患有腰痛的稻农临床腰椎不稳的患病率及个体危险因素。
Prevalence and individual risk factors associated with clinical lumbar instability in rice farmers with low back pain.
作者信息
Puntumetakul Rungthip, Yodchaisarn Wantanee, Emasithi Alongkot, Keawduangdee Petcharat, Chatchawan Uraiwan, Yamauchi Junichiro
机构信息
The Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Khon Kaen, Thailand.
School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand.
出版信息
Patient Prefer Adherence. 2014 Dec 16;9:1-7. doi: 10.2147/PPA.S73412. eCollection 2015.
INTRODUCTION
Clinical lumbar instability (CLI) is one of the subgroups of chronic non-specific low back pain. Thai rice farmers often have poor sustained postures during a rice planting process and start their farming at an early age. However, individual associated factors of CLI are not known and have rarely been diagnosed in low back pain. This study aimed to determine the prevalence and individual associated factors of CLI in Thai rice farmers.
METHODS
A cross-sectional survey was conducted among 323 Thai rice farmers in a rural area of Khon Kaen province, Thailand. Face-to-face interviews were conducted using the 13-item Delphi criteria questionnaire, after which an objective examination was performed using aberrant movement sign, painful catch sign, and prone instability test to obtain information. Individual factors such as sex, body mass index, waist-hip ratio, smoking, and number of years of farming experience, were recorded during the face-to-face interview.
RESULTS
The prevalence of CLI in Thai rice farmers calculated by the method described in this study was 13% (age 44±10 years). Number of years of farming experience was found to be significantly correlated with the prevalence of CLI (adjusted odds ratio =2.02, 95% confidence interval =1.03-3.98, P<0.05).
CONCLUSION
This study provides prevalence of CLI in Thai rice farmers. Those with long-term farming experience of at least 30 years have a greater risk of CLI.
引言
临床腰椎不稳（CLI）是慢性非特异性下腰痛的亚组之一。泰国稻农在水稻种植过程中经常保持不良的持续姿势，且从年轻时就开始从事农业劳动。然而，CLI的个体相关因素尚不明确，在腰痛患者中也很少被诊断出来。本研究旨在确定泰国稻农中CLI的患病率及其个体相关因素。
方法
在泰国孔敬府农村地区的323名泰国稻农中进行了一项横断面调查。使用包含13项内容的德尔菲标准问卷进行面对面访谈，之后通过异常运动体征、疼痛捕捉体征和俯卧位不稳定试验进行客观检查以获取信息。在面对面访谈期间记录个体因素，如性别、体重指数、腰臀比、吸烟情况以及务农年限。
结果
采用本研究所述方法计算得出，泰国稻农中CLI的患病率为13%（年龄44±10岁）。发现务农年限与CLI患病率显著相关（调整后的优势比=2.02，95%置信区间=1.03 - 3.98，P<0.05）。
结论
本研究提供了泰国稻农中CLI的患病率。那些拥有至少30年长期务农经验的人患CLI的风险更高。
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