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Updated: Jan 24, 2026

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In vivo Measurement of Knee Extensor Muscle Function in Mice
Published on: March 4, 2021
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Relationship Between Hip Extensor Strength and Back Extensor Length in Patients With Low Back Pain: A Cross-Sectional
Amir Massoud Arab1, Manijeh Soleimanifar2, Mohammad Reza Nourbakhsh3
1Department of Physical Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Tehran, Iran.
Summary
Weak hip extensor strength and shortened back extensor muscles are linked to low back pain (LBP) in men. These muscle impairments increase the risk of developing LBP.
Area of Science:
- Musculoskeletal health
- Biomechanical analysis
- Pain research
Background:
- Low back pain (LBP) is a prevalent condition with multifactorial causes.
- Muscle imbalances, including hip extensor weakness and back extensor tightness, are suspected contributors to LBP.
Purpose of the Study:
- To investigate the association between hip extensor strength and back extensor length in individuals with and without LBP.
- To determine if these muscle characteristics are risk factors for LBP.
Main Methods:
- Compared hip extensor strength and back extensor length in 266 LBP patients and 215 controls.
- Utilized independent t-tests, Pearson correlation, and multivariate logistic regression.
Main Results:
- Significant differences in hip extensor strength between LBP patients and controls (P < .001).
- Significant relationship found between back extensor length and hip extensor strength in men with LBP (r = 0.6, P = .01).
- Weak hip extensors (P = .001) and shortened back extensors (P = .01) increased LBP risk.
Conclusions:
- Findings suggest muscle imbalance (hip extensor weakness, back extensor tightness) in male LBP patients.
- Individual muscle impairments may contribute to the development of LBP.
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