舒伯测试不是一个有效的评估工具,用于腰部运动
Nima Taheri1,2, Luis Becker3,4, Sandra Reitmaier4
1Center for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Germany. nima.taheri@charite.de.
Scientific reports
|March 5, 2024
概括
舒伯测试可能无法准确预测慢性腰痛 (cLBP) 患者的腰部运动障碍. 与现代测量设备相比,它的可靠性是可疑的,这表明它可以用作补充监控工具.
科学领域:
- 整形外科 整形外科 整形外科
- 物理疗法物理治疗
- 生物医学工程 生物医学工程
背景情况:
- 舒伯测试是一种常见的临床评估腰部运动.
- 识别功能限制对于治疗慢性腰部疼痛 (cLBP) 至关重要.
- 舒伯测试的5厘米切线被广泛用于区分受限制和不受限制的腰部运动.
研究的目的:
- 为了评估5厘米的Schober测试切断线在分辨腰部移动性的有效性.
- 将舒伯测试与两个现代测量设备进行比较:Epionics SPINE®和Idiag M360®.
- 评估腰部主病 (LL) 对舒伯测试和设备测量结果的一致性的影响.
主要方法:
- 这项研究涉及187名有或没有cLBP的参与者 (18-65岁).
- 分析了Schober测试和Epionics SPINE®/Idiag M360®运动范围 (RoF) 之间的一致性.
- 计算了舒伯测试的灵敏度和特异性,考虑了LL的变化.
主要成果:
- 舒伯测试和两个测量设备之间缺乏一致的一致性.
- 对于Epionics SPINE®,有50.4%的参与者表示不同意Schober测试.
- 对于Idiag M360®,49.6%的参与者表示不同意;灵敏度和特异性低于最佳值.
结论:
- 舒伯测试在预测腰部运动障碍方面的有效性未被本研究确立.
- 舒伯测试和基于设备的测量之间存在显著的差异.
- 舒伯测试最好作为监测个体患者进展的辅助工具而不是独立的诊断工具.
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