ALTERED MOBILITY IN THE SPINE AS A PREREQUISITE FOR CHRONIC NON-SPECIFIC LOW BACK PAIN

ABSTRACT Chronic low back pain is a common pathology, both in everyday life and in sports also. It impairs daily comfort, quality of life, and physical activity - for amateurs, and professionals. Doctors, physiotherapists, fitness trainers, psychologists, and others see into this issue. The causes of chronic low back pain can be mechanical, biochemical, and psycho-emotional. In 95% of cases, the cause is myofascial structures (Malanga, Cruz, Colon, 2010). A meta-analysis that looks through the treatment of this type of pain indicates exercise as a mandatory tool to address this problem. Specifying the type of motor activity is a condition for managing the pain. (Shipton, 2018) The aim of the study was to establish characteristic pathobiomechanical patterns in the mobility of the spine in patients with chronic nonspecific low back pain. Methodology: A cohort study of 60 patients who complained of chronic nonspecific low back pain was performed. The indicators on which they were studied are the measurement of the mobility of the thoracic spine according to Ott, and the measurement of the mobility of the lumbar spine according to Schober. The relationship between the change in mobility in the different parts of the spine and the presence of chronic pain was studied. Conclusion: The results of the study showed statistically significant data that the change(alternate) in the mobility of each of the sections in the spinal column leads to an increase or decrease in mobility in the adjacent parts. In this study, in 2/3 of cases with chronic non-specific low back pain, there is an increase in the mobility of the lumbar region, which leads to instability and overwhelming of soft tissues in the area, and this leads to pain.