{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:38:24Z","timestamp":1777466304991,"version":"3.51.4"},"reference-count":41,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T00:00:00Z","timestamp":1747267200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Due to lower limb impairment, people use greater trunk flexion strategies and cannot maintain the alignment of the upper body, leading to loss of lordosis over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>A comprehensive study is needed to understand the heightened trunk flexion effect on lumbar and cervical lordosis and associated joint moments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The three sit-to-stand-to-sit strategies, Natural, Full trunk flexion, and Pelvis-spine alignment, were conducted in 3D motion capture. The hypothesis is that increasing the total lumbar and cervical lordosis depth will reduce the total lumbosacral and cervicothoracic joint moment. Using Visual 3D, inverse kinematics and dynamics for joint moments and angles of the head, trunk, and pelvis at five events\/phases, and the corresponding lordosis depth was calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Pelvis-spine alignment strategies show a strong positive correlation (r\u2009=\u20090.70) between the total depth of lordosis and reducing the lumbosacral and cervicothoracic joint moment. The full flexion strategy mirrored the compensatory movement with a negative correlation (r\u2009=\u2009\u22120.88) on the reduction of lordosis depth and compensated by increasing the cervical lordosis depth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings guide the correcting of spine disorders, the development of physical rehabilitation programs, the design of devices, and the correctness of posture to prevent low back pain and disease progression.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538127251317634","type":"journal-article","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T02:03:34Z","timestamp":1747361014000},"page":"838-851","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Investigation of lumbar and cervical lordosis variation in sit-to-stand-to-sit movement with different strategies in healthy subjects"],"prefix":"10.1177","volume":"38","author":[{"given":"Subodh Kumar","family":"Suman","sequence":"first","affiliation":[{"name":"Department of Mechanical Engineering, National Institute of Technology Karnataka, Mangalore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5912-3572","authenticated-orcid":false,"given":"Khyati","family":"Verma","sequence":"additional","affiliation":[{"name":"Department of Mechanical Engineering, National Institute of Technology Karnataka, Mangalore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,15]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0268-0033(00)00004-8"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0167-9457(94)90020-5"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/70.10.638"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2014.11.015"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2012.01.005"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2006.02.172"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/jor.22127"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.orthres.2005.01.021"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2004.11.007"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20090093"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780270401"},{"key":"e_1_3_4_13_2","first-page":"1","article-title":"Biomechanical assessment of balance and posture in subjects with ankylosing spondylitis","volume":"9","author":"Sawacha Z","unstructured":"Sawacha Z, Carraro E, Del Din S, et al. Biomechanical assessment of balance and posture in subjects with ankylosing spondylitis. J Neuroeng Rehabil 2012 Dec; 9: 1\u20131.","journal-title":"J Neuroeng Rehabil"},{"key":"e_1_3_4_14_2","article-title":"Kinematics of sagittal spine and lower limb movement in healthy older adults during sit-to-stand from two seat heights","volume":"35","author":"Kuo YL","unstructured":"Kuo YL, Tully EA, Galea MP. Kinematics of sagittal spine and lower limb movement in healthy older adults during sit-to-stand from two seat heights. Spine 2010 Jan 1; 35: E1\u2013E7.","journal-title":"Spine"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/38.5.441"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200406010-00014"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.3233\/BMR-181219"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2018.11.028"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2015.05.001"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2013.02.001"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kei192"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/85.5.404"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9290(94)90039-6"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/1743-0003-12-3"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.10073"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2015.06.012"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00221-003-1629-8"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehab.2015.04.007"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1080\/00222895.2011.631954"},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.3233\/THC-174717"},{"key":"e_1_3_4_31_2","first-page":"1","article-title":"Standing Practice in Rehabilitation Early after Stroke (SPIRES): a functional standing frame programme (prolonged standing and repeated sit to stand) to improve function and quality of life and reduce neuromuscular impairment in people with severe sub-acute stroke\u2014a protocol for a feasibility randomised controlled trial","volume":"4","author":"Logan A","unstructured":"Logan A, Freeman J, Kent B, et al. Standing Practice in Rehabilitation Early after Stroke (SPIRES): a functional standing frame programme (prolonged standing and repeated sit to stand) to improve function and quality of life and reduce neuromuscular impairment in people with severe sub-acute stroke\u2014a protocol for a feasibility randomised controlled trial. Pilot Feasibility Stud 2018 Dec; 4: 1\u20138.","journal-title":"Pilot Feasibility Stud"},{"key":"e_1_3_4_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2012.10.013"},{"key":"e_1_3_4_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2011.11.054"},{"key":"e_1_3_4_34_2","doi-asserted-by":"publisher","DOI":"10.1080\/17483107.2019.1629701"},{"key":"e_1_3_4_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/0268-0033(95)91394-T"},{"key":"e_1_3_4_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2011.01.015"},{"key":"e_1_3_4_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2006.12.018"},{"key":"e_1_3_4_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/0167-9457(89)90020-1"},{"key":"e_1_3_4_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9290(90)90054-7"},{"key":"e_1_3_4_40_2","volume-title":"A mathematical model of the human body","author":"Hanavan EP","year":"1964","unstructured":"Hanavan EP. A mathematical model of the human body. Dayton, OH: Aerospace Medical Division, Wright Patterson Air Force Base,1964: 64\u2013102."},{"key":"e_1_3_4_41_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2019.05.001"},{"key":"e_1_3_4_42_2","doi-asserted-by":"publisher","DOI":"10.1080\/00140139.2014.948495"}],"container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538127251317634","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10538127251317634","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538127251317634","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:28:17Z","timestamp":1777382897000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10538127251317634"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,15]]},"references-count":41,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1177\/10538127251317634"],"URL":"https:\/\/doi.org\/10.1177\/10538127251317634","relation":{},"ISSN":["1053-8127","1878-6324"],"issn-type":[{"value":"1053-8127","type":"print"},{"value":"1878-6324","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,15]]}}}