Lumbar spine angular measures in older people: comparison between two radiographic analysis strategies
DOI:
https://doi.org/10.1590/1809-2950/15932723042016Keywords:
Aging, Lordosis/Radiography, PostureAbstract
The literature about posture in older adults includes studies that measure spine angles through several strategies. This may interfere with postural diagnosis and impact on the resolution of comorbidities affecting the spine in older people. The objective of this study was to compare two lumbar spine measurement methods commonly used in research. The association between these measures and the angle of kyphosis was used as the basis for comparison. One hundred-sixty older adults were submitted to anterior-posterior lumbar spine x-ray. Two Cobb measures were used for each image (L1-L5 and L1-S1) and the conventional measure for hyperkyphosis. Only the measure based on L1-L5 was associated with the kyphosis angle. The study suggests that lumbar spine x-rays should be analyzed through the L1-L5 Cobb strategy in older people.Downloads
References
Kado DM, Huang MH, Karlamangla AS, Cawthon P, Katzman
W, Hillier TA, et al. Factors associated with kyphosis
progression in older women: 15 years’ experience in the study
of osteoporotic fractures. J Bone Mineral Res. 2013;28(1):179-
doi: 10.1002/jbmr.1728.
Imagama S, Hasegawa Y, Matsuyama Y, Sakai Y, Ito Z,
Hamajima N, et al. Influence of sagittal balance and physical
ability associated with exercise on quality of life in middleaged and elderly people. Arch Osteoporos. 2011;6(1-2):13-20.
doi: 10.1007/s11657-011-0052-1.
Erkan S, Yercan HS, Okcu G, Ozalp RT. The influence of
sagittal cervical profile, gender and age on the thoracic
kyphosis. Acta Orthop Belg. 2010;76(5):675-80.
Quek J, Pua YH, Clark RA, Bryant AL. Effects of thoracic
kyphosis and forward head posture on cervical range of
motion in olders adults. Man Ther. 2013;18(1):65-71. doi:
1016/j.math.2012.07.005.
Burke TN, França FJ, Meneses SR, Cardoso VI, Pereira RM,
Danilevicius CF, et al. Postural control among elderly women
with and without osteoporosis: is there a difference? Sao
Paulo Med J. 2010;128(4):219-24.
Wang HJ, Giambini H, Zhang WJ, Ye GH, Zhao C, An KN, et
al. A modified sagittal spine postural classification and its
relationship to deformities and spinal mobility in a Chinese
osteoporotic population. PLoS One. 2012;7:1-8. doi: 10.1371/
journal.pone.0038560.
Katzman WB, Vittinghoff E, Kado DM. Agerelatedhyperkyphosis, independent of spinal osteoporosis,
is associated with impaired mobility in older communitydwelling women. Osteoporos Int. 2011;22(1):85-90. doi:
1007/s00198-010-1265-7.
Katzman WB, Wanek L, Shepherd JA, Sellmeyer DE. Agerelated hyperkyphosis: its causes, consequences, and
management. J Orthop Sports Phys Ther. 2010;40(6):352-
doi: 10.2519/jospt.2010.3099.
Polly DW Jr, Kilkelly FX, McHale KA, Asplund LM, Mulligan
M,Chang AS. Measurement of lumbar lordosis: evaluation of
intraobserver, interobserver, and technique variability. Spine
(Phila PA 1976). 1996;21(13):1530-5.
Bruno AG, Anderson DE, D’Agostino J, Bouxsein ML. The
effect of thoracic kyphosis and sagittal plane alignment
on vertebral compressive loading. J Bone Miner Res.
;27(10):2144-51. doi: 10.1002/jbmr.1658.
Anderson DE, D’Agostino JM, Bruno AG, Manoharan RK,
Bouxsein ML. Regressions for estimating muscle parameters
in the thoracic and lumbar trunk for use in musculoskeletal
modeling. J Biomech. 2012;45(1):66-75. doi: 10.1016/j.
jbiomech.2011.10.004.
Roussouly P, Pinheiro-Franco JL. Biomechanical analysis of the
spino-pelvic organization and adaptation in pathology. Eur
Spine J. 2011;20(5):609-18. doi: 10.1007/s00586-011-1928-x.
Marras WS, King AI, Joynt RL. Measurements of loads on the
lumbar spine under isometric and isokinetic conditions. Spine.
;9(2):176-87. doi: 10.1097/00007632-198403000-00008.
Gonçalves GB, Pereira JS. Radiological assessment of the
angular values of back-lumbar and sacral-lumbar curvature
in adolescents. Acta Fisiatr. 2008;15(2):92-5.
Russell BS, Muhlenkamp KA, Hoiriis KT, DeSimone CM.
Measurement of lumbar lordosis in static standing posture
with and without high-heeled shoes. J Chiropr Med.
;11(3):145-53. doi: 10.1016/j.jcm.2012.02.002.
Iyer S, Christiansen BA, Roberts BJ, Valentine MJ,
Manoharan RK, Bouxsein ML.A biomechanical model for
estimating loads on thoracic and lumbar vertebrae. Clin
Biomech (Bristol, Avon). 2010;25(9):853-8. doi: 10.1016/j.
clinbiomech.2010.06.010.
Cho IY, Park SY, Park JH, Kim TK, Jung TW, Lee HM. The effect
of standing and different sitting positions on lumbar lordosis:
radiographic study of 30 healthy volunteers. Asian Spine J.
;9(5):762-9. doi: 10.4184/asj.2015.9.5.762.
Smith JS, Shaffrey CI, Fu KM, Scheer JK, Bess S, Lafage V,
et al. Clinical and radiographic evaluation of the adult spinal
deformity patient. Neurosurg Clin N Am. 2013;24(2):143-56.
doi: 10.1016/j.nec.2012.12.009.
Henneman SA, Antoneli PHL, Oliveira GC. Incidencia pélvica:
um parâmetro fundamental para definição do equilíbrio
sagital da coluna vertebral. Coluna/Columna. 2012;11(3):237-
doi: http://dx.doi.org/10.1590/S1808-18512012000300011.
Araújo THP, Francisco LTP, Leite RF, Iunes DH. Posicionamento
da pelve e lordose lombar em mulheres com incontinência
urinária de esforço. Fisioter Pesqui. 2010;17(2):130-5. doi:
http://dx.doi.org/10.1590/S1809-29502010000200007.
Miyazaki J, Murata S, Horie J, Uematsu A, Hortobágyi T,
Suzuki S. Lumbar lordosis angle (LLA) and leg strength
predict walking ability in elderly males. Arch Gerontol Geriatr.
;56(1):141-7. doi: 10.1016/j.archger.2012.09.004.
Gasparotto et al. Medidas angulares da coluna lombar em idosos
Chen YL. Vertebral centroid measurement of lumbar lordosis
compared with the Cobb technique. Spine (Phila Pa 1976).
;24(17):1786-90.
Chernukha KV, Daffner RH, Reigel DH. Lumbar lordosis
measurement: a new method versus Cobb technique. Spine
(Phila Pa 1976). 1998;23(1):74-9.
Abreu AV, Mello AP, Trovão GS, Fontenelle CRC. Avaliação
clínico-radiográfica da mobilidade da lordose lombar.
Rev BrasOrtop. 2007;42(10):313-23. doi: http://dx.doi.
org/10.1590/S0102-36162007001000001.
Downloads
Published
Issue
Section
License
Copyright (c) 2016 Fisioterapia e Pesquisa
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
