The stabilizing system of the spine

Agnieszka Radziminska, Magdalena Weber-Rajek, Agnieszka Strączyńska, Walery Zukow

Abstract


The spatial orientation of the lumbar part of spine determines the position of central axis of the human skeleton, which in turn is closely related to the position of the pelvis. In a biomechanical aspect, the pelvis should be connected with the lumbar spine but also with the hip joints ( lumbo-pelvic-hip complex – LPH) . This area is intended to provide the body with the stability needed to carry the load with simultaneous  maintaining the mobility required to perform  locomotive functions. Stabilization means the maintenance of balance in both static and dynamic conditions, where the complex moves along a specific track. In the last decades of 20th and early 21st century there was a discussion whether stabilization of the LPH complex was more about the activation of deep muscles (local) or combination of deep and superficial muscles contraction (global). It is now known that both global and local muscles play an important role in stabilization. The stabilizing system of the spine, which was introduced by Panjabi in 1992, works on the cooperation of those three systems: neural, which is the control system; muscular-fascial, which is the active system; osteoarticular - ligamentous, which creates a passive system. Hoffman and Gabel [22] proposed a new, extended theoretical model in which the new mobility system is placed beside the existing stability system and subsystems. Harmonious work of stability and mobility systems determines the quality of movement, but the malfunction of these systems affects other subsystems and thereby the quality of movement. The authors of this theoretical model suggest that both rehabilitation and mobility systems should be involved in rehabilitation exercises, with the movement being at a possible level but without pain and discomfort. LPH stabilization exercises are used in physiotherapeutic procedures in patients with pain and traumas, with stress urinary incontinence and in pregnant women.


Keywords


lumbo - pelvic – hip region, the stabilizing system of the spine

Full Text:

PDF

References


Gnat R, Saulicz E, Kuszewski M. Współczesne poglądy na temat systemów stabilizacyjnych kompleksu biodrowo – miedniczo – lędźwiowego. Fizjoterapia 2006; 14(3): 64-67.

Gnat R, Saulicz E, Kuszewski M. Zaburzenia funkcjonowania systemów stabilizacyjnych kompleksu biodrowo – miedniczo – lędźwiowego. Fizjoterapia 2006; 14(3): 83-93.

Lee D. Obręcz biodrowa. Badania i leczenie okolicy lędźwiowo – miedniczno –biodrowej, wyd.1, DB Publishing, Warszawa 2005.

Percy M, Tibrewal SB. Axial rotation and lateral bending in the normal lumbar spine measured by three-dimensional radiography. Spine 1984;9:582–587.

Bogduk N, Macintosh JE, Pearcy MJ. A universal model of the lumbar back muscles in the upright position. Spine 1992; 17:897-913.

Gracovetsky S, Farfan H. The optimum spine. Spine 1986;11(6):543-73.

Adams M.A. Biomechanics of back pain. Acupunct. Med 2004; 22, 4: 178- 188.

Troke M, Moore AP, Maillardet FJ, Cheek E. A normative database of lumbar spine ranges of motion. Man Ther 2005;10:198–206.

Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J 2008;17:794–819.

Franke BA Jr. Formative Dynamics: the Pelvic Girdle. J Man Manip Ther 2003;11(1):12-40.

Reeves NP, Narendra KS, Cholewicki J. Spine stability: the six blind men and the elephant. Clin Biomech 2007; 22 (3):266–74.

Clark MA, Lucett SC. NASM Essentials of Corrective Exercise Training. Lippincott Wiliams & Wilkins, a Wolter Kluwer Business 2011.

Comerford M, Mottram S. Functional stability re-training: principles and strategies for managing mechanical dysfunction. Man Ther 2001; 6 (1): 3–14.

Comerford M, Mottram S. Movement and stability dysfunction – contemporary developments. Man Ther 2001; 6 (1):15–26.

Hides J, Richardson C, Jull G. Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain. Spine (Phila Pa 1976) 1996; 21(23):2763-9.

Hodges P, Richardson C. Altered trunk muscle recruitment in people with LBP with upper limp at different speeds. Arch Phys Med Rehabil 1999;80 (9):1005-12.

Moseley L, Hodges P, Gandevia S. Deep and superficial fibers of the lumbar multifidus muscle are differentially active during voluntary arm movements. Spine 2002; 27: 29-36.

Richardson C, Hodges PW, Hides J. Kinezyterapia w stabilizacji kompleksu lędźwiowo-miednicznego, Elsevier Urban & Partner, Wrocław 2009.

Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord 1992;5(4):383–9.

Panjabi MM. The stabilizing system of the spine. Part II. Neutral zone and instability hypothesis. J Spinal Disord 1992;5(4):390–6.

Panjaby MM. Clinical spinal instability and low back pain. J Electromyogr Kinesiol 2003; 13: 371–379.

Hoffman J, Gabel P. Expanding Panjabi’s stability model to express movement: A theoretical model. Medical Hypotheses 2013; 80:692–697.

Sahrmann SA. Movement syetm impairment syndromes of the extremities cervical and thoracic spines, Elsevier Mosby, St Luis 2011.

Norris CM. Back stability, Human Kinetics Publ, Windsor, Canada 2000.

Akuthota V, Ferreiro A, Moore T, Fredericson M. Core stability exercise principles. Curr Sports Med Rep. 2008 Feb;7(1):39-44.

Koumantakis GA, Watson PJ, Oldham JA. Trunk muscle stabilization training plus general exercise versus general exercise only: randomized controlled trial of patients with recurrent low back pain. Phys Ther. 2005 Mar;85(3):209-25.

Brian J. Coulombe, Kenneth E. Games, Elizabeth R. Neil, and Lindsey E. Eberman. Core Stability Exercise Versus General Exercise for Chronic Low Back Pain. Journal of Athletic Training 2017; 52 (1):71-72.

Shamsi MB, Sarrafzadeh J, Jamshidi A. Comparing core stability and traditional trunk exercise on chronic low back pain patients using three functional lumbopelvic stability tests. Physiother Theory Pract. 2015;31(2):89–98

Wang XQ, Zheng JJ., Yu ZW et al. A meta-analysis of core stability exercise versus general exercise for chronic low back pain. PLoS One 2012;7(12): e52082.




DOI: http://dx.doi.org/10.5281/zenodo.1041602

Refbacks

  • There are currently no refbacks.

Comments on this article

View all comments


Copyright (c) 2017 © The Author(s)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Because of the parallel version of the magazine publishing traditional (paper) and of electronic (online), Editors indicates that the main version of the magazine is to issue a "electronic".

 

The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017).

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

 

Dekłaracja.

Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie.

Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r.

ISSN 2391-8306

formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014

https://pbn.nauka.gov.pl/sedno-webapp/search?search&searchCategory=WORK&filter.inJournal=36616

 

 

POL-index 2011 - 2014

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-32a319c5-a850-4f44-ba70-1418a6087655

 

BASE 2011 - 2014

https://www.base-search.net/Search/Results?lookfor=Journal+of+Health+Sciences+%28Radom%29&type=all&oaboost=1&ling=1&name=&thes=&refid=dcrespl&newsearch=1


http://elibrary.ru/contents.asp?titleid=37467


http://journal.rsw.edu.pl/index.php/JHS/issue/archive

 

 

The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017).

1223 Journal of Education, Health and Sport eISSN 2391-8306 7



 Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, EBSCO, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska

NLM Logo

US NLM = 101679844

101679844 - NLM Catalog Result - NCBI

https://www.ncbi.nlm.nih.gov/nlmcatalog/101679844

 

 

Find a library that holds this journal: http://worldcat.org/issn/23918306

Journal Language(s): English 


 

PBN Poland

https://pbn.nauka.gov.pl/sedno-webapp/journals/49068

 

POL-index

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-c39c8169-88d2-45db-9e7f-d948ce9981c4

 

BASE

https://www.base-search.net/Search/Results?join=AND&bool0[]=AND&lookfor0[]=2391-8306&type0[]=all&page=11&l=pl&oaboost=1&refid=dcpagepl

 

Redaction, Publisher and Editorial Office

Instytut Kultury Fizycznej Uniwersytet Kazimierza Wielkiego w Bydgoszczy

Institute of Physical Education
Kazimierz Wielki University in Bydgoszcz, Poland

85-091 Bydgoszcz ul. Sportowa 2 Tel. +48 52 32 31 707 www.ukw.edu.pl

Copyright by Instytut Kultury Fizycznej UKW w Bydgoszczy

 

 

http://ojs.ukw.edu.pl/index.php/johs

 

 Open Access

ISSN 2391-8306

formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 -2014

PBN

https://pbn.nauka.gov.pl/sedno-webapp/search?search&searchCategory=WORK&filter.inJournal=36616

 

 

POL-index

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-32a319c5-a850-4f44-ba70-1418a6087655

 

 

BASE

https://www.base-search.net/Search/Results?lookfor=Journal+of+Health+Sciences+%28Radom%29&type=all&oaboost=1&ling=1&name=&thes=&refid=dcrespl&newsearch=1


http://journal.rsw.edu.pl/index.php/JHS/issue/archive

  The formerly journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1089 (31.12.2014). 

The formerly journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1107 (17.12.2013). 

 The journal has had 4 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 683 (21.12.2012).


The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at
https://dbh.nsd.uib.no/publiseringskanaler/erihplus/periodical/info?id=485984

 

 

SIC Science citation index (calculated on the basis of TCI and Page Rank)0
Russian Impact factor
0.16




Indexed in Index Copernicus Journals Master List.

http://journals.indexcopernicus.com/Journal+of+Education+Health+and+Sport,p24782242,3.html

ICV 2016 = 84.69

ICV 2015:93.34

ICV 2014: 89.51 Standardized Value: 8.27


ICV 2013: 7.32

 ICV 2012: 6.41

ICV 2011: 5.48

 

The InfoBase Index IBI Factor for the year 2015 is 3.56 in InfoBase Index.com.

Website:  www.infobaseindex.com


Universal Impact Factor 1.78 for year 2012. (http://www.uifactor.org/AppliedJournals.aspx)

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (https://pbn.nauka.gov.pl/journals/36616)

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Federacja Bibliotek Cyfrowych

 

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ) http://elibrary.ru/contents.asp?titleid=37467

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski

(http://www1.bg.us.edu.pl/bazy/czasopisma/czasop_full.asp?id=3595)



POPULAR ARTICLES

 

»EFFECTS OF TRANSCRANIAL ELECTROANALGESIA ON CONDITION OF CEREBRAL HEMODYNAMICS IN PATIENTS WITH THE SYNDROME OF VEGETATIVE DYSTONIA DIFFERENT GENESIS. Влияние транскраниальной электроанальгезии на состояние церебральной гемодинамики у больных с синдромом
52389 views since: 2013-06-15
»ROLE OF BRAINSTEM WITHIN HUMAN BODY SYSTEMS – COMPUTATIONAL APPROACH
27276 views since: 2012-01-19
»ASSESSMENT OF THE PNF METHOD INFLUENCE ON GAIT PARAMETERS IMPROVEMENT IN PERSONS WITH CEREBRAL PALSY
23692 views since: 2012-01-04
»THE INFLUENCE OF PACLITAXEL TREATMENT ON SELECTED BIOCHEMICAL AND MORPHOLOGICAL BLOOD PARAMETERS IN PATIENTS DIAGNOSED WITH BREAST CANCER
21624 views since: 2011-08-21
»Efficiency of prevention-targeted curriculum in the correction of children’s physical condition and dynamics of their mental activity during physical exercising
16459 views since: 2014-10-31
»FUZZY ONTOLOGICAL KNOWLEDGE REPRESENTATION FOR THE TRAINING OF MEDICAL TERMINOLOGY
12679 views since: 2013-02-24
»ECLECTIC VS. SPECIFIC APPROACH WITHIN CONTEMPORARY NEUROLOGICAL PHYSIOTHERAPY
12377 views since: 2012-01-30
»BIOFEEDBACK AS THE ELEMENT OF THE NEUROREHABILITATION
11278 views since: 2012-01-30
»PATHOMORPHOLOGICAL CHANGES ACUTE LUNG INJURY
8763 views since: 2012-05-02
»EFFECT OF AEROBIC TRAINING ON THE HEALTH OF WOMEN FREQUENTING TO FITNESS CLUBS. Wpływ treningu aerobowego na zdrowie kobiet uczęszczających do klubów fitness
7957 views since: 2013-06-06