慢性腰部疼痛患者的睡眠姿势偏好和避免:一个横截面研究
Jari Ylinen1, Arja Häkkinen2, Hannu Kautiainen3
1Physical Therapy, Nova, Central Hospital of Central Finland, Jyväskylä, FIN.
Cureus
|June 7, 2024
概括
睡眠姿势显著影响慢性腰部疼痛 (CLBP). 虽然倾斜的位置经常被避免,但任何睡眠姿势都可能使CLBP患者的疼痛恶化,需要个性化管理策略.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
- 睡眠科学 睡眠科学
背景情况:
- 慢性腰部疼痛 (CLBP) 是一种影响劳动年龄人口的普遍疾病.
- 睡眠姿势被怀疑会影响CLBP,通常不建议躺卧姿势.
研究的目的:
- 调查非特异性CLBP患者的偏好和避免睡眠姿势之间的关系.
- 为了确定CLBP患者在各种睡眠姿势中疼痛恶化的频率.
- 为了将疼痛和残疾水平与睡眠位置偏好相关联.
主要方法:
- 一项涉及375名患有CLBP的成年患者寻求专家咨询的横截面研究.
- 使用视觉模拟量表 (VAS) 评估疼痛强度;用奥斯韦斯特里残疾指数 (ODI) 测量残疾.
- 患者填写了关于他们喜欢和避免的睡眠姿势的问卷.
主要成果:
- 大多数患者 (87%) 偏爱横卧姿势;42% 由于疼痛而避免倾斜的姿势.
- 在77%的患者中,腰部疼痛扰乱了睡眠,其中92%的患者遇到睡眠或起床困难.
- 虽然倾斜的位置最常与疼痛有关,但侧向和仰卧的位置也在许多人中引起疼痛.
结论:
- 睡眠姿势对非特异性CLBP患者的疼痛有不同的影响.
- 对睡眠姿势的个体反应不同,倾斜,侧向和卧卧姿势可能会加剧疼痛.
- 针对睡眠姿势的量身定制建议对于有效的CLBP管理至关重要,因为患者的反应不同.
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