慢性腰部疼痛和姿势不稳定:疼痛严重程度,年龄,BMI和残疾的相互作用效应
Adel Alshahrani1, Ravi Shankar Reddy2, Sunil Kumar Ravi2
1Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, Najran University, Najran, Saudi Arabia.
Frontiers in public health
|February 3, 2025
概括
患有慢性腰部疼痛 (CLBP) 的个人表现出较差的姿势稳定性. 疼痛严重程度,年龄,BMI和残疾等因素显著影响平衡,突出了减少跌倒风险的有针对性的干预措施的必要性.
科学领域:
- 生物力学 生物力学
- 神经学 神经学
- 肌肉骨健康 肌肉骨健康
背景情况:
- 慢性腰部疼痛 (CLBP) 是一种普遍的疾病,影响全球数百万人.
- 姿势控制障碍越来越被认为是导致CLBP患者残疾和跌倒的因素.
- 了解疼痛,身体组成,年龄和姿势稳定性之间的相互作用对于有效的管理至关重要.
研究的目的:
- 为了比较CLBP个体和健康对照之间的姿势摆动.
- 调查疼痛强度和姿势稳定性指标之间的关系.
- 分析年龄,BMI,疼痛严重程度和残疾如何相互作用以影响姿势控制.
主要方法:
- 一个稳定计平台被用来评估88名CLBP患者和88名对照者的姿势稳定性.
- 关键变量包括摇摆面积,摇摆速度和压力中心 (CoP) 位移.
- 记录了疼痛严重程度 (视觉模拟尺度) 和残疾 (奥斯韦斯特残疾指数),并进行了统计分析,包括t测试,相关性和ANOVA.
主要成果:
- 与对照组相比,CLBP患者表现出明显更大的姿势摆动,特别是在闭眼的情况下.
- 在疼痛严重程度和增加的摇摆速度和CoP位移之间发现了正相关性.
- 相互作用效应显示,老年,肥胖的个体有严重的疼痛和高残疾的高度不稳定性.
结论:
- 慢性腰痛与体位稳定性受损有关,受疼痛,BMI,年龄和残疾的影响.
- 这些发现强调了复杂因素在康复治疗中的重要性.
- 针对这些特定因素的干预措施可以改善CLBP种群的平衡并减轻跌倒风险.
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