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亚临床颈部疼痛中的姿势控制:疼痛与测量程序效果的比较研究

Postural control in subclinical neck pain: a comparative study on the effect of pain and measurement procedures.

作者信息

Amaral Gabriela, Martins Helena, Silva Anabela G

机构信息

School of Health Sciences, University of Aveiro, Aveiro, Portugal.

School of Health Sciences, University of Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal.

出版信息

Scand J Pain. 2018 Apr 25;18(2):295-302. doi: 10.1515/sjpain-2017-0172.

DOI:10.1515/sjpain-2017-0172
PMID:29794294
Abstract

BACKGROUND AND AIMS

This study investigated whether young university students with neck pain (NP) have postural control deficits when compared to sex and age-matched asymptomatic subjects.

METHODS

Centre of pressure (COP) sway area, velocity, anterior-posterior and mediolateral distances were measured in participants with (n=27) and without (n=27) neck pain for different combinations of static standing (narrow stance, tandem stance and single leg stance) and measurement time (90, 60, 30 and 15 s) with eyes closed using a force plate. Additionally, static and dynamic clinical tests of postural control were used.

RESULTS

No significant between group differences were found for the COP measurements (p>0.05). However, individuals with subclinical NP were more likely to fail the 90 s tandem test (p<0.05) in the force plate and univariate comparisons revealed significant between group differences in the tandem and single leg stance clinical test measurements.

CONCLUSIONS

Taken together, the inconsistent results might suggest an emerging postural control deficit in university students with low disability and low intensity chronic idiopathic NP.

摘要

背景与目的

本研究调查了与性别和年龄匹配的无症状受试者相比,患有颈部疼痛(NP)的年轻大学生是否存在姿势控制缺陷。

方法

使用测力板,对有颈部疼痛(n = 27)和无颈部疼痛(n = 27)的参与者在不同的静态站立(窄 stance、串联 stance 和单腿 stance)和测量时间(90、60、30 和 15 秒)组合下闭眼时的压力中心(COP)摆动面积、速度、前后和内外侧距离进行了测量。此外,还使用了姿势控制的静态和动态临床测试。

结果

COP 测量结果在组间未发现显著差异(p > 0.05)。然而,患有亚临床 NP 的个体在测力板上进行 90 秒串联测试时更有可能失败(p < 0.05),单因素比较显示在串联和单腿 stance 临床测试测量中组间存在显著差异。

结论

综合来看,这些不一致的结果可能表明,患有低残疾和低强度慢性特发性 NP 的大学生中出现了姿势控制缺陷。

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