Investigation of lumbar and cervical lordosis variation in sit-to-stand-to-sit movement with different strategies in healthy subjects.

Background: Due to lower limb impairment, people use greater trunk flexion strategies and cannot maintain the alignment of the upper body, leading to loss of lordosis over time. Objective: A comprehensive study is needed to understand the heightened trunk flexion effect on lumbar and cervical lordos...

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Publicado en:Journal of Back & Musculoskeletal Rehabilitation Vol. 38; no. 4; pp. 838 - 852
Autores principales: Suman, Subodh Kumar, Verma, Khyati
Formato: pictorial research tables/charts Journal Article
Publicado: Sage Publications Inc. Jul2025
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Journal of Back & Musculoskeletal Rehabilitation
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      dt: Jul2025
      vid: 38
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.1177/10538127251317634
        186344191
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        atl: Investigation of lumbar and cervical lordosis variation in sit-to-stand-to-sit movement with different strategies in healthy subjects.
      aug:
        au:
          Suman, Subodh Kumar
          Verma, Khyati
        affil: Department of Mechanical Engineering, National Institute of Technology Karnataka, Mangalore, India
      sug:
        subj:
          Lumbar Vertebrae Physiology
          Cervical Vertebrae Physiology
          Lordosis Pathology
          Sitting
          Standing
          Movement
          Torso
          Flexion
          Biomechanics
          Posture
          Human
          Male
          Female
          Adult
          Pelvis
          Motion Capture
          Imaging, Three-Dimensional
          Sacrum
          Kinematics
          Thorax
          Head
          Correlational Studies
          Spinal Diseases
          Disease Progression
          Descriptive Statistics
          Adult: 19-44 years
          Male
          Female
      ab: Background: Due to lower limb impairment, people use greater trunk flexion strategies and cannot maintain the alignment of the upper body, leading to loss of lordosis over time. Objective: A comprehensive study is needed to understand the heightened trunk flexion effect on lumbar and cervical lordosis and associated joint moments. Methods: The three sit-to-stand-to-sit strategies, Natural, Full trunk flexion, and Pelvis-spine alignment, were conducted in 3D motion capture. The hypothesis is that increasing the total lumbar and cervical lordosis depth will reduce the total lumbosacral and cervicothoracic joint moment. Using Visual 3D, inverse kinematics and dynamics for joint moments and angles of the head, trunk, and pelvis at five events/phases, and the corresponding lordosis depth was calculated. Results: Pelvis-spine alignment strategies show a strong positive correlation (r = 0.70) between the total depth of lordosis and reducing the lumbosacral and cervicothoracic joint moment. The full flexion strategy mirrored the compensatory movement with a negative correlation (r = −0.88) on the reduction of lordosis depth and compensated by increasing the cervical lordosis depth. Conclusions: These findings guide the correcting of spine disorders, the development of physical rehabilitation programs, the design of devices, and the correctness of posture to prevent low back pain and disease progression.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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