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非特异性下腰痛患者之间的峰值扭矩存在显著差异;从定向偏好分类和健康个体的临床生物力学角度来看也是如此。

Peak torque substantially varies between patients with non-specific low back pain; belong to directional preference classification, and healthy individuals-clinical biokinesiologic perspectives.

作者信息

El-Gohary Tarek Mohamed, Eweda Reda S, Emara Hatem A, Elkader Samiha M Abd, Khaled Osama A, Al-Shenqiti Abdullah M

机构信息

Department of Biomechanics, Faculty of Physical Therapy, Cairo University: Dokki, Giza, Egypt.

Physical Therapy Department, College of Medical Rehabilitation Sciences, Taibah University, Saudi Arabia.

出版信息

J Phys Ther Sci. 2020 Feb;32(2):125-129. doi: 10.1589/jpts.32.125. Epub 2020 Feb 14.

Abstract

[Purpose] To compare flexion and extension peak torque of patients with nonspecific-chronic low back pain who were classified as directional preference subgroups, and their matched healthy controls. [Participants and Methods] Fifty male volunteers (25 with non-specific chronic low back pain and 25 healthy-matched controls) consented to participate. The investigator collected all demographic data, hips, knees and spinal mobility in addition to the peak torque using the Biodex isokinetic dynamometer. The measurement protocol consisted of 2 sets of 10 consecutive flexion-extension efforts performed at 120°/sec and 60°/sec angular velocity. A two minutes rest period was given between sets. The preset 50° range of motion included 20°(+20°) of trunk extension and 30°(-30°) of trunk flexion. [Results] A 2 × 2 mixed-design ANOVA showed a significant group X isokinetic velocity interaction. The main effect of isokinetic velocity was also significant. In reference to the peak torque of the flexors of the trunk, the main effect of group was significant. [Conclusion] The extension peak torque significantly depends on the velocity of the isokinetic dynamometer; however the flexion peak torque significantly depends on the participants' group attribution.

摘要

[目的]比较被分类为方向偏好亚组的非特异性慢性下腰痛患者及其匹配的健康对照者的屈伸峰值扭矩。[参与者与方法]五十名男性志愿者(25名非特异性慢性下腰痛患者和25名健康匹配对照者)同意参与。研究者除了使用Biodex等速测力计收集峰值扭矩外,还收集了所有人口统计学数据、髋、膝和脊柱活动度。测量方案包括以120°/秒和60°/秒的角速度连续进行2组每组10次的屈伸动作。两组之间给予两分钟的休息时间。预设的50°运动范围包括躯干伸展20°(+20°)和躯干屈曲30°(-30°)。[结果]2×2混合设计方差分析显示组间×等速速度存在显著交互作用。等速速度的主效应也显著。关于躯干屈肌的峰值扭矩,组间主效应显著。[结论]伸展峰值扭矩显著取决于等速测力计的速度;然而,屈曲峰值扭矩显著取决于参与者的分组归属。

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