School of Physical Therapy, Ohio University, Athens, OH, USA.
Arch Phys Med Rehabil. 2010 Jul;91(7):1140-2. doi: 10.1016/j.apmr.2010.04.003.
OBJECTIVE: To examine the correlation between hamstring flexibility and hip and lumbar spine joint excursions during standardized reaching and forward-bending tasks. DESIGN: Retrospective analysis of data obtained during 2 previous prospective studies that examined kinematics and kinetics during forward-reaching tasks in participants with and without low back pain (LBP). SETTING: The 2 previous studies were conducted in the Motor Control Lab at Ohio University and the Orthopaedic Ergonomics Laboratory at The Ohio State University. PARTICIPANTS: Data from a total of 122 subjects from 2 previous studies: study 1: 86 subjects recovered from an episode of acute LBP (recovered) and study 2 (A.I. McCallum, unpublished data): 18 chronic LBP subjects and 18 healthy-matched controls (healthy). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: Correlation values between hamstring flexibility as measured by straight leg raise (SLR) and amount of hip and lumbar spine joint excursions used during standardized reaching and forward-bending tasks. RESULTS: No significant correlation was found between hamstring flexibility and hip and lumbar joint excursions during forward-bending tasks in the LBP or recovered groups. The SLR had a significant negative correlation with lumbar spine excursions during reaching tasks to a low target in the healthy group (right SLR: P=.011, left SLR: P=.004). CONCLUSIONS: Hamstring flexibility is not strongly related to the amount of lumbar flexion used to perform forward-reaching tasks in participants who have chronic LBP or who have recovered from LBP. More research needs to be conducted to examine the influence of hamstring flexibility on observed movement patterns to further evaluate the efficacy of flexibility training in the rehabilitation of patients with LBP.
目的:检验在标准化伸手和前屈任务中,腘绳肌柔韧性与髋关节和腰椎关节活动度之间的相关性。
设计:对先前两项前瞻性研究中获得的数据进行回顾性分析,这些研究检查了有无下背痛(LBP)的参与者在向前伸手任务中的运动学和动力学。
设置:先前的两项研究在俄亥俄大学的运动控制实验室和俄亥俄州立大学的矫形人体工程学实验室进行。
参与者:来自先前两项研究的共 122 名受试者的数据:研究 1:86 名从急性 LBP 发作中康复的受试者(已康复);研究 2(A.I. McCallum,未发表数据):18 名慢性 LBP 受试者和 18 名健康匹配对照者(健康)。
干预:不适用。
主要观察指标:直腿抬高(SLR)测量的腘绳肌柔韧性与标准化伸手和前屈任务中髋关节和腰椎关节活动度之间的相关值。
结果:在 LBP 或已康复组中,在向前弯曲任务中,腘绳肌柔韧性与髋关节和腰椎关节活动度之间未发现显著相关性。在健康组中,SLR 与伸手至低目标时的腰椎活动度有显著负相关(右侧 SLR:P=.011,左侧 SLR:P=.004)。
结论:在患有慢性 LBP 或从 LBP 中康复的参与者中,腘绳肌柔韧性与完成向前伸手任务时使用的腰椎前屈量没有很强的相关性。需要进一步开展研究,以检验腘绳肌柔韧性对观察到的运动模式的影响,从而进一步评估柔韧性训练在 LBP 患者康复中的效果。
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