Dynamic Characteristics of Patients with Lumbar Disc Herniation in Sitting and Standing Process
10.16156/j.1004-7220.2024.02.010
- VernacularTitle:腰椎间盘突出症患者坐立过程的动力学特征
- Author:
Xin ZHOU
1
,
2
;
Xiong ZHAO
;
Ben CAO
;
Lingjun KONG
;
Zhiwei WU
;
Qingguang ZHU
;
Min FANG
Author Information
1. 上海中医药大学附属岳阳中西医结合医院推拿科,上海 200437
2. 上海市中医药研究院中医推拿研究所,上海 200437
- Keywords:
lumbar disc herniation(LDH);
lumbar spine;
hip joint;
statistical parameter mapping(SPM);
moment
- From:
Journal of Medical Biomechanics
2024;39(2):258-264
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of pain on the lumbar and hip joint moments in patients with lumbar disc herniation(LDH)while sitting and standing.Methods Dynamic data from 20 healthy controls and 20 patients with LDH were collected using an AMTI dynamometer.The differences in moments between the lumbar spine and hip joints in the sagittal and coronal planes for the two groups of subjects performing sitting-standing tasks were analyzed using statistical parameter mapping(SPM).Results Compared to the healthy control group,the LDH group showed a significant increase in the maximum lumbar flexion moment and the maximum hip adduction moment from standing to sitting(P＜0.05).SPM analysis showed that during the initial phase of standing(37％-42％),the hip abduction moment of the LDH group was significantly greater than that of the healthy control group(P=0.007).Conclusions Subjects with LDH have an unstable lumbar spine and pelvis during sitting and standing,especially at the stationary stage,which makes it difficult to achieve balance in their body.Therefore,increasing the hip abduction moment is necessary to maintain pelvic stability.During clinical evaluation and treatment,emphasis should be placed on the stable function of the spine and pelvis.
