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腰椎锁定旋转试验中胸椎过度旋转组与正常组脊柱轴向旋转角度的差异:一项横断面研究。

Differences in spinal axial rotation angles during the lumbar-locked rotation test between hyper and normal thoracic rotation groups: A cross-sectional study.

出版信息

J Back Musculoskelet Rehabil. 2024;37(6):1551-1559. doi: 10.3233/BMR-230404.


DOI:10.3233/BMR-230404
PMID:39213046
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11612942/
Abstract

BACKGROUND: Trunk rotation is important in many sporting activities The thoracic spine has reciprocal relationships with the lumbar and pelvic spines, such that reduced flexibility in the lumbar or thoracic spine can lead to abnormal patterns of trunk movement and pain. However, few studies have investigated the relative trunk rotation mobilities of the thorax, lumbar, and pelvis. OBJECTIVE: To compare thoracic, lumbar, and pelvic rotation angles during the lumbar-locked rotation test between hyper and normal thoracic rotation groups. METHODS: Thirty-two young, active participants were enrolled in this study. After the attachment of inertial measurement units at the T1, T7, T12, L3, and S2 levels, the participants were required to stand in a comfortable upright posture for 5 s to allow postural measurements before performing the lumbar-locked rotation test. The participants were then divided into hyper thoracic rotation and normal thoracic rotation groups based on T1 angle measurements obtained during the lumbar-locked rotation test. RESULTS: The hyper thoracic rotation group had significantly higher thoracic rotation angles on both the right (p< 0.05) and left (p< 0.05) sides compared with the normal thoracic rotation group. Furthermore, we observed flat lumbar lordosis in the hyper thoracic rotation group compared with the normal thoracic rotation group, particularly in the lower lumbar region in standing posture. CONCLUSION: Our data suggest that evaluations of thoracic mobility should consider relative thoracic, lumbar, and pelvic motions, rather than the T1 angle alone. This study provides a basis for health professionals to evaluate movement dysfunctions associated with thoracic hypermobility.

摘要

背景:躯干旋转在许多运动活动中很重要。胸椎与腰椎和骨盆之间存在相互关系,因此腰椎或胸椎的灵活性降低会导致躯干运动和疼痛的异常模式。然而,很少有研究调查过胸、腰、骨盆的相对躯干旋转活动度。 目的:比较腰椎锁定旋转试验中胸椎、腰椎和骨盆的旋转角度在高胸旋转组和正常胸旋转组之间的差异。 方法:本研究纳入了 32 名年轻、活跃的参与者。在 T1、T7、T12、L3 和 S2 水平附着惯性测量单元后,要求参与者在进行腰椎锁定旋转试验前保持舒适的直立姿势 5 秒,以进行姿势测量。然后,根据腰椎锁定旋转试验中获得的 T1 角度测量值,将参与者分为高胸旋转组和正常胸旋转组。 结果:与正常胸旋转组相比,高胸旋转组在右侧(p<0.05)和左侧(p<0.05)的躯干旋转角度均显著更高。此外,我们观察到高胸旋转组在站立姿势中存在平坦的腰椎前凸,特别是在较低的腰椎区域。 结论:我们的数据表明,对胸椎活动度的评估应考虑到相对的胸椎、腰椎和骨盆运动,而不仅仅是 T1 角度。本研究为健康专业人员评估与胸椎过度活动相关的运动功能障碍提供了依据。

相似文献

[1]
Differences in spinal axial rotation angles during the lumbar-locked rotation test between hyper and normal thoracic rotation groups: A cross-sectional study.

J Back Musculoskelet Rehabil. 2024

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
The Thoracic Spine in the Overhead Athlete.

Curr Sports Med Rep. 2020-1

[2]
Inertial Measurement Unit-based Evaluation of Global and Regional Lumbar Spine and Pelvis Alignment in Standing Individuals With a Flat Lumbar Posture.

J Manipulative Physiol Ther. 2019-10

[3]
The shape and mobility of the thoracic spine in asymptomatic adults - A systematic review of in vivo studies.

J Biomech. 2018-9-10

[4]
Intra- and interrater reliability of the 'lumbar-locked thoracic rotation test' in competitive swimmers ages 10 through 18 years.

Phys Ther Sport. 2018-4-17

[5]
Validity of the Digital Inclinometer and iPhone When Measuring Thoracic Spine Rotation.

J Athl Train. 2017-9

[6]
In vitro analysis of the segmental flexibility of the thoracic spine.

PLoS One. 2017-5-16

[7]
Managing acute hamstring injuries in athletes.

Br J Sports Med. 2017-4

[8]
Clinical methods to quantify trunk mobility in an elite male surfing population.

Phys Ther Sport. 2016-5

[9]
Reliability of lumbar movement dysfunction tests for chronic low back pain patients.

Man Ther. 2016-8

[10]
The effect of lumbar stabilization exercises and thoracic mobilization and exercises on chronic low back pain patients.

J Phys Ther Sci. 2015-12

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