Saimon Yoshiki, Goh Ah-Cheng, Momose Kimito, Ryuzaki Daichi, Akahane Hiroyasu, Oba Akemi, Mukaiyama Keijiro
Graduate School of Medicine, Shinshu University, Japan.
Faculty of Health Sciences, Iryo Sosei University: 5-5-1 Chuodai Iino, Iwaki-shi, Fukushima 970-8551, Japan.
J Phys Ther Sci. 2020 Feb;32(2):140-147. doi: 10.1589/jpts.32.140. Epub 2020 Feb 14.
[Purpose] The aims of this study were to examine the relationship between range of motion/muscle strength of the spine and lower limbs with 1) radiographic sagittal alignment and 2) quality of life of participants with spinal deformities to adequately target the appropriate factors for effective treatment. [Participants and Methods] This study used an observational cross-sectional correlational design. Participants with spinal deformities and low back pain were recruited for the study. The dependent variables were range of motion/muscle strength of the spine and lower limbs, sagittal alignment, and quality of life. [Results] Regarding alignment, significant correlations were found between hip extension range of motion and sagittal vertebral axis; between occiput-to-wall distance and thoracolumbar kyphosis; and between back extensor endurance and pelvic tilt and pelvic incidence-lumbar lordosis mismatch, also known as the calculated (pelvic incidence) minus (lumbar lordosis) value. With regards to quality of life, significant correlations were found between pain-related disorders and lumbar spine range of motion, and between gait disturbance and knee and hip extension ranges of motion. [Conclusion] Our findings suggest that these factors should be targeted for assessment and treatment of adults with spinal deformities.
[目的] 本研究旨在探讨脊柱和下肢的活动范围/肌肉力量与1）影像学矢状面排列以及2）脊柱畸形参与者的生活质量之间的关系，以便为有效治疗精准确定合适的因素。[参与者与方法] 本研究采用观察性横断面相关设计。招募了患有脊柱畸形和腰痛的参与者。因变量为脊柱和下肢的活动范围/肌肉力量、矢状面排列以及生活质量。[结果] 在排列方面，发现髋关节伸展活动范围与矢状椎体轴之间、枕骨至墙壁距离与胸腰椎后凸之间、背部伸肌耐力与骨盆倾斜以及骨盆入射角 - 腰椎前凸不匹配（也称为计算得出的（骨盆入射角）减去（腰椎前凸）值）之间存在显著相关性。在生活质量方面，发现疼痛相关疾病与腰椎活动范围之间、步态障碍与膝关节和髋关节伸展活动范围之间存在显著相关性。[结论] 我们的研究结果表明，这些因素应作为评估和治疗成年脊柱畸形患者的目标。
