Thongprasert Chattrachoo, Kanlayanaphotporn R
a Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University , Bangkok , Thailand.
J Man Manip Ther. 2019 Sep;27(4):215-221. doi: 10.1080/10669817.2018.1560946. Epub 2018 Dec 24.
: To compare the performance of cervical stabilizer muscles using the craniocervical flexion test (CCFT) among individuals with subacute, chronic, and asymptomatic low back pain (LBP) conditions. : Individuals with subacute ( = 23) and chronic LBP ( = 23) with their age- and gender-matched controls ( = 30) participated in this study. All recruited participants were required to perform the CCFT. The activation score (AS) and the performance index (PI) were recorded by an assessor who was blinded to the group of participants. : Approximately, 74% of subacute LBP participants and 60-65% of chronic LBP participants obtained abnormal AS and PI. AS was significantly lower in participants with subacute ( = 0.0002) and chronic LBP ( = 0.0009) than the control group. Likewise, the PI was significantly lower in participants with subacute ( = 0.0002) and chronic LBP ( = 0.0036) than the control group. Participants in the subacute LBP group showed significantly greater percentages of abnormal responses on the AS ( < 0.0001) and the PI ( = 0.0001) than the control. : Abnormal performance of cervical stabilizer muscles using the CCFT was demonstrated in a high proportion of participants with LBP. The findings highlight the plausible association in muscle control between cervical and lumbar stabilizers. : 2b.
比较亚急性、慢性和无症状下背痛(LBP)患者使用颅颈屈曲试验(CCFT)时颈椎稳定肌的表现。
亚急性LBP患者(n = 23)和慢性LBP患者(n = 23)及其年龄和性别匹配的对照组(n = 30)参与了本研究。所有招募的参与者都被要求进行CCFT。激活评分(AS)和表现指数(PI)由一名对参与者分组不知情的评估者记录。
大约74%的亚急性LBP参与者和60 - 65%的慢性LBP参与者获得了异常的AS和PI。亚急性LBP参与者(p = 0.0002)和慢性LBP参与者(p = 0.0009)的AS显著低于对照组。同样,亚急性LBP参与者(p = 0.0002)和慢性LBP参与者(p = 0.0036)的PI也显著低于对照组。亚急性LBP组参与者在AS(p < 0.0001)和PI(p = 0.0001)上的异常反应百分比显著高于对照组。
使用CCFT时,很大比例的LBP参与者表现出颈椎稳定肌异常。研究结果突出了颈椎和腰椎稳定肌在肌肉控制方面可能存在的关联。
2b.