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慢性下腰痛与腰椎活动度降低相关——一项前瞻性队列研究。

Chronic low back pain is associated with a reduction in lumbar movement - a prospective cohort study.

作者信息

Schömig Friederike, Pumberger Matthias, Becker Luis, Reitmaier Sandra, Bashkuev Maxim, Duda Georg N, Schmidt Hendrik

机构信息

Center for Musculoskeletal Surgery, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.

Julius Wolff Institute, Berlin Institute of Health at Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

出版信息

Sci Rep. 2025 Jun 5;15(1):19800. doi: 10.1038/s41598-025-04851-2.


DOI:10.1038/s41598-025-04851-2
PMID:40473750
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12141629/
Abstract

Recent research has increasingly highlighted the role of movement behavior in the onset and persistence of low back pain (LBP). However, little is known about the lumbar spine's movement patterns in daily life. This study investigated the number of lumbar movements in asymptomatic individuals and those with chronic LBP (lasting ≥ 12 weeks) over a 24-hour period. Lumbar movements were measured with the Epionics SPINE system. Movements ≥ 5° were grouped into movement sizes of > 15°, 10-15°, and 5-10°. Data were analyzed using the Student's t-test, two-way analysis of variance, or the Pearson's correlation coefficient. This study included 208 asymptomatic participants and 106 LBP participants. Participants with LBP exhibited a significantly lower number of both flexion/extension (15,564 ± 8,078 vs. 20,521 ± 7,160, p < 0.001) and rotation movements (4,724 ± 3,995 vs. 7,368 ± 4,223, p < 0.001). Females showed significantly more flexion/extension movements > 15° compared to males. Participants were significantly older than asymptomatic participants (40.3 ± 14.0 vs. 50.9 ± 13.9 years, p < 0.001). The correlation between age and the number of flexion/extension movements was weak in both the LBP (r=-0.290, p = 0.003) and the asymptomatic (r=-0.179, p = 0.010) groups. In summary, individuals with chronic LBP exhibit fewer lumbar spine movements than their asymptomatic counterparts, and distinct sex differences in movement patterns were observed, with females showing a different movement profile compared to males.

摘要

近期研究越来越多地强调了运动行为在腰痛(LBP)发病及持续过程中的作用。然而,对于腰椎在日常生活中的运动模式却知之甚少。本研究调查了无症状个体和慢性LBP(持续时间≥12周)个体在24小时内的腰椎运动次数。使用Epionics SPINE系统测量腰椎运动。≥5°的运动被分为>15°、10 - 15°和5 - 10°的运动幅度。采用学生t检验、双向方差分析或皮尔逊相关系数对数据进行分析。本研究纳入了208名无症状参与者和106名LBP参与者。LBP参与者的屈伸运动次数(15,564±8,078 vs. 20,521±7,160,p<0.001)和旋转运动次数(4,724±3,995 vs. 7,368±4,223,p<0.001)均显著低于无症状参与者。与男性相比,女性>15°的屈伸运动次数显著更多。LBP参与者的年龄显著高于无症状参与者(40.3±14.0岁 vs. 50.9±13.9岁,p<0.001)。在LBP组(r = -0.290,p = 0.003)和无症状组(r = -0.179,p = 0.010)中,年龄与屈伸运动次数之间的相关性均较弱。总之,慢性LBP个体的腰椎运动次数少于无症状个体,并且观察到了明显的运动模式性别差异,女性与男性的运动特征不同。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80b8/12141629/1ff32edab46a/41598_2025_4851_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80b8/12141629/3bc1a82beaa5/41598_2025_4851_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80b8/12141629/1068f4cc4058/41598_2025_4851_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80b8/12141629/1ff32edab46a/41598_2025_4851_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80b8/12141629/3bc1a82beaa5/41598_2025_4851_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80b8/12141629/1068f4cc4058/41598_2025_4851_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80b8/12141629/1ff32edab46a/41598_2025_4851_Fig3_HTML.jpg

相似文献

[1]
Chronic low back pain is associated with a reduction in lumbar movement - a prospective cohort study.

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[10]
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本文引用的文献

[1]
Cognitive functional therapy with or without movement sensor biofeedback versus usual care for chronic, disabling low back pain (RESTORE): a randomised, controlled, three-arm, parallel group, phase 3, clinical trial.

Lancet. 2023-6-3

[2]
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[3]
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Phys Ther. 2022-2-1

[4]
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Eur Spine J. 2018-7-3

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