Antohe Bogdan-Alexandru, Uysal Hüseyin Şahin, Panaet Adelina-Elena, Iacob George-Sebastian, Rață Marinela
Faculty of Movement, Sports and Health Science, "Vasile Alecsandri" University of Bacău, 600115 Bacău, Romania.
Faculty of Sport Science, Burdur Mehmet Akif Ersoy University, 15500 Burdur, Turkey.
Healthcare (Basel). 2023 Oct 1;11(19):2669. doi: 10.3390/healthcare11192669.
Although magnetic resonance imaging (MRI) findings are the gold standard for diagnosing herniated discs, there are many limitations to accessing MRI scanning devices in practice. This study aimed to evaluate the relationship between functional tests (the visual analog scale (VAS), the SLUMP test, the Sciatica Bothersomeness Index (SBI), the Oswestry Disability Index (ODI), and the LASEGUE test and MRI findings (LSA, IVDH L4-L5, IVDH L5-S1, DHS L4-L5, and DHS L5-S1) in patients diagnosed with disc herniation. Seventy-eight patients who met the inclusion criteria participated in the study. Radiologists and neurologists evaluated patients with disc herniation. After the disc hernia diagnosis, the patients were referred to a physical therapist for conservative management of the disk hernia. The physical therapists assessed the pain level and performed functional tests on patients. All statistical analyses were performed using R (Core Team) software. The correlation between the measured variables was conducted using the Pearson and Spearman tests. The study results indicated statistically significant correlations between DHS L4-L5 vertebral level and functional tests (VAS: = 0.49, = 0.00; SBI: = 0.44, = 0.00; ODI: = 0.49, = 0.00; LASEGUE: = -0.48, = 0.00; SLUMP: = 0.50, = 0.00). In conclusion, physiotherapists may prefer functional tests to diagnose the herniated disc, and these functional tests may contribute to performing evidence-based assessments.
虽然磁共振成像（MRI）结果是诊断椎间盘突出症的金标准，但在实际操作中，使用MRI扫描设备存在诸多限制。本研究旨在评估功能测试（视觉模拟量表（VAS）、直腿弯腰试验、坐骨神经痛困扰指数（SBI）、奥斯威斯功能障碍指数（ODI）以及拉塞格试验）与MRI检查结果（腰椎滑脱症（LSA）、L4-L5椎间盘突出症（IVDH L4-L5）、L5-S1椎间盘突出症（IVDH L5-S1）、L4-L5椎间孔狭窄症（DHS L4-L5）和L5-S1椎间孔狭窄症（DHS L5-S1））在椎间盘突出症患者中的关系。78名符合纳入标准的患者参与了本研究。放射科医生和神经科医生对椎间盘突出症患者进行了评估。在诊断出椎间盘突出症后，患者被转介给物理治疗师进行椎间盘突出症的保守治疗。物理治疗师评估了患者的疼痛程度并对患者进行了功能测试。所有统计分析均使用R（核心团队）软件进行。使用Pearson检验和Spearman检验对测量变量之间的相关性进行了分析。研究结果表明，DHS L4-L5椎体水平与功能测试之间存在统计学上的显著相关性（VAS：r = 0.49，p = 0.00；SBI：r = 0.44，p = 0.00；ODI：r = 0.49，p = 0.00；拉塞格试验：r = -0.48，p = 0.00；直腿弯腰试验：r = 0.50，p = 0.00）。总之，物理治疗师可能更倾向于使用功能测试来诊断椎间盘突出症，并且这些功能测试可能有助于进行基于证据的评估。
