旨在区分非特异性慢性下腰痛患者与无症状人群的 72 项运动生物标志物的测量性能。
Measurement properties of 72 movement biomarkers aiming to discriminate non‑specific chronic low back pain patients from an asymptomatic population.
机构信息
Kinesiology Laboratory, Geneva University Hospitals, University of Geneva, Geneva, Switzerland.
Department of Rheumatology, Geneva University Hospitals, Geneva, Switzerland.
出版信息
Sci Rep. 2023 Apr 20;13(1):6483. doi: 10.1038/s41598-023-33504-5.
The identification of relevant and valid biomarkers to distinguish patients with non-specific chronic low back pain (NSCLBP) from an asymptomatic population in terms of musculoskeletal factors could contribute to patient follow-up and to evaluate therapeutic strategies. Several parameters related to movement impairments have been proposed in the literature in that respect. However, most of them were assessed in only one study, and only 8% were evaluated in terms of reliability, validity and interpretability. The aim of this study was to consolidate the current knowledge about movement biomarkers to discriminate NSCLBP patients from an asymptomatic population. For that, an experimental protocol was established to assess the reliability, validity and interpretability of a set of 72 movement biomarkers on 30 asymptomatic participants and 30 NSCLBP patients. Correlations between the biomarkers and common patient reported outcome measures were also analysed. Four biomarkers reached at least a good level in reliability (ICC ≥ 0.75) and validity (significant difference between asymptomatic participants and NSCLBP patients, p ≤ 0.01) domains and could thus be possibly considered as valuable biomarkers: maximal lumbar sagittal angle, lumbar sagittal angle range of motion, mean lumbar sagittal angular velocity, and maximal upper lumbar sagittal angle during trunk sagittal bending. These four biomarkers demonstrated typically larger values in asymptomatic participants than in NSCLBP patients. They are in general weakly correlated with patient reported outcome measures, arguing for a potential interest in including related musculoskeletal factors in the establishment of a valuable diagnosis and in guiding treatment response.
为了区分非特异性慢性下腰痛(NSCLBP)患者和无症状人群的肌肉骨骼因素,确定相关且有效的生物标志物,这有助于对患者进行随访,并评估治疗策略。在这方面,文献中提出了一些与运动障碍相关的参数。然而,其中大多数参数仅在一项研究中进行了评估,只有 8%的参数从可靠性、有效性和可解释性方面进行了评估。本研究旨在综合目前关于运动生物标志物的知识,以区分 NSCLBP 患者和无症状人群。为此,建立了一个实验方案,以评估 72 个运动生物标志物在 30 名无症状参与者和 30 名 NSCLBP 患者中的可靠性、有效性和可解释性。还分析了生物标志物与常见的患者报告结果测量之间的相关性。有 4 个生物标志物在可靠性(ICC≥0.75)和有效性(无症状参与者和 NSCLBP 患者之间存在显著差异,p≤0.01)方面达到了至少良好的水平,因此可能被认为是有价值的生物标志物:最大腰椎矢状角、腰椎矢状面活动范围、平均腰椎矢状面角速度以及躯干矢状弯曲时最大上腰椎矢状角。这四个生物标志物在无症状参与者中的值通常大于 NSCLBP 患者。它们与患者报告的结果测量通常呈弱相关,这表明在建立有价值的诊断和指导治疗反应时,纳入相关肌肉骨骼因素可能具有潜在的兴趣。