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腰椎的正常运动与年龄和性别的关系。

Normal motion of the lumbar spine as related to age and gender.

作者信息

Dvorák J, Vajda E G, Grob D, Panjabi M M

机构信息

Department of Neurology and Orthopaedic Surgery, Wilhelm Schulthess Hospital, Zurich, Switzerland.

出版信息

Eur Spine J. 1995;4(1):18-23. doi: 10.1007/BF00298413.

DOI:10.1007/BF00298413
PMID:7749901
Abstract

The CA-6000 Spine Motion Analyzer was used to measure the lumbar spine's range of motion (ROM). One hundred and four asymptomatic volunteers were examined to obtain normal values for flexion/extension, lateral bending, and axial rotation. A detailed error analysis was conducted to investigate the inter- and intraobserver reliability of the measurement equipment, the differences between passive and active examination, the effects of stretching exercises before examination, and the diurnal changes related to lumbar spine ROM. Subjects were divided into groups by age and gender. Values for each group were compared with respect to age and gender. The measurements were found to be consistent and repeatable. Stretching exercises were observed to increase ROM. Passive examination was recommended to achieve maximum ROM. ROM was observed to increase during the course of the day. A normative database was established showing significantly decreased motion as age increased, but no gender differences were discovered. The validity of the axial rotation values due to fixation difficulties is questioned.

摘要

使用CA - 6000脊柱运动分析仪测量腰椎活动范围(ROM)。对104名无症状志愿者进行检查,以获取屈伸、侧屈和轴向旋转的正常值。进行了详细的误差分析,以研究测量设备的观察者间和观察者内可靠性、被动检查和主动检查之间的差异、检查前伸展运动的影响以及与腰椎ROM相关的昼夜变化。受试者按年龄和性别分组。比较了每组在年龄和性别方面的值。发现测量结果具有一致性和可重复性。观察到伸展运动可增加ROM。建议进行被动检查以达到最大ROM。观察到ROM在一天中会增加。建立了一个标准数据库,显示随着年龄增长运动显著减少,但未发现性别差异。由于固定困难,轴向旋转值的有效性受到质疑。

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