男性の腰痛と尿道下部症状の共存は,身体機能に影響する
Tom Vredeveld1,2, Stephan P J Ramaekers2, Michel W Coppieters1,3
1Department of Neuromechanics, Faculty of Behavioural and Movement Sciences, Section Prevention and Rehabilitation, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Physiotherapy theory and practice
|August 28, 2025
まとめ
腰痛 (LBP) と尿路下部症状 (LUTS) の共存は男性の身体機能に大きな影響を与えます. 医療従事者は,患者のLBPとLUTSの両方を評価し,結果を改善する必要があります.
科学分野:
- 泌尿器科
- 整形外科
- 公衆衛生
背景:
- 腰痛 (LBP) は,併発性疾患によって影響される一般的な状態です.
- 尿路下部症状 (LUTS) は男性に多く見られ,LBPと共存することがあります.
- LBPとLUTSが健康上の結果に及ぼす影響については,さらなる調査が必要である.
研究 の 目的:
- 男性の身体機能,生活の質,睡眠の質,併発症,および精神的健康に対するLBPとLUTSの共存の影響を探る.
- 身体機能に対するLBPとLUTSの重度の予測値を決定する.
主な方法:
- 40歳以上の男性を対象に横断調査が行われました.
- 参加者は,LBP,LUTSの重度および煩悩 (ICIQ-MLUTS),身体的機能 (PROMIS-PF-10),身体的および精神的な健康 (PROMIS-GH-10),うつ病,不安,ストレス (DASS-21-R),および睡眠の質 (PSQI) を評価する検証されたアンケートを記入しました.
- 統計モデルを使用して,LBP,LUTS,および健康上の結果の関係を分析した.
主要な成果:
- 身体的機能は,LUTSの重度とLBP (R2=0. 31) の組み合わせによって,単独のいずれかの状態 (LBP:R2=0. 23;LUTSの重度:R2=0. 18) と比較してよりよく説明されました.
- LUTSとLBPによる痛みは,身体機能の低下 (R2=0. 29) と一般的な健康状態 (R2=0. 31) と関連していました.
- LBPとLUTSの共存と精神的健康,睡眠の質,または他の併発症との間に有意な関連性は見つかりませんでした.
結論:
- LBPとLUTSの共存は,男性における身体的制限に大きな影響を与えます.
- 精神的健康,睡眠の質,その他の併発症は,LBPとLUTSの併発によって有意な影響を受けなかった.
- 医療従事者は,LBPの男性におけるLUTSと,LBPの男性におけるLUTSを定期的に評価し,総合的なケアを提供すべきである.
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