The effects of spinal posture and pelvic fixation on trunk rotation range of motion

Trevor Montgomery, Mark Boocock, Wayne Hing

Research output: Contribution to journalArticleResearchpeer-review

8 Citations (Scopus)

Abstract

BACKGROUND: Axial rotation of the trunk is important to many vocational tasks and activities of daily living, and may be associated with back injuries. The influence of spinal postures on trunk rotation appears conflicting. This study investigated the influence of forward trunk inclination, spinal posture and pelvic fixation on maximum trunk rotation.

METHODS: Twenty male participants were assessed using an optoelectronic motion-analysis system to track trunk movement during maximal trunk rotations in different spinal positions within the sagittal plane. A repeated-measures multivariate analysis of variance investigated the effects of forward trunk inclination, spinal posture and pelvic fixation on trunk and pelvic rotation. Test-retest reliability was determined using interclass correlation coefficients and standard error of measurement.

FINDINGS: Forward trunk inclination at 45° yielded a 19% (6.2°; P<0.001) increase in trunk rotation and a 40% (25.5°; P<0.001) decrease in pelvic rotation when compared to standing. When flexing and extending the spine at a forward trunk inclination of 45° there was a 5% (1.9°; P<0.01) and a 4% (1.6°; P<0.05) decrease in trunk rotation. Fixing the pelvis increased the trunk rotation by up to 9% (3.3°; P<0.001).

INTERPRETATION: Inclining the trunk forward and maintaining a neutral spine maximised trunk rotation range of motion (RoM). This has implications for educational programmes intended to maximise sporting performance. Within the clinical setting, unrestricted observation of trunk rotations is considered more appropriate as it may benefit the clinician in determining possible detrimental relative flexibilities that may exist within the body.

Original languageEnglish
Pages (from-to)707-12
Number of pages6
JournalClinical Biomechanics
Volume26
Issue number7
DOIs
Publication statusPublished - Aug 2011
Externally publishedYes

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Articular Range of Motion
Posture
Spine
Back Injuries
Activities of Daily Living
Pelvis
Reproducibility of Results
Analysis of Variance
Multivariate Analysis
Observation

Cite this

Montgomery, Trevor ; Boocock, Mark ; Hing, Wayne. / The effects of spinal posture and pelvic fixation on trunk rotation range of motion. In: Clinical Biomechanics. 2011 ; Vol. 26, No. 7. pp. 707-12.
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The effects of spinal posture and pelvic fixation on trunk rotation range of motion. / Montgomery, Trevor; Boocock, Mark; Hing, Wayne.

In: Clinical Biomechanics, Vol. 26, No. 7, 08.2011, p. 707-12.

Research output: Contribution to journalArticleResearchpeer-review

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N2 - BACKGROUND: Axial rotation of the trunk is important to many vocational tasks and activities of daily living, and may be associated with back injuries. The influence of spinal postures on trunk rotation appears conflicting. This study investigated the influence of forward trunk inclination, spinal posture and pelvic fixation on maximum trunk rotation.METHODS: Twenty male participants were assessed using an optoelectronic motion-analysis system to track trunk movement during maximal trunk rotations in different spinal positions within the sagittal plane. A repeated-measures multivariate analysis of variance investigated the effects of forward trunk inclination, spinal posture and pelvic fixation on trunk and pelvic rotation. Test-retest reliability was determined using interclass correlation coefficients and standard error of measurement.FINDINGS: Forward trunk inclination at 45° yielded a 19% (6.2°; P<0.001) increase in trunk rotation and a 40% (25.5°; P<0.001) decrease in pelvic rotation when compared to standing. When flexing and extending the spine at a forward trunk inclination of 45° there was a 5% (1.9°; P<0.01) and a 4% (1.6°; P<0.05) decrease in trunk rotation. Fixing the pelvis increased the trunk rotation by up to 9% (3.3°; P<0.001).INTERPRETATION: Inclining the trunk forward and maintaining a neutral spine maximised trunk rotation range of motion (RoM). This has implications for educational programmes intended to maximise sporting performance. Within the clinical setting, unrestricted observation of trunk rotations is considered more appropriate as it may benefit the clinician in determining possible detrimental relative flexibilities that may exist within the body.

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