Gomes Pamela Karine Alvino, Silva Rhoanie Barros Costa, de Freitas Isabela Maria Dantas, Gomes Cid André Fidelis de Paula, Souza Cesário da Silva, de Sousa Natanael Teixeira Alves, Dibai-Filho Almir Vieira
Department of Physical Therapy, Tiradentes University Center, Maceió, AL, Brazil.
Department of Physical Therapy, Nove de Julho University, São Paulo, SP, Brazil.
J Manipulative Physiol Ther. 2018 Oct;41(8):658-664. doi: 10.1016/j.jmpt.2018.03.006. Epub 2018 Dec 17.
The purpose of this study was to correlate measurements of chronic neck pain with the balance and mobility of the lower limbs and to compare these variables between individuals with chronic neck pain and asymptomatic participants.
This was a blinded cross-sectional study. Participants with chronic neck pain (n = 30) and asymptomatic participants (n = 30) were included in the study. To measure pain in the neck region, the Numeric Rating Scale, Neck Disability Index, and Pain-Related Catastrophizing Thoughts Scale were applied. The assessment of postural balance and mobility of the lower limbs was made using the Timed Up and Go Test, Functional Reach Test (FRT), Lateral Reach Test, and 30-second Chair Stand Test.
No statistically (P > .05) and clinically (d < 0.50) significant differences were identified for the variables tested here. However, regarding the correlations, a significant association was identified only between the intensity of pain during cervical movements and FRT (r = -0.312).
Young adults with chronic neck pain present changes in static balance measured by means of the FRT; that is, the higher the intensity of pain, the lower the anteroposterior excursion of the body during the execution of the test.
本研究旨在将慢性颈部疼痛的测量结果与下肢平衡和活动能力相关联，并比较慢性颈部疼痛患者与无症状参与者之间的这些变量。
这是一项双盲横断面研究。研究纳入了慢性颈部疼痛患者（n = 30）和无症状参与者（n = 30）。为测量颈部区域的疼痛，应用了数字评分量表、颈部功能障碍指数和疼痛相关灾难性思维量表。使用计时起立行走测试、功能性伸展测试（FRT）、侧向伸展测试和30秒坐立测试对下肢的姿势平衡和活动能力进行评估。
在此测试的变量中，未发现统计学上（P > .05）和临床上（d < 0.50）的显著差异。然而，关于相关性，仅在颈椎运动时的疼痛强度与FRT之间发现了显著关联（r = -0.312）。
患有慢性颈部疼痛的年轻人在通过FRT测量的静态平衡方面存在变化；也就是说，疼痛强度越高，测试执行过程中身体的前后移动幅度越低。
