Alfaya Fareed F, Reddy Ravi Shankar, Alshahrani Mastour Saeed, Gautam Ajay Prashad, Mukherjee Debjani, Al Salim Zuhair A, Alqhtani Raee S, Ghulam Hussain Saleh H, Alyami Abdullah Mohammed, Al Adal Saeed, Jabour Abdullah Ali
Department of Orthopedic Surgery, College of Medicine, King Khalid University, Abha 61421, Saudi Arabia.
Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha 61421, Saudi Arabia.
Life (Basel). 2023 Oct 23;13(10):2104. doi: 10.3390/life13102104.
Lumbar spondylosis, characterized by degenerative changes in the lumbar spine, often leads to pain, reduced spinal stability, and musculoskeletal dysfunction. Understanding the impact of lumbar spondylosis on musculoskeletal function, particularly lumbar extensor endurance, functional balance, and limits of stability, is crucial for improving the management and well-being of affected individuals. This study aimed to assess lumbar extensor endurance, functional balance, and limits of stability in individuals with lumbar spondylosis compared to age-matched healthy individuals and explore the correlations among these parameters within the lumbar spondylosis group. The lumbar spondylosis group consisted of 60 individuals initially screened by an orthopedician and referred to physical therapy. Age-matched healthy controls ( = 60) were recruited. Inclusion criteria encompassed adults aged 45-70 years for both groups. Lumbar extensor endurance was assessed using the Sorensen test, functional balance with the Berg Balance Scale, and limits of stability using a computerized stabilometric force platform. Lumbar extensor endurance was significantly lower in individuals with lumbar spondylosis compared to healthy controls (23.06 s vs. 52.45 s, < 0.001). Functional balance, as assessed by the Berg Balance Scale, demonstrated a significant decrement in the lumbar spondylosis group (48.36 vs. 53.34, < 0.001). Additionally, limits of stability variables, under both eyes-open and eyes-closed conditions, exhibited marked impairments in the lumbar spondylosis group ( < 0.001 for all variables). Within the lumbar spondylosis group, lumbar extensor endurance exhibited significant positive correlations with functional balance (0.46, < 0.001) and negative correlations with limits of stability variables (r ranging from -0.38 to -0.49, < 0.01 for all variables). This study underscores the significance of addressing lumbar extensor endurance, functional balance, and stability impairments in the comprehensive management of lumbar spondylosis.
腰椎病以腰椎的退行性改变为特征,常导致疼痛、脊柱稳定性下降和肌肉骨骼功能障碍。了解腰椎病对肌肉骨骼功能的影响,特别是对腰伸肌耐力、功能平衡和稳定性极限的影响,对于改善受影响个体的治疗和健康状况至关重要。本研究旨在评估腰椎病患者与年龄匹配的健康个体相比的腰伸肌耐力、功能平衡和稳定性极限,并探讨腰椎病组内这些参数之间的相关性。腰椎病组由60名最初经骨科医生筛查并转诊至物理治疗的个体组成。招募了年龄匹配的健康对照组(n = 60)。两组的纳入标准均为45 - 70岁的成年人。使用索伦森试验评估腰伸肌耐力,使用伯格平衡量表评估功能平衡,使用计算机化的稳定测力平台评估稳定性极限。与健康对照组相比,腰椎病患者的腰伸肌耐力显著降低(23.06秒对52.45秒,P < 0.001)。通过伯格平衡量表评估的功能平衡在腰椎病组中显示出显著下降(48.36对53.34,P < 0.001)。此外,在睁眼和闭眼条件下,腰椎病组的稳定性极限变量均表现出明显受损(所有变量P < 0.001)。在腰椎病组内,腰伸肌耐力与功能平衡呈显著正相关(r = 0.46,P < 0.001),与稳定性极限变量呈负相关(r范围为 - 0.38至 - 0.49,所有变量P < 0.01)。本研究强调了在腰椎病综合管理中解决腰伸肌耐力、功能平衡和稳定性损伤的重要性。