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健康人和慢性非特异性下腰痛患者等长功能躯干及孤立腰椎力量评估的可靠性和一致性

Reliability and agreement of isometric functional trunk and isolated lumbar strength assessment in healthy persons and persons with chronic nonspecific low back pain.

作者信息

Verbrugghe Jonas, Agten Anouk, Eijnde Bert O, Vandenabeele Frank, De Baets Liesbet, Huybrechts Xavier, Timmermans Annick

机构信息

Hasselt University, REVAL - Rehabilitation Research Center, BIOMED, Hasselt, Belgium.

Hasselt University, REVAL - Rehabilitation Research Center, BIOMED, Hasselt, Belgium.

出版信息

Phys Ther Sport. 2019 Jul;38:1-7. doi: 10.1016/j.ptsp.2019.03.009. Epub 2019 Apr 3.


DOI:10.1016/j.ptsp.2019.03.009
PMID:30995544
Abstract

OBJECTIVES: to assess intra/inter-operator reliability and agreement of maximum isometric abdominal and back muscle strength in a functional trunk and isolated lumbar protocol, using an isokinetic dynamometer, in healthy persons and persons with chronic nonspecific low back pain (CNSLBP). DESIGN: Test-retest. SETTING: Participants performed two assessments consisting of two protocols on the Biodex 3 system, evaluating maximum isometric back and abdominal strength in a functional trunk and isolated lumbar position. During the first assessment, each protocol was executed twice, supported by different operators. PARTICIPANTS: Healthy persons (n = 20) and persons with CNSLBP (n = 20). MAIN OUTCOME MEASURES: Intraclass Correlation (ICC), Standard Error of Measurement (SEM and %SEM), and Minimal Detectable Change (MDC) of muscle strength outcomes and seat positioning characteristics were calculated. RESULTS: Intra/inter reliability of muscle strength outcomes was excellent (ICC: 0.94-0.98), while seat positioning characteristics varied from low to high (ICC: 0-0.94). For muscle strength outcomes, %SEM ranged from 4.7 to 9.2% and MDC ranged from 14.3 to 29.8 Nm in trunk flexion and 39.1-68.5 Nm in trunk extension. CONCLUSIONS: The Biodex 3 system can be used reliably to assess maximum isometric trunk muscle strength with the aforementioned protocols in healthy persons and persons with CNSLBP. All muscle strength outcomes showed comparable agreement (%SEM < 10%).

摘要

目的:使用等速测力计,在功能性躯干和孤立腰椎方案中,评估健康人和慢性非特异性下腰痛(CNSLBP)患者腹部和背部最大等长肌肉力量的操作者内/间可靠性及一致性。 设计:重测。 设置:参与者在Biodex 3系统上进行两项评估,每项评估包含两个方案,评估功能性躯干和孤立腰椎位置下的背部和腹部最大等长力量。在首次评估中,每个方案由不同操作者支持执行两次。 参与者:健康人(n = 20)和CNSLBP患者(n = 20)。 主要观察指标:计算肌肉力量结果和座椅定位特征的组内相关系数(ICC)、测量标准误差(SEM和%SEM)以及最小可检测变化(MDC)。 结果:肌肉力量结果的操作者内/间可靠性极佳(ICC:0.94 - 0.98),而座椅定位特征从低到高不等(ICC:0 - 0.94)。对于肌肉力量结果,%SEM在躯干屈曲时为4.7%至9.2%,在躯干伸展时为39.1 - 68.5 Nm;MDC在躯干屈曲时为14.3至29.8 Nm,在躯干伸展时为39.1 - 68.5 Nm。 结论:Biodex 3系统可可靠地用于按照上述方案评估健康人和CNSLBP患者的躯干最大等长肌肉力量。所有肌肉力量结果均显示出相当的一致性(%SEM < 10%)。

相似文献

[1]
Reliability and agreement of isometric functional trunk and isolated lumbar strength assessment in healthy persons and persons with chronic nonspecific low back pain.

Phys Ther Sport. 2019-7

[2]
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[3]
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[7]
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引用本文的文献

[1]
Explaining trunk strength variation and improvement following resistance training in people with chronic low back pain: clinical and performance-based outcomes analysis.

Sci Rep. 2025-3-13

[2]
Differences in Abdominal Muscle Thickness, Strength, and Endurance in Persons Who Are Runners, Active, and Inactive.

Sports Health. 2024

[3]
Do Improved Trunk Mobility and Isometric Strength Correlate with Improved Pain and Disability after Multimodal Rehabilitation for Low Back Pain?

Rev Bras Ortop (Sao Paulo). 2023-10-30

[4]
Gender-based Variations in Trunk Motion and Isometric Strength in Young Adults with Low Back Pain: A Prospective Case-control Study.

Rev Bras Ortop (Sao Paulo). 2021-11-11

[5]
Practicable performance-based outcome measures of trunk muscle strength and their measurement properties: A systematic review and narrative synthesis.

PLoS One. 2022

[6]
Normative Reference Values for Trunk Range of Motion and Isometric Muscle Strength in Asymptomatic Young Indian Adults.

Indian J Orthop. 2021-7-27

[7]
High Intensity Training Is an Effective Modality to Improve Long-Term Disability and Exercise Capacity in Chronic Nonspecific Low Back Pain: A Randomized Controlled Trial.

Int J Environ Res Public Health. 2021-10-14

[8]
Isokinetic trunk muscle performance in adolescents with different body mass indices.

J Taibah Univ Med Sci. 2021-4-24

[9]
Isokinetic Trunk Strength in Acute Low Back Pain Patients Compared to Healthy Subjects: A Systematic Review.

Int J Environ Res Public Health. 2021-3-4

[10]
High Intensity Training to Treat Chronic Nonspecific Low Back Pain: Effectiveness of Various Exercise Modes.

J Clin Med. 2020-7-27

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