自我报告的腰部疼痛与腹壁肌肉的形态变化之间的相关性
Yan Zhang1,1, Xiuling Zhou1,1, Yulan Zhu2,1
1Department of Ultrasonography, Huashan Hospital, Fudan University, Shanghai, China.
Journal of back and musculoskeletal rehabilitation
|September 6, 2024
概括
腹部直径扩张 (DRA) 患者的腰部疼痛 (LBP) 显示腹部肌肉比对照人群更薄,但DRA严重程度和肌肉厚度在LBP和无症状组之间没有差异. 仅靠直肠间距离 (IRD) 可能无法解决DRA中的LBP.
科学领域:
- 生殖医学 生殖医学
- 肌肉骨系统疾病 肌肉骨系统疾病
- 物理疗法物理治疗
背景情况:
- 腹部直径扩张 (DRA) 是常见的产后疾病,通常与腰部疼痛 (LBP) 相关.
- DRA严重程度,腹肌形态和LBP症状之间的确切关系尚不清楚.
- 调查腹肌和直肠间距离 (IRD) 的形态变化在患有和没有LBP的DRA患者中至关重要.
研究的目的:
- 确定腹部直径扩张 (DRA) 严重程度和腰部疼痛 (LBP) 之间的相关性.
- 为了比较DRA患者与没有LBP症状之间的腹壁肌肉的形态差异.
- 评估产后妇女的直肠间距离 (IRD) 和腰椎压力之间的关系.
主要方法:
- 招募了57名患有DRA的分娩后妇女 (21无症状,36患有LBP) 和30名对照.
- 腰部疼痛 (LBP) 的严重程度使用数值评分表 (NRS) 进行评估.
- 使用超声波测量腹肌厚度和直肠间距离 (IRD).
主要成果:
- 与对照人群相比,DRA患者的腹肌 (直腹肌,外斜肌,腹横肌) 在DRA患者中较薄.
- 在有或没有LBP的DRA患者之间,没有发现腹肌厚度或IRD的显著差异.
- 腰痛严重程度 (NRS得分) 与DRA严重程度或腹肌厚度没有相关性.
结论:
- 在产后DRA患者中,LBP症状与DRA严重程度或腹肌形态的显著差异无关.
- 仅仅减少直肠间距离 (IRD) 可能无法缓解腹部直径扩张 (DRA) 患者的腰痛 (LBP).
- DRA,腹肌和产后LBP之间的相互作用需要谨慎的解释.
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