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使用索伦森试验进行脊柱肌肉评估:文献的批判性评价

Spinal muscle evaluation using the Sorensen test: a critical appraisal of the literature.

作者信息

Demoulin Christophe, Vanderthommen Marc, Duysens Christophe, Crielaard Jean-Michel

机构信息

Physical Medicine and Rehabilitation Unit, Liège University, Belgium.

出版信息

Joint Bone Spine. 2006 Jan;73(1):43-50. doi: 10.1016/j.jbspin.2004.08.002.

Abstract

The first test for evaluating the isometric endurance of trunk extensor muscles was described by Hansen in 1964. In 1984, following a study by Biering-Sorensen, this test became known as the "Sorensen test" and gained considerable popularity as a tool reported to predict low back pain within the next year in males. The test consists in measuring the amount of time a person can hold the unsupported upper body in a horizontal prone position with the lower body fixed to the examining table. This test has been used in many studies, either in its original version or as variants. Although its discriminative validity, reproducibility, and safety seem good, debate continues to surround its ability to predict low back pain; in addition, the gender-related difference in position-holding time remains unexplained and the influence of body weight unclear. A contribution of the hip extensor muscles to position holding has been established, but its magnitude remains unknown. The influence of personal factors such as motivation complicates the interpretation of the results. Despite these drawbacks, the Sorensen test has become the tool of reference for evaluating muscle performance in patients with low back pain, most notably before and after rehabilitation programs.

摘要

1964年,汉森描述了评估躯干伸肌等长耐力的首个测试。1984年,在比林 - 索伦森的一项研究之后,该测试被称为“索伦森测试”,并作为一种据报道可预测男性来年下背痛的工具而广受欢迎。该测试包括测量一个人在固定下半身于检查台的情况下,能够在水平俯卧位保持无支撑上半身的时间。此测试已在许多研究中使用,无论是其原始版本还是变体。尽管其判别效度、可重复性和安全性似乎良好,但关于其预测下背痛能力的争论仍在继续;此外,保持姿势时间的性别差异仍无法解释,体重的影响也不明确。已确定髋伸肌对保持姿势有贡献,但其程度尚不清楚。动机等个人因素的影响使结果的解释变得复杂。尽管存在这些缺点,索伦森测试已成为评估下背痛患者肌肉性能的参考工具,尤其是在康复计划前后。

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