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Lumbar Range of Motion Using the Wolfson Modified Schober Test.
Raphael Lotan1, Lev Klatzkin, Itzik Lan
1From the Department of Orthopedic Surgery, Wolfson Medical Center, Holon, Israel (Dr. Lotan, Dr. Klatzkin, Dr. Lan, and Dr. Hershkovich), affiliated to the School of Medicine, Tel Aviv, Israel (Dr. Lotan, Dr. Klatzkin, Dr. Lan, and Dr. Hershkovich), and the Department of Orthopedic Surgery, Ziv Medical Center, Zfat, Israel (Dr. Sakhnini), affiliated to the Bar Ilan University, Bnei Brak, Israel (Dr. Sakhnini).
Lumbar range of motion (ROM) declines with age, particularly flexion. Age is a key factor influencing spinal mobility more than sex, height, or weight.
Area of Science:
- Biomedical science
- Gerontology
- Orthopedics
Background:
- Lumbar range of motion (ROM) is essential for spinal function.
- Age and sex are known factors influencing lumbar ROM.
- Understanding variations in lumbar ROM is crucial for assessing spinal health.
Purpose of the Study:
- To evaluate age-related variations in lumbar ROM in healthy adults.
- To determine the influence of sex, height, weight, and BMI on lumbar ROM.
- To identify predictors of lumbar ROM across different age groups.
Main Methods:
- 208 healthy adults (106 men, 102 women) were divided into age groups (20s-60s+).
- Lumbar ROM (flexion, extension, total) was measured using the Wolfson modified Schober test.
- Linear regression analysis was performed to identify predictors of lumbar ROM.
Main Results:
- A progressive decline in lumbar flexion and total ROM was observed with increasing age.
- Age was identified as the primary predictor of lumbar flexion.
- Weight and BMI did not significantly affect lumbar ROM; extension measurements showed no clear age-related pattern.
Conclusions:
- Age-related changes in lumbar ROM are consistent with physiological spinal aging.
- Age influences lumbar ROM more significantly than sex, height, or weight.
- Lumbar ROM, especially flexion, decreases with age, while extension remains less affected.
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