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Hip and Trunk Variables in University Students with and without Recurrent Low Back Pain
B J Lehecka1, Jordin Burleson1, Paige Diederich1
1Physical Therapy Wichita State University.
Recurrent low back pain (rLBP) in university students showed minor differences in hip range of motion but not strength or endurance. These findings suggest limited clinical relevance for hip ROM in rLBP management.
Area of Science:
- Orthopedics
- Sports Medicine
- Physical Therapy
Background:
- Low back pain (LBP) is a major cause of disability globally.
- Recurrent LBP (rLBP) involves multiple episodes of pain within a year.
- Previous research on LBP often overlooks rLBP, focusing on acute or chronic cases.
Purpose of the Study:
- To investigate differences in hip and trunk variables between university students with and without recurrent low back pain (rLBP).
- To compare range of motion (ROM) and strength metrics in relation to rLBP.
Main Methods:
- A cross-sectional study involving university students aged 18-35 with and without rLBP.
- Measurements included bilateral hip and trunk ROM using goniometers/tape measures.
- Hip extensor, abductor, and external rotator strength, plus single-leg bridge endurance, were assessed.
Main Results:
- Statistically significant differences were observed in right and left hip flexion and right hip extension and adduction ROM between groups.
- No significant differences were found in hip strength or endurance between students with and without rLBP.
- Observed ROM differences were statistically significant but not clinically meaningful.
Conclusions:
- The study identified statistically significant but clinically non-meaningful differences in hip ROM for individuals with rLBP.
- Hip strength and endurance may not be primary factors in the development or treatment of rLBP.
- Findings may inform testing and treatment strategies for patients and athletes experiencing rLBP.
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