Relationships Between Trunk Endurance, Low Back Pain Severity and Functional Disability in a United States Veteran Population: A Cross-sectional Retrospective Study.

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics Pub Date : 2025-09-27 DOI:10.1016/j.jmpt.2025.08.001

Wren M Burton, Alec L Schielke, Robert J Butler, David B Huberman, Matthew H Kowalski, Peter M Wayne, Jeff Teraoka, Robert Vining

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引用次数: 0

Abstract

Objective: The purpose of this study was to examine the relationships between low back pain (LBP) and trunk endurance (TE) in a United States Veteran population.

Methods: Data were collected from the Veterans Affairs Palo Alto Healthcare System electronic health records (01/2019-12/2019) to identify adults aged 18-89 years presenting with nonsurgical LBP for a chiropractic consultation. Coefficient estimates, standard error, and P-values were calculated from multivariable linear regression for primary (LBP severity) and secondary (functional disability) outcomes, controlling for age, sex, and body composition.

Results: A total of 85 patients (mean age 53.6 years) were included. Trunk endurance was significantly associated with LBP severity (β: -0.042, P < .001) and Oswestry disability index (ODI) scores (β: -0.334, P < .001) suggesting that participants with greater TE (ie, longer prone bridge (plank) test time) had lower LBP severity and lower functional disability than those with poorer TE.

Conclusion: In this sample of Veterans, higher LBP severity and greater functional disability (ODI scores) were associated with reduced TE. Body mass index did not significantly influence these relationships.

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美国退伍军人躯干耐力、腰痛严重程度和功能残疾之间的关系：一项横断面回顾性研究。

目的：本研究的目的是研究美国退伍军人中腰痛（LBP）和躯干耐力（TE）之间的关系。方法：收集退伍军人事务帕洛阿尔托医疗系统电子健康记录（2019年1月1日- 2019年12月）的数据，以确定年龄在18-89岁之间的非手术性腰痛患者进行脊椎按摩咨询。在控制年龄、性别和身体组成的情况下，通过多变量线性回归计算主要（LBP严重程度）和次要（功能性残疾）结局的系数估计、标准误差和p值。结果：共纳入85例患者，平均年龄53.6岁。躯干耐力与腰痛严重程度（β: -0.042, P < .001）和Oswestry残疾指数（ODI）评分（β: -0.334, P < .001）显著相关，表明TE越高（即俯卧桥（平板）测试时间越长）的参与者的腰痛严重程度和功能残疾越低。结论：在退伍军人样本中，较高的腰痛严重程度和较大的功能残疾（ODI评分）与TE降低有关。身体质量指数对这些关系没有显著影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Manipulative and Physiological Therapeutics 医学-康复医学

CiteScore

3.00

自引率

7.70%

发文量

审稿时长

29 weeks

期刊介绍： The Journal of Manipulative and Physiological Therapeutics (JMPT) is an international and interdisciplinary journal dedicated to the advancement of conservative health care principles and practices. The JMPT is the premier biomedical publication in the chiropractic profession and publishes peer reviewed, research articles and the Journal''s editorial board includes leading researchers from around the world. The Journal publishes original primary research and review articles of the highest quality in relevant topic areas. The JMPT addresses practitioners and researchers needs by adding to their clinical and basic science knowledge and by informing them about relevant issues that influence health care practices.