Żywień Urszula, Barczyk-Pawelec Katarzyna, Sipko Tomasz
Department of Physiotherapy, University School of Physical Education in Wroclaw, al. Ignacego Jana Paderewskiego 35, 51-612 Wroclaw, Poland.
J Clin Med. 2022 Feb 25;11(5):1275. doi: 10.3390/jcm11051275.
Objective: The purpose of the study was to compare the pressure pain threshold (PPT) of soft tissue and the curvatures of the spine in a sitting position and to estimate associated physical risk factors with low back pain (LBP) in young adults. Subjects: White-collar workers (n= 139), both women (n = 51) and men (n = 88) were separated into a control group (n = 82) and a low-intensity LBP (NRS < 3) (n = 57). Methods: The PPTs were tested utilizing the Wagner algometer. The curvatures of the spine were measured employing the photogrammetric method. In the logistic regression model, the odds ratio (OR) was estimated with ±95% confidence interval (CI) indicating the probability of the reported LBP. Results: The PPTs of soft tissue (OR = 1.1; CI = 1.02−1.19; p < 0.05) and the angle of the thoracolumbar spine in the everyday, habitual sitting position (OR = 1.19; CI = 1.05−1.34; p < 0.05) were associated with low-intensity LBP in female subjects. Additionally, the low intensity LBP were associated with the angles of the torso (OR = 1.14; CI = 1.01−1.29; p < 0.05) and the lumbosacral spine in the corrected sitting position (OR = 1.06; CI = 0.98−1.15; p > 0.05) and BMI (OR = 1.56; CI = 0.84−2.90; p > 0.05) in male subjects. Conclusion: Individual risk factors were associated with the low-intensity LBP only in females utilizing the PPT and the thoracolumbar angle in the habitual sitting position study factors. Men from the LBP group did not effectively correct the lumbosacral angle. Therefore, re-educated, self-corrected posture with specific postural training would be expected to improve proprioception in postural control capacity and result in decreasing pain.
本研究旨在比较软组织的压力痛阈(PPT)和坐姿下脊柱的曲率,并评估年轻成年人中与下背痛(LBP)相关的身体风险因素。对象:白领工人(n = 139),包括女性(n = 51)和男性(n = 88),被分为对照组(n = 82)和低强度下背痛组(数字疼痛评分量表[NRS]<3)(n = 57)。方法:使用瓦格纳压力痛觉计测试PPT。采用摄影测量法测量脊柱曲率。在逻辑回归模型中,估计比值比(OR)及±95%置信区间(CI),以表明报告的下背痛的概率。结果:女性受试者中,软组织的PPT(OR = 1.1;CI = 1.02−1.19;p < 0.05)以及日常习惯坐姿下胸腰椎的角度(OR = 1.19;CI = 1.05−1.34;p < 0.05)与低强度下背痛相关。此外,男性受试者中,低强度下背痛与校正坐姿下的躯干角度(OR = 1.14;CI = 1.01−1.29;p < 0.05)、腰骶椎角度(OR = 1.06;CI = 0.98−1.15;p > 0.05)和体重指数(BMI)(OR = 1.56;CI = 0.84−2.90;p > 0.05)相关。结论:在习惯性坐姿研究因素中,仅在女性中个体风险因素与低强度下背痛相关,使用的是PPT和胸腰椎角度。下背痛组的男性未有效校正腰骶角。因此,通过特定姿势训练进行再教育、自我校正姿势有望改善姿势控制能力中的本体感觉并减轻疼痛。