长期非特异性腰部疼痛的成年人有部肌肉软弱吗? 一个横截面研究
Gustavo Zanotti Pizol1, Katherinne Ferro Moura Franco2, Gisela Cristiane Miyamoto2
1Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, Rua Cesário Galeno 475, São Paulo, 03071-000, Brazil. gustavo.zpizol@gmail.com.
BMC musculoskeletal disorders
|October 7, 2023
概括
患有慢性腰部疼痛的患者经常表现出关节引肌,引肌和延伸肌肌肉的软弱. 像Trendelenburg和Step-Down测试这样的功能测试不是这种部肌肉软弱的可靠指标.
科学领域:
- 整形外科 整形外科 整形外科
- 物理疗法物理治疗
- 康复医学 康复医学 康复医学
背景情况:
- 慢性腰部疼痛 (CLBP) 经常与部肌肉结构的变化有关.
- 关于部肌肉衰弱与CLBP之间的联系,以及通过功能测试进行评估的有限和相互矛盾的证据存在.
- 这项研究调查了CLBP患者的部肌肉强度和功能测试可靠性.
研究的目的:
- 为了确定非特异性CLBP患者是否表现出部肌肉衰弱.
- 评估Trendelenburg和Step-Down测试阳性和CLBP患者部肌肉强度之间的关联.
主要方法:
- 一项涉及40名CLBP患者和40名健康对照者的横截面研究.
- 同位数手动动力学测量了部吸收器,吸收器,延伸器,内部和外部旋转器的强度.
- 使用Trendelenburg和Step-Down测试来评估功能稳定性.
主要成果:
- 与CLBP患者相比,健康参与者在多个部肌肉群中表现出明显更大的强度.
- 对于积极的功能测试 (Trendelenburg和Step-Down) 的组之间没有发现显著差异.
- 二元逻辑回归显示,功能测试结果与部肌肉力量之间没有关联.
结论:
- 患有CLBP的患者通常会出现部引肌,引肌和延伸肌的弱点.
- 像Trendelenburg和Step-Down测试这样的功能测试与CLBP患者的部肌肉强度没有可靠的关联.
- 可能需要进一步的研究来探索在CLBP中对部肌肉功能的替代评估方法.
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