Physical Therapy Department, Graduate School of Kyungnam University, Changwon, South Korea.
Physical Therapy Department, Kyungnam University, Changwon, South Korea.
Med Sci Monit. 2023 Mar 23;29:e939657. doi: 10.12659/MSM.939657.
BACKGROUND The correlation between hamstring muscle shortening and nonspecific low back pain and compensatory lumbar movements is still controversial. The purpose of this study was to evaluate the association between hamstring shortness and asymmetry, pain intensity, the disability index, and compensatory lumbar movement in 60 patients with nonspecific chronic low back pain. MATERIAL AND METHODS Sixty patients with nonspecific low back pain participated in this study. The hamstring shortness and asymmetry, pain intensity, the disability index, and compensatory lumbar movement of the patients were assessed. The pain intensity was evaluated using a numeric pain rating scale (NPRS), active knee extension testing was performed to measure the length of the hamstring, and compensatory lumbar movement was assessed using a digital dual inclinometer. Correlation analysis was used for analysis of the obtained data. RESULTS The hamstring length showed a negative correlation with hamstring length asymmetry, NPRS, and disability index (P<0.05). The asymmetry of the hamstring length was positively correlated with NPRS, disability index, and compensatory lumbar rotation (P<0.05). Lumbar flexion was positively correlated with the hamstring muscle length (P<0.05). However, there was a negative correlation between the hamstring length asymmetry, NPRS, and disability index (P<0.05). There was no correlation between the compensatory lumbar rotation, hamstring length, or disability index. CONCLUSIONS Compensatory flexion movements, NPRS, and disability index in patients with nonspecific chronic low back pain were associated with hamstring shortness and asymmetry. These factors should be considered when planning physical therapy for patients with nonspecific low back pain.
背景:腘绳肌缩短与非特异性下腰痛和代偿性腰椎运动之间的相关性仍存在争议。本研究旨在评估 60 例非特异性慢性下腰痛患者腘绳肌短缩和不对称、疼痛强度、残疾指数与代偿性腰椎运动之间的关系。
材料和方法:60 例非特异性慢性下腰痛患者参与了本研究。评估了患者的腘绳肌短缩和不对称、疼痛强度、残疾指数和代偿性腰椎运动。疼痛强度采用数字疼痛评分量表(NPRS)评估,主动伸膝试验测量腘绳肌长度,数字双倾角仪评估代偿性腰椎运动。采用相关分析对获得的数据进行分析。
结果:腘绳肌长度与腘绳肌长度不对称、NPRS 和残疾指数呈负相关(P<0.05)。腘绳肌长度的不对称与 NPRS、残疾指数和代偿性腰椎旋转呈正相关(P<0.05)。腰椎前屈与腘绳肌长度呈正相关(P<0.05)。然而,腘绳肌长度不对称、NPRS 和残疾指数之间呈负相关(P<0.05)。代偿性腰椎旋转与腘绳肌长度或残疾指数之间无相关性。
结论:非特异性慢性下腰痛患者的代偿性前屈运动、NPRS 和残疾指数与腘绳肌短缩和不对称有关。在为非特异性下腰痛患者制定物理治疗计划时,应考虑这些因素。
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