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身体活跃的慢性下背痛患者与无症状个体之间的感觉运动差异。

Somatosensory and Motor Differences between Physically Active Patients with Chronic Low Back Pain and Asymptomatic Individuals.

机构信息

Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28023 Madrid, Spain.

Motion in Brains Research Group, Institute of Neuroscience and Sciences of the Movement (INCIMOV), Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28023 Madrid, Spain.

出版信息

Medicina (Kaunas). 2019 Aug 23;55(9):524. doi: 10.3390/medicina55090524.

Abstract

: Chronic low back pain (CLBP) is the most common occupational disorder due to its associated disability and high risk of recurrence and chronicity. However, the mechanisms underlying physical and psychological variables in patients with CLBP remain unclear. The main objective of this study was to assess whether there were differences between physically active patients with nonspecific CLBP compared with asymptomatic individuals in sensorimotor and psychological variables. : This was an observational cross-sectional design with a nonprobabilistic sample. The sample was divided into two groups: individuals with nonspecific CLBP ( = 30) and asymptomatic individuals as a control (n = 30). The psychological variables assessed were low back disability, fear of movement, pain catastrophizing, and self-efficacy. The sensorimotor variables assessed were two-point discrimination, pressure pain threshold, lumbopelvic stability, lumbar flexion active range of motion, and isometric leg and back strength. : Statistically significant differences between the groups in terms of catastrophizing levels ( = 0.026) and fear of movement ( = 0.001) were found, but no statistically significant differences between groups were found in self-efficacy ( > 0.05). No statistically significant differences between the groups in any of the sensorimotor variables were found ( > 0.05). : No sensorimotor differences were found between patients with asymptomatic and chronic low back pain, but differences were found in the psychological variables of catastrophizing and fear of movement.

摘要

慢性下背痛(CLBP)是最常见的职业疾病,因为它与残疾、高复发率和慢性风险有关。然而,CLBP 患者的身体和心理变量的潜在机制尚不清楚。本研究的主要目的是评估与无症状个体相比,非特异性 CLBP 患者的身体活动是否在感觉运动和心理变量方面存在差异。

这是一项观察性的横断面设计,采用非概率样本。样本分为两组:非特异性 CLBP 患者(n=30)和无症状个体作为对照组(n=30)。评估的心理变量包括下腰痛残疾、运动恐惧、疼痛灾难化和自我效能感。评估的感觉运动变量包括两点辨别觉、压痛阈、腰骨盆稳定性、腰椎主动屈曲活动范围以及等长腿部和背部力量。

在灾难化水平(=0.026)和运动恐惧(=0.001)方面,两组之间存在统计学上的显著差异,但在自我效能感方面(>0.05)两组之间没有统计学上的显著差异。在任何感觉运动变量方面,两组之间均无统计学差异(>0.05)。

在无症状和慢性下背痛患者之间未发现感觉运动差异,但在灾难化和运动恐惧的心理变量方面存在差异。

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