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健康人群在进行功能性运动控制任务时矢状面中腰骨盆运动学的内/间会话可靠性和一致性。

Within/between-session reliability and agreement of lumbopelvic kinematics in the sagittal plane during functional movement control tasks in healthy persons.

机构信息

Hasselt University, Faculty of Medicine and Life Sciences, Agoralaan, building A, 3590 Diepenbeek, Belgium.

Zurich University of Applied Sciences, School of Health Professions, Institute of Physiotherapy, Technikumstrasse 71, 8400 Winterthur, Switzerland.

出版信息

Musculoskelet Sci Pract. 2018 Feb;33:90-98. doi: 10.1016/j.msksp.2017.08.005. Epub 2017 Aug 24.

Abstract

A lack of adequate lumbopelvic movement control has been suggested as an underlying mechanism contributing to the development and persistence of low back pain and lower limb pathologies. The purpose of this study was to assess the within and between session reliability (i.e. the ability to discriminate between subjects), and the agreement (i.e. whether scores are identical on repeated measures) of lumbopelvic kinematics in the sagittal plane during functional movement control tasks. Kinematics were measured with a portable inertial measurement unit system. Twenty healthy subjects (mean age = 22 (±3.6) years, 15 females) performed four tasks on two occasions, five to seven days apart: standing bow (SB), lifting a box from the floor (LIFT), stance-to-sit-to-stance (SIT) and placing a box on an overhead shelf (OVERH). Participants were asked to keep the lumbar spine in a neutral lordosis during the tasks. The maximal deviations from the neutral starting position for the lumbar spine and hip were calculated. Intraclass correlations (ICCs), standard errors of measurement (SEM), minimal detectable changes and 95% limits of agreement were used to assess reliability and agreement. SB and LIFT were substantially reliable (ICC = 0.89-0.96), SIT was moderately to substantially reliable (ICC = 0.69-0.92) and OVERH was fairly to moderately reliable (ICC = 0.40-0.67). SEMs ranged between 1.1° and 3.1° for the lumbar spine and between 0.7° and 4.8° for the hip. Based on the substantial reliability and acceptable agreement, SB and LIFT are most appropriate to quantify lumbopelvic movement control during functional tasks.

摘要

缺乏充分的腰骶部运动控制被认为是导致下腰痛和下肢病变发展和持续的潜在机制。本研究的目的是评估在功能运动控制任务中矢状面腰骶部运动学的内和间会话可靠性(即区分受试者的能力)和一致性(即重复测量的得分是否相同)。运动学使用便携式惯性测量单元系统进行测量。20 名健康受试者(平均年龄 22(±3.6)岁,15 名女性)在两次不同的时间进行了四项任务,间隔五到七天:站立弯腰(SB)、从地板上抬起箱子(LIFT)、站立-坐下-站立(SIT)和将箱子放在头顶搁板上(OVERH)。要求参与者在任务中保持腰椎中立位前凸。计算腰椎和髋关节从中立起始位置的最大偏差。使用组内相关系数(ICC)、测量误差(SEM)、最小可检测变化和 95%一致性界限来评估可靠性和一致性。SB 和 LIFT 的可靠性很高(ICC=0.89-0.96),SIT 的可靠性为中度到高度(ICC=0.69-0.92),OVERH 的可靠性为中度到低度(ICC=0.40-0.67)。SEM 范围为腰椎 1.1°-3.1°,髋关节 0.7°-4.8°。基于高度可靠和可接受的一致性,SB 和 LIFT 最适合量化功能任务中的腰骶部运动控制。

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