Institute of Military Training Related Medical Science, The 150th Hospital of PLA, Luoyang, Henan, China.
PLoS One. 2013 Nov 12;8(11):e78640. doi: 10.1371/journal.pone.0078640. eCollection 2013.
Epidemiological studies have shown a relatively strong association between occupational lower back pain (LBP) and long-term exposure to vibration. However, there is limited knowledge of the impact of vibration and sedentariness on bone metabolism of the lumbar vertebra and the mechanism of bone-derived LBP. The aim of this study was to investigate the effects of vibration in forced posture (a seated posture) on biochemical bone metabolism indices, and morphometric and mechanical properties of the lumbar vertebra, and provide a scientific theoretical basis for the mechanism of bone-derived LBP, serum levels of Ca(2+), (HPO4)(2-), tartrate-resistant acid phosphatase (TRAP), bone-specific alkaline phosphatase (BALP), and bone gla protein (BGP),the pathological changes and biomechanics of lumbar vertebra of New Zealand white rabbits were studied. The results demonstrate that both forced posture and vibration can cause pathological changes to the lumbar vertebra, which can result in bone-derived LBP, and vibration combined with a seated posture could cause further damage to bone metabolism. Serological changes can be used as early markers for clinical diagnosis of bone-derived LBP.
流行病学研究表明,职业性下腰痛(LBP)与长期接触振动之间存在较强的关联。然而,对于振动和久坐对腰椎骨代谢以及骨源性 LBP 的机制的影响,我们的了解有限。本研究旨在探讨强制体位(坐姿)下振动对腰椎骨生化代谢指标、形态计量学和力学性能的影响,为骨源性 LBP 的机制提供科学理论依据。研究了新西兰白兔的腰椎的病理变化和生物力学,结果表明,强制体位和振动都会导致腰椎发生病变,从而引发骨源性 LBP,而振动与坐姿结合会对骨代谢造成进一步的损害。血清学变化可作为临床诊断骨源性 LBP 的早期标志物。