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比较分析疼痛激发试验和 HABER 试验诊断与骶髂关节相关的非特异性下腰痛。

Comparative Analysis of the Pain Provocation Test and the HABER Test to Diagnose Nonspecific Low-Back Pain Associated with the Sacroiliac Joint.

机构信息

Department of Physical Therapy, College of Medical Science, Konyang University, Deajeon, South Korea.

出版信息

Med Sci Monit. 2021 Mar 3;27:e929307. doi: 10.12659/MSM.929307.

DOI:10.12659/MSM.929307
PMID:33654050
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7938439/
Abstract

BACKGROUND This study aimed to investigate the correlation between the pain provocation test and the hip abduction-external rotation (HABER) test for diagnosing low-back pain (LBP)-related sacroiliac joint (SIJ) syndrome, and to determine the efficacy of the HABER test as a potential diagnostic tool for SIJ syndrome. MATERIAL AND METHODS One hundred patients with LBP participated. The first and second examiner examined the patients using the pain provocation test and the HABER test, respectively. Positive and negative findings were analyzed to determine the correlation and reliability. RESULTS The HABER test showed similar pain reproduction in groups that were positive or negative for SIJ syndrome (P<0.05). Based on the analysis of the receiver-operating characteristic curve, the cutoff values from the HABER test were found to be 29° and 32° of external rotation in the left and right hip joints, respectively. CONCLUSIONS The HABER test can reproduce similar level of pain in patients with chronic LBP associated with SIJ syndrome, and it can be used as a diagnostic tool in patients presenting with chronic LBP.

摘要

背景

本研究旨在探讨疼痛激发试验与髋关节外展外旋试验（HABER）在诊断与下腰痛（LBP）相关的骶髂关节（SIJ）综合征中的相关性，并确定 HABER 试验作为 SIJ 综合征潜在诊断工具的功效。

材料与方法

共纳入 100 例 LBP 患者。第一和第二检查者分别使用疼痛激发试验和 HABER 试验对患者进行检查。分析阳性和阴性结果以确定相关性和可靠性。

结果

HABER 试验在 SIJ 综合征阳性或阴性组中均显示出相似的疼痛再现（P<0.05）。基于受试者工作特征曲线分析，发现 HABER 试验的截断值分别为左、右侧髋关节外旋 29°和 32°。

结论

HABER 试验可在慢性 LBP 伴 SIJ 综合征的患者中再现相似程度的疼痛，可用于慢性 LBP 患者的诊断工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/169b/7938439/032fd779576c/medscimonit-27-e929307-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/169b/7938439/fd89cb5ee8d9/medscimonit-27-e929307-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/169b/7938439/032fd779576c/medscimonit-27-e929307-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/169b/7938439/fd89cb5ee8d9/medscimonit-27-e929307-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/169b/7938439/032fd779576c/medscimonit-27-e929307-g002.jpg

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Man Ther. 2016 Feb;21:100-8. doi: 10.1016/j.math.2015.06.004. Epub 2015 Jun 21.
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Can innominate motion be used to identify persons with ankylosing spondylitis? A pilot study.
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Man Ther. 2013 Apr;18(2):118-23. doi: 10.1016/j.math.2012.07.010. Epub 2012 Sep 7.
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Spinal and sacroiliac assessment and treatment techniques used by osteopathic physicians in the United States.美国整骨疗法医生使用的脊柱和骶髂关节评估及治疗技术。
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Diagnostic validity of criteria for sacroiliac joint pain: a systematic review.骶髂关节疼痛诊断标准的诊断效度：一项系统评价
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