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疼痛对患有非特异性下腰痛的年轻成人腰椎生物力学的影响及关系

Influence and Relationship of Pain on Lumbar Biomechanics in a Young Adult Population with Non-Specific Low Back Pain.

作者信息

Pérez-de la Cruz Sagrario

机构信息

Department of Nursing, Physiotherapy and Medicine, University of Almería, 04120 Almería, Spain.

出版信息

Sports (Basel). 2024 Jul 11;12(7):190. doi: 10.3390/sports12070190.

Abstract

The therapeutic actions indicated for low back pain, in addition to physiotherapy, include mobilization of the affected segment, as it is assumed that a loss of mobility may contribute to a patient's pain. The aim of this study was to investigate the influence of back pain on the degrees of spinal mobility in young adults. Eighty-six volunteers participated in the study. Fingertip-to-floor distance, Schöber's test, the fingertip-to-floor lateral flexion test, GHQ-12, the Fear-Avoidance Beliefs Questionnaire and the STarT Back Screening Tool were used. There were statistically significant differences between the two groups (pain and no pain) in degrees of spinal flexion (Schöber's test and side flexion) showing greater mobility in the group with pain. However, the group with low back pain showed less rotational mobility. The presence or absence of back pain had an impact on the individual's sporting practice and perception of pain, and they were able to carry out their sporting activities normally. Young adults with idiopathic low back pain showed some statistically significant differences in relation to the mobility of the spine in the different planes of movement (flexion and side flexion), conditioning their quality of life and sports practice.

摘要

除物理治疗外,针对腰痛的治疗措施还包括对受影响节段进行松动术,因为人们认为活动度降低可能会导致患者疼痛。本研究的目的是调查腰痛对年轻成年人脊柱活动度的影响。86名志愿者参与了该研究。使用了指尖触地距离、Schöber试验、指尖触地侧屈试验、一般健康问卷-12、恐惧-回避信念问卷和STarT Back筛查工具。两组(有疼痛和无疼痛)在脊柱前屈程度(Schöber试验和侧屈)上存在统计学显著差异,有疼痛组的活动度更大。然而,腰痛组的旋转活动度较小。是否存在腰痛对个体的体育锻炼和疼痛感知有影响,且他们能够正常进行体育活动。患有特发性腰痛的年轻成年人在脊柱不同运动平面(前屈和侧屈)的活动度方面表现出一些统计学显著差异,这会影响他们的生活质量和体育锻炼。

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