Reference values of lumbar spine range of motion by sex and age based on the assessment of supine trunk lateral bending-A preliminary study

Fukushima J Med Sci. 2024 Jan 27;70(1):25-33. doi: 10.5387/fms.2023-24. Epub 2023 Dec 20.

Abstract

[Purpose] The purpose of this study was to clarify the preliminary reference values for the lumbar spine range of motion associated with lateral bending exercises by gender and age group. [Methods] Subjects were 82 volunteers without low back pain, including five males and five females in each age group from 16-19 to 80-89 years. All subjects underwent radiographs of the lumbar spine with lateral flexion; the range of lateral flexion of the vertebrae from T12 to the sacrum (ROLB) was measured twice by three observers. [Results] The ROLB of the entire T12-S1 of all subjects showed a significant negative correlation with age in both sexes (p < 0.01). The ROLB of the lumbar spine tended to be greater in females, with a statistically significant difference between those aged 16-19 and 70-79 (p < 0.05). Lateral flexion angles for each intervertebral segment were largest at L3-L4 and smallest at L5-S1 (0.7°). [Conclusion] Lumbar ROLB reference values were examined by gender and age group; ROLB was greatest in L3-L4, and ROLB tended to be lower in older age groups.

Keywords: Lumbar spine; lateral bending exercise; lumbar disc herniation; radiography; range of motion.

MeSH terms

  • Aged
  • Biomechanical Phenomena
  • Child, Preschool
  • Female
  • Humans
  • Lumbar Vertebrae* / diagnostic imaging
  • Male
  • Range of Motion, Articular
  • Reference Values
  • Sacrum* / diagnostic imaging