强直性脊柱炎胸腰椎旋转的评估：一种简单的卷尺测量法。

Assessment of thoracolumbar rotation in ankylosing spondylitis: a simple tape method.

作者信息

Viitanen J V, Kokko M L, Heikkilä S, Kautiainen H

机构信息

Rehabilitation Institute of the Finnish Rheumatism Association, Kangasala.

出版信息

Clin Rheumatol. 1999;18(2):152-7. doi: 10.1007/s100670050074.

DOI:10.1007/s100670050074

PMID:10357122

Abstract

Results of a 'new' method for thoracolumbar rotation by tape (TRPav), simple instrumental rotation (TRi), the modified Schober test and thoracolumbar flexion (ThFL) were correlated with radiological changes in patients with ankylosing spondylitis (AS). TRPav showed a significant radiological correlation (Ls-r: 0.38; Th-r: 0.31), while the instrument method (TRi) did not; both the Schober test and ThFL, again, correlated fairly highly (Ls-r: 0.71, 0.62; Th-r: 0.49, 0.42). Both inter- and intratester reliability of the tests was good (Bland and Altman plots). Thoracolumbar rotation is one of the three principal levels of spinal motion and seems to be less affected by age. TRPav proved a valid and reliable method for measuring thoracolumbar rotation and clinically is a non-invasive, quick and easy complement to AS measurement methodologies.

摘要

通过胶带进行胸腰椎旋转的“新”方法（TRPav）、简单器械旋转（TRi）、改良Schober试验和胸腰椎前屈（ThFL）的结果与强直性脊柱炎（AS）患者的放射学变化相关。TRPav显示出显著的放射学相关性（腰段相关性：0.38；胸段相关性：0.31），而器械方法（TRi）则没有；Schober试验和ThFL再次显示出相当高的相关性（腰段相关性：0.71，0.62；胸段相关性：0.49，0.42）。测试的组内和组间可靠性均良好（Bland和Altman图）。胸腰椎旋转是脊柱运动的三个主要水平之一，似乎受年龄影响较小。TRPav被证明是一种有效且可靠的测量胸腰椎旋转的方法，在临床上是AS测量方法的一种非侵入性、快速且简便的补充。