Schröder J, Braumann K M, Reer R
Bewegungswissenschaft, Abteilung Sport- und Bewegungsmedizin, Universität Hamburg, Mollerstr. 10, 20148, Hamburg, Deutschland,
Orthopade. 2014 Sep;43(9):841-9. doi: 10.1007/s00132-014-2316-0.
Functional diagnostic approaches are helpful in the treatment of low back pain (LBP) patients. Reference data of asymptomatic individuals might be helpful to understand individual case profiles of LBP patients, to derive movement therapy goals and issues and to improve quality management in therapy monitoring.
Spinal form and mobility in the dorsal flexion (static and dynamic rasterstereography), as well as isometric peak forces (back extension/trunk flexion) were analyzed in a cross-sectional study of 103 pain-free volunteers (52 females, 51 males) aged 18-40 years.
Reference data could be demonstrated based on percentiles (5-95 %). There were significant differences between males and females for strength values and spinal form parameters describing the lumbosacral transition (p < 0.001), but not for the strength extension/flexion ratio (Ex/Flex), lumbar mobility (dorsiflexion) or any other spine shape parameter.
Despite the problem of a normal spinal alignment it is proposed to use reference data percentiles of asymptomatic persons to construct a musculoskeletal functional profile for individual LBP patients, which might emphasize the character of different LBP disorders and could be useful in screening, therapy planning and monitoring.
功能诊断方法有助于治疗下腰痛（LBP）患者。无症状个体的参考数据可能有助于理解LBP患者的个体病例概况，确定运动治疗目标和问题，并改善治疗监测中的质量管理。
在一项横断面研究中，对103名年龄在18至40岁之间的无疼痛志愿者（52名女性，51名男性）进行了脊柱形态和背屈时的活动度（静态和动态光栅立体摄影）以及等长峰值力量（背部伸展/躯干屈曲）分析。
可以根据百分位数（5 - 95%）展示参考数据。描述腰骶部过渡的力量值和脊柱形态参数在男性和女性之间存在显著差异（p < 0.001），但力量伸展/屈曲比（Ex/Flex）、腰椎活动度（背屈）或任何其他脊柱形状参数不存在显著差异。
尽管存在脊柱正常排列的问题，但建议使用无症状个体的参考数据百分位数为个体LBP患者构建肌肉骨骼功能概况，这可能会突出不同LBP疾病的特征，并有助于筛查、治疗计划制定和监测。
