Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 20583
  Title Changes in spinal height following sustained lumbar flexion and extension postures: A clinical measure of intervertebral disc hydration using stadiometry
URL http://www.ncbi.nlm.nih.gov/pubmed/19539118
Journal J Manipulative Physiol Ther. 2009 Jun;32(5):358-363
Author(s)
Subject(s)
Peer Review Yes
Publication Type Article
Abstract/Notes Background: Decreased intervertebral disc height can result in diminished load carrying capacity of the spinal segment. Clinical means of assessing postures able to rehydrate the discs were investigated.

Objective: The purposes of this study were 3-fold: (1) to determine if our test protocol using a commercially available stadiometer demonstrated findings consistent with prior laboratory-based protocols; (2) to determine if hyperextension in the prone position and trunk flexion in the supine position caused increased spine height after sustained loading; and (3) to compare the effects of hyperextension in the prone position and trunk flexion in the supine position on spine height changes after a period of sustained loading.

Methods: This study used a pretest, posttest crossover design. Ten women and 11 men (mean age, 24 ± 2.6 years) participated. Subjects held either 10 minutes of hyperextension in the prone position or 10 minutes of trunk flexion in the supine position in the recovery phase. Spine height was measured using a commercially available stadiometer. Spinal height change was determined from measurements taken after loaded sitting and measurements taken after hyperextension in the prone position and trunk flexion in the supine position.

Results: A 1-sample t test indicated no significant difference existed between our mean height change after 5 minutes of sitting and previously published validated findings. A paired t test indicated significant increase in height after both supine flexion and prone extension lying (P< .0001). The mean height gain was 3.11 mm using prone extension and 3.19 mm using the supine flexion protocol. A paired t test indicated no significant difference between these 2 recovery positions (P = .927).

Conclusion: The stadiometer measurement protocol demonstrated that hyperextension in the prone position and trunk flexion in the supine position were easily effective positions for the temporary recovery of spine height after sustained loading. These findings lay the foundation for future research into the viscoelastic creep properties of the intervertebral disk under loading and therapeutic conditions.

This abstract is reproduced with the permission of the publisher. Click on the above link for the PubMed record for this article; full text by subscription. Select a publisher from PubMed's Links>Linkout


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