腰部关节位置感测低背部疼痛患者的腰部关节位置感测
Qi-Hao Yang1, Xue-Qiang Wang1,2
1Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China.
EFORT open reviews
|August 1, 2023
概括
腰部位置感,对于脊柱运动至关重要,在腰部疼痛 (LBP) 患者中发生变化. 了解影响其测量的因素是更好的临床评估和LBP管理的关键.
科学领域:
- 生物医学工程 生物医学工程
- 神经科学是一个神经科学.
- 整形外科 整形外科 整形外科
背景情况:
- 腰部位置感觉 (LPS) 对于自身感知和运动控制至关重要.
- 精确测量LPS受到各种影响因素的挑战.
- 在低背部疼痛 (LBP) 的个体中观察到LPS的变化.
研究的目的:
- 提供影响腰部位置感觉测量因素的全面概述.
- 探索自身感受和机械感受器在LPS中的作用.
- 讨论改变的LPS在腰部疼痛中的影响.
主要方法:
- 关于腰部位置感觉测量技术的文献综述.
- 影响因素的分析:重新定位方法,疲劳和姿势.
- 积极与被动重新定位精度的比较.
主要成果:
- 积极的重新定位比被动的重新定位更准确,因为增强了肌肉自感受.
- 腰部结构中的机械受体,如面部关节囊,有助于LPS.
- 与健康人相比,患有LBP的患者表现出不稳定的运动感官反和受损的LPS.
结论:
- 腰部位置感受受到自身感知和测量条件的显著影响.
- 损坏的LPS可能会导致腰部疼痛的发展和持续.
- 目前对LPS的临床评估方法缺乏足够的灵敏度和特异性,无法可靠的临床应用.
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