Illeez Memetoğlu Özge, Bütün Bülent, Sezer İlhan
Department of Physical Medicine and Rehabilitation, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey.
Department of Physical Medicine and Rehabilitation and Rheumatology, Akdeniz University Medicine Faculty, Antalya, Turkey.
Arch Rheumatol. 2016 Jan 27;31(2):145-150. doi: 10.5606/ArchRheumatol.2016.5765. eCollection 2016 Jun.
This study aims to demonstrate chest expansion and lumbar mobility using modified Schober measurement values in healthy male and female populations aged 15 and over, and to identify factors affecting these measurements.
The prospective study included 444 volunteers (195 males, 249 females; mean age 47.13 years; range 15 to 88 years) from among patients presenting to the Akdeniz University Faculty of Medicine Hospital Physical Medicine and Rehabilitation Clinic. Participants were divided into seven 10-year age groups: group 1: 15-24 years, group 2: 25-34, group 3: 35-44, group 4: 45-54, group 5: 55-64, group 6: 65-74, and group 7: over 75. Exclusion criteria comprised factors potentially influencing spinal mobility and chest expansion. All volunteers' chest measurements were performed in three planes (circumferential with a tape measure, and anteroposteriorly and transversely with calipers) and lumbar mobility was measured using the modified Schober method. The same physician performed the measurements.
Chest expansion measurements using tape and calipers varied considerably in all age groups and in both sexes. While there was no difference between males and females in circumferential chest expansion measurement, there was a significant difference decrease in both sexes from group 3 and onward. The only difference between the sexes in terms of modified Schober measurement was in group 4, in favor of male sex. Age-related change in both sexes was higher at age 55 and above compared to the young age groups.
We may conclude that chest expansion measurement in the circumferential plane is sufficient when appropriate conditions are established and provides the most accurate result by permitting measurement in all planes.
本研究旨在通过改良的肖伯测量值来展示15岁及以上健康男性和女性人群的胸廓扩张度和腰椎活动度,并确定影响这些测量值的因素。
这项前瞻性研究纳入了来自阿克德尼兹大学医学院医院物理医学与康复门诊的444名志愿者(195名男性,249名女性;平均年龄47.13岁;年龄范围15至88岁)。参与者被分为七个10岁年龄组:第1组:15 - 24岁,第2组:25 - 34岁,第3组:35 - 44岁,第4组:45 - 54岁,第5组:55 - 64岁,第6组:65 - 74岁,第7组:75岁以上。排除标准包括可能影响脊柱活动度和胸廓扩张度的因素。所有志愿者的胸廓测量在三个平面进行(用卷尺测量周长,用卡尺测量前后径和横径),腰椎活动度用改良的肖伯方法测量。由同一位医生进行测量。
在所有年龄组和男女两性中,使用卷尺和卡尺进行的胸廓扩张度测量差异很大。在胸廓周长扩张度测量中,男性和女性之间没有差异,但从第3组及以后,两性均有显著下降。在改良肖伯测量方面,两性之间唯一的差异在第4组,男性更占优势。与年轻年龄组相比,55岁及以上男女两性的年龄相关变化更大。
我们可以得出结论,在建立适当条件时,胸廓周长平面的扩张度测量就足够了,并且通过允许在所有平面进行测量可提供最准确的结果。