Kinematic analysis of the lumbar spine by digital videofluoroscopy in 18 asymptomatic subjects and 9 patients with herniated nucleus pulposus

Byung Woo Lee, Jeong Eun Lee, Sang Heon Lee, Hee Kyu Kwon

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objectives: The purpose of this study was to use digital videofluoroscopy to identify motion patterns of the lumbar spine during coronal movement in asymptomatic (normal) subjects and patients with herniated nucleus pulposus (HNP). Methods: Videofluoroscopic lumbar coronal motion was recorded in 18 asymptomatic volunteers and 9 patients with HNP. Measurements were made while patients bent laterally and rotated toward the right and left from a sitting position and then returned to their original position. Direction and degree of extension in the coronal plane at each motion segment and sacral descent were measured. Through the motion analysis software, the coupled pattern with lateral bending and rotation was analyzed in the asymptomatic subjects and patients with HNP. Results: Lateral flexion movement was coupled with contralateral extension and ipsilateral sacral descent but with a different rotation pattern. Rotation movement was coupled with ipsilateral extension, ipsilateral sacral descent, and ipsilateral spinous process rotation. Patients with HNP and asymptomatic subjects had similar coupled patterns but differences in amount of motion. Conclusions: Digital videofluoroscopy showed coupled patterns during the lateral bending and rotation movements.

Original languageEnglish
Pages (from-to)221-230
Number of pages10
JournalJournal of Manipulative and Physiological Therapeutics
Volume34
Issue number4
DOIs
Publication statusPublished - 2011 May 1

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Biomechanical Phenomena
Spine
Posture
Volunteers
Software
Nucleus Pulposus

Keywords

  • Chiropractic
  • Fluoroscopy
  • Intervertebral Disk Displacement
  • Kinematics
  • Manipulation, Spinal

ASJC Scopus subject areas

  • Chiropractics

Cite this

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title = "Kinematic analysis of the lumbar spine by digital videofluoroscopy in 18 asymptomatic subjects and 9 patients with herniated nucleus pulposus",
abstract = "Objectives: The purpose of this study was to use digital videofluoroscopy to identify motion patterns of the lumbar spine during coronal movement in asymptomatic (normal) subjects and patients with herniated nucleus pulposus (HNP). Methods: Videofluoroscopic lumbar coronal motion was recorded in 18 asymptomatic volunteers and 9 patients with HNP. Measurements were made while patients bent laterally and rotated toward the right and left from a sitting position and then returned to their original position. Direction and degree of extension in the coronal plane at each motion segment and sacral descent were measured. Through the motion analysis software, the coupled pattern with lateral bending and rotation was analyzed in the asymptomatic subjects and patients with HNP. Results: Lateral flexion movement was coupled with contralateral extension and ipsilateral sacral descent but with a different rotation pattern. Rotation movement was coupled with ipsilateral extension, ipsilateral sacral descent, and ipsilateral spinous process rotation. Patients with HNP and asymptomatic subjects had similar coupled patterns but differences in amount of motion. Conclusions: Digital videofluoroscopy showed coupled patterns during the lateral bending and rotation movements.",
keywords = "Chiropractic, Fluoroscopy, Intervertebral Disk Displacement, Kinematics, Manipulation, Spinal",
author = "Lee, {Byung Woo} and Lee, {Jeong Eun} and Lee, {Sang Heon} and Kwon, {Hee Kyu}",
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AU - Lee, Jeong Eun

AU - Lee, Sang Heon

AU - Kwon, Hee Kyu

PY - 2011/5/1

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N2 - Objectives: The purpose of this study was to use digital videofluoroscopy to identify motion patterns of the lumbar spine during coronal movement in asymptomatic (normal) subjects and patients with herniated nucleus pulposus (HNP). Methods: Videofluoroscopic lumbar coronal motion was recorded in 18 asymptomatic volunteers and 9 patients with HNP. Measurements were made while patients bent laterally and rotated toward the right and left from a sitting position and then returned to their original position. Direction and degree of extension in the coronal plane at each motion segment and sacral descent were measured. Through the motion analysis software, the coupled pattern with lateral bending and rotation was analyzed in the asymptomatic subjects and patients with HNP. Results: Lateral flexion movement was coupled with contralateral extension and ipsilateral sacral descent but with a different rotation pattern. Rotation movement was coupled with ipsilateral extension, ipsilateral sacral descent, and ipsilateral spinous process rotation. Patients with HNP and asymptomatic subjects had similar coupled patterns but differences in amount of motion. Conclusions: Digital videofluoroscopy showed coupled patterns during the lateral bending and rotation movements.

AB - Objectives: The purpose of this study was to use digital videofluoroscopy to identify motion patterns of the lumbar spine during coronal movement in asymptomatic (normal) subjects and patients with herniated nucleus pulposus (HNP). Methods: Videofluoroscopic lumbar coronal motion was recorded in 18 asymptomatic volunteers and 9 patients with HNP. Measurements were made while patients bent laterally and rotated toward the right and left from a sitting position and then returned to their original position. Direction and degree of extension in the coronal plane at each motion segment and sacral descent were measured. Through the motion analysis software, the coupled pattern with lateral bending and rotation was analyzed in the asymptomatic subjects and patients with HNP. Results: Lateral flexion movement was coupled with contralateral extension and ipsilateral sacral descent but with a different rotation pattern. Rotation movement was coupled with ipsilateral extension, ipsilateral sacral descent, and ipsilateral spinous process rotation. Patients with HNP and asymptomatic subjects had similar coupled patterns but differences in amount of motion. Conclusions: Digital videofluoroscopy showed coupled patterns during the lateral bending and rotation movements.

KW - Chiropractic

KW - Fluoroscopy

KW - Intervertebral Disk Displacement

KW - Kinematics

KW - Manipulation, Spinal

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