Sullivan M S, Shoaf L D, Riddle D L
Department of Physical Therapy, School of Allied Health Professions, Medical College of Virginia Campus, Virginia Commonwealth University, Richmond, VA 23298-0024, USA.
Phys Ther. 2000 Mar;80(3):240-50.
Physical therapists routinely assess spinal active range of motion (AROM) in patients with low back pain (LBP). The purpose of this study was to use 2 approaches to examine the relationship between impairment of lumbar spine flexion AROM and disability. One approach relied on the use of normative data to determine when an impairment in flexion AROM was present. The other approach required therapists to make judgments of whether the flexion AROM impairment was relevant to the patient's disability.
Fifteen physical therapists and 81 patients with LBP completed in the study.
Patients completed the Roland-Morris Back Pain Questionnaire (RMQ), and the therapists assessed lumbar spine flexion AROM using a dual-inclinometer technique at the initial visit and again at discharge.
Correlations between the lumbar flexion AROM measure and disability were low and did not vary appreciably for the 2 approaches tested.
Measures of lumbar flexion AROM should not be used as surrogate measures of disability. Lumbar spine flexion AROM and disability are weakly correlated, suggesting that flexion AROM measures should not be used as treatment goals.
物理治疗师经常对腰痛（LBP）患者的脊柱主动活动范围（AROM）进行评估。本研究的目的是采用两种方法来检验腰椎前屈活动度（AROM）损伤与残疾之间的关系。一种方法是利用标准数据来确定何时存在前屈活动度损伤。另一种方法要求治疗师判断前屈活动度损伤是否与患者的残疾相关。
15名物理治疗师和81名腰痛患者完成了本研究。
患者完成罗兰-莫里斯腰痛问卷（RMQ），治疗师在初次就诊时和出院时使用双倾角计技术评估腰椎前屈活动度（AROM）。
腰椎前屈活动度测量值与残疾之间的相关性较低，并且对于所测试的两种方法而言，相关性变化不明显。
腰椎前屈活动度测量值不应用作残疾的替代指标。腰椎前屈活动度与残疾之间的相关性较弱，这表明前屈活动度测量值不应作为治疗目标。
