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非特异性慢性下腰痛患者双足站立时姿势控制的可靠性:双任务范式和人为的视觉及躯体感觉输入。

Reliability of postural control during double-leg standing in subjects with nonspecific chronic low back pain: Dual-task paradigm and manipulated visual and somatosensory inputs.

机构信息

Physiotherapy Department of University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Physiotherapy Department of Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Bodyw Mov Ther. 2021 Apr;26:49-56. doi: 10.1016/j.jbmt.2020.09.005. Epub 2020 Sep 17.

DOI:10.1016/j.jbmt.2020.09.005
PMID:33992286
Abstract

BACKGROUND

The aim of this study is to evaluate the test-retest reliability of the Center of Pressure (COP) parameters in quiet double-leg standing in subjects with Non-Specific Chronic Low Back Pain (NSCLBP) during dual taking associated with manipulated visual and somatosensory inputs.

MATERIALS AND METHODS

In this observational cross-sectional study, the static balance of thirty NSCLBP patients were assessed during a double-leg stance by using the force platform. Subjects were accosted by manipulated somatosensory and visual inputs during dual taking in eight different conditions (with and without vibration, eyes-open and eyes-closed, and with and without auditory Stroop test). The COP parameters were recorded as follows: range sideways and range fore-aft as well as mean velocity and area variables. The cognitive task parameters included the reaction time and error ratio. The intra-class correlation coefficient (ICC) was computed to assess the intersession reliability of COP parameters.

RESULTS

in intersession, range sideways, range fore-aft, and mean velocity measures possessed moderate to high ICC, but area owned high ICC only in one condition (double-leg stance, eyes-close, with vibration, and with auditory Stroop test). Notably, other conditions had low ICC, and moderate to high and low to very high ICC were reported for reaction time and error ratio.

CONCLUSION

Among the parameters studied in the present study, the mean velocity measure seems to be the most reliable variable of postural control in the subjects with NSLBP especially in more challenging conditions, i.e., quiet double-leg standing with eyes closed and adding vibratory inputs during dual-tasking.

摘要

背景

本研究旨在评估非特异性慢性下腰痛(NSCLBP)患者在双任务伴随视觉和躯体感觉输入被干扰的情况下,静息状态下双腿站立时的中心压力(COP)参数的重测信度。

材料与方法

在这项观察性横断面研究中,使用测力板评估 30 例 NSCLBP 患者在双腿站立时的静态平衡。在双任务期间,通过对躯体感觉和视觉输入进行干扰,在八种不同条件下(有振动和无振动、睁眼和闭眼、有听觉斯特鲁普测试和无听觉斯特鲁普测试)对患者进行评估。记录 COP 参数如下:侧方范围和前后范围以及平均速度和面积变量。认知任务参数包括反应时间和错误率。计算组内相关系数(ICC)以评估 COP 参数的组间可靠性。

结果

在两次测试之间,侧方范围、前后范围和平均速度的测量值具有中等至高的 ICC,但仅在一种情况下(双腿站立、闭眼、有振动和有听觉斯特鲁普测试)面积具有高 ICC。值得注意的是,其他情况下的 ICC 较低,反应时间和错误率的 ICC 为中等至高和低至高至非常高。

结论

在本研究中研究的参数中,平均速度测量值似乎是 NSLBP 患者姿势控制最可靠的变量,尤其是在更具挑战性的情况下,即在双任务时闭眼静息站立并增加振动输入。

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