Truszczyńska Aleksandra, Truszczyński Olaf, Rąpała Kazimierz, Gmitrzykowska Elzbieta, Tranowski Adam
1. Prof. A. Gruca Independent Public Research Hospital, Otwock Department of Orthopaedic Surgery, Centre for Postgraduate Medical Education, Otwock, Poland 2. Department of Physical Education and Sport, Biała Podlaska, Academy of Physical Education, Warsaw, Poland 3. Jozef Pilsudski University of Physical Education, Physiotherapy Department, Warsaw, Poland.
Military Institute of Aviation Medicine, Warsaw, Poland.
Ann Agric Environ Med. 2014;21(1):179-82.
Hard work in farming may lead to lumbar spinal stenosis, and consequently, to pain. The pain and neurological disorders may lead to disability and postural disorders.
The aim of the presented study was to analyse postural stability and its correlation with functional disability of patients with lumbar spinal stenosis living in rural areas.
The study population consisted of 30 rural patients with lumbar spinal stenosis; mean age: 51.40 (±12.92); mean BMI: 28.60 (±3.77). The control group consisted of 30 rural inhabitants without spinal disorders. Postural stability was tested on the Biodex Balance System. The patients were also evaluated according to the ODI, the Rolland- Morris disability questionnaire, and VAS.
The mean results of the patients studied were as follows: 49.37 (±17.39) according to ODI, 15 (±6.19) according to the Rolland-Morris disability scale, and pain intensity of 7 (±1.93) according to the VAS. The following statistically significant differences were found: the mean balance index result was 1.8 (±1.88) and 0.64 (±0.41) in the control group. The mean centre of mass deviation in the A/P plane was 1.39 (±1.88) and 0.46 (±0.41) in the control group. The mean centre of mass deviation in the M/L plane was 0.8 (±0.51) and 0.32 (±0.22) in the control group. The balance in the studied population correlated significantly with the Rolland-Morris disability questionnaire and the VAS.
务农的繁重劳动可能导致腰椎管狭窄，进而引发疼痛。疼痛和神经功能障碍可能导致残疾和姿势紊乱。
本研究旨在分析农村地区腰椎管狭窄症患者的姿势稳定性及其与功能残疾的相关性。
研究对象为30名农村腰椎管狭窄症患者；平均年龄：51.40（±12.92）；平均体重指数：28.60（±3.77）。对照组由30名无脊柱疾病的农村居民组成。使用Biodex平衡系统测试姿势稳定性。还根据Oswestry功能障碍指数（ODI）、罗兰-莫里斯残疾问卷和视觉模拟评分法（VAS）对患者进行评估。
所研究患者的平均结果如下：根据ODI为49.37（±17.39），根据罗兰-莫里斯残疾量表为15（±6.19），根据VAS疼痛强度为7（±1.93）。发现以下具有统计学意义的差异：平衡指数平均结果在对照组中为l.8（±1.88），在研究组中为0.64（±0.41）。前后（A/P）平面质心平均偏差在对照组中为1.39（±1.88），在研究组中为0.46（±0.41）。左右（M/L）平面质心平均偏差在对照组中为0.8（±0.51），在研究组中为0.32（±0.22）。研究人群的平衡与罗兰-莫里斯残疾问卷和VAS显著相关。
1）农村腰椎管狭窄症患者存在严重残疾。残疾与姿势稳定性障碍之间存在统计学意义的相关性。2）大多数患者（84%）超重。3）姿势稳定性障碍在稳定性指数和A/P平面偏差方面均具有统计学意义。
