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有和无下腰痛非特异性症状受试者中立位和目标位腰椎定位试验的组内和组间可靠性。

Intra-rater and inter-rater reliability of neutral and target lumbar positioning tests in subjects with and without non-specific lower back pain.

出版信息

J Back Musculoskelet Rehabil. 2021;34(2):289-299. doi: 10.3233/BMR-200010.


DOI:10.3233/BMR-200010
PMID:33285625
Abstract

BACKGROUND: Proprioception, one's sense of movement and position, is a common term used in back rehabilitation. Kinesthetic rehabilitation may be useful in managing lower back pain; however, reliable measures are required to quantify lumbar proprioception sense. OBJECTIVE: To investigate intrarater and interrater reliability of neutral lumbar positioning (NLP) and target lumbar positioning (TLP) tests and compare the position sense errors in subjects with non-specific low back pain and healthy controls. METHODS: Intrarater (between-day) and interrater (within-day) reliability of NLP and TLP tests were assessed in 30 subjects with low back pain and 30 healthy subjects using a digital inclinometer. NLP is evaluated when the subject is repositioned to neutral from flexion, while TLP is evaluated in lumbar flexion, by bending laterally left and right. RESULTS: Intrarater reliability for NLP tests had ICC values of 0.85 and 0.89 and TLP tests had 0.78 and 0.92. Likewise, interrater reliability for NLP had ICC values of 0.75 and 0.85, and for the TLP test, the interrater reliability had 0.78 and 0.93. Subjects with back pain had significantly larger neutral and target lumbar proprioceptive errors compared to healthy controls (p< 0.001). CONCLUSIONS: Intrarater and interrater reliability showed good agreement for both NLP and TLP tests of lumbar proprioception. Subjects with nonspecific low back pain have impaired lumbar proprioceptive sense.

摘要

背景:本体感觉是一个用于背部康复的常见术语,指的是对运动和位置的感知。运动感觉康复可能对管理下腰痛有用;然而,需要可靠的措施来量化腰椎本体感觉感知。 目的:研究中立位腰椎定位(NLP)和目标位腰椎定位(TLP)测试的内部和外部测试者间可靠性,并比较有无特异性下腰痛受试者的位置感知误差。 方法:使用数字测斜仪评估 30 例腰痛患者和 30 例健康受试者的 NLP 和 TLP 测试的内部和外部测试者间可靠性。NLP 是在受试者从屈曲位重新定位到中立位时进行评估的,而 TLP 则是在腰椎屈曲时,通过向左右两侧侧弯进行评估。 结果:NLP 测试的内部测试者可靠性的 ICC 值为 0.85 和 0.89,TLP 测试的 ICC 值为 0.78 和 0.92。同样,NLP 的外部测试者可靠性的 ICC 值为 0.75 和 0.85,而 TLP 测试的外部测试者可靠性的 ICC 值为 0.78 和 0.93。与健康对照组相比,腰痛受试者的中立位和目标位腰椎本体感觉误差明显更大(p<0.001)。 结论:NLP 和 TLP 腰椎本体感觉测试的内部和外部测试者间可靠性均显示出良好的一致性。有无特异性下腰痛的受试者的腰椎本体感觉感知受损。

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[2]
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[3]
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BMJ Open. 2025-5-23

[4]
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J Orthop Surg Res. 2025-3-14

[5]
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[6]
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Lumbar joint position sense measurement of patients with low back pain.

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[9]
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[10]
Age-Related Decline in Cervical Proprioception and Its Correlation with Functional Mobility and Limits of Stability Assessed Using Computerized Posturography: A Cross-Sectional Study Comparing Older (65+ Years) and Younger Adults.

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