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

IF 1.4 4区医学 Q3 ORTHOPEDICS

Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2025-01-26 DOI:10.1177/10538127241310594

D Jacquemin, C Demoulin, G Dorban, F Tubez, M Vanderthommen

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引用次数: 0

Abstract

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.

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腰椎活动度的临床评估：腰椎高度和L1的超声定位。

背景：临床评估腰椎矢状面活动度的工具多种多样。它们的有效性受到质疑，特别是因为它们的皮肤标记之间的固定距离，无论受试者的身高如何。目的：测量髂后上棘（PSIS）下缘至L1棘突中间的距离，并分析其影响因素。为了检查这些新的皮肤标记是否可以更可靠地开发一种新的腰椎活动能力临床评估工具。方法：对200例受试者进行站立时超声定位的PSIS下缘与L1之间的距离进行分析。结果：PSIS-L1距离平均为13.3±1.8 cm，主要受站立高度影响。突出显示了基于站立高度与PSIS-L1关系的比率或回归线方程。结论：临床评估工具中皮肤标记物的实际放置模式是无效的。PSIS-L1/站立高度比或回归方程是预测上皮肤标记物（L1）位置的最有效方法，可用于开发新工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Back and Musculoskeletal Rehabilitation 医学-康复医学

CiteScore

2.70

自引率

0.00%

发文量

194

审稿时长

6 months

期刊介绍： The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.