The Spine Journal
Volume 10, Issue 4 , Pages 297-305 , April 2010

Magnetic resonance imaging and stadiometric assessment of the lumbar discs after sitting and chair-care decompression exercise: a pilot study

  • Jerome C.J. Fryer, DC

      Affiliations

    • Nanaimo, British Columbia, Canada V9S 3Y3
    • Corresponding Author InformationCorresponding author. #2-1551 Estevan Rd, Nanaimo, BC, Canada V9S 3Y3. Tel.: (250) 753-5351; fax: (250) 758-8316.
    • ,
  • Jeffrey A. Quon, DC, PhD

      Affiliations

    • Centre for Health Evaluation and Outcome Sciences, St. Paul's Hospital, Vancouver, British Columbia, Canada V6Z 1Y6
    • School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada V6T 1Z3
    • ,
  • Francis W. Smith, MD

      Affiliations

    • Department of Radiology, University of Aberdeen, Aberdeen, Scotland AB25 2ZD
    • School of Health Sciences, The Robert Gordon University, Aberdeen, Scotland AB10 1FR

Received 21 July 2009 ,Revised 8 November 2009 ,Accepted 15 January 2010.

References 

  1. Wilke H, Neef P, Caimi M, et al. New in vivo measurements of pressures in the intervertebral disc in daily life. Spine. 1999;24:755–762
  2. Reinecke SM, Hazard RG, Coleman K, Pope MH. A continuous passive lumbar motion device to relieve back pain in prolonged sitting. In:  Kumar S editors. Advances in industrial ergonomics and safety IV. London, England: Taylor & Francis; 1992;p. 971–976
  3. Lis A, Black K, Kom H, Nordin M. Association between sitting and occupational LBP. Eur Spine J. 2007;16:283–298
  4. McGill S, Kavcic N, Harvey E. Sitting on a chair or an exercise ball: various perspectives to guide decision making. Clin Biomech. 2006;21:353–360
  5. O'Sullivan P, Dankaerts W, Burnett A, et al. Evaluation of the flexion relaxation phenomenon of the trunk muscles in sitting. Spine. 2006;31:2009–2016
  6. Bakker E, Verhagen A, Trijffel E, et al. Spinal mechanical load as a risk factor for low back pain. Spine. 2009;34:E281–E293
  7. Chen S, Liu M, Cook J, et al. Sedentary lifestyle as a risk factor for low back pain: a systematic review. Int Arch Occup Environ Health. 2009;82:797–806
  8. McKenzie R. The lumbar spine: mechanical diagnosis and therapy. Waikanae, New Zealand: Spinal Publications; 1989;
  9. O'Sullivan P. Clinical instability of the lumbar spine: its pathological basis, diagnosis and conservative management. In:  Boyling JD,  Jull G editor. Grieve's modern manual therapy. 3rd ed. Amsterdam, the Netherlands: Elsevier; 2005;p. 311–322
  10. Burnett A, Cornelius M, Dankaerts W, O'Sullivan P. Spinal kinematics and trunk muscle activity in cyclists: a comparison between healthy controls and nonspecific chronic low back pain subjects. Man Ther. 2004;9:211–219
  11. Williams M, Hawley J, McKenzie R, van Wijmen P. A comparison of the effects of two sitting postures on back and referred pain. Spine. 1991;16:1185–1191
  12. Kourtis D, Magnusson M, Smith F, et al. Spine height and disc height changes as the effect of hyperextension using stadiometry and MRI. Iowa Orthop J. 2004;24:65–71
  13. Hirasawa Y, Bashir W, Smith F, et al. Postural changes of the dural sac in the lumbar spines of asymptomatic individuals using positional stand-up magnetic resonance imaging. Spine. 2007;32:E136–E140
  14. Karadimas E, Siddiqui M, Smith F, Wardlaw D. Positional MRI changes in supine versus sitting postures in patients with degenerative lumbar spine. J Spinal Disord Tech. 2006;19:495–500
  15. Wang D, Jiang S, Dai L. Biologic response of the intervertebral disc to static and dynamic compression in vitro. Spine. 2007;32:2521–2528
  16. Lotz J, Walsh J. Biological response of the intervertebral disc to dynamic loading. J Biomech. 2004;37:329–337
  17. Makhsous M, Lin F, et al. Sitting with adjustable ischial and back supports: biomechanical changes. Spine. 2003;28:1113–1121
  18. Makhsous M, Lin F, Bankard J, et al. Biomechanical effects of sitting with adjustable ischial and lumbar support on occupational low back pain: evaluation of sitting load and back muscle activity. BMC Musculoskelet Disord. 2009;10:17
  19. Fryer J, Zhang W. Preliminary investigation into a seated unloading movement strategy for the lumbar spine: a pilot study. J Bodywork Mov Ther (in press). doi:10.1016/j.jbmt.2008.06.008.
  20. Magnusson M, Hult E, Lindström I, et al. Measurement of time-dependent height-loss during sitting. Clin Biomech. 1990;5:137–142
  21. Callaghan J, McGill S. Low back joint loading and kinematics during standing and unsupported sitting. Ergonomics. 2001;44:280–294
  22. Kourtis D, Magnusson M, Smith F, et al. Spine height and disc height changes as the effect of hyperextension using stadiometry and MRI. Iowa Orthop J. 2004;24:65–71
  23. Arun R, Freeman J, Scammell B, et al. 2009 ISSLS prize winner: what influence does sustained mechanical load have on diffusion in the human intervertebral disc? An in vivo study using serial postcontrast magnetic resonance imaging. Spine. 2009;34:2324–2337
  24. Little J, Khalsa P. Human lumbar spine creep during cyclic and static flexion: creep rate, biomechanics, and facet joint capsule strain. Ann Biomed Eng. 2005;33:391–401
  25. Sowa G, Agarwal S. Cyclic tensile stress exerts a protective effect on intervertebral disc cells. Am J Phys Med Rehabil. 2008;87:537–544
  26. Van Deursen L, Patijn J, Brouwer R. Sitting and low back pain: the positive effect of rotatory dynamic stimuli during prolonged sitting. Eur Spine J. 1999;8:187–193
  27. Van Deursen L, Van Deursen D, Snijders C, Wilke H. Relationship between everyday activities and spinal shrinkage. Clin Biomech (Bristol, Avon). 2005;20:547–550
  28. Magnusson M, Hult E, Lindström I, et al. Measurement of time-dependent height-loss during sitting. Clin Biomech. 1990;5:137–142
  29. Van Deursen D, Goossens R, Evers J, van der Helm F. Length of the spine while sitting on a new concept for an office chair. Appl Ergon. 2000;31:95–98
  30. Podichetty V. The aging spine: the role of inflammatory mediators in intervertebral disc degeneration. Cell Mol Biol (Noisy-le-grand). 2007;53:4–18

 FDA device/drug status: not applicable.

 Author disclosures: JCJF (grants, Research Grant; other relationships, President of Dynamic Disc Designs Corp.); FWS (consulting, Kyphon-Medtronic; speaking and/or teaching arrangements: Kyphon-Medtronic; trips/travel: Kyphon-Medtronic).

 Sources of support: JCJF was supported by a grant from the British Columbia Chiropractic College.

PII: S1529-9430(10)00045-8

doi: 10.1016/j.spinee.2010.01.009

The Spine Journal
Volume 10, Issue 4 , Pages 297-305 , April 2010

Article Tools

* Image Usage & Resolution