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Adaptations in pelvis, hip and knee kinematics during gait and muscle extensibility in low back pain patients: A cross-sectional study.

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OBJECTIVES To compare pelvis, hip and knee kinematics during gait and extensibility of hip muscles between low back pain (LBP) and asymptomatic subjects. METHODS Forty adult volunteers (11 men and… Click to show full abstract

OBJECTIVES To compare pelvis, hip and knee kinematics during gait and extensibility of hip muscles between low back pain (LBP) and asymptomatic subjects. METHODS Forty adult volunteers (11 men and 29 women) between 18 to 30 years from university population were included in this study. Twenty patients with LBP formed the LBP group, and 20 asymptomatic subjects formed the control group. Pelvic tilt and knee valgus, peak hip and knee joint excursion, and temporo-spatial variables were assessed during gait with Kinovea software. Extensibility of hip muscles was measured by Active Knee Extension test (AKE), modified Ober test, and Thomas test. RESULTS There was a significant increase in pelvic tilt (p< 0.01), valgus angle (p< 0.01), and a significant decrease in hip extension (p< 0.01) in the LBP group compared to the control group. There was a significant decrease in extensibility of the hip flexors (p< 0.05) of the dominant leg and in the hip abductors (p< 0.01) in the LBP group compared to the control group. CONCLUSIONS The findings of this study suggest that non-specific mechanic LBP patients present differences in the pelvis, hip and knee kinematics in sagittal and frontal plane during gait and less hip flexors and abductors muscles extensibility compared to asymptomatic subjects.

Keywords: extensibility; hip; hip knee; group; kinematics

Journal Title: Journal of back and musculoskeletal rehabilitation
Year Published: 2019

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