脊骨盆部错位与慢性腰部疼痛中的腰部不稳定性和腰部肌肉相关 - 一项探索性研究
Tahere Seyedhoseinpoor1, Mohammad Ali Sanjari2, Mohammad Taghipour1
1Mobility Impairment Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Islamic Republic of Iran.
Scientific reports
|December 31, 2024
概括
盆腔下部发病率与腰椎病 (PI-LL) 不匹配与慢性腰部疼痛患者的更好的生活质量有关. 这表明PI-LL不匹配会影响脊柱稳定性和肌肉健康.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
背景情况:
- 盆腔发病率与腰椎位症 (PI-LL) 的不匹配是脊髓手术结果的关键因素.
- 低于10度的PI-LL不匹配往往与改善的生活质量有关.
研究的目的:
- 调查PI-LL不匹配和脊椎皮层参数之间的关系.
- 评估不同PI-LL不匹配的患者的腰部不稳定性.
- 在慢性腰部疼痛 (CLBP) 患者中分析腰部肌肉形态与PI-LL不匹配的关系.
主要方法:
- 在158名CLBP患者的横截面研究中.
- 脊椎皮层的参数通过站立横向放射测量.
- 腰部不稳定性通过腰部曲/延伸的X射线图进行评估.
- 腰延伸肌肉形态通过磁共振成像 (MRI) 进行评估.
主要成果:
- PI-LL不匹配显示出与腰椎稳定性的显著关联 (OR=0.26,p=0.005).
- 多和心肌主要肌肉截面区域 (TCSA和FCSA) 与PI-LL不匹配有很强的负相关性.
- 较低PI-LL不匹配的患者更年轻,表现出较少的脊骨偏差,腰部肌肉结构更好,但不稳定性更大.
结论:
- PI-LL不匹配与腰椎稳定性有显著的相关性.
- 腰部肌肉形态,特别是多体和大体,与PI-LL不匹配密切相关.
- 在CLBP患者中,较低的PI-LL不匹配可能表明肌肉质量更好,但增加不稳定性和补偿性主症.
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