Professor, Department of Physical Therapy, Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.
Department of Physical Therapy, Universidade Federal de Alfenas, Alfenas, Minas Gerais, Brazil.
Spine (Phila Pa 1976). 2017 Oct 15;42(20):1552-1558. doi: 10.1097/BRS.0000000000002151.
Cross-sectional, ancillary study of an international multicenter epidemiological study.
To investigate the relationship of the anterior trunk mobility with self-report and physical performance measures in elderly women with acute low back pain (LBP).
LBP is one of the most prevalent pain complaints in the elderly population. It is postulated that the increased range of motion of limited joints of the trunk may improve LBP and functionality of patients. Recent studies have, however, questioned the association between trunk range of motion and the functional status.
The present study included a convenience sample of elderly women from the community aged 60 years and older who presented with a new (acute) episode of LBP. Volunteers with severe diseases and visual, hearing and mobility losses, or cognitive impairment were excluded. Trunk mobility was assessed by the fingertip-to-floor test. Functionality was assessed by the Roland-Morris Questionnaire (RMQ) and gait speed test. Statistical analysis was performed by using hierarchical linear regression model.
Data from 459 elderly women, mean age of 69.0 (6.1) years old, were used to describe this report. The additional predictive value for the inclusion of independent variable trunk mobility was only 4.4% in the RMQ score and 1.5% in the gait speed test, respectively. A reduced hierarchical linear regression model showed that the significant predictors for RMQ and gait speed test were body mass index, pain intensity, and trunk mobility.
This was the first study to investigate the relationship between trunk mobility and functionality in elderly women with acute LBP. The results suggest that these clinical parameters are independent from each other.
N/A.
一项国际多中心流行病学研究的横断面辅助研究。
调查老年女性急性腰痛（LBP）患者躯干前向活动度与自我报告和身体表现测量指标的关系。
LBP 是老年人群中最常见的疼痛主诉之一。据推测，躯干有限关节活动度的增加可能会改善 LBP 和患者的功能。然而，最近的研究对躯干活动度与功能状态之间的关联提出了质疑。
本研究纳入了来自社区的、年龄在 60 岁及以上的老年女性新（急性）腰痛患者的便利样本。排除患有严重疾病、视力、听力和行动障碍或认知障碍的志愿者。通过指尖触地试验评估躯干活动度。通过 Roland-Morris 问卷（RMQ）和步态速度测试评估功能。通过分层线性回归模型进行统计分析。
本报告使用了 459 名老年女性的数据，平均年龄为 69.0（6.1）岁。躯干活动度的纳入对 RMQ 评分的额外预测值仅为 4.4%，对步态速度测试的额外预测值仅为 1.5%。简化的分层线性回归模型显示，RMQ 和步态速度测试的显著预测因子为体重指数、疼痛强度和躯干活动度。
这是第一项研究老年女性急性 LBP 患者躯干活动度与功能之间关系的研究。结果表明，这些临床参数彼此独立。
N/A。
