ArticleJOR spine2025
Intervertebral Lumbar Spine Kinematics in Chronic Low Back Pain Patients Measured Using Biplane Radiography.
Article in JOR spine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- AI-Supported Functional Pain Phenotyping in Low Back Pain Using Sensor-Based Gait and Neuromuscular Biomarkers.Sensors (Basel, Switzerland) · 2026Article
- Autonomous Frameless Spine Registration and Robot-Assisted Surgery.Orthopaedic surgery · 2026Article
- Article
- Advances in the Measurement and Interpretation of Intervertebral Motion in the Lumbar Spine: A Scoping Review.Bioengineering (Basel, Switzerland) · 2026Review
- Lumbopelvic Kinematics During Functional Tasks in a Chronic Low Back Pain Observational Cohort.JOR spine · 2025Article
- Development and reliability of a systematic method to evaluate lumbar paraspinal muscle size and quality in computed tomography images.North American Spine Society journal · 2025Article
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Authors and funding
17 authors.
Funding
Abstract
Background: Chronic low back pain (cLBP) presents as a heterogeneous condition, making diagnosis and treatment challenging. Lumbar spine intervertebral kinematics may provide an objective assessment of patients with cLBP that may be used to inform treatment decisions and evaluate the efficacy of interventions. The purpose of this study was to provide a quantitative description of intervertebral motion in the lumbar spine during flexion/extension (F/E) and lateral bending (LB) in individuals with cLBP. Methods: Data from 125 individuals is included in this analysis (M: 53; F: 72; Results: The mean intervertebral F/E ROM progressively increased from 6.8° ± 3.1° at the L1-L2 through the L4-L5 motion segments, then decreased from 9.7° ± 5.2° at L4-L5 to 8.4° ± 4.9° at L5-S1. However, substantial variability among individuals was observed, and only 7 participants (5.6%) followed this ROM pattern. The mean intervertebral LB ROM increased from 8.8° ± 3.2° at L1-L2 to 9.1° ± 4.2° at L2-L3 and then progressively decreased from the L2-L3 through the L5-S1 motion segments to 2.7° ± 1.8°. However, only 13 participants (10.4%) followed this ROM pattern. On average, the L1-L2, L2-L3, and L5-S1 motion segments were the main contributors to F/E when the torso was near the upright neutral position. L2-L3, L3-L4, and L4-L5 were the main contributors to midrange flexion and extension, and L3-L4, L4-L5, and L5-S1 were the main contributors to lumbar motion when the trunk was near full flexion. L1-L2 and L2-L3 were the main contributors to lumbar LB near the neutral position and through the midrange. The contributions from L4-L5 and L5-S1 peaked at the neutral position and at maximum bending. SPDF was similar in the L1-L2, L2-L3, and L3-L4 motion segments, but less in the L4-L5 motion segment. L5-S1 SPDF was characterized by high variability among individuals as compared to other motion segments. The average trial-to-trial repeatability in intervertebral rotation in the primary plane of motion over all points on the kinematics waveform ranged from 0.3° to 0.7° across all motion segments during F/E and LB. Conclusion: This study demonstrates the heterogeneity in lumbar spine intervertebral kinematics in individuals with cLBP. Further research is needed to identify mechanistic links between kinematics and other biological, behavioral, and clinical features in individuals with cLBP and to identify which kinematic characteristics are useful metrics for informing treatment approaches for patients with cLBP.
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