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非特異的な慢性腰痛サブグループにおける前向きの屈折時の脊椎運動の軌跡ベースの分析:スマートフォンによる2Dビデオ追跡
Hwa-Ik Yoo1, Il-Kyu Ahn1, Oh-Yun Kwon1
1Department of Physical Therapy, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju-si, Gangwon-do, the Republic of Korea.
Journal of back and musculoskeletal rehabilitation
|August 29, 2025
まとめ
スマートフォンのビデオ分析では,非特異的な慢性腰痛 (NSCLBP) のサブグループで明確な脊髄運動パターンが示されています. 伸縮パターン (EP) グループは,屈折パターン (FP) と健康なグループよりも大きな水平移転を示しました.
科学分野:
- バイオメカニクス
- 脊髄運動
- デジタル・ヘルス
背景:
- 非特異的な慢性腰痛 (NSCLBP) の伝統的な運動範囲測定は,詳細な方向性のある洞察が欠けている.
- NSCLBPの標的の評価には 胸椎運動パターンの理解が不可欠です
研究 の 目的:
- 前向きに曲げるときの横と垂直の胸部 (T12,L2) の移動を分析する.
- NSCLBPサブグループ (屈折パターン [FP],伸縮パターン [EP]) と健康な対照群の脊髄運動を比較する.
- NSCLBPの運動を評価するためにスマートフォンベースの2Dビデオ分析を評価する.
主な方法:
- 185人の参加者 (58人の健康者,87人のFP,40人のEP) を分析した.
- スマートフォンの2Dビデオ分析 (Kinoveaソフトウェア) で追跡されたT12およびL2の棘状プロセス上のマーカー.
- 前後 (x軸) と上下 (y軸) の位移を定量化した.
主要な成果:
- EPグループは,FPグループと比較して,T12とL2で前部位移転が著しく増加した.
- EPグループは,健康な対照群よりもL2でより大きな前部移位を示した.
- 垂直の移動やFPと健康なグループの間の有意な違いは観察されなかった.
結論:
- 水平移動の軌道はNSCLBPのサブグループを効果的に区別し,特にEPグループのユニークな移動戦略です.
- スマートフォンベースのビデオ分析は,サブグループ特有のNSCLBP評価のためのアクセスしやすく,臨床的に価値のあるツールを提供します.
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