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What Is the Association between an Anteriorly Tilted Pelvis and Trendelenburg Gait?

Open Journal of Orthopedics 2018年第12期8卷 464-475页

作者： Yvonne Paul mariette swanepoel Terry J. Ellapen Marco Barnard Henriette V. Hammill Reino W. Müller Juandré Williams Department of Sport and Dental Therapy Faculty of Health Science Tshwane University of Technology Pretoria South Africa School of Human Movement Science (PhASRec) Faculty of Health Science North-West University Potchefstroom South Africa

Lower back pain (LBP) is a widespread, painful medical condition that has been plaguing society for many years. Present conservative rehabilitation focus is on lumbo-pelvic hip stability exercises in individual planes. However, a functional integrative rehabilitative approach addressing lumbo-pelvic misalignment in the sagittal (anteriorly tilted pelvis) and frontal (Trendelenburg gait) planes has not been presented. The aforementioned patho-biomechanical conditions and their management are often discussed estranged from each other rather than functionally integrated. This paper serves as a short communication which discusses the lumbo-pelvic anatomy, identifies the anatomical and biomechanical associations between the anteriorly tilted pelvic and Trendelenburg gait. Through an analysis of relevant literature, recommendations were made on the improvement of flexibility of the hip flexors, taut iliofemoral and pubofemoral ligaments to resolve the primary abnormal force-couple, with improved flexibility of the erector spinae and quadratus lumborum to resolve the secondary abnormal force-couple. In addition, improved flexibility of the hip flexors should coincide with closed-kinetic chain concentric strengthening of the ipsi-lateral hip abductors and contralateral external obliques. Patient education is also needed for self-re-alignment of the lower extremity to a neutral position and neutral foot stance. Biokineticists/exercise therapists should also review the patient’s gait biomechanics to determine whether sartorius synergistic dominance is in play. In conclusion, the association between an anteriorly tilted pelvis and Trendelenburg gait, is in regard to taut anterior acetabulofemoral ligaments and femoral retroversion torsion angle that is both preceded and followed by the biomechanical influence of various anatomical structures. These anatomical and biomechanical factors must be evaluated by the biokineticists/exercise therapists before prescribing a rehabilitati

关键词： Anteriorly Tilted Pelvis Trendelenburg Gait Interactive Functional Rehabilitation

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An Exercise Rehabilitative Solution to Work-Related Musculoskeletal Lower Back Pain among Nurses

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Open Journal of Orthopedics 2018年第8期8卷 322-330页

作者： Yvonne Paul Terry J. Ellapen mariette swanepoel Henriette V. Hammill Henriette V. Hammill Marco Barnard Bongani T. Qumbu Department of Sport and Dental Therapy Faculty of Health Science Tshwane University of Technology Pretoria South Africa Faculty of Health Sciences PhASRec North-West University Potchefstroom South Africa

The attrition of professional nurses is a sad reality. Work-related musculoskeletal lower back pain (WRMLBP) among nurses has been cited as a factor of increased sick leave and poor health. Occupational predisposing factors of lower back pain are strenuous physical stresses of nursing, obesity and poor physical conditioning. Regular stretching and strengthening exercises dissipate lower back pain. This commentary’s objectives are to explain the association between obesity and lower back pain and the exercise mechanism that dissipates this pain, thereby concluding that nurses should consider regular exercise as a therapeutic option.

关键词： Nurses Lower Back Pain Exercise

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