Department of Physiotherapy, Jamia Hamdard, New Delhi, 110062, India.
Department of Physiotherapy, Faculty of Allied Health Sciences, Manav Rachna International Institute for Research and Studies, Faridabad, Haryana, India.
J Bodyw Mov Ther. 2024 Oct;40:320-325. doi: 10.1016/j.jbmt.2024.04.045. Epub 2024 Apr 18.
CONTEXT-: Sacroiliac (SI) joint dysfunction accounts for altered postural stability which can cause a continuously intense pain level and range of disabilities.
To investigate the correlation of postural stability with pain, disability & QOL among sufferers of sacroiliac joint dysfunction.
This cross-sectional research was undertaken at Rehabilitation Centre, Jamia Hamdard University.
A total of fifty participants were recruited using sample of convenience according to inclusion and exclusion criteria. After obtaining informed consent, three pain provocative tests and one motion palpation test were used to determine sacroiliac joint dysfunction. Humac balance master system (CSMi USB powered, Stoughton, USA), Visual analogue scale (VAS), modified Oswestry Disability Index (ODI) & WHO QOL-BREF (US version) were used to assess postural stability, pain, disability & Quality of life (QOL) respectively. Data analysis was done for correlation by SPSS version 24.0.
Strong positive correlations were found between reaction time, VAS (r = 0.791) and modified ODI score (r = 0.576) and weak positive correlations between eyes closed solid surface (ECSS) component of modified clinical test of sensory interaction & balance with VAS (r = 0.333) and with modified ODI score (r = 0.304) and eyes open foam surface (EOFS) component with environmental component of QOL (r = 0.287). There were negative correlations between reaction time, physical health (r = -0.413), psychological health (r = -0.375), social relations (r = -0.305), and environment (r = -0.379) parameters of QOL.
According to the findings of the study, there were positive correlations of reaction time with pain and disability and negative correlations with QOL. Awareness of clinicians regarding the altered postural stability can help in improvising the assessment and treatment protocols for patients of SI dysfunction.
骶髂（SI）关节功能障碍会导致姿势稳定性改变，从而引起持续的剧烈疼痛和各种残疾。
研究骶髂关节功能障碍患者的姿势稳定性与疼痛、残疾和生活质量（QOL）之间的相关性。
这项横断面研究在贾米亚哈姆达德大学康复中心进行。
根据纳入和排除标准，使用方便样本共招募了 50 名参与者。在获得知情同意后，使用三种疼痛激发试验和一种运动触诊试验来确定骶髂关节功能障碍。使用 Humac 平衡大师系统（CSMi USB 供电，美国斯托顿）、视觉模拟量表（VAS）、改良 Oswestry 残疾指数（ODI）和 WHO QOL-BREF（美国版）分别评估姿势稳定性、疼痛、残疾和生活质量（QOL）。使用 SPSS 版本 24.0 进行数据相关性分析。
反应时间与 VAS（r=0.791）和改良 ODI 评分（r=0.576）呈强正相关，闭眼固体表面（ECSS）改良临床感觉交互和平衡测试成分与 VAS（r=0.333）和改良 ODI 评分（r=0.304）呈弱正相关，睁眼泡沫表面（EOFS）成分与环境成分 QOL（r=0.287）呈弱正相关。反应时间与生理健康（r=-0.413）、心理健康（r=-0.375）、社会关系（r=-0.305）和环境（r=-0.379）呈负相关。
根据研究结果，反应时间与疼痛和残疾呈正相关，与 QOL 呈负相关。临床医生对姿势稳定性改变的认识有助于改善 SI 功能障碍患者的评估和治疗方案。
