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Prevalence of Lumbar Segmental Instability in Young Individuals with the Different Types of Lumbar Disc Herniation—Preliminary Report

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  • Tomasz Kuligowski

    (Faculty of Physiotherapy, University School of Physical Education in Wroclaw, 51-612 Wrocław, Poland)

Abstract

Lumbar segmental instability (LSI) can cause pain and disability, and its background can be related to lumbar disc herniation (LDH). This retrospective study was conducted to analyze the prevalence of lumbar segmental instability (LSI) in young patients with different types of lumbar disc herniation (LDH). The study evaluated 133 individuals (18–25 years old) who suffered from LDH and underwent MRI and flexion-extension X-rays. Two groups were created: protrusion (PRO) and extrusion (EXT). LSI was scored positive when translatory motion was greater than 4 mm anteriorly or 2 mm posteriorly at the level of herniation. Statistica 13 was used to perform statistics. The LSI overall prevalence was 18.33% in PRO and 21.92% in EXT ( p > 0.05). Out of all LSI positives, higher LSI incidence was observed in females compared to males; in PRO: 63.64%; in EXT: 68.75% ( p > 0.05). LSI correlated positively with the passive lumbar extension test (PLE) (R = 0.32; p = 0.01) in the PRO group only. In summary, the results showed that the overall incidence of LSI was higher with severer disc damage. In addition, females were more prone to this pathology. However, the different types of LDH do not significantly affect the prevalence of LSI in young individuals.

Suggested Citation

  • Tomasz Kuligowski, 2022. "Prevalence of Lumbar Segmental Instability in Young Individuals with the Different Types of Lumbar Disc Herniation—Preliminary Report," IJERPH, MDPI, vol. 19(15), pages 1-9, July.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9378-:d:876911
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    References listed on IDEAS

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    1. Rungthip Puntumetakul & Pongsatorn Saiklang & Weerasak Tapanya & Thiwaphon Chatprem & Jaturat Kanpittaya & Preeda Arayawichanon & Rose Boucaut, 2021. "The Effects of Core Stabilization Exercise with the Abdominal Drawing-in Maneuver Technique versus General Strengthening Exercise on Lumbar Segmental Motion in Patients with Clinical Lumbar Instabilit," IJERPH, MDPI, vol. 18(15), pages 1-17, July.
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