Relationship between everyday activities and spinal shrinkage.
BACKGROUND
Purpose of this study was to determine the spinal shrinkage in several activities of daily life and to assess a relationship with intradiscal pressure during these activities. Low back pain is thought to be related to spinal load. In a clinical evaluation of low back pain as provoked by everyday activities, we found a relationship between the amount of complaints during static activities and intradiscal pressure. However, because invasive intradiscal pressure measurements during dynamic activities like walking and cycling are complicated and hardly done before, an analogue relationship between low back complaints and dynamic activities is lacking.


METHODS
Therefore spinal load was ascertained by stadiometric measurement of the decrease in standing height, so-called "spinal shrinkage", quantified by the exposure of a 1-h adopted posture or activity. Ten subjects performed five daily life activities: standing, sitting, walking, cycling and lying down.


RESULTS
By doing different activities during 1 h, immediate after getting up in the morning, following average values for shrinkage were measured: standing -7.4 mm (SD 0.5); sitting -5.0 mm (SD 0.6); walking -7.9 mm (SD 0.5); cycling -3.7 mm (SD 0.4) and lying down +0.4 mm (SD 0.5).


CONCLUSIONS
Overall, good correlation was found between spinal shrinkage and intradiscal pressure. The use of spinal shrinkage measurement seems a good alternative for intradiscal pressure measurement in static situations, but is still questionable in dynamic situations.
van Deursen
L L
LL
Department of Biomedical Physics and Technology, Erasmus MC, University Medical Centre Rotterdam, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands. l.deursen@wxs.nl
van Deursen
D L
DL
Snijders
C J
CJ
Wilke
H J
HJ
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D019245:Compressive Strength / Q000502:physiology; D004548:Elasticity; D005260:Female; D006801:Humans; D007403:Intervertebral Disc / Q000033:anatomy & histology* / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D013131:Spine / Q000033:anatomy & histology / Q000502:physiology; D016474:Weight-Bearing / Q000502:physiology*