Department of Physiotherapy and Rehabilitation, Faculty of Hamidiye Health Sciences, University of Health Sciences Turkey, Istanbul, Turkey; Mekteb-i Tibbiye-i Sahane (Haydarpasa) Külliyesi Selimiye Mah, Tibbiye Cad, No: 38, 34668, Üsküdar, Istanbul, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, University of Istanbul Medeniyet, Istanbul, Turkey; Department of Physiotherapy and Rehabilitation, Istanbul Medeniyet University Faculty of Health Science, Istanbul, Turkey; Kartal Cevizli Yerleşkesi - Atalar Mh, Şehit Hakan Kurban Cd, 34862, Kartal, Cevizli, İstanbul, Turkey.
J Bodyw Mov Ther. 2024 Oct;40:822-827. doi: 10.1016/j.jbmt.2024.06.004. Epub 2024 Jun 6.
Proprioceptive information from the hips, knees, and ankles as well as joint coordination are important for maintaining and controlling balance. Regional receptors in the muscles, joints, skin, and tendons as well as proprioception in the knee joint provide the necessary joint activity and stability. Pain may occur with a decreased sense of balance and proprioception.
To investigate the relationship between single-leg balance and proprioception of the knee joint in individuals with non-specific chronic low back pain.
Fifty-two individuals with non-specific chronic low back pain, 30 females and 22 males, were included in our study, with a range of 18-50 years (mean age:25.15 ± 8.2 years).
Pain intensity at rest and activity was assessed using Visual Analogue Scale (VAS), and disability and function were assessed using Oswestry Disability Index (ODI). Single-leg balance measurements were performed using Prokin TecnoBody kinematic balance device. A goniometer was used to evaluate the proprioception of the knee joint.
There were low-level negative correlations between VAS resting pain intensity and medium-lateral standard deviation value (p = 0.018; r = -0.327) and ellipse area measure (p = 0.039; r = -0.287) from static balance assessments. There were low-level negative correlations between VAS activity pain intensity and medium-lateral standard deviation value (p = 0.039; r = -0.288), ellipse area (p = 0.044; r = -0.281), and perimeter measure (p = 0.043; r = -0.282) from static balance assessments. No correlation was seen between ODI and clinical balance and proprioception assessments (p > 0.05). There was no correlation between clinical balance and proprioception evaluations (p > 0.05).
As a result of the study, it was decided that there is a minimal relationship between single-leg balance and knee joint proprioception in people with nonspecific low back pain.
来自臀部、膝盖和脚踝的本体感觉信息以及关节协调性对于维持和控制平衡很重要。肌肉、关节、皮肤和肌腱中的区域感受器以及膝关节的本体感觉为必要的关节活动和稳定性提供了条件。平衡感和本体感觉下降可能会导致疼痛。
探讨膝关节本体感觉与非特异性慢性下腰痛患者单腿平衡之间的关系。
本研究纳入了 52 名非特异性慢性下腰痛患者，其中女性 30 名，男性 22 名，年龄 18-50 岁，平均年龄（25.15±8.2）岁。
采用视觉模拟评分法（VAS）评估静息和活动时的疼痛强度，采用 Oswestry 功能障碍指数（ODI）评估残疾和功能。采用 Prokin TecnoBody 运动平衡仪测量单腿平衡，使用量角器评估膝关节本体感觉。
静息状态下 VAS 疼痛强度与中-外侧标准差（p=0.018；r=-0.327）和椭圆面积测量值（p=0.039；r=-0.287）呈低度负相关；活动时 VAS 疼痛强度与中-外侧标准差（p=0.039；r=-0.288）、椭圆面积（p=0.044；r=-0.281）和周长测量值（p=0.043；r=-0.282）呈低度负相关。ODI 与临床平衡和本体感觉评估之间无相关性（p>0.05）。临床平衡与本体感觉评估之间无相关性（p>0.05）。
研究结果表明，非特异性下腰痛患者单腿平衡与膝关节本体感觉之间存在轻微关系。
