, based on the relationship between standing height and PSIS-L1, were highlighted. Conclusions The actual mode of placement of skin markers for the clinical assessment tools to evaluate lumbar mobility is not valid. The PSIS-L1/standing height ratio or the regression equation are the most effective ways for predicting the location of the upper skin marker (L1) for developing a new tool.
ISSN:18786324
10538127
DOI:10.1177/10538127241310594