Kaarbø Mette Bøymo, Haugstad Gro Killi, Stubhaug Audun, Wojniusz Slawomir
Department of Pain Management and Research, Oslo University Hospital, Postboks 4956 Nydalen, 0424 Oslo, Norway.
Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway.
Scand J Pain. 2018 Apr 25;18(2):203-210. doi: 10.1515/sjpain-2018-0028.
Nonspecific chronic low back pain is a multifactorial biopsychosocial health problem where accurate assessments of pain, function and movement are vital. There are few reliable and valid assessment tools evaluating movement quality, hence the aim was to investigate nonspecific chronic low back pain patients' movement patterns with the Standardised Mensendieck Test.
Twenty patients (mean age=41, SD=9.02) with nonspecific chronic low back pain were examined with the Standardised Mensendieck Test whilst being videotaped and compared with 20 healthy controls. A physiotherapist, blinded to participant's group belonging, scored Standardised Mensendieck Test videos according to the standardised manual. Associations between movement quality, fear of movement and re(injury) i.e. kinesiophobia and pain intensity were also investigated.
Patients scored significantly poorer than the controls in all 5 Standardised Mensendieck Test domains (p<0.001). The biggest difference was observed with regard to movement pattern domain. In women we also found a difference in the respiration pattern domain.
The Standardised Mensendieck Test was able to detect significant differences in quality of movement between patients and healthy controls. These results indicate that the Standardised Mensendieck Test may be a valuable examination tool in assessment and treatment of nonspecific chronic low back pain patients. Further, longitudinal studies should investigate whether poor movement and respiration patterns are important factors in nonspecific chronic low back pain, e.g. as predictors and/or mediators of therapeutic effects.
非特异性慢性下腰痛是一个多因素的生物心理社会健康问题，对疼痛、功能和运动进行准确评估至关重要。评估运动质量的可靠且有效的工具较少，因此本研究旨在通过标准化门森迪克测试来调查非特异性慢性下腰痛患者的运动模式。
对20例非特异性慢性下腰痛患者（平均年龄 = 41岁，标准差 = 9.02）进行标准化门森迪克测试，并同时录像，与20名健康对照者进行比较。一名对参与者所属组别不知情的物理治疗师根据标准化手册对标准化门森迪克测试视频进行评分。还研究了运动质量、运动恐惧和再次（受伤）即运动恐惧症与疼痛强度之间的关联。
在标准化门森迪克测试的所有5个领域中，患者的得分均显著低于对照组（p < 0.001）。在运动模式领域观察到的差异最大。在女性中，我们还发现呼吸模式领域存在差异。
标准化门森迪克测试能够检测出患者与健康对照者在运动质量方面的显著差异。这些结果表明，标准化门森迪克测试可能是评估和治疗非特异性慢性下腰痛患者的一种有价值的检查工具。此外，纵向研究应调查不良的运动和呼吸模式是否是非特异性慢性下腰痛的重要因素，例如作为治疗效果的预测指标和/或介导因素。
