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Lancet Rheumatol. 2023 Oct 23;5(11):e670-e682. doi: 10.1016/S2665-9913(23)00232-1. eCollection 2023 Nov.
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美国退伍军人人群中躯干耐力、腰痛严重程度与功能障碍之间的关系：一项横断面回顾性研究。

Relationships Between Trunk Endurance, Low Back Pain Severity and Functional Disability in a United States Veteran Population: A Cross-sectional Retrospective Study.

作者信息

Burton Wren M, Schielke Alec L, Butler Robert J, Huberman David B, Kowalski Matthew H, Wayne Peter M, Teraoka Jeff, Vining Robert

机构信息

Division of Preventive Medicine, Brigham and Women's Hospital, 900 Commonwealth Ave, Boston, Massachusetts; Osher Center for Integrative Health, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.

Integrated Primary Care, Chiropractic Service, VA Palo Alto Health Care System, Palo Alto, California.

出版信息

J Manipulative Physiol Ther. 2025 Sep 27. doi: 10.1016/j.jmpt.2025.08.001.

DOI:10.1016/j.jmpt.2025.08.001
PMID:41015946
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12479094/
Abstract

OBJECTIVE

The purpose of this study was to examine the relationships between low back pain (LBP) and trunk endurance (TE) in a United States Veteran population.

METHODS

Data were collected from the Veterans Affairs Palo Alto Healthcare System electronic health records (01/2019-12/2019) to identify adults aged 18-89 years presenting with nonsurgical LBP for a chiropractic consultation. Coefficient estimates, standard error, and P-values were calculated from multivariable linear regression for primary (LBP severity) and secondary (functional disability) outcomes, controlling for age, sex, and body composition.

RESULTS

A total of 85 patients (mean age 53.6 years) were included. Trunk endurance was significantly associated with LBP severity (β: -0.042, P < .001) and Oswestry disability index (ODI) scores (β: -0.334, P < .001) suggesting that participants with greater TE (ie, longer prone bridge (plank) test time) had lower LBP severity and lower functional disability than those with poorer TE.

CONCLUSION

In this sample of Veterans, higher LBP severity and greater functional disability (ODI scores) were associated with reduced TE. Body mass index did not significantly influence these relationships.

摘要

目的

本研究旨在探讨美国退伍军人人群中腰痛（LBP）与躯干耐力（TE）之间的关系。

方法

从退伍军人事务部帕洛阿尔托医疗保健系统的电子健康记录（2019年1月 - 2019年12月）中收集数据，以识别年龄在18 - 89岁之间因非手术性腰痛前来接受脊椎按摩治疗咨询的成年人。通过多变量线性回归计算主要（腰痛严重程度）和次要（功能障碍）结果的系数估计值、标准误差和P值，并对年龄、性别和身体成分进行控制。

结果

共纳入85名患者（平均年龄53.6岁）。躯干耐力与腰痛严重程度（β：-0.042，P <.001）和奥斯维斯特里功能障碍指数（ODI）评分（β：-0.334，P <.001）显著相关，这表明躯干耐力较高的参与者（即俯卧平板支撑测试时间较长）与躯干耐力较差的参与者相比，腰痛严重程度较低且功能障碍较轻。

结论

在这个退伍军人样本中，较高的腰痛严重程度和更大的功能障碍（ODI评分）与躯干耐力降低有关。体重指数并未显著影响这些关系。