Scholtes Sara A, Van Dillen Linda R
Program in Physical Therapy, Washington University School of Medicine, St Louis, MO 63110, USA.
J Orthop Sports Phys Ther. 2007 Dec;37(12):744-53. doi: 10.2519/jospt.2007.2610. Epub 2007 Aug 29.
Cross-sectional, secondary analysis.
To examine potential gender differences in prevalence of lumbopelvic region movement impairments during clinical tests in a sample of people with low back pain (LBP).
A number of studies have identified factors contributing to differences between men and women in prevalence of lower extremity injuries. Few studies have examined potential gender differences in impairments of people with LBP.
Eighty-four males and 86 females (mean +/- SD age, 41.5 +/- 13.3 years) with LBP participated in a standardized examination. Responses from 7 movement tests that examine early lumbopelvic movement were analyzed using chi-square statistics.
A greater proportion of men than women displayed early lumbopelvic movement during the majority of limb movements (3/4) and movements potentially affected by limb tissue stiffness (2/2) (P<.05). There were no differences in the proportions of men and women displaying early lumbopelvic movement during a movement presumed to not be affected by limb tissue stiffness (P>.05). Similar results were obtained when analyzing only the subsets of subjects who reported an increase in symptoms with a specific test.
Our results provide data to suggest men and women with LBP may move differently in the lumbopelvic region during clinical tests of limb movements and movements potentially affected by limb tissue stiffness. Recognition of gender differences in prevalence of movement impairments is important for improving examination and intervention of people with LBP.
横断面研究，二次分析。
在一组腰痛患者样本中，检查临床测试期间腰骨盆区域运动障碍患病率的潜在性别差异。
多项研究已确定导致男女下肢损伤患病率差异的因素。很少有研究检查腰痛患者运动障碍的潜在性别差异。
84名男性和86名女性（平均±标准差年龄，41.5±13.3岁）腰痛患者参与了一项标准化检查。使用卡方统计分析来自7项检查早期腰骨盆运动的运动测试的反应。
在大多数肢体运动（3/4）和可能受肢体组织僵硬影响的运动（2/2）中，表现出早期腰骨盆运动的男性比例高于女性（P<0.05）。在一项假定不受肢体组织僵硬影响的运动中，表现出早期腰骨盆运动的男性和女性比例没有差异（P>0.05）。仅分析报告特定测试后症状加重的受试者子集时，也获得了类似结果。
我们的结果提供的数据表明，在肢体运动和可能受肢体组织僵硬影响的运动的临床测试中，男性和女性腰痛患者在腰骨盆区域的运动方式可能不同。认识到运动障碍患病率的性别差异对于改善腰痛患者的检查和干预很重要。
