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Sagittal spinal curvatures and pelvic tilt in cyclists International SportMed Journal, Vol.13 No.

3, September
2012, pp. 122-132. Available at URL: http://www.ismj.com

ISMJ
International SportMed Journal

Original research article

Sagittal spinal curvatures and pelvic tilt in cyclists: A comparison


between two master cyclist categories

1*
Professor Jos M Muyor, PhD, 2Professor Pedro A Lpez-Miarro, PhD,
1
Professor Antonio J Casimiro, PhD, 3Professor Fernando Alacid, PhD
1
Department of Physical Education. University of Almera, Almera, Spain
2
Department of Physical Education. University of Murcia, Murcia, Spain
3
Department of Sports Sciences. University of Murcia. Murcia, Spain

*Corresponding author. Address at the end of text.

Abstract
Background: Sagittal spinal curvatures and pelvic tilt in master cyclists may be altered due to specific
cyclists postures. Research question: To analyse and compare the spinal and pelvic postures,
between two cyclist age-categories with different cycling experience. Type of study: Descriptive and
comparative. Methods: Participants: Fifty-five master 30 cyclists (between 30 and 39 years of age)
and 55 master 40 cyclists (between 40 and 49 years of age). Main measures of outcome: Sagittal
spinal curvatures and pelvic tilt in relaxed standing, slumped sitting and a sit-and-reach test were
measured using a Spinal Mouse system. Results: Greater lumbar lordosis and anterior pelvic tilt in
standing were found in master 30 cyclists (p < 0.05). However, no differences were found in the
thoracic spine between both groups in standing. Seated thoracic kyphosis was lower in master 30
cyclists than in master 40 cyclists (p < 0.01). Kyphotic lumbar postures and posterior pelvic tilting in
both groups were found in the slumped sitting and the sit-and-reach test. A high percentage of
thoracic hyperkyphosis and neutral lordosis in standing were found in both groups. Conclusion: Both
cyclists categories presented a high percentage of hyperkyphosis thoracic in the standing posture,
and master 40 cyclists showed a significantly lower lumbar lordosis and anterior pelvic tilt than master
30 cyclists. In the seated position, middle-aged cyclists presented a significantly higher thoracic
kyphosis than younger cyclists, although in maximal trunk flexion with knees extended, both groups
presented similar values. Keywords: cycling, spine, posture, kyphosis, lordosis

*Professor Jose M Muyor, PhD


Jose M Muyor graduated in Physical Activity and Sports Sciences in 2005 from the Catholic University
San Antonio of Murcia (Spain). He obtained a PhD in Physical Activity and Sports Sciences in 2010
from the University of Almera (Spain). He is Professor of Teaching Physical Education and Teaching
of the Individual Sports at the University of Almera (Spain). His main areas of research are spinal
posture and hamstring extensibility in sport and exercise.

122 Official Journal of FIMS (International Federation of Sports Medicine)


Sagittal spinal curvatures and pelvic tilt in cyclists International SportMed Journal, Vol.13 No.3, September
2012, pp. 122-132. Available at URL: http://www.ismj.com

Professor Pedro A Lpez-Miarro, PhD


Pedro A Lpez-Miarro Muyor graduated in Physical Activity and Sports Sciences in 1997 from the
University of Granada (Spain). He obtained a PhD in Physical Activity and Sports Sciences in 2003
from the University of Murcia (Spain). He is Professor of Physical Exercise and Health at the
University of Murcia (Spain). His main areas of research are spinal posture and hamstring extensibility
in sport and exercise.
Email: palopez@um.es

Professor Antonio J Casimiro, PhD


Antonio J Casimiro graduated in Physical Activity and Sports Sciences in 1987 from the University of
Madrid (Spain). He obtained a PhD in Physical Activity and Sports Sciences in 1999 from the
University of Granada (Spain). He is Professor of Physical Exercise and Health at the University of
Almera (Spain). His main areas of research are physical exercise and health.
Email: casimiro@ual.es

Professor Fernando Alacid, PhD


Professor Fernando Alacid graduated in Physical Activity and Sports Sciences in 2000 from the
University of Cceres (Spain). He obtained a PhD in Physical Activity and Sports Sciences in 2008
from the University of Murcia (Spain). He is Professor of Paddling Teaching at the University of Murcia
(Spain). His main areas of research are biomechanical analysis of flatwater kayaking and canoeing.
Email: fernando.alacid@um.es
11
upper limbs on the handlebar . This posture
Introduction may influence spinal curvatures and pelvic tilt
12
Spinal curvatures are capable of considerable in the usual positions. Rajabi et al. found a
variation in the movements of the body and in significantly greater standing thoracic kyphosis
static postures. There are variations in the in cyclists than in sedentary individuals.
13
degree of normal curvature, but this shape, Recently, Muyor et al. reported that highly
nevertheless, allows equal distribution of trained cyclists presented a thoracic
1
forces across the spine . Optimal alignment of hyperkyphotic posture in standing. Usabiaga et
14
the spine and its position in relation to the al. reported that the lumbar spine changes
pelvis and lower extremities has marked from lordosis in standing to kyphosis when
15
clinical implications. Sagittal curvatures are sitting on the bicycle. McEvoy et al. found
geometric parameters that are known to have that cyclists had a higher anterior pelvic tilt in
a significant influence on mechanical comparison with sedentary subjects when
properties during compressive loading . The
2, 3 sitting on the floor with extended legs, but they
normal development of spinal sagittal did not evaluate the thoracic and lumbar spine.
curvatures depends on the interaction between However, analysis of the influence of cycling
growth and mechanical factors .
4 on sagittal spinal curvatures postures is
limited.
Previous studies have reported that specific
and repetitive movements and postures of Previous studies have not compared different
each sport may influence spinal curvatures .
5-9 age groups within a same-sport discipline. The
These studies found a higher frequency of aging process could lead to changes in sagittal
16
thoracic hyperkyphosis postures in sports spinal curvatures and pelvic position . Lin and
17
where static or cyclic trunk flexion is Liao observed differences in the
predominant. All these studies have analyzed performance of forward-bending movements
18
thoracic and/or lumbar spinal curvatures, but between some age-groups. Kuo et al. found
not pelvic posture. Nevertheless, the relations decreased flexo-extension range of motion in
between cyclist training in sagittal spinal the thoracic and lumbar spine in older adults.
curvatures and pelvic position have not been For these reasons the aims of this study were
fully defined. Sagittal plane alignment is 1) to analyse and compare the spinal and
increasingly recognised as a critical parameter pelvic postures between two cyclist categories
in the analysis of spinal curvatures. (with different years of cycling experience) in
Additionally, pelvic position is a key component several positions; and 2) to determine the
10
in the regulation of sagittal alignment . frequency of standing thoracic and lumbar
The main cycling posture is seated on the sagittal spinal misalignment in young and
bicycle with trunk slightly bent forward to keep middle-aged cyclists.

123 Official Journal of FIMS (International Federation of Sports Medicine)


Sagittal spinal curvatures and pelvic tilt in cyclists International SportMed Journal, Vol.13 No.3, September
2012, pp. 122-132. Available at URL: http://www.ismj.com

Methods The inclusion criteria were 1) daily training on


bicycles of between two and four hours, 2)
Participants training between three and five days per week,
A total of 110 master cyclists (55 master 30 and 3) at least four years of training. The
cyclists and 55 master 40 cyclists) participated exclusion criteria were 1) a history of spinal
in this study. The master cyclists were divided pain in the three months prior to the study, 2) a
in two groups, following the technical rules of history of spinal surgery, or 3) a medically
the Royal Spanish Cycling Federation: master diagnosed spinal disorder. All participants were
30 cyclists (30 to 39-years old) and master 40 instructed to avoid strenuous training and
cyclists (40 to 49-years old). Sample physical activity 24-hours prior to the study.
characteristics are shown in Table 1.
Table 1: Descriptive characteristics of master 30 and master 40 cyclists (mean standard deviation)
Master 30 (n=55) Master 40 (n=55)
Age (years) 31.56 5.54 46.04 4.87*
Height (m) 1.76 0.06 1.75 0.48
Body mass (kg) 77.93 9.59 77.79 9.21
2
BMI (kg/m ) 25.07 2.93 25.28 2.48
Training experience
6.67 6.45 12.61 9.69*
(years)
Training (days/week) 3.30 1.45 2.96 1.11
Training (hours/day) 3.05 1.33 2.94 0.90
*p < 0.001 with respect to Master 30 cyclists.
Spinal Mouse is a valid and reliable device
Procedures
when it was compared with radiographic
19,20,21
An Institutional Review Board approved this techniques .
study and informed consent was obtained from
Prior to taking measurements, the main
all participants. Sagittal spinal curvatures and
researcher determined the spinous process of
pelvic tilt were measured in relaxed standing,
C7 (starting point) and the top of the anal
slumped sitting positions and in a sit-and-reach
crease (end point) by palpation and marked
test using a Spinal Mouse system (Idiag,
the skin surface with a pencil. The Spinal
Fehraltdorf, Switzerland). The Spinal Mouse is
Mouse was guided along the midline of the
an electronic computer-aided measuring
spine (or slightly paravertebrally in particularly
device, which measures sagittal spinal range
thin individuals with prominent processus
of motion and intersegmental angles in a non-
spinous) starting at the spinous process of C7
invasive way, a so-called surface-based
and finishing at the top of the anal crease
technique. The device is connected
(approximately S3). For each testing position,
radiographically via an analog-digital converter
the position of the thoracic (T1 to T12) and
to a standard PC. The Spinal Mouse was
lumbar (L1 to the sacrum) spine and pelvic tilt
guided along the midline of the spine. Two
were recorded. The Spinal Mouse calculated
rolling wheels follow the contour of the spine,
the pelvic tilt as the angle formed between the
and the angle measures are communicated
vertical plane and sacrum inclination. In the
from the device to a base station positioned
lumbar curve, negative values corresponded to
approximately 1-2m away and interfaced to a
lumbar lordosis (posterior concavity). With
personal computer. Data is sampled every
respect to the pelvic position, a value of 0
1.3mm as the mouse is rolled along the spine,
represented the vertical position. Thus a
giving a sampling frequency of approximately
greater angle reflected an anterior pelvic tilt,
150Hz. The average total length of the spine is
and a lower angle (negative values) reflected a
550mm and the time required for
posterior pelvic tilt. Each subject was
measurements of the whole length is 2-4sec.;
evaluated wearing underwear and barefoot
thus, approximately 423 measurements are
respectively, and by the same examiner in a
made over 3sec. This information is then used
single session. The room temperature was
to calculate the relative positions of the sacrum
standardised at 25C.
and vertebral bodies of the underlying bony
spinal column using an intelligent, recursive
19
algorithm . For global spinal angles, the
124 Official Journal of FIMS (International Federation of Sports Medicine)
Sagittal spinal curvatures and pelvic tilt in cyclists International SportMed Journal, Vol.13 No.3, September
2012, pp. 122-132. Available at URL: http://www.ismj.com

were considered neutral; values below 20


Standing
were considered hypolordotic; and values
23
The cyclists assumed a relaxed position, with above 40 were considered hyperlordotic .
the head looking forward, arms hanging by
Slumped sitting
their side, knees normally extended, and feet
shoulder-width apart. To classify the posture in The slumped sitting posture was defined as the
categories for thoracic kyphosis, the subject sitting in a chair without backrest. The
22
classification proposed by Mejia et al. was pelvis was positioned in the middle of the seat,
used: values between 20 and 45 were allowing it to tilt posteriorly, with the spine
accepted as neutral thoracic kyphosis; values assuming a relaxed posture. The chair height
below 20 were considered as thoracic was adjusted for each subject so that their
hypokyphosis; and values above 45 were thighs were horizontal to the ground with the
considered as thoracic hyperkyphosis. In the hips, knees, and ankles at angles of
lumbar curve, values between 20 and 40 approximately 90.

Figure 1: Sagittal spinal curvatures measured with the Spinal Mouse while in the slumped sitting
position

the spinal curvatures and pelvic tilt were


Sit-and-reach test
measured. The distance (score) that the
Subjects were required to sit with knees subjects was able to reach forward was
straight and legs together so that the soles of recorded in centimetres with a ruler located on
the feet were flat against the end of a the sit-and-reach measuring box. The distance
constructed sit-and-reach box (height = 32 from the toes (zero point) was measured in
cm). With palms down, subjects placed one centimetres; positive values were awarded if
hand on top of the other and slowly reached subjects could reach beyond their toes and
forward as far as possible. Subjects slid their negative values were awarded if subjects could
hands along the box, with their knees kept as not.
straight as possible, and held the resulting
position for approximately five seconds while

125 Official Journal of FIMS (International Federation of Sports Medicine)


Sagittal spinal curvatures and pelvic tilt in cyclists International SportMed Journal, Vol.13 No.3, September
2012, pp. 122-132. Available at URL: http://www.ismj.com

Figure 2: Spinal curvature measurement with the Spinal Mouse in the sit-and-reach test

software. The level of significance was set at p


Data analysis
< 0.05.
Intra-tester reliability of thoracic and lumbar
curvatures and pelvic tilt was calculated in a
previous pilot study and their results have been Results
13
described in Muyor et al. . Descriptive
statistics, including mean and standard The mean and standard deviations of the
deviations were calculated for all variables. postures evaluated in both groups are shown
The hypotheses of normality and homogeneity in the Table 2. Lumbar lordosis and anterior
of variance were analysed using the pelvic tilt were significantly lower in master 40
Kolmogorov-Smirnov test and Levenes test, cyclists than master 30 cyclists in the standing
respectively. Parametric analysis was posture. However, only moderate effect sizes
performed because the data were normally between both groups were found (d = 0.4). In
distributed. Unpaired t-Student tests were the sitting posture, the thoracic kyphosis was
conducted to examine differences between significantly greater in master 40 cyclists than
both groups (master 30 and master 40 cyclists) master 30 cyclists. No significant differences
for all variables. Between-group effect sizes between groups were found in the spine and
(Cohens d) were calculated by using a pooled pelvic tilt when the sit-and-reach test was
standard deviation. An effect size greater than performed (Table 2). Both cyclists categories
0.8 was considered large, around 0.5 was showed similar sit-and-reach scores (p > 0.05)
24 (Table 2).
moderate, and less than 0.2 was small . The
data were analysed using the SPSS 15.0

126 Official Journal of FIMS (International Federation of Sports Medicine)


Sagittal spinal curvatures and pelvic tilt in cyclists International SportMed Journal, Vol.13 No.3, September
2012, pp. 122-132. Available at URL: http://www.ismj.com

Table 2: Mean values ( SD) of the thoracic, lumbar spine and pelvic tilt (degrees) in the postures and
sit-and-reach score (cm) evaluated in master 30 and master 40 cyclists

Mean difference Effect


Master 30 Master 40 p value
(95% CI) size

Thoracic
46.87 8.71 49.31 10.01 -2.43 (-5.98 to 1.11) 0.176 0.25
spine
Lumbar
Standing -26.04 6.04 -22.71 9.16 -3.32 (-6.26 to -0.39) 0.027 0.42
spine
Pelvic tilt 12.11 5.29 9.27 7.18 2.83 (0.45 to 5.22) 0.020 0.44
Thoracic
42.78 8.73 47.96 9.00 -5.18 (-8.53 to -1.83) 0.003 0.56
spine
Lumbar
Slumped sitting 17.38 9.71 17.16 11.98 0.21 (-3.90 to 4.34) 0.917 0.02
spine
Pelvic tilt -15.33 6.46 -15.71 9.01 0.58 (-2.38 to 3.54) 0.698 0.07
Thoracic
62.05 10.06 62.85 10.55 -0.80 (-4.69 to 3.09) 0.685 0.07
spine
Sit-and-reach Lumbar
30.09 8.44 27.27 10.16 2.81 (-0.71 to 6.35) 0.117 0.29
test spine
Pelvic tilt -12.47 9.64 -9.55 9.49 -2.92 (-6.54 to 0.69) 0.112 0.30
Sit-and-reach
Score 1.27 8.02 1.05 8.95 0.21 (-2.99 to 3.43) 0.858 0.03
test

The percentage of cyclists in each category of thoracic and lumbar spine angles in the standing
posture is presented in Figure 3. The data show a high percentage of thoracic hyperkyphosis and
neutral lordosis in both groups. The frequency of neutral postures in the thoracic and lumbar spine is
higher in master 30 cyclists than master 40 cyclists.

127 Official Journal of FIMS (International Federation of Sports Medicine)


Sagittal spinal curvatures and pelvic tilt in cyclists International SportMed Journal, Vol.13 No.3, September
2012, pp. 122-132. Available at URL: http://www.ismj.com

Figure 3: Percentage of subjects in each category of thoracic and lumbar angles in the relaxed
standing position

reported a trend toward higher thoracic


Discussion kyphosis in sports that involve a maintained or
The cyclist spends several hours per day cyclic trunk flexion, such as canoeing,
7, 8, 25
sitting on the bicycle with anterior trunk wrestling and cross-country skiing . Rajabi
8
bending and the lumbar spine in kyphotic et al. found that the thoracic kyphosis was
posture
13, 14
. This posture may result in some higher in freestyle wrestling than in Greco-
adaptation in the sagittal spinal angles. The Roman wrestling due to the specific postures
main objective of this study was to evaluate the of each discipline. The freestyle wrestlers put
thoracic and lumbar spine and pelvic tilt while the spine in more flexed postures while the
several postures were performed in two master Greco-Roman style used the spine in an
cyclist age-categories, with different years of almost erect posture. However, these authors
experience in cycling. A discussion of the did not evaluate the lumbar spine or pelvic
25
postures evaluated is given below. position. Alricsson and Werner found that
the sagittal thoracic curvature shifted towards
higher angular values after a period of 5 years
Standing of intensive training in cross-country skiing, but
no change was shown for lumbar lordosis in
The main finding here was that both groups of growing individuals. In the current study,
master cyclists presented a high frequency of despite the lack of statistical significance,
thoracic hyperkyphosis (54.8% in master 30 master 40 cyclists showed higher thoracic
and 69.1% in master 40 cyclists), whereas the kyphosis than the master 30 cyclists who had 6
12
lumbar spine curve presented a high years less experience in cycling. Rajabi et al.
percentage of neutral values. A high exposure found greater standing thoracic kyphosis in
of intensive athletic training might increase the cyclists than in sedentary individuals. These
risk of developing thoracic hyperkyphosis in authors justified their findings due to the
4
certain sports . Previous studies have specific cyclists posture with the trunk flexed,
128 Official Journal of FIMS (International Federation of Sports Medicine)
Sagittal spinal curvatures and pelvic tilt in cyclists International SportMed Journal, Vol.13 No.3, September
2012, pp. 122-132. Available at URL: http://www.ismj.com

although they did not evaluate these specific with respect to the standing posture. The
26
postures. Recently, Muyor et al. found that lumbar spine was in a kyphotic posture while
young cyclists adopted a significantly lower the pelvis adopted a posterior tilt in both
thoracic kyphosis on their bicycles than in the groups. Thoracic and lumbar kyphotic postures
3
standing posture. They found a high frequency increase the spinal load , intervertebral disc
29-31
of thoracic hyperkyphosis in the standing pressure , creep deformation in the lumbar
32-34 35, 36
posture than on the bicycle. The thoracic tissues and low back pain . In the
hyperkyphosis may be related to other factors, current study, cyclists trained around 3 hours
such as inadequate postural habits, rather than per day, possibly with a maintained lumbar
13, 14
to the specific posture adopted in the sport. flexion on the bicycle . Prolonged sitting on
the bicycle has been related to low back pain
34
. After training, a maintained slumped sitting
Master 40 cyclists presented a significantly posture in daily activities may aggravate the
lower lumbar lordosis and anterior pelvic tilt low back pain. This may be a reason why low
38-41
than master 30 cyclists in the standing posture. back pain is frequent in cyclists .
There were two possible explanations for this.
The first might be that the lumbar flexion
13
(kyphotic posture) maintained on the bicycle Sit-and-reach test
over several years may modify the lumbar
13 The sit-and-reach test is a common field test in
spines configuration. Muyor et al. found that
physical fitness tests to evaluate hamstring
older cyclists presented a lower but not 42
and spinal flexibility . The analysis of spinal
significant lumbar lordosis and a significantly
angles and pelvic tilt in the sit-and-reach test is
lower anterior pelvic tilt than younger cyclists
necessary because in this posture the
with similar cycling experience (around 7
hamstrings are under tension and influence
years). However, in the current study, older 6, 43, 44
spinal curvature and pelvic position . In
cyclists (master 40) had more than 6 years
the current study, master 40 cyclists reach a
experience in cycling in comparison with
non-significant, lower lumbar flexion than
master 30 cyclists. The second possible
master 30 cyclists. This small difference may
explanation is the relation between aging and
be due to an age-related decrease in the
spinal curvature and pelvic tilt. Several studies 18, 45
lumbar range of motion , since both groups
reported changes in the configuration of spinal
had similar sit-and-reach scores. Lpez-
curvatures and pelvic position with age. Gelb 46
27 Miarro et al. found in kayakers a
et al. found in adults over 40 years old that
significantly greater lumbar flexion in the sit-
increasing age correlated to loss of distal
10 and-reach test than in runners. They
lumbar lordosis. Schawb et al. observed a
speculated that it may be an adaptation to
significant posterior pelvic tilt with advancing
28 maintained lumbar flexion in kayakers due to
age. Day et al. reported that the lumbar
prolonged sitting in the kayak.
curve is altered by the pelvic tilt where an
anterior tilt increases the lumbar lordosis and a
posterior tilt decreases the depth of the lumbar
The pelvic position in the sit-and-reach test has
spine. An important limitation of this current
shown a moderate-high relationship with
study was that there were no control groups for 6, 43, 44
hamstring extensibility . Lpez-Miarro
each cyclist category. Further research should 6
be done to analyse the relationships between and Alacid found that the hamstring muscles
spinal and pelvic postures in master cyclists extensibility influences the thoracic and pelvic
postures of young paddlers in the sit-and-reach
and matched-age sedentary subjects.
test. The master 40 cyclists reached lower
anterior pelvic tilting than master 30 cyclists
(mean difference: 2.92) but no significant
Slumped sitting 15
differences were found. McEvoy et al. found
Sitting is a habitual posture in daily activities greater anterior pelvic tilt in cyclists than
and it is the specific posture in cycling. This sedentary subjects when sitting on the floor
current study evaluated slumped sitting to with extended legs. In cyclists, this difference
determine the influence of a relaxed position may be due to some adaptation in flexion
and passive hip flexion on spinal curvatures postures to reach aerodynamic positions.
and pelvic position. Master 40 cyclists Moreover, a prolonged lumbar flexion and
presented a significantly greater thoracic intense training may generate adaptations in
47, 48
kyphosis than master 30 cyclists. This may be the spinal structures , greater spinal loads
2 3
due to a postural adaptation, although both , increased vertebral stress , intradiscal
29-31
groups showed an increased thoracic kyphosis pressure , and viscoelastic deformation of
129 Official Journal of FIMS (International Federation of Sports Medicine)
Sagittal spinal curvatures and pelvic tilt in cyclists International SportMed Journal, Vol.13 No.3, September
2012, pp. 122-132. Available at URL: http://www.ismj.com

33
lumbar tissues . In this sense, several studies posture, middle-aged cyclists presented
have reported that low back pain is the most significantly higher thoracic kyphosis than
38-41
common overuse injury in cyclists . young cyclists, although in maximal trunk
Alterations in spinal curvatures may potentially flexion with knees extended both groups
influence the development of low back pain presented similar values.
35,36
.

Address for correspondence:


Regarding the methodological criterion with Professor Jos M Muyor, Edificio Central,
respect to the sample selection, only cyclists University of Almera. Ctra. Sacramento s/n.
without current or chronic history of low back 04120. La Caada de San Urbano, Almera,
pain were recruited. Low-back pain was an Spain
exclusion criterion because previous studies Tel.: 34950014045
have shown that low-back pain is related to Email: josemuyor@ual.es
50
changes in lumbopelvic rhythm and the
51
flexion-relaxation phenomenon in sitting and References
induces modifications in the position on the
11, 41, 52
bicycle . 1. Roussouly P, Nnadi C. Sagittal plane
deformity: An overview of interpretation
and management. Eur Spine 2010; 19:
Clinical relevance and future directions 1824-1836.
2. Briggs A, van Dien JH, Wrigley TV, et al.
A high percentage of cyclists usually report low
40 Thoracic kyphosis affects spinal loads and
back pain , perhaps due to prolonged seated
trunk muscle force. Phys Ther 2007; 5:
positions on the bicycle, incorrect saddle angle
41 595-607.
or a maintained kyphotic lumbar posture on
13, 14 3. Keller TS, Colloca CJ, Harrison DE, et al.
the bicycle . Future studies should
Influence of spine morphology on
investigate the relationship between low back
intervertebral disc load and stresses in
pain, spinal curvatures and the pelvic posture
asymptomatic adults: implications for the
in several positions.
ideal spine. Spine 2005; 5: 297-300.
4. Wojtys EM, Ashton-Miller JA, Huston LJ,
et al. The association between athletic
In this current study hamstring muscle
training time and the sagittal curvature of
extensibility was measured using the sit-and-
the immature spine. Am J Sports Med
reach test. Future investigations should use
2000; 28: 490-498.
other tests (straight leg raise and active or
5. Kms T, Ereline J, Gapeyeva H, et al.
passive knee extension tests) to evaluate the
Spinal curvature and trunk muscle tone in
relationship between hamstring muscle
rhythmic gymnasts and untrained girls. J
extensibility, spinal curvatures and pelvic tilt.
Back Musculoskelet Rehabil 2007; 20: 87-
Reduced lumbar lordosis and lower pelvic 95.
inclination in standing may be related to 6. Lpez-Miarro PA, Alacid F. Influence of
postural adaptations due to the prolonged hamstring muscle extensibility on spinal
sitting posture on the bicycle over several curvatures in young athletes. Sci Sports
years of training. Thoracic hyperkyphotic 2010; 25: 88-93.
postures in standing are frequent in young 7. Lpez-Miarro PA, Muyor JM, Alacid F.
and middle-aged cyclists. Future studies Sagittal spinal curvatures and pelvic tilt in
should investigate several age-groups in elite young kayakers. Med Sport 2010; 63:
cyclists with similar years of training. Postural 509-519.
activities should be incorporated into the 8. Rajabi R, Doherty P, Goodarzi M, et al.
training activities of cyclists to improve spinal Comparison of thoracic kyphosis in two
and pelvic posture. groups of elite Greco-Roman and free
wrestlers and a group of non-athletic
subjects. Br J Sports Med 2008; 42: 229-
Conclusion 232.
9. Stutchfield B, Coleman S. The
Both cyclists categories presented a high relationships between hamstring flexibility,
percentage of thoracic hyperkyphosis in the lumbar flexion, and low back pain in
standing posture. Master 40 cyclists showed a rowers. Eur J Sport Sci 2006; 6: 255-260.
significantly lower lumbar lordosis and anterior
pelvic tilt than master 30 cyclists. In the sitting
130 Official Journal of FIMS (International Federation of Sports Medicine)
Sagittal spinal curvatures and pelvic tilt in cyclists International SportMed Journal, Vol.13 No.3, September
2012, pp. 122-132. Available at URL: http://www.ismj.com

10. Schwab F, Lafage V, Patel A, et al. 24. Cohen J. Statistical power analysis for the
nd
Sagittal plane considerations and the behavioral science. 2 edition. Hillsdale,
pelvis in adult patient. Spine 2009; 34: NJ: Lawrence Erlbaum Associates.
1828-1833. 25. Alricsson M, Werner S. Young elite cross-
11. de Vey Mestdagh. Personal perspective: country skiers and low back pain: A 5-
in search of an optimum cycling posture. year study. Phys Ther Sport 2006; 7: 181-
Appl Ergon 1998; 29: 325-334. 184.
12. Rajabi R, Freemont A, Doherty P. The 26. Muyor JM, Lpez-Miarro PA, Alacid F. A
investigation of cycling position on comparison of the thoracic spine in the
thoracic spine. A novel method of sagittal plane between elite cyclists and
measuring thoracic kyphosis in the non-athlete subjects. J Back
standing position. Arch Physiol Biochem Musculoskelet Rehabil 2011; In press.
2000; 1: 142. 27. Gelb DE, Lenke LG, Bridwell KH, et al. An
13. Muyor JM, Lpez-Miarro PA, Alacid F. analysis of sagittal spinal alignment in 100
Spinal posture of thoracic and lumbar asymptomatic middle and older aged
spine and pelvic tilt in highly trained volunteers. Spine 1995; 20: 1351-1358.
cyclists. J Sports Sci Med 2011; 10: 355- 28. Day JW, Smidt GL, Lehmann T. Effect of
361. pelvic tilt on standing posture. Phys Ther
14. Usabiaga J, Crespo R, Iza I et al. 1984; 64: 510-516.
Adaptation of the lumbar spine to different 29. Polga D, Beaubien B, Kallemeier P, et al.
positions in bicycle racing. Spine 1997; Measurement of in vivo intradiscal
22: 1965-1969. pressure in healthy thoracic intervertebral
15. McEvoy MP, Wilkie K, Williams MT. discs. Spine 2004; 29: 1320-1324.
Anterior pelvic tilt in elite cyclists: A 30. Sato K, Kikuchi S, Yonezawa T. In vivo
comparative matched pairs study. Phys intradiscal pressure measurement in
Ther 2007; 8: 22-29. healthy individuals and in patients with
16. Lafage V, Schwab F, Skalli W, et al. ongoing back problems. Spine 1999; 24:
Standing balance and sagittal plane spinal 2468-2474.
deformity. Spine 2008; 33: 1572-1578. 31. Wilke H, Neef P, Caimi M, et al. New in
17. Lin SI, Liao CF. Age-related changes in vivo measurements of pressures in the
the performance of forward reach. Gait intervertebral disc in daily life. Spine 1999;
Posture 2011; 33: 18-22. 24: 755-762.
18. Kuo Y, Tully EA, Galea MP. Video based 32. Beach T, Parkinson R, Stothart P, et al.
measurement of sagittal range of spinal Effects of prolonged sitting on the passive
motion in young and older adults. Man flexion stiffness of the in vivo lumbar
Ther 2009; 14: 618-622. spine. Spine J 2005; 5: 145-154.
19. Mannion AF, Knecht K, Balaban G, et al. 33. Cadwell B, Peters, D. Seasonal variation
A new skin-surface device for measuring in physiological fitness of a
the curvature and global and segmental semiprofessional soccer team. J Strength
ranges of motion of the spine: reliability of Cond Res 2009; 23: 1370-1377.
measurements and comparison with data 34. Solomonow M, Zhou B, Baratta RV, et al.
reviewed from the literature. Eur Spine J Biomechanics and electromyography of a
2004; 13: 122-136. cumulative lumbar disorder: response to
20. Guermazi M, Ghroubi S, Kassis M, et al. static flexion. Clinical Biomechanics 2003;
Validity and reliability of Spinal Mouse to 18: 883-889.
assess lumbar flexion. Ann Readap Med 35. Harrison DE, Colloca CJ, Harrison DD, et
Phys 2006; 49: 172-177. al. Anterior thoracic posture increases
21. Post RB, Leferink VJ. Spinal mobility: thoracolumbar disc loading. Eur Spine J
sagittal range of motion measured with 2005; 14: 234-242.
the SpinalMouse, a new non-invasive 36. Smith A, OSullivan P, Straker L.
device. Arch Orthop Trauma Surg 2004; Classification of sagittal thoraco-lumbo-
124: 187-192. pelvic alignment of the adolescent spine
22. Mejia EA, Hennrikus WL, Schwend RM, et in standing and its relationship to low back
al. A prospective evaluation of idiopathic pain. Spine 2008; 33: 2101-2107.
left thoracic scoliosis with MRI. J Pediatr 37. Andersson G. Epidemiologic aspects on
Orthop 1996; 16: 354-358. low-back pain in industry. Spine 1981; 6:
23. Tzn C, Yorulmaz I, Cindas A, et al. Low 53-60.
back pain and posture. Clin Rheumatol 38. Asplund C, Webb C, Barkdull T. Neck and
1999; 18: 308-312. back pain in bicycling. Curr Sports Med
Rep 2005; 4: 271-274.
131 Official Journal of FIMS (International Federation of Sports Medicine)
Sagittal spinal curvatures and pelvic tilt in cyclists International SportMed Journal, Vol.13 No.3, September
2012, pp. 122-132. Available at URL: http://www.ismj.com

39. Clarsen B, Krosshaug T, Bahr R. Overuse low back pain rehabilitation. Spine 2010;
injuries in professional road cyclists. Am J 35: 1532-1538.
Sports Med 2010; 38: 2494-2501. 52. Burnett A, Cornelius M, Dankaerts W, et
40. Marsden M, Schwellnus M. Lower back al. Spinal kinematics and trunk muscle
pain in cyclists: A review of epidemiology activity in cyclists: A comparison between
pathomechanics and risk factors. Int healthy controls and non-specific chronic
SportMed J 2010; 11: 216-225. low back pain subjects a pilot
41. Salai M, Brosh T, Blankstein A, et al. investigation. Man Ther 2004; 9: 211-219.
Effect of changing the saddle angle on the
incidence of low back pain in recreational
bicyclists. Br J Sports Med 1999; 33: 398-
400.
42. Hui SC, Yuen PY. Validity of the modified
back-saver sit-and-reach test: a
comparison with other protocols. Med Sci
Sports Exerc 2000; 32: 1655-1659.
43. Gajdosik R, Albert C, Mitman J. Influence
of hamstring length on the standing
position and flexion range of motion of the
pelvic angle, lumbar angle, and thoracic
angle. J Orthop Sport Phys Ther 1994:
20: 213-219.
44. Lpez-Miarro PA, Alacid F, Rodrguez-
Garca, PL. Comparison of sagittal spinal
curvatures and hamstring muscle
extensibility among young elite paddlers
and non-athletes. Int SportMed J 2010:
11: 301-312.
45. Van Herp G, Rowe P, Salter P, et al.
Three-dimensional lumbar spinal
kinematics: a study of range of movement
in 100 healthy subjects age 20 to 60+
years. Rheumatology 2000; 39: 1337-
1340.
46. Lpez-Miarro PA, Alacid F, Muyor JM.
Comparison of spinal curvatures and
hamstring extensibility between paddlers
and runners. Rev Int Cienc Act Fis
Deporte 2009; 9: 379-391.
47. Iwamoto J, Abe H, Tsukimura Y, et al.
Relationship between radiographic
abnormalities of lumbar spine and
incidence of low back pain in high school
and college football players. Am J Sports
Med 2004; 32: 781-786.
48. ztrk A, zkan Y, zdemir R, et al.
Radiographic changes in the lumbar spine
in former professional football player: a
comparative and matched controlled
study. Eur Spine J 2008; 17: 136-141.
49. Nachemson A. The load on lumbar discs
in different positions of body. Clin Orthop
1976; 107-112.
50. Esola MA, McClure PW, Fitzgerald GK, et
al. Analysis of lumbar spine and hip
motion during forward bending in subjects
with and without a history of low-back
pain. Spine, 1996; 21; 71-78.
51. Mak JNF, Hu Y, Cheng A, et al. Flexion-
relaxation ratio in sitting. Application in
132 Official Journal of FIMS (International Federation of Sports Medicine)
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