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腰椎管狭窄症患者的姿势。

Posture of patients with lumbar spinal canal stenosis.

作者信息

Truszczyńska Aleksandra, Drzał-Grabiec Justyna, Płszewski Maciej, Rąpała Kazimierz, Tarnowski Adam

出版信息

J Back Musculoskelet Rehabil. 2015;28(1):75-9. doi: 10.3233/BMR-140493.

DOI:10.3233/BMR-140493
PMID:24968797
Abstract

BACKGROUND

The available literature is lacking in reports on the quantitative analysis of posture in patients with lumbar stenosis.

OBJECTIVE

The aim of this study was to analyze body posture in patients with lumbar spinal canal stenosis.

METHODS

The study involved 100 people: 49 persons with severe lumbar spine stenosis and 51 control subjects without any history of back pain. All participatants were evaluated by a photogrammetric method.

RESULTS

Photogrammetric measurements showed statistically significant differences in the shape of the anterior-posterior curvatures of the spine. In the study group thoracic kyphosis was significantly greater (p = 0.043), and the depth of lumbar lordosis was significantly smaller (p = 0.038). The inclination of the thoracolumbar segment was also significantly lower (p = 0.013).

CONCLUSIONS

  1. Measurements of body posture indicate a deepening of thoracic kyphosis and flattening of lumbar lordosis in lumbar stenosis patients. 2. Flattening of physiological lordosis seems to be caused by enlargment of the space of the spinal canal and dural sac in this position.
摘要

背景

现有文献缺乏关于腰椎管狭窄症患者姿势定量分析的报道。

目的

本研究旨在分析腰椎管狭窄症患者的身体姿势。

方法

本研究纳入100人，其中49例重度腰椎管狭窄患者和51例无背痛病史的对照者。所有参与者均采用摄影测量法进行评估。

结果

摄影测量结果显示，脊柱前后曲度形状存在统计学显著差异。研究组胸段后凸明显更大（p = 0.043），腰段前凸深度明显更小（p = 0.038）。胸腰段倾斜度也明显更低（p = 0.013）。

结论

  1. 身体姿势测量表明腰椎管狭窄症患者胸段后凸加深，腰段前凸变平。2. 生理前凸变平似乎是由于该部位椎管和硬膜囊空间增大所致。

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