Application of Wearable Sensors Technology for Lumbar Spine Kinematic Measurements during Daily Activities following Microdiscectomy Due to Severe Sciatica
Background: The recurrence rate of lumbar spine microdiscectomies (rLSMs) is estimated to be 5–15%. Lumbar spine flexion (LSF) of more than 10° is mentioned as the most harmful load to the intervertebral disc that could lead to recurrence during the first six postoperative weeks. The purpose of this...
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MDPI AG
2022-03-01
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| Online Access: | https://www.mdpi.com/2079-7737/11/3/398 |
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| author | Athanasios Triantafyllou Georgios Papagiannis Sophia Stasi Daphne Bakalidou Maria Kyriakidou George Papathanasiou Elias C. Papadopoulos Panayiotis J. Papagelopoulos Panayiotis Koulouvaris |
| author_facet | Athanasios Triantafyllou Georgios Papagiannis Sophia Stasi Daphne Bakalidou Maria Kyriakidou George Papathanasiou Elias C. Papadopoulos Panayiotis J. Papagelopoulos Panayiotis Koulouvaris |
| author_sort | Athanasios Triantafyllou |
| collection | DOAJ |
| description | Background: The recurrence rate of lumbar spine microdiscectomies (rLSMs) is estimated to be 5–15%. Lumbar spine flexion (LSF) of more than 10° is mentioned as the most harmful load to the intervertebral disc that could lead to recurrence during the first six postoperative weeks. The purpose of this study is to quantify LSFs, following LSM, at the period of six weeks postoperatively. Methods: LSFs were recorded during the daily activities of 69 subjects for 24 h twice per week, using Inertial Measurement Units (IMU). Results: The mean number of more than 10 degrees of LSFs per hour were: 41.3/h during the 1st postoperative week (P.W.) (29.9% healthy subjects-H.S.), 2nd P.W. 60.1/h (43.5% H.S.), 3rd P.W. 74.2/h (53.7% H.S.), 4th P.W. 82.9/h (60% H.S.), 5th P.W. 97.3/h (70.4% H.S.) and 6th P.W. 105.5/h (76.4% H.S.). Conclusions: LSFs constitute important risk factors for rLDH. Our study records the lumbar spine kinematic pattern of such patients for the first time during their daily activities. Patients’ data report less sagittal plane movements than healthy subjects. In vitro studies should be carried out, replicating our results to identify if such a kinematic pattern could cause rLDH. Furthermore, IMU biofeedback capabilities could protect patients from such harmful movements. |
| first_indexed | 2024-03-09T13:50:21Z |
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| issn | 2079-7737 |
| language | English |
| last_indexed | 2024-03-09T13:50:21Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Biology |
| spelling | doaj.art-a44c731f5ac3498b801f07f529e9c52b2023-11-30T20:51:37ZengMDPI AGBiology2079-77372022-03-0111339810.3390/biology11030398Application of Wearable Sensors Technology for Lumbar Spine Kinematic Measurements during Daily Activities following Microdiscectomy Due to Severe SciaticaAthanasios Triantafyllou0Georgios Papagiannis1Sophia Stasi2Daphne Bakalidou3Maria Kyriakidou4George Papathanasiou5Elias C. Papadopoulos6Panayiotis J. Papagelopoulos7Panayiotis Koulouvaris8Orthopaedic Research and Education Center “P.N.Soukakos”, Biomechanics and Gait Analysis Laboratory “Sylvia Ioannou”, “Attikon” University Hospital, 1st Department of Orthopaedic Surgery, Medical School, National and Kapodistrian University of Athens, 12462 Athens, GreeceOrthopaedic Research and Education Center “P.N.Soukakos”, Biomechanics and Gait Analysis Laboratory “Sylvia Ioannou”, “Attikon” University Hospital, 1st Department of Orthopaedic Surgery, Medical School, National and Kapodistrian University of Athens, 12462 Athens, GreeceLaboratory of Neuromuscular and Cardiovascular Study of Motion, Physiotherapy Department, Faculty of Health and Care Sciences, University of West Attica, 12243 Egaleo, GreeceLaboratory of Neuromuscular and Cardiovascular Study of Motion, Physiotherapy Department, Faculty of Health and Care Sciences, University of West Attica, 12243 Egaleo, GreecePhysiotherapy Department, University of the Peloponnese, 23100 Sparta, GreeceLaboratory of Neuromuscular and Cardiovascular Study of Motion, Physiotherapy Department, Faculty of Health and Care Sciences, University of West Attica, 12243 Egaleo, GreeceOrthopaedic Research and Education Center “P.N.Soukakos”, Biomechanics and Gait Analysis Laboratory “Sylvia Ioannou”, “Attikon” University Hospital, 1st Department of Orthopaedic Surgery, Medical School, National and Kapodistrian University of Athens, 12462 Athens, GreeceOrthopaedic Research and Education Center “P.N.Soukakos”, Biomechanics and Gait Analysis Laboratory “Sylvia Ioannou”, “Attikon” University Hospital, 1st Department of Orthopaedic Surgery, Medical School, National and Kapodistrian University of Athens, 12462 Athens, GreeceOrthopaedic Research and Education Center “P.N.Soukakos”, Biomechanics and Gait Analysis Laboratory “Sylvia Ioannou”, “Attikon” University Hospital, 1st Department of Orthopaedic Surgery, Medical School, National and Kapodistrian University of Athens, 12462 Athens, GreeceBackground: The recurrence rate of lumbar spine microdiscectomies (rLSMs) is estimated to be 5–15%. Lumbar spine flexion (LSF) of more than 10° is mentioned as the most harmful load to the intervertebral disc that could lead to recurrence during the first six postoperative weeks. The purpose of this study is to quantify LSFs, following LSM, at the period of six weeks postoperatively. Methods: LSFs were recorded during the daily activities of 69 subjects for 24 h twice per week, using Inertial Measurement Units (IMU). Results: The mean number of more than 10 degrees of LSFs per hour were: 41.3/h during the 1st postoperative week (P.W.) (29.9% healthy subjects-H.S.), 2nd P.W. 60.1/h (43.5% H.S.), 3rd P.W. 74.2/h (53.7% H.S.), 4th P.W. 82.9/h (60% H.S.), 5th P.W. 97.3/h (70.4% H.S.) and 6th P.W. 105.5/h (76.4% H.S.). Conclusions: LSFs constitute important risk factors for rLDH. Our study records the lumbar spine kinematic pattern of such patients for the first time during their daily activities. Patients’ data report less sagittal plane movements than healthy subjects. In vitro studies should be carried out, replicating our results to identify if such a kinematic pattern could cause rLDH. Furthermore, IMU biofeedback capabilities could protect patients from such harmful movements.https://www.mdpi.com/2079-7737/11/3/398lumbar spine biomechanicswearable sensorsIMU technologylumbar microdiscectomyspine biomechanics |
| spellingShingle | Athanasios Triantafyllou Georgios Papagiannis Sophia Stasi Daphne Bakalidou Maria Kyriakidou George Papathanasiou Elias C. Papadopoulos Panayiotis J. Papagelopoulos Panayiotis Koulouvaris Application of Wearable Sensors Technology for Lumbar Spine Kinematic Measurements during Daily Activities following Microdiscectomy Due to Severe Sciatica Biology lumbar spine biomechanics wearable sensors IMU technology lumbar microdiscectomy spine biomechanics |
| title | Application of Wearable Sensors Technology for Lumbar Spine Kinematic Measurements during Daily Activities following Microdiscectomy Due to Severe Sciatica |
| title_full | Application of Wearable Sensors Technology for Lumbar Spine Kinematic Measurements during Daily Activities following Microdiscectomy Due to Severe Sciatica |
| title_fullStr | Application of Wearable Sensors Technology for Lumbar Spine Kinematic Measurements during Daily Activities following Microdiscectomy Due to Severe Sciatica |
| title_full_unstemmed | Application of Wearable Sensors Technology for Lumbar Spine Kinematic Measurements during Daily Activities following Microdiscectomy Due to Severe Sciatica |
| title_short | Application of Wearable Sensors Technology for Lumbar Spine Kinematic Measurements during Daily Activities following Microdiscectomy Due to Severe Sciatica |
| title_sort | application of wearable sensors technology for lumbar spine kinematic measurements during daily activities following microdiscectomy due to severe sciatica |
| topic | lumbar spine biomechanics wearable sensors IMU technology lumbar microdiscectomy spine biomechanics |
| url | https://www.mdpi.com/2079-7737/11/3/398 |
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