The association of limited or painful spinal range of motion with lumbar disc degeneration: the back complaints in older adults (BACE) study: the back complaints in older adults (BACE) study
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| Název: | The association of limited or painful spinal range of motion with lumbar disc degeneration: the back complaints in older adults (BACE) study: the back complaints in older adults (BACE) study |
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| Autoři: | Feller, Daniel, van den Berg, Roxanne, Enthoven, Wendy T.M., Oei, Edwin H.G., Bierma-Zeinstra, Sita M., Koes, Bart W., Chiarotto, Alessandro |
| Zdroj: | BMC Musculoskelet Disord BMC Musculoskeletal Disorders, Vol 25, Iss 1, Pp 1-10 (2024) |
| Informace o vydavateli: | Springer Science and Business Media LLC, 2024. |
| Rok vydání: | 2024 |
| Témata: | Range of Motion, Male, Classification criteria, Lumbar Vertebrae/diagnostic imaging, Spine/epidemiology, Diseases of the musculoskeletal system, Intervertebral Disc Degeneration, Disc degeneration, Spinal OA, 03 medical and health sciences, 0302 clinical medicine, Low Back Pain/physiopathology, Osteoarthritis, Humans, Range of Motion, Articular, Range of motion, Aged, Pain Measurement, Latero-flexion, Lumbar Vertebrae, Research, Back pain, Middle Aged, Radiography, Intervertebral Disc Degeneration/diagnostic imaging, RC925-935, Female, Osteoarthritis, Spine, Low Back Pain, Articular |
| Popis: | We currently lack clear definitions for structural and symptomatic spinal osteoarthritis (OA). To define spinal OA and create diagnostic criteria for this condition, it is necessary to determine the relationship between clinical signs and symptoms of back pain and radiographic features of OA. Notably, recent studies suggest a defining sign of spinal OA could be a limited or painful spinal range of motion (ROM). Therefore, our objective was to assess the association between restricted or painful active spinal ROM, and multilevel structural features of lumbar disc degeneration (LDD) (i.e., disc space narrowing, osteophytes) on radiographs.We used the baseline data from the'Back Complaints in Older Adults' (BACE) study. The association between a limited or painful active spinal ROM, and multilevel disc space narrowing or osteophytes was assessed using multivariable logistic regression adjusted for age, mean pain intensity in the previous week, sex, BMI, and the Fear Avoidance Belief Questionnaire score. Primary analyses were performed on imputed datasets.We included 675 patients with a mean age of 66.52 years (SD 7.69). Limited latero-flexion (fingertip that at best reached halfway up the upper leg) was associated with increased odds of having multilevel osteophytes (OR 1.85; 95% CI: 1.13 to 3.01). However, a limited or painful ROM in other directions (i.e., rotation, ante-flexion) was not associated with multilevel osteophytes, and a limited or painful active ROM in any direction was found to have no association with multilevel disc space narrowing.Our study indicates that a restricted ROM in latero-flexion could potentially be a defining sign in future definitions of symptomatic spinal OA. However, since our results partially differ from previous studies, further research is needed to explore the association between active ROM and LDD. |
| Druh dokumentu: | Article Other literature type |
| Jazyk: | English |
| ISSN: | 1471-2474 |
| DOI: | 10.1186/s12891-024-07994-x |
| Přístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/39548511 https://doaj.org/article/d253ef5082fa4e93b825658f6059ebe3 https://pure.eur.nl/en/publications/ae5ab29a-16c7-4a26-badb-8b0839720988 https://doi.org/10.1186/s12891-024-07994-x https://portal.findresearcher.sdu.dk/da/publications/cd248d53-b1a8-44ba-832e-c2422655a2e3 https://doi.org/10.1186/s12891-024-07994-x |
| Rights: | CC BY NC ND |
| Přístupové číslo: | edsair.doi.dedup.....3e8379506e0508788facc9b288edcfa7 |
| Databáze: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | We currently lack clear definitions for structural and symptomatic spinal osteoarthritis (OA). To define spinal OA and create diagnostic criteria for this condition, it is necessary to determine the relationship between clinical signs and symptoms of back pain and radiographic features of OA. Notably, recent studies suggest a defining sign of spinal OA could be a limited or painful spinal range of motion (ROM). Therefore, our objective was to assess the association between restricted or painful active spinal ROM, and multilevel structural features of lumbar disc degeneration (LDD) (i.e., disc space narrowing, osteophytes) on radiographs.We used the baseline data from the'Back Complaints in Older Adults' (BACE) study. The association between a limited or painful active spinal ROM, and multilevel disc space narrowing or osteophytes was assessed using multivariable logistic regression adjusted for age, mean pain intensity in the previous week, sex, BMI, and the Fear Avoidance Belief Questionnaire score. Primary analyses were performed on imputed datasets.We included 675 patients with a mean age of 66.52 years (SD 7.69). Limited latero-flexion (fingertip that at best reached halfway up the upper leg) was associated with increased odds of having multilevel osteophytes (OR 1.85; 95% CI: 1.13 to 3.01). However, a limited or painful ROM in other directions (i.e., rotation, ante-flexion) was not associated with multilevel osteophytes, and a limited or painful active ROM in any direction was found to have no association with multilevel disc space narrowing.Our study indicates that a restricted ROM in latero-flexion could potentially be a defining sign in future definitions of symptomatic spinal OA. However, since our results partially differ from previous studies, further research is needed to explore the association between active ROM and LDD. |
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| ISSN: | 14712474 |
| DOI: | 10.1186/s12891-024-07994-x |