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在功能任务中,对慢性非特异性下腰痛患者的压力中心位移进行的 baropodometry 分析的同步验证。

Concurrent validation of the centre of pressure displacement analyzed by baropodometry in patients with chronic non-specific low back pain during functional tasks.

机构信息

Rehabilitation Science Postgraduation Progam - Augusto Motta University Centrr (UNISUAM), Rio de Janeiro, Brazil.

Rehabilitation Science Postgraduation Progam - Augusto Motta University Centrr (UNISUAM), Rio de Janeiro, Brazil; Physiotherapy Department - Federal Institute of Rio de Janeiro (IFRJ), Rio de Janeiro, Brazil.

出版信息

J Bodyw Mov Ther. 2021 Oct;28:489-495. doi: 10.1016/j.jbmt.2021.06.020. Epub 2021 Jun 13.

Abstract

INTRODUCTION

Low back pain is highly prevalent worldwide and in Brazil. Postural control is a functional limitation in patients with low back pain. Postural control can be investigated through the centre of pressure (CoP) displacement, using a baropodometry. However, there is a lack of validation data about posturography variables obtained from the baropodometer. This study aimed to investigate the concurrent validity of the displacement of CoP measured through baropodometer T-Plate® in patients with chronic non-specific low back pain during three tasks.

METHOD

A validation study was conducted in 37 participants with chronic non-specific low back pain during three different tasks, including bipedal support, bipedal support holding bags, and bipedal squatting holding bags. The tasks were performed on a baropodometer (index method) placed on a force plate (criterion measure). Measurements included velocity, amplitude of displacement, and sway area.

RESULTS

Weak to strong correlations were found in the three tasks between the baropodometer and the force plate for most variables. The Bland-Altman analyses revealed no substantive differences between the two methods for the standard deviation of amplitude mediolateral and sway area for the three tasks. There was a systematic bias for the mean velocity and the standard deviation of amplitude anteroposterior displacement in the three tasks.

CONCLUSION

The baropodometer could be used to measure the displacement of the CoP in patients with chronic non-specific low back pain. Sway area showed an appropriate validity to measure postural stability of the participants using the baropodometer.

摘要

简介

腰痛在全球和巴西都很普遍。姿势控制是腰痛患者的一种功能限制。姿势控制可以通过压力中心(CoP)位移来进行研究,使用一种足压计。然而,关于足压计获得的姿势图变量的验证数据还很缺乏。本研究旨在探讨在三种任务中,使用 T 型板足压计测量慢性非特异性腰痛患者 CoP 位移的同时效度。

方法

在 37 名慢性非特异性腰痛患者中进行了一项验证研究,在三种不同的任务中,包括双足支撑、双足支撑持物和双足蹲持物。任务在足压计(指数法)上进行,放置在力板(标准测量)上。测量包括速度、位移幅度和摆动面积。

结果

在三种任务中,足压计和力板之间的大多数变量都存在弱到强的相关性。Bland-Altman 分析显示,两种方法在三个任务的中值幅度侧向和摆动面积标准差方面没有实质性差异。在三个任务的平均速度和前向后向位移幅度标准差方面存在系统偏差。

结论

足压计可用于测量慢性非特异性腰痛患者的 CoP 位移。摆动面积在使用足压计测量参与者的姿势稳定性方面具有适当的有效性。

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