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办公室职员非特异性慢性下腰痛与腰椎和髋关节物理因素的相关性

Correlation between non-specific chronic low back pain and physical factors of lumbar and hip joint in office workers.

作者信息

Shin DooChul

机构信息

Department of Physical Therapy, College of Health Sciences, Kyungnam University, Republic of Korea.

出版信息

Med Hypotheses. 2020 Nov;144:110304. doi: 10.1016/j.mehy.2020.110304. Epub 2020 Sep 28.

Abstract

OBJECTIVE

The purpose of this study was to investigate the correlation between pain intensity, degree of disability, and various physical variables of the lumbar and hip joints in office workers with non-specific chronic low back pain.

STUDY DESIGN/SETTING: A cross-sectional correlational study/in-house physical therapy clinic.

SUBJECTS

Sixty-one office workers diagnosed with non-specific chronic low back pain.

METHODS

Pain intensity and Oswestry disability index were surveyed, and lumbar flexor and extensor strength ratio, lumbar flexor and extensor endurance, the maximum value and left/right asymmetry of eccentric muscle activity of the lumbar extensor, the maximum value and left/right asymmetry of concentric muscle activity of the lumbar extensor, the ROM of lumbar flexion and extension, left/right asymmetry of hip joint extensor strength, the internal rotation and external rotation of the hip joint, and the ROM and left/right asymmetry of flexion and extension were measured.

RESULTS

The ratio of the muscle strength of lumbar flexor and extensor was in a weak correlation with disability index. In addition, hip joint ROM and left/right asymmetry of hip joint ROM correlate with pain intensity and disability index.

CONCLUSION

To improve office workers' pain intensity and disability due to this non-specific chronic low back pain, it may be important to improve the ratio of the lumbar extensor and flexor strength and the left/right asymmetry of the hip joint ROM as well as the ROM of the hip joint should be considered.

摘要

目的

本研究旨在调查患有非特异性慢性下腰痛的办公室职员的疼痛强度、残疾程度与腰髋关节各种身体变量之间的相关性。

研究设计/地点:一项横断面相关性研究/内部物理治疗诊所。

受试者

61名被诊断为非特异性慢性下腰痛的办公室职员。

方法

调查疼痛强度和Oswestry残疾指数,测量腰屈肌与伸肌力量比、腰屈肌与伸肌耐力、腰伸肌离心肌肉活动的最大值及左右不对称性、腰伸肌向心肌肉活动的最大值及左右不对称性、腰椎屈伸活动度、髋关节伸肌力量的左右不对称性、髋关节内旋和外旋以及屈伸活动度和左右不对称性。

结果

腰屈肌与伸肌的肌力比与残疾指数呈弱相关性。此外,髋关节活动度及髋关节活动度的左右不对称性与疼痛强度和残疾指数相关。

结论

为改善办公室职员因这种非特异性慢性下腰痛所致的疼痛强度和残疾状况,改善腰伸肌与屈肌力量比以及髋关节活动度的左右不对称性可能很重要,同时应考虑髋关节的活动度。

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