非特异性慢性下腰痛患者肩胛骨位置的临床评估：一项病例对照研究。
Clinical Evaluation of Scapular Positioning in Patients With Nonspecific Chronic Low Back Pain: A Case-Control Study.
作者信息
Taghizadeh Shohreh, Pirouzi Soraya, Hemmati Ladan, Khaledi Fereshteh, Sadat Aref
机构信息
Physiotherapy Department, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
J Chiropr Med. 2017 Sep;16(3):195-198. doi: 10.1016/j.jcm.2017.08.003. Epub 2017 Sep 28.
OBJECTIVE
The purpose of this study was to investigate the position of scapula in patients with nonspecific chronic low back pain.
METHODS
A total of 17 participants with a history of nonspecific chronic low back pain and 17 healthy participants in the same age, sex, and weight range were enrolled in this case-control study. Lateral scapular slide test and Lennie test were used for clinical evaluation of scapular position in the frontal plane using a tape measure. The data were analyzed using an independent test.
RESULTS
The results of lateral scapular slide test indicated that there were significant differences between patients with nonspecific chronic low back pain and healthy individuals in both left and right sides in 2 positions: shoulder in neutral position and shoulder at 40°-45° abduction. Also, in the Lennie test, there was only a significant difference between groups when we measured the distances from thoracic spinous process to the inferior angle of the scapula in both left and right sides.
CONCLUSION
This study indicated that upward rotation of the scapula can be seen in patients with nonspecific chronic low back pain.
目的
本研究旨在调查非特异性慢性下腰痛患者肩胛骨的位置。
方法
本病例对照研究共纳入17例有非特异性慢性下腰痛病史的参与者以及17例年龄、性别和体重范围相同的健康参与者。使用卷尺通过肩峰外侧滑动试验和伦尼试验对肩胛骨在额状面的位置进行临床评估。数据采用独立样本t检验进行分析。
结果
肩峰外侧滑动试验结果表明，非特异性慢性下腰痛患者与健康个体在两侧的两个位置存在显著差异：肩部中立位和肩部外展40°-45°位。此外，在伦尼试验中，仅在测量两侧从胸椎棘突到肩胛骨下角的距离时，两组之间存在显著差异。
结论
本研究表明，非特异性慢性下腰痛患者可出现肩胛骨上旋。
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