腰椎前脊椎肌肉属性在剖腹产后患有中度严重腰部疼痛的母亲中显示出变化吗? 一个案例对照研究
Mohamed G Ali1, Abeer A Mohammed2, Walaa M Ragab2,3
1Department of Physical Therapy for Women's Health, Faculty for Physical Therapy, South Valley University, Qena 83523, Egypt.
Journal of clinical medicine
|February 13, 2025
概括
剖腹产 (CB) 与非特异性腰部疼痛 (NSLBP) 有关. 患有NSLBP的后CB母亲表现出肌肉度下降和腰部肌肉粘度增加,但硬度和弹性保持不变.
科学领域:
- 物理治疗 物理治疗
- 肌肉骨健康 肌肉骨健康
- 产后康复 产后康复
背景情况:
- 剖腹产 (CB) 与非特异性腰部疼痛 (NSLBP) 有关.
- 肌肉组织的特性可以表明生理或病理条件.
- 腰椎准脊椎肌肉 (LPVMs) 对于脊柱的稳定性和功能至关重要.
研究的目的:
- 测量产后母亲的LPVMs的收缩性,生物机械性和粘性性质,在剖腹产分娩后患有NSLBP.
- 为了比较NSLBP和健康对照的母亲之间的这些肌肉特性.
- 调查LPVM属性与产后期NSLBP之间的关系.
主要方法:
- 一项涉及60名女性的病例控制研究,分为30例病例 (CB后有中度NSLBP) 和30例对照 (健康,没有/轻度NSLBP).
- 测量肌肉强度,放松时间,爬行,硬度和腰椎准脊椎肌肉 (LPVMs) 的弹性.
- 统计分析包括t测试和回归分析,以比较群体并确定风险因素.
主要成果:
- 在LPVM的音调,放松时间和病例和对照之间的爬行 (p <0.05) 中发现了显著的差异.
- 两组之间没有观察到LPVM硬度和弹性的显著差异 (p > 0.05).
- 回归分析表明,LPVM属性是后CBNSLBP的强有力的风险因素.
结论:
- 剖腹产后患有NSLBP的产妇表现出LPVMs的收缩性 (音调下降) 和粘性 (粘度增加) 特性发生变化.
- 像LPVM的刚性和弹性这样的生物力学特性显示出最小的变化.
- LPVM属性是产后妇女NSLBP的重要贡献者,在临床评估和治疗中需要考虑.
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