Roncarati A, McMullen W
Sports Medicine Curriculum, University of Massachusetts, Boston 02125.
J Manipulative Physiol Ther. 1988 Jun;11(3):158-64.
This study identifies correlates of low back pain in a general population sample and defines a profile of subjects with low back pain. A multidisciplinary approach was employed that required surveying and physically assessing 674 subjects on 105 variables in biographical, anatomical, strength and flexibility measurement categories. No attempt was made to select subjects from specific occupational, age, athletic, psychological and anatomical groups or subjects with specific biographical features, which may have resulted in a sample that was atypical of the general population. The results of this study based on a causal comparative ex post facto research design corroborated selected findings of previous research conducted on nongeneral population samples. These findings include relationships between low back pain and age, body type, sex, stress, smoking, selected types of physical activity, occupation and previous injuries to the neck, shoulders, back and upper legs, as well as previous episodes of low back pain. Additional correlates of low back pain that were identified and have little or controversial review in the back literature include: delayed low back pain syndrome caused by abrupt changes in running frequency, Q angle, pes cavus, leg length (right and left), trunk length, genu recurvatum and multiplane strength and flexibility limitations in the hip joints.
本研究确定了普通人群样本中腰痛的相关因素，并定义了腰痛患者的特征。采用了多学科方法，对674名受试者在传记、解剖、力量和柔韧性测量类别中的105个变量进行了调查和身体评估。未尝试从特定职业、年龄、运动、心理和解剖学组中选择受试者，或具有特定传记特征的受试者，这可能导致样本不具有普通人群的典型性。基于因果比较事后研究设计的本研究结果证实了先前对非普通人群样本进行的研究所选结果。这些发现包括腰痛与年龄、体型、性别、压力、吸烟、特定类型的体育活动、职业以及颈部、肩部、背部和大腿先前受伤，以及先前的腰痛发作之间的关系。在腰痛文献中很少或有争议的其他腰痛相关因素包括：跑步频率突然变化引起的延迟性腰痛综合征、Q角、高弓足、腿长（左右）、躯干长度、膝反屈以及髋关节多平面力量和柔韧性限制。
