评估腿部侧伸测试在测量慢性下腰痛患者胸腰骨盆旋转方面的可靠性。
Assessment of the Reliability of the Leg Lateral Reach Test to Measure Thoraco-Lumbo-Pelvic Rotation in Individuals With Chronic Low Back Pain.
作者信息
Pontes-Silva André, Avila Mariana Arias, de Araujo Aliny da Silva, Penha Thaise Fernanda Campos, Takahasi Henrique Yuji, Bassi-Dibai Daniela, Dibai-Filho Almir Vieira
机构信息
Postgraduate Program in Adult Health, Federal University of Maranhão, São Luís, Brazil.
Postgraduate Program in Physical Therapy, Federal University of São Carlos, São Carlos, Brazil.
出版信息
J Manipulative Physiol Ther. 2021 Sep;44(7):566-572. doi: 10.1016/j.jmpt.2021.12.001.
PURPOSE
The purpose of this study was to evaluate the intrarater and interrater reliability of the Leg Lateral Reach Test (LLRT) to measure the mobility of the thoraco-lumbo-pelvic segment in individuals with nonspecific chronic low back and the correlations among pain intensity, kinesiophobia, and LLRT scores.
METHODS
Thirty participants with nonspecific chronic low back pain were selected. The main variables were LLRT, pain intensity (measured with the Numeric Pain Rating Scale) and kinesiophobia (Tampa Scale of Kinesiophobia). The reliability of the LLRT was evaluated by means of intraclass correlation coefficient (ICC), standard error of measurement (SEM), minimum detectable change.
RESULTS
Most participants were women (83.3%), young adults (mean = 30.86; standard deviation = 8.56), with overweight and nonspecific chronic low back for more than 59 months of duration. In the intrarater analysis, we observed reliability values ranging from substantial to excellent (ICC ≥ .889; SEM ≤ 7.97%). In the interrater analysis, we observed excellent reliability (ICC ≥ .947; SEM ≤ 5.62%). There was a weak and positive correlation between pain and LLRT, and no correlation between kinesiophobia and LLRT.
CONCLUSION
LLRT is a reliable test to measure thoraco-lumbo-pelvic rotation in individuals with nonspecific chronic low back pain.
目的
本研究旨在评估腿部侧伸测试（LLRT）在测量非特异性慢性下背痛患者胸腰段骨盆节段活动度时的评分者内和评分者间信度，以及疼痛强度、运动恐惧与LLRT评分之间的相关性。
方法
选取30名非特异性慢性下背痛患者。主要变量包括LLRT、疼痛强度（采用数字疼痛评分量表测量）和运动恐惧（坦帕运动恐惧量表）。通过组内相关系数（ICC）、测量标准误差（SEM）、最小可检测变化评估LLRT的信度。
结果
大多数参与者为女性（83.3%），是年轻人（平均年龄=30.86岁；标准差=8.56），超重，非特异性慢性下背痛病程超过59个月。在评分者内分析中，我们观察到信度值范围从高到优（ICC≥0.889；SEM≤7.97%）。在评分者间分析中，我们观察到信度极佳（ICC≥0.947；SEM≤5.62%）。疼痛与LLRT之间存在弱正相关，运动恐惧与LLRT之间无相关性。
结论
LLRT是测量非特异性慢性下背痛患者胸腰段骨盆旋转的可靠测试。
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