Mesh : Humans Male Female Range of Motion, Articular / physiology Middle Aged Adult Lumbar Vertebrae / physiology Aged Young Adult Age Factors Body Mass Index Sex Factors Physical Examination / methods

来  源:   DOI:10.5435/JAAOSGlobal-D-24-00041   PDF(Pubmed)

Abstract:
BACKGROUND: Lumbar range of motion (ROM) is a critical component of spinal function and often affected by age and sex. This study aimed to evaluate the variations in lumbar ROM across different age groups in a healthy adult population and determine the influence of sex, height, weight, and body mass index.
METHODS: A total of 208 subjects (106 men, 102 women) were recruited and stratified into age groups from the 20s to 60s and older. Lumbar ROM was measured using the Wolfson modified Schober test. Data were analyzed for flexion, extension, and total ROM. Linear regression examined the predictors of lumbar ROM.
RESULTS: The study found a progressive decline in lumbar flexion and total ROM with age. Age was the only notable predictor of lumbar flexion, with no notable effect of weight and body mass index on ROM. Extension measurements were inconsistent and did not show a clear pattern across age groups.
CONCLUSIONS: Age-related changes in lumbar ROM were consistent with known physiological changes within the spine. Despite physical differences in height and weight, the lumbar spine ROM was similar between sexes, highlighting the influence of age over sex in lumbar motion. Lumbar ROM decreases with age, with flexion affected more than extension.
摘要:
背景:腰椎活动范围(ROM)是脊柱功能的关键组成部分,通常受年龄和性别的影响。这项研究旨在评估不同年龄段的腰椎ROM在健康成年人群中的变化,并确定性别的影响。高度,体重,和体重指数。
方法:共有208名受试者(106名男性,102名妇女)被招募并分层为20至60岁及以上的年龄组。使用Wolfson改良的Schober测试测量腰椎ROM。数据分析屈曲,扩展,和总ROM。线性回归检查了腰椎ROM的预测因子。
结果:研究发现,随着年龄的增长,腰椎屈曲和总ROM逐渐下降。年龄是腰椎屈曲的唯一显著预测因素,体重和体重指数对ROM没有显着影响。延伸测量结果不一致,并且没有显示出不同年龄段的清晰模式。
结论:腰椎ROM的年龄相关变化与已知的脊柱生理变化一致。尽管身高和体重有物理差异,两性之间的腰椎ROM相似,强调年龄对性别在腰椎运动中的影响。腰部ROM随着年龄的增长而减少,屈曲影响大于伸展。
公众号