使用皮肤表面装置对有和无下背痛参与者进行脊柱终末活动度评估的可靠性及比较
Reliability and Comparison of Spinal End-Range Motion Assessment Using a Skin-Surface Device in Participants With and Without Low Back Pain.
作者信息
Zafereo Jason, Wang-Price Sharon, Brown Jace, Carson Evan
机构信息
Department of Physical Therapy, The University of Texas Southwestern Medical Center, Dallas, TX.
School of Physical Therapy, Texas Woman's University, Dallas, TX.
出版信息
J Manipulative Physiol Ther. 2016 Jul-Aug;39(6):434-442. doi: 10.1016/j.jmpt.2016.05.008. Epub 2016 Jul 16.
OBJECTIVE
The purposes of this study were to determine the reliability of using a skin-surface device to measure global and segmental thoracic and lumbar spine motion in participants with and without low back pain (LBP) and to compare global thoracic and lumbar motion between the 2 groups.
METHODS
Forty participants were included in the study (20 adults with LBP and 20 age- and sex-matched adults without LBP). On the same day, 2 raters independently measured thoracic and lumbar spine motion by rolling a skin-surface device along the spine from C7 to S3, with participants at their end range of standing flexion and extension.
RESULTS
In participants with LBP, global thoracic and lumbar flexion and extension end-range motion testing yielded fair-to-high intrarater reliability (intraclass correlation coefficient [ICC] = 0.76-0.96) and good-to-high interrater reliability (ICC = 0.82-0.98). Interrater reliability was fair to high (ICC = 0.77-0.93) for segmental lumbar flexion measurements in participants with LBP. No significant differences were found in global thoracic and lumbar flexion or extension end-range mobility between participants with and without LBP.
CONCLUSIONS
Global thoracic and lumbar end-range motion measurement using a skin-surface device has acceptable reliability for participants with LBP. Reliability for segmental end-range motion measurement was only acceptable for lumbar flexion in participants with LBP.
目的
本研究的目的是确定使用皮肤表面装置测量有和没有下腰痛(LBP)的参与者的胸椎和腰椎整体及节段性运动的可靠性,并比较两组之间的胸椎和腰椎整体运动情况。
方法
40名参与者纳入本研究(20名患有LBP的成年人和20名年龄及性别匹配的无LBP成年人)。在同一天,两名评估者让参与者处于站立屈伸的终末范围,沿着从C7到S3的脊柱滚动皮肤表面装置,独立测量胸椎和腰椎的运动。
结果
在患有LBP的参与者中,胸椎和腰椎整体屈伸终末范围运动测试的评估者内信度为中等至高(组内相关系数[ICC]=0.76 - 0.96),评估者间信度为良好至高(ICC = 0.82 - 0.98)。对于患有LBP的参与者,腰椎节段性屈曲测量的评估者间信度为中等至高(ICC = 0.77 - 0.93)。在有和没有LBP的参与者之间,胸椎和腰椎整体屈伸终末范围活动度未发现显著差异。
结论
对于患有LBP的参与者,使用皮肤表面装置测量胸椎和腰椎终末范围运动具有可接受的可靠性。对于患有LBP的参与者,节段性终末范围运动测量的可靠性仅在腰椎屈曲方面可接受。