Ishak Nor Azizah, Zahari Zarina, Justine Maria
Department of Physiotherapy, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam Campus, 42300 Puncak Alam, Selangor, Malaysia.
Curr Gerontol Geriatr Res. 2016;2016:8583963. doi: 10.1155/2016/8583963. Epub 2016 Nov 2.
This study aims to compare muscle functions and functional performances between older persons with and without low back pain (LBP) and to determine the association between muscle functions and functional performances. This is a cross-sectional study, involving 95 older persons (age = 70.27 ± 7.26 years). Anthropometric characteristics, muscle functions, and functional performances were measured. Data were analyzed using ANOVA, Pearson's correlation, and multiple linear regression. The functional performances showed no significant differences (females LBP versus non-LBP, males LBP versus non-LBP) ( < 0.05). For muscle functions, significant differences were found (females LBP versus non-LBP) for abdominal muscle strength ( = 0.006) and back muscle strength ( = 0.07). In the LBP group, significant correlations were found between back and abdominal muscle strength and hand grip strength ( = 0.377 and = 0.396, resp.), multifidus control and lower limb function ( = 0.363) in females, and back muscle strength and lower limb function ( = 0.393) in males (all < 0.05). Regression analysis showed that abdominal and back muscle strengths were significant predictors of hand grip strength ( = 0.041 and = 0.049, resp.), and multifidus control was a significant predictor of lower limb function in females ( = 0.047). This study demonstrates that older women with LBP exhibit poorer muscle functions compared to older women without LBP.
本研究旨在比较有和没有下腰痛(LBP)的老年人之间的肌肉功能和功能表现,并确定肌肉功能与功能表现之间的关联。这是一项横断面研究,涉及95名老年人(年龄 = 70.27 ± 7.26岁)。测量了人体测量学特征、肌肉功能和功能表现。使用方差分析、Pearson相关性分析和多元线性回归对数据进行分析。功能表现在(女性LBP与非LBP、男性LBP与非LBP之间)没有显著差异(<0.05)。对于肌肉功能,发现(女性LBP与非LBP之间)腹肌力量(=0.006)和背部肌肉力量(=0.07)存在显著差异。在LBP组中,发现女性的背部和腹部肌肉力量与握力之间存在显著相关性(分别为=0.377和=0.396),多裂肌控制与下肢功能之间存在显著相关性(=0.363),男性的背部肌肉力量与下肢功能之间存在显著相关性(=0.393)(均<0.05)。回归分析表明,腹部和背部肌肉力量是握力的显著预测因素(分别为=0.041和=0.049),多裂肌控制是女性下肢功能的显著预测因素(=0.047)。本研究表明,与没有LBP的老年女性相比,患有LBP的老年女性表现出较差的肌肉功能。