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[腰骶部脊柱运动学数据在区分腰骶部综合征四级分类中的价值]

[The value of kinematic data on the lumbosacral spine in differentiating between 4 levels of classification of the lumbosacral syndrome].

作者信息

Graberski M, Bobinac-Georgievski A, Aljinović I, Gabrić S, Matasović T, Sokolović-Matejcić B

机构信息

Zavod za fizikalnu medicinu, rehabilitaciju i reumatologiju, Opća bolnica Sveti Duh, Zagreb.

出版信息

Lijec Vjesn. 1993 Nov-Dec;115(11-12):336-8.

PMID:8176993
Abstract

Dynamic capacity of the spine was measured on the basis of electrokinesiological findings (EK) with the purpose of finding out how the clinical classification factors of the lumbosacral spine (LS) affect the kinematic indicators. The EK scan contains quantified kinematic and myoelectrical data on the LS spine recorded during motion of the body in the sagittal plane. A total number of 110 patients with low back pain and/or ischialgia of degenerative etiology were examined and compared with 42 healthy controls. Clinical examination was used to classify the patients into four groups according to the severity of the existing symptoms. The EK data obtained for the group of healthy controls served as reference values. A deterioration in values of the kinematic indicators (prolonged duration and reduced amplitude and speed of the entire movement) was observed in patients with more severe degree of clinical classification of LS syndrome (p < 0.01 for total duration of the movement; p < 0.001 for the total speed and amplitude). The results show that the kinematic measurement data are in accordance with clinical classification of painful condition of the lumbosacral spine, while deviation is more prominent in patients classified as rather severe clinical cases.

摘要

基于电运动学检查结果(EK)测量脊柱的动态能力,目的是探究腰骶椎(LS)的临床分类因素如何影响运动学指标。EK扫描包含身体在矢状面运动期间记录的腰骶椎脊柱的量化运动学和肌电数据。共检查了110例患有退行性病因引起的腰痛和/或坐骨神经痛的患者,并与42名健康对照者进行比较。通过临床检查根据现有症状的严重程度将患者分为四组。健康对照组获得的EK数据用作参考值。在LS综合征临床分类程度更严重的患者中观察到运动学指标值恶化(整个运动持续时间延长,幅度和速度降低)(运动总持续时间p < 0.01;总速度和幅度p < 0.001)。结果表明,运动学测量数据与腰骶椎疼痛状况的临床分类一致,而在分类为相当严重临床病例的患者中偏差更为突出。

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