Miyachi Ryo, Sano Ayaka, Tanaka Nana, Tamai Misaki, Miyazaki Junya
Faculty of Health and Medical Sciences, Hokuriku University: 1-1 Taiyogaoka, Kanazawa-shi, Ishikawa 920-1180, Japan.
Department of Physical Therapy, Faculty of Health Science, Kyoto Tachibana University, Japan.
J Phys Ther Sci. 2021 Dec;33(12):880-886. doi: 10.1589/jpts.33.880. Epub 2021 Dec 1.
[Purpose] We aimed to examine the relationships among low back pain, lumbar-hip motion angle, and lumbar perceptual awareness in young adults to improve the treatment of low back pain. [Participants and Methods] Data were collected from 36 university students with low back pain. The items included for evaluation were the low back pain intensity (Numeric Rating Scale), disability due to low back pain (Oswestry Low Back Pain Disability Index), lumbar spine and hip motion angles in test movements, and perceptual awareness (Fremantle Back Awareness Questionnaire). The test movements employed included trunk forward bending, trunk back bending, and prone hip extension. The motion angles of the lumbar spine and hip joints were measured using a wearable sensor. [Results] The Numeric Rating Scale was not correlated with the lumbar hip motion angle and perceptual awareness. The Oswestry Low Back Pain Disability Index was correlated with lumbar hip motion angles, at the beginning of trunk forward bending and at maximum trunk backward bending, and with perceptual awareness. [Conclusion] There are relationships among disabilities due to low back pain, lumbar hip motion angles, and perceptual awareness in each test movement; however, they vary depending on the type and angle of the test movement conducted.
[目的]我们旨在研究年轻成年人中腰痛、腰髋运动角度和腰部感知觉之间的关系,以改善腰痛的治疗。[参与者与方法]收集了36名患有腰痛的大学生的数据。评估项目包括腰痛强度(数字评定量表)、腰痛导致的残疾(奥斯维斯特里腰痛残疾指数)、测试动作中腰椎和髋部的运动角度以及感知觉(弗里曼特尔背部感知觉问卷)。所采用的测试动作包括躯干前屈、躯干后伸和俯卧位髋伸展。使用可穿戴传感器测量腰椎和髋关节的运动角度。[结果]数字评定量表与腰髋运动角度和感知觉无关。奥斯维斯特里腰痛残疾指数与腰髋运动角度相关,在躯干前屈开始时和躯干后伸最大时,也与感知觉相关。[结论]在每个测试动作中,腰痛导致的残疾、腰髋运动角度和感知觉之间存在关系;然而,它们因所进行的测试动作的类型和角度而异。