Mingorance José Antonio, Montoya Pedro, Vivas Miranda José García, Riquelme Inmaculada
Research Institute on Health Sciences (IUNICS-IdISBa), University of the Balearic Islands, 07122 Palma de Mallorca, Spain.
Department of Nursing and Physiotherapy, University of the Balearic Islands, 07122 Palma de Mallorca, Spain.
J Clin Med. 2022 May 10;11(10):2700. doi: 10.3390/jcm11102700.
To compare differences in postural balance, pain and depression in patients with chronic and acute low back pain, twenty patients with chronic and twenty patients with acute low back pain from the Edward Francis Small Hospital (Banjul, Gambia), as well as 20 age-matched healthy controls participated in the study. A modified Romberg test was used to assess postural balance during one minute with closed eyes. Body sway in the anteroposterior and mediolateral axes was video-recorded during test performance and further analyzed with an open source software for movement analyses (CvMob). Pain sensitivity was assessed by means of pressure pain thresholds and depression by a self-report questionnaire (PHQ-9). As results, patients with chronic low back pain displayed higher body sway in the anteroposterior and mediolateral axes, as well as faster body sway than patients with acute low back pain and healthy controls. Nevertheless, group differences disappeared when depression was introduced as a covariate, indicating a major role of depression in postural balance deficits of patients with pain disorders. As conclusions, the assessment of postural balance and depression should be implemented in the clinical routine for the design of tailored interventions in pain conditions.
为比较慢性和急性下腰痛患者在姿势平衡、疼痛和抑郁方面的差异，来自爱德华·弗朗西斯·斯莫尔医院（冈比亚班珠尔）的20例慢性下腰痛患者、20例急性下腰痛患者以及20名年龄匹配的健康对照者参与了本研究。采用改良罗姆伯格试验评估闭眼1分钟期间的姿势平衡。在测试过程中，对前后轴和内外侧轴上的身体摆动进行视频记录，并使用开源运动分析软件（CvMob）进行进一步分析。通过压力痛阈评估疼痛敏感性，通过自我报告问卷（PHQ - 9）评估抑郁情况。结果显示，与急性下腰痛患者和健康对照者相比，慢性下腰痛患者在前后轴和内外侧轴上的身体摆动更大，且身体摆动速度更快。然而，当将抑郁作为协变量纳入分析时，组间差异消失，这表明抑郁在疼痛性疾病患者的姿势平衡缺陷中起主要作用。结论是，在临床常规中应进行姿势平衡和抑郁评估，以便为疼痛状况设计针对性的干预措施。
