Lumbopelvic Rhythm: Difference between revisions
Revision as of 19:32, 14 September 2020
Original Editor-Chelsea Mclene
Top Contributors-Chelsea McleneandKim Jackson
Introduction[edit|edit source]
Lumbar jointis formed by wedge shapedintervertebral discanteriorly and posteriorly byL5-S1 facet.
Cailliet described a specific instance of coordinated, simultaneous activity of lumbar flexion and anterior tilting of pelvis in sagittal plane during trunk flexion and extension.He combined lumbar and pelvic motion.[1]
When femur,pelvis and spine move in combined coordinated manner,it produces a larger ROM than what might be available to one segment alone.It is anopen kinetic chainand is analogous toScapulo-Humeral Rhythm.
What is lumbopelvic rhythm?[edit|edit source]
The activity of bending over to touch one's toes with knees straight depends on lumbopelvic rhythm.[2]
Lumbopelvic rhythm refers to the way in which the lumbar spine,moves in combination with the pelvis.It is the kinematic relationship between lumbar spine and hip joints during sagittal plane movement.
According to Cailliet[1],the first part ofbending forward consists of lumbosacral flexion followed by anteriortilting of pelvisat hip joints..The muscles in the lower back namely erector spinae,contracteccentrically to control the movement against gravity while trunk flexes and pelvis. The muscles that flex the hip contract concentrically and this motion is balanced by eccentric contraction of muscles that extend the hip.
Whenreturn to the erect posture, this rhythm is reversed.It is initiated by posterior tilting of pelvis at the hips, followed by extension of lumbar spine.[2]The hip extensors initiate the posterior rotation of the pelvis until it is in a better position forspinal extensorsto concentrically contract without too much stress being put on them.As these muscles contract concentrically, the hip flexors contract eccentrically tohelp control the movement.
The aspect of motion of interest include timing,as well as magnitude related characteristics.
Lumbopelvic rhythm contribution to low back pain[edit|edit source]
During forward bending,the eccentric contractions of the lumbar and hip extensors help to lower the body in a controlled motion against gravity.If the muscles are weak or fatigued,the weight of the body is enough to overload the muscles and this causes strain. When the body is returning to the erect position,if the hip flexors are tight or the extensors are too weak to initiate posterior pelvic rotation , the spinal extensors can get overloaded, causing injury and pain.[3]
Improvement of lumbopelvic rhythm by correction of forward head posture[edit|edit source]
Research[4]做了改善lumbopelvic rhythm by correction of forward head posture which concluded that the study showed clinical significance in the improvement of lumbopelvic rhythm byforward headcorrection given for 4 weeks of treatment.
This includedcervicothoracic fascia release,Maitland mobilisation,stretching of trapezius,pectorals,levator scapulaeand neck exercise likechin tuckand chin drop.
进一步的阅读[edit|edit source]
References[edit|edit source]
- ↑1.01.1Cailliet R: Soft Tissue Pain and Disability(ed. 3) ,Philadelphia F.A. Davis,1996
- ↑2.02.1Norkin, C. C., Levangie, P. K.Joint Structure and Function: A Comprehensive Analysis. United States: F.A. Davis Company,2011
- ↑Lowe W:The lumbopelvic rhythm. Academy of clinical massage, published july 1,2015
- ↑Dass B, Shinde D, Kala S et.al.Improvement in the lumbo-pelvic rhythm by correction of forward head posture. Int J Health Sci Res. 2020; 10(9):69-75.
