Relationship between Hip Internal Rotators and Back Extensor Endurance in Mechanical Low Back Pain
DOI:
https://doi.org/10.37506/9pmf4835Abstract
Background & Objective: Low back pain is a prevalent musculoskeletal disorder that often leads to mechanical alterations during various activities. A reduced range of hip rotation and decreased endurance of the paraspinal muscles are considered contributing factors to biomechanical low back pain. This study aims to examine the relationship between hip internal rotator flexibility and back extensor endurance in females aged 18-30 years experiencing biomechanical low back pain.
Methodology: The study included 120 females aged 18-30 years, selected based on specific inclusion and exclusion criteria. Hip internal rotation range was assessed using a goniometer, while trunk extensor endurance was evaluated using the Biering-Sorensen test.
Results: The results of Spearman's rank correlation coefficient test that there is a weak positive correlation between hip internal rotation (right) r = 0.101 and left (r = 0.063) with back extensor endurance and are not statistically significant (p > 0.05).
Conclusion: This study demonstrated that there is no significant relationship between hip internal rotation and back extensor endurance in individuals with mechanical low back pain.
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References
Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J,
Klaber-Moffett J, Kovacs F, et al. European guidelines
for the management of chronic nonspecific low back
pain. European spine journal. 2006 Mar;15(Suppl 2):
s192
Russo M, Deckers K, Eldabe S, Kiesel K, Gilligan C,
Vieceli J, et al. Muscle control and non-specific chronic
low back pain. Neuromodulation: Technology at the
Neural Interface. 2018 Jan 1; 21(1):1-9.
Hoy D, March L, Brooks P, Blyth F, Woolf A, Bain C, et
al. The global burden of low back pain: estimates from
the Global Burden of Disease 2010 study. Annals of
the rheumatic diseases. 2014 Jun 1;73(6):968-74.
Ferguson SA, Merryweather A, Thiese MS, Hegmann
KT, Lu ML, Kapellusch JM, et al. Prevalence of low
back pain, seeking medical care, and lost time due
to low back pain among manual material handling
workers in the United States. BMC musculoskeletal
disorders. 2019 Dec; 20:1-8.
Desai R, Rathi M, Palekar TJ. Effects of Movement
Retraining and Lumbar Stabilization Exercises in
Mechanical Low Back Pain: A Pilot Study. Cureus.
Feb; 16(2).
Çolak TK, Sert N, Sert B, Aptı A. The effect of
interferential currents and tens on pain and
functionality in patients with chronic mechanical low
back pain. J Turk Spinal Surg. 2024 Jan; 35(1):24-30.
Will JS, Bury DC, Miller JA. Mechanical low back pain.
American family physician. 2018 Oct 1; 98(7):421-8.
Kamel E, Sarah Y, Elsadat SS. Immediate Effect of
Kinesio Taping on Dynamic Balance in Different
Grades of Pain Intensity in Chronic Mechanical Low
Back Pain. The Medical Journal of Cairo University.
Dec 1; 91(12):1409-16.
Gombatto S P, Collins D R, Sahrmann S A, Engsberg
J R, Van Dillen LR. Gender differences in the pattern
of Hip and Lumbopelvic rotation in people with Low
Back Pain. Clinical Biomechanics. 2006; 21(3):263-71.
Cejudo A, Moreno-Alcaraz V J, Izzo R, Santonja
Medina F, Sainz de Baranda P. External and total hip
rotation ranges of motion predispose to low back pain
in elite Spanish inline hockey players. International
Journal of Environmental Research and Public Health.
; 17(13):48-58.
Reiman MP, Weisbach PC, Glynn PE. The hip’s
influence on low back pain: a distal link to a proximal
problem. Journal of sport rehabilitation. 2009 Feb 1;
(1):24-32.
Barbee Ellison J, Rose SJ, Sahrmann SA. Patterns of
hip rotation range of motion: a comparison between
healthy subjects and patients with low back pain.
Physical therapy. 1990 Sep 1; 70(9):537-41.
Vad VB, Bhat AL, Basrai D, Gebeh A, Aspergren DD,
Andrews JR. Low back pain in professional golfers: the
role of associated hip and low back range-of-motion
deficits. The American journal of sports medicine.
Mar; 32(2):494-7.
Van Dillen LR, Bloom NJ, Gombatto SP, Susco TM.
Hip rotation range of motion in people with and
without low back pain who participate in rotation
related sports. Physical Therapy in Sport. 2008 May
; 9(2):72-81.
Moffroid MT. Endurance of trunk muscles in persons
with chronic low back pain: assessment, performance,
training. Journal of rehabilitation research and
development. 1997 Oct 1; 34:440-7.
Kim C, Han J. Comparison of lumbopelvic motions
during hip medial rotation depending on sex
differences and chronic lower back pain. The Journal
of Korean Physical Therapy. 2019; 31(2):117-121.
Nussbaumer S, Leunig M, Glatthorn JF, Stauffacher
S, Gerber H, Maffiuletti NA. Validity and test-retest
reliability of manual goniometers for measuring
passive hip range of motion in femoroacetabular
impingement patients. BMC musculoskeletal
disorders. 2010 Dec; 11:1-1.
Ghroubi S, Jribi S, Jdidi J, Yahia A, Elleuch W, Chaaben
M, et al. Study of the validity and reproducibility of
the Biering-Sorensen test in chronic low back pain.
Annals of Physical and Rehabilitation Medicine. 2015
Sep1; 58:e88.
Bijur PE, Silver W, Gallagher EJ. Reliability of the
visual analogue scale for measurement of acute pain.
Academic emergency medicine. 2001 Dec; 8(12):
-7.
Krishna HS, Pramod PV, D’souza CJ, Thomas S,
Babu A. Hip rotation range of motion: a comparison
between healthy individuals and patients with
chronic low back pain. International Journal of Science
& Healthcare Research. 2020; 5(4):160-164
Roach SM, San Juan JG, Suprak DN, Lyda M, Bies
AJ, Boydston CR. Passive hip range of motion is
reduced in active subjects with chronic low back pain
compared to controls. International journal of sports
physical therapy. 2015 Feb; 10(1):13.
Handrakis JP, Friel K, Hoeffner F, Akinkunle O,
Genova V, Isakov E, et al. Key characteristics of
low back pain and disability in college-aged adults:
a pilot study. Archives of physical medicine and
rehabilitation. 2012 Jul 1; 93(7):1217-24.
Wk Lee S, Kim SY. Effects of hip exercises for chronic
low-back pain patients with lumbar instability.
Journal of physical therapy science. 2015; 27(2):345-8.
Bento TP, dos Santos Genebra CV, Maciel NM,
Cornelio GP, Simeão SF, de Vitta A. Low back pain
and some associated factors: is there any difference
between genders?. Brazilian journal of physical
therapy. 2020 Jan 1; 24(1):79-87
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