Study | Biomechanical causations/relationships | Â | Â |
---|---|---|---|
 | Spinopelvic alignment | Angles | ROM |
Huang et al, 2014 [18] | Pelvic anterior tilt(°): Greater in KOA compared to the healthy people (median (IQR), with LBP −44.68(−50.18/−40.52); NLBP −45.83(−48.56/−39.38); healthy −32.61(−37.05/−28.47)) | Anterior trunk inclination angle(°): no significant difference between KOA and healthy people (median(IQR), with LBP −82.13 (−89.33/−73.23); NLBP−83.96(−88.80/−74.07); controls −85.05(−85.96/81.92)) | Trunk flexion angles(°): smaller in KOA patients compared to healthy people without KOA or LBP(median (IQR), with LBP −27.65 (−33.07/−20.10) ; non LBP −27.44 (−32.83/−24.30); healthy −40.43 (−46.46/−36.44)) |
Trunk rotation angle(°): smaller in NLBP group than that of the controls (median (IQR), with NLBP 6.01 (3.89/8.23); controls 9.15 (6.57/10.25) | |||
Knee flexion angles in ipsilateral side of bending (°): significantly smaller when doing the downward pick-up movement in both the LBP and NLBP groups (median (IQR), with LBP −7.54 (−12.31/−3.78); non LBP −6.39 (−12.95/−4.05); controls −19.89 (−31.63/−6.50)) | |||
Iwamura et al, 2020 [19] | Lumbo-pelvic sagittal alignment:development and progression of KOA in DS patients is induced by significantly greater mismatches of lumbo-pelvic sagittal alignment (p=0.02) | PI- significantly greater PI with dominant of double adjacent level spondylolisthesis in patients with concurrent KOA (mean ± SD), (58.0° ± 10.4 ) and DS (p<0.01) than in patients with DS without KOA(52.8° ± 10.0) (p<0.01) | Not assessed |
Parameters in lumbo-pelvic sagittal alignment: PT; LL; PI-LL and SS of KOA group and non-KOA group were mean ± SD, 27.2° ± 9.8 and 22.2° ± 8.6; 40.4° ± 15.8 and 42.6° ± 14.3;17.9° ± 15.1 and 10.3° ± 12.9, and 30.6° ± 10.0 and 30.6° ± 8.9, respectively, and significant difference was observed in the rate of double adjacent level spondylolisthesis (p = 0.023), and in the following sagittal parameters: PT (p < 0.001), and PI-LL (p < 0.001) | |||
Kohno et al, 2020 [20] | PT(°): significantly greater in patients with ASD ( mean ± SD), (26.2 ± 7.0) in the severe-OA group than the patients without ASD (34.1 ± 10.8) (p=0.02) | PI, PT, KFA: significantly greater in severe OA group, than mild OA group along with a smaller degree of LL than the mild-OA group preoperatively (all p < 0.05) | KFA (°): significantly greater in severe OA (mean ± SD), (10.1 ± 5.3) group than the mild-OA (4.9 ± 6.8) group pre- operatively (p=0.02) |
LL(°): less in patients with ASD ( mean ± SD), (34.9 ± 14.6), than without ASD (40.6 ± 9.9) (p=0.26) | PI (°): significantly greater in severe OA group (mean ±SD), (7 ± 8.7) than the mild OA group (51.8 ± 9.6) (p= 0.05) | ||
Rate of double-level listhesis: significantly higher in the severe-OA group compared with the other groups (p=0.01) (patients number %) mild OA group 5 (12); moderate OA 8 (31); severe OA 16 (40) | PT (°): significantly greater in severe OA group (mean ± SD), (28.8 ± 9.3) than the mild OA group (20.1 ± 8.3) (p <0.01) | ||
 | LL (°): significantly smaller in severe OA (mean ± SD), (38.7 ± 12.2) than the mild OA (45.6 ± 13.0) (p= 0.04) | ||
Taniguchi et al, 2021 [23] | Lumbar kyphosis: associated with a lower functional abilities with lumbar kyphosis (mean± SD), (77.4 ± 19.1) (p < 0.001) than those without lumbar kyphosis (86.1 ± 15.3) (p = 0.03)  | Not assessed | Not assessed |
Van Erp et al, 2020 [16] | PT (p= 0.07) and SS (p=0.09): correlated with radiological knee OA KL ≥ 2 and different degree of PI, individuals with high PI had significantly higher scores compared to low PI | PI: high PI (58.3) was associated with higher incidence of knee OA compared to low PI (49.5) (p = 0.03) |  Not assessed |
Spondylolisthesis were more frequently present in subjects with high PI compared to low PI (L4 to L5; p = 0.02 vs L5 to S1; p = 0.001) | |||
L5 to S1 DDD: occurred more in patients with low PI compared to high PI (p = 0.01) | |||
Wang et al, 2016 [9] | Sagittal alignment: no significant difference between KOA patients with and without LBPComparable PI, SS, and PT values were revealed between the two groups, suggesting similar sagittal morphology and pelvic alignment | Patients with severe KOA showed significantly smaller SFA (43.1° versus 51.8°, p < 0.01) and PFA (2.2° versus 9.1°, p < 0.01) values compared with controls. | Not assessed. |
PI(°): with LBP (mean ± SD),(48.5±10.4), without LBP (45.0±10.0)(p=0.68) | FI: significant backward FI larger FI (11.3° versus 4.2°, p < 0.01), hip flexion, and forward spinalinclination in patients with severe KOA compared with asymptomatic persons free from KOA (p < 0.01) | ||
SS(°): with LBP (36.2±9.2) withoutLBP (32.9±8.4) (p=0.92) | FI  10°: showed no significant difference in the prevalence of LBP compared with those with FI > 10° (18/23 versus 21/36 patients, chisquared = 2.5, p = 0.11) | ||
PT(°):with LBP(12.5±6.3) withoutLBP(12.2±7.1) (p=0.32) | C7T: significantly smaller among severe KOA patients compared with controls (88.4° versus 92.9°, p <0.001), indicating forward inclination of the spine | ||
Yasuda et al, 2020[22] | Lumbo-pelvic sagittal alignment: poor in individuals over 50 years of age with severe KOA and has stronger relationship with progression severity of KOA in women than in men  PT(°): (mean ± SD), KL1(15.8±7.5),KL2(20.1±8.8), KL3(21.4±9.2),KL4(24.7±9.5) (p=<0.01) | Not assessed | Not assessed |