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在背负前负荷任务期间,有和没有慢性下腰痛的受试者在不同步行速度下的躯干与骨盆协调性。

Trunk and pelvic coordination at various walking speeds during an anterior load carriage task in subjects with and without chronic low back pain.

作者信息

Kim Tackhoon, Chai Eunsu

机构信息

Department of Physical Therapy, Hanseo University, Republic of Korea.

出版信息

J Phys Ther Sci. 2015 Jul;27(7):2353-6. doi: 10.1589/jpts.27.2353. Epub 2015 Jul 22.

DOI:10.1589/jpts.27.2353
PMID:26311982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4540880/
Abstract

[Purpose] This study compared the coordination patterns of the trunk and pelvis in the transverse plane between healthy subjects and patients with chronic low back pain during an anterior load carriage task at various walking speeds. [Subjects] Ten healthy subjects and 10 patients with chronic low back pain performed an anterior carriage task with a load of 10% body weight at walking speeds of 3.5, 4.5, or 5.5 km/h. [Methods] The trunk and pelvic kinematics were measured by using a motion analysis system. During the anterior carriage task, the continuous relative phase differed significantly between groups with respect to walking speed. [Results] The continuous relative phase was more anti-phase in the chronic low back pain group than the control group. The inter-group continuous relative phase pattern was affected by walking at 5.5 km/h. [Conclusion] Compared to controls, subjects with chronic low back pain are unable to establish an in-phase between the trunk and pelvis from walking at 3.5 to 5.5 km/h during an anterior carriage task.

摘要

[目的] 本研究比较了健康受试者和慢性下腰痛患者在不同步行速度下进行前向负载搬运任务时,躯干和骨盆在横断面的协调模式。[受试者] 10名健康受试者和10名慢性下腰痛患者以3.5、4.5或5.5 km/h的步行速度进行了一项负载为体重10%的前向搬运任务。[方法] 使用运动分析系统测量躯干和骨盆的运动学。在前向搬运任务期间,两组之间的连续相对相位在步行速度方面存在显著差异。[结果] 慢性下腰痛组的连续相对相位比对照组更呈反相位。组间连续相对相位模式受5.5 km/h步行速度的影响。[结论] 与对照组相比,慢性下腰痛受试者在进行前向搬运任务时,无法在3.5至5.5 km/h的步行速度下在躯干和骨盆之间建立同相位。

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本文引用的文献

1
Chronic Low Back Pain in Women: Muscle Activation during Task Performance.女性慢性下腰痛:任务执行过程中的肌肉激活
J Phys Ther Sci. 2013 Dec;25(12):1569-73. doi: 10.1589/jpts.25.1569. Epub 2014 Jan 8.
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Differences in Transversus Abdominis Muscle Function between Chronic Low Back Pain Patients and Healthy Subjects at Maximum Expiration: Measurement with Real-time Ultrasonography.慢性下腰痛患者与健康受试者在最大呼气时腹横肌功能的差异:实时超声测量
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The effect of an on-body assistive device on transverse plane trunk coordination during a load carriage task.
一项关于核心稳定训练对非特异性慢性下腰痛患者在有负荷和无负荷步态期间脊柱运动学影响的临床试验研究方案。
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在负载搬运任务中,身体辅助装置对横断面上躯干协调的影响。
J Biomech. 2013 Oct 18;46(15):2688-94. doi: 10.1016/j.jbiomech.2013.07.034. Epub 2013 Aug 14.
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Influence of lumbar and hip mobility on the bending stresses acting on the lumbar spine.腰椎和髋关节活动度对作用于腰椎的弯曲应力的影响。
Clin Biomech (Bristol). 1993 Jul;8(4):185-92. doi: 10.1016/0268-0033(93)90013-8.
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The how and why of arm swing during human walking.人类行走时摆臂的方式及其原因。
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Three-dimensional kinematic analysis of pelvic and lower extremity differences during trunk rotation in subjects with and without chronic low back pain.在有和无慢性下腰痛的受试者中,躯干旋转过程中骨盆和下肢差异的三维运动学分析。
Physiotherapy. 2012 Jun;98(2):160-6. doi: 10.1016/j.physio.2011.02.005. Epub 2011 May 8.
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Coordination of trunk and pelvis in young and elderly individuals during axial trunk rotation.年轻人和老年人在轴向躯干旋转过程中躯干和骨盆的协调性。
Gait Posture. 2012 Jun;36(2):330-1. doi: 10.1016/j.gaitpost.2012.03.009. Epub 2012 Mar 30.
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Clin Biomech (Bristol). 2011 Jul;26(6):572-8. doi: 10.1016/j.clinbiomech.2010.11.012. Epub 2011 May 4.
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