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慢性非特异性下腰痛患者肌肉损伤、疼痛与残疾之间的关系:一项横断面研究。

Relationships between muscular impairments, pain, and disability in patients with chronic nonspecific low back pain: a cross sectional study.

作者信息

Bozorgmehr Ali, Zahednejad Shahla, Salehi Reza, Ansar Noureddin Nakhostin, Abbasi Soheila, Mohsenifar Holakoo, Villafañe Jorge Hugo

机构信息

Department of Physical Therapy, School of Rehabilitation Sciences, Iran University of Medical Science, Tehran, Iran.

School of Rehabilitation Sciences, Student Research Committee, Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

J Exerc Rehabil. 2018 Dec 27;14(6):1041-1047. doi: 10.12965/jer.1836374.187. eCollection 2018 Dec.

Abstract

To clarify the significance of mechanical impairments, pain, and functional limitations as predictors of chronic low back pain (LBP). Ninety patients with chronic nonspecific low back pain (CNSLBP) were prospectively studied with clinical tests and questionnaires. Changes in muscle extensibility and endurance tests were evaluated and changes assessed in LBP intensity on numeric rating scale 0-10 and severity with Oswestry Disability Index (ODI) 0-100. In the present study we found significant associations between the 4 muscle extensibility and 2 endurance tests and pain at nonspecific patients with chronic LBP (<0.005). The 2 muscle extensibility and 1 endurance tests were in complete equilibrium with ODI disability and hence showed similar results (<0.005). The associations between the muscle extensibility and endurance tests and pain were significantly elevated in patients with nonspecific chronic LBP.

摘要

为阐明机械性损伤、疼痛和功能受限作为慢性下腰痛(LBP)预测指标的意义。对90例慢性非特异性下腰痛(CNSLBP)患者进行了临床检查和问卷调查的前瞻性研究。评估肌肉伸展性和耐力测试的变化,并采用0-10数字评分量表评估LBP强度变化,采用0-100Oswestry功能障碍指数(ODI)评估严重程度。在本研究中,我们发现4项肌肉伸展性测试和2项耐力测试与慢性LBP非特异性患者的疼痛之间存在显著关联(<0.005)。2项肌肉伸展性测试和1项耐力测试与ODI功能障碍完全平衡,因此显示出相似的结果(<0.005)。在非特异性慢性LBP患者中,肌肉伸展性和耐力测试与疼痛之间的关联显著升高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9455/6323331/865a96ab6ebf/jer-14-6-1041f1.jpg

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