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Gender-Related Differences in Reliability of Thorax, Lumbar, and Pelvis Kinematics During Gait in Patients With Non-specific Chronic Low Back Pain

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주제분류재활의학

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Objective To evaluate test-retest reliability of trunk kinematics relative to the pelvis during gait in two groups (males and females) of patients with non-specific chronic low back pain (NCLBP) using three-dimensional motion capture system. Methods A convenience sample of 40 NCLBP participants (20 males and 20 females) was evaluated in two sessions. Participants were asked to walk with self-selected speed and kinematics of thorax and lumbar spine were captured using a 6-infrared-cameras motion-analyzer system. Peak amplitude of displacement and its measurement errors and minimal detectable change (MDC) were then calculated. Results Intraclass correlation coefficients (ICCs) were relatively constant but small for certain variables (lower lumbar peak flexion in female: inter-session ICC=0.51 and intra-session ICC=0.68; peak extension in male: intersession ICC=0.67 and intra-session ICC=0.66). The measurement error remained constant and standard error of measurement (SEM) difference was large between males (generally ≤4.8°) and females (generally ≤5.3°). Standard deviation (SD) was higher in females. In most segments, females exhibited higher MDCs except for lower lumbar sagittal movements. Conclusion Although ICCs were sufficiently reliable and constant in both genders during gait, there was difference in SEM due to difference in SD between genders caused by different gait disturbance in chronic low back pain. Due to the increasing tendency of measurement error in other areas of men and women, attention is needed when measuring lumbar motion using the method described in this study.

Abstract

Objective To evaluate test-retest reliability of trunk kinematics relative to the pelvis during gait in two groups (males and females) of patients with non-specific chronic low back pain (NCLBP) using three-dimensional motion capture system. Methods A convenience sample of 40 NCLBP participants (20 males and 20 females) was evaluated in two sessions. Participants were asked to walk with self-selected speed and kinematics of thorax and lumbar spine were captured using a 6-infrared-cameras motion-analyzer system. Peak amplitude of displacement and its measurement errors and minimal detectable change (MDC) were then calculated. Results Intraclass correlation coefficients (ICCs) were relatively constant but small for certain variables (lower lumbar peak flexion in female: inter-session ICC=0.51 and intra-session ICC=0.68; peak extension in male: intersession ICC=0.67 and intra-session ICC=0.66). The measurement error remained constant and standard error of measurement (SEM) difference was large between males (generally ≤4.8°) and females (generally ≤5.3°). Standard deviation (SD) was higher in females. In most segments, females exhibited higher MDCs except for lower lumbar sagittal movements. Conclusion Although ICCs were sufficiently reliable and constant in both genders during gait, there was difference in SEM due to difference in SD between genders caused by different gait disturbance in chronic low back pain. Due to the increasing tendency of measurement error in other areas of men and women, attention is needed when measuring lumbar motion using the method described in this study.

참고문헌 (33)

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관련 논문AI추천

Correction: Gender-Related Differences in Reliability of Thorax, Lumbar, and Pelvis Kinematics During Gait in Patients With Non-specific Chronic Low Back PainAmir Ahmadi, Amir-Salar Jafarpisheh, Ismail Ebrahimi Takamjani, Javad Sarrafzadeh, Mehdi Dadgoo, Mohammad Reza Pourahmadi, Rasool Bagheri대한재활의학회 · Annals of Rehabilitation Medicine2018 · 제42권 제6호Complementary Metrics in Spatiotemporal Gait Parameters Across Prognostic Risk Strata in Chronic Low Back PainBarros Márcia Izabeli Guimarães, Bertolini Gladson Ricardo Flor, de Carvalho Alberito Rodrigo, Fonseca Pedro Mello Coutinho, Hubner Fernanda Peron한국전문물리치료학회 · 한국전문물리치료학회지2025 · 제32권 제3호건강한 성인과 만성요통환자의 전방 짐 나르기 동안 몸통, 골반, 엉덩관절의 협응과 운동형상학적 가변성 비교김택훈, 노정석, 채은수, 최흥식한국전문물리치료학회 · 한국전문물리치료학회지2015 · 제22권 제2호Effect of Taping on Lumbar Kinematics and Muscle Activities During Typing in Individuals With Nonspecific Chronic Low Back Pain권오윤, 김현아, 안선희, 전인철, 정성대한국전문물리치료학회 · 한국전문물리치료학회지2015 · 제22권 제1호Effects of Taping the Lower Back on the Lumbopelvic Region and Hip Joint Kinematics During Sit-to-Stand권오윤, 김시현, 박규남, 최홍식한국전문물리치료학회 · 한국전문물리치료학회지2014 · 제21권 제4호A Comparison of Lumbopelvic Stability and Knee Muscle Strength With and Without Chronic Low Back Pain in Female Caregivers: A Cross-sectional StudyJeon Hye-seon, Jung Jang-hun, Jung Sung-hoon, Kwon Oh-yun, Yi Chung-hwi한국전문물리치료학회 · 한국전문물리치료학회지2025 · 제32권 제1호

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