Toprak Çelenay Şeyda, Özer Kaya Derya
Turk J Med Sci. 2017 Aug 23;47(4):1257-1262. doi: 10.3906/sag-1609-67.
Background/aim: This study aimed to investigate the relationship of sagittal spinal curvature, mobility, and low back pain (LBP) in women with and without urinary incontinence (UI). Materials and methods: Thirty-two women with UI (incontinence group) and 41 women without UI (control group) were included in this study. The sagittal spinal curvature and mobility were assessed with a Spinal Mouse device (IDIAG, Fehraltorf, Switzerland). Urogenital symptom distress, LBP, and disability caused by LBP were assessed using the Urogenital Distress Inventory-6 (UDI-6), a visual analog scale (VAS), and the Oswestry Disability Index (ODI), respectively. Results: It was seen that the sagittal thoracic curvature, lumbar curvature, and pelvic tilt were increased in the incontinence group in comparison to the control group (P < 0.05). An increase in sagittal lumbar mobility and pelvic mobility was found in the incontinence group (P < 0.05). It was observed that 71.9% of the women with UI and 12.2% of the women without UI had LBP. There were positive correlations of the UDI-6 with the VAS (r = 0.363, P = 0.041) and the ODI (r = 0.511, P = 0.003). Conclusion: The sagittal spinal alignment and lumbopelvic hypermobility should be taken into consideration in the existence of UI.
背景/目的：本研究旨在调查有和没有尿失禁（UI）的女性的脊柱矢状面弯曲度、活动度与腰痛（LBP）之间的关系。材料与方法：本研究纳入了32名有尿失禁的女性（尿失禁组）和41名无尿失禁的女性（对照组）。使用脊柱鼠标设备（IDIAG，瑞士费尔塔尔托夫）评估脊柱矢状面弯曲度和活动度。分别使用泌尿生殖系统困扰量表-6（UDI-6）、视觉模拟量表（VAS）和奥斯维斯特残疾指数（ODI）评估泌尿生殖系统症状困扰、腰痛以及由腰痛导致的残疾情况。结果：与对照组相比，尿失禁组的胸椎矢状面弯曲度、腰椎弯曲度和骨盆倾斜度增加（P<0.05）。尿失禁组的腰椎矢状面活动度和骨盆活动度增加（P<0.05）。观察到71.9%有尿失禁的女性和12.2%无尿失禁的女性有腰痛。UDI-6与VAS（r = 0.363，P = 0.041）和ODI（r = 0.511，P = 0.003）呈正相关。结论：在存在尿失禁的情况下，应考虑脊柱矢状面排列和腰骶部活动过度的情况。
