The characteristics, disabilities, and spinal alignment of women with double crush syndrome: a case-control study.

IF 1.3 4区医学 Q4 NEUROSCIENCES

Somatosensory and Motor Research Pub Date : 2021-09-01 Epub Date: 2021-04-05 DOI:10.1080/08990220.2021.1908250

Derya Ozer Kaya, Seyda Toprak Celenay, Senem Sas

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引用次数: 1

Abstract

Aims: Double crush syndrome is a clinical condition composed of neurological dysfunction due to compressive pathology at multiple sites along a single peripheral nerve. The aims were to investigate the characteristics and disabilities of women with double crush syndrome, to compare the spinal alignment to healthy women, and to determine the cut-offs for the spinal alignment characteristics.

Methods: Twenty women with double crush syndrome (age: 49.50 ± 8.64 years) and 21 asymptomatic healthy controls (age: 44.76 ± 7.82 years) were included in the study. The physical characteristics, pain intensity, and symptoms were questioned. Disability with Disability of Arm and Shoulder Questionnaire and Neck Disability Index and spinal alignment with Spinal Mouse^® (Idiag, Fehraltorf, Switzerland) were assessed.

Results: The pain intensity at rest, night, and during activity was 3.70 ± 3.25, 6.01 ± 2.77, and 7.15 ± 2.68 cm, respectively. The most bothersome symptom was numbness (65%). The symptoms were seen in hands and/or fingers (55%), arms (15%), shoulder blade (15%), and neck (15%). The Disability of Arm and Shoulder Questionnaire and Neck Disability Index scores were 58.64 ± 15.41 and 19.55 ± 6.37, respectively. The sagittal thoracic curvature (p: .011) and lumbar curvature (p: .049) increased, and the overall spine mobility (p<.001) decreased in the double crush syndrome patients. The cut-off points were detected as 54.5° (area under the curve: 0.680, p: .049, 40% sensitivity, 99.9% specificity) for the thoracic spinal curvature, and 113.5° (area under the curve: 0.667, p<.000, 65% sensitivity, 99.9% specificity) for the overall spine mobility.

Conclusions: The double crush syndrome patients had moderate to severe pain and disability, increased thoracic and lumbar curvature, and decreased spine mobility. The cut-off values were found as 54.5° for thoracic curvature and 113.5° for spine mobility.

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双重挤压综合征女性的特征、残疾和脊柱对齐:一项病例对照研究。

目的:双重挤压综合征是一种神经功能障碍的临床症状，由于压迫病理在多个部位沿单一周围神经。目的是调查双重挤压综合征女性的特征和残疾，将脊柱对齐与健康女性进行比较，并确定脊柱对齐特征的截止点。方法:选取20例双挤压综合征患者(年龄49.50±8.64岁)和21例无症状健康对照(年龄44.76±7.82岁)作为研究对象。对患者的身体特征、疼痛强度和症状进行了调查。使用spinal Mouse®(Idiag, Fehraltorf, Switzerland)对手臂和肩部残疾问卷、颈部残疾指数和脊柱对准进行评估。结果:休息、夜间、活动时疼痛强度分别为3.70±3.25 cm、6.01±2.77 cm、7.15±2.68 cm。最令人烦恼的症状是麻木(65%)。症状见于手和/或手指(55%)、手臂(15%)、肩胛骨(15%)和颈部(15%)。臂肩残疾问卷得分为58.64±15.41分，颈部残疾指数得分为19.55±6.37分。矢状胸椎曲度(p: 0.011)和腰椎曲度(p: 0.049)增加，胸椎曲度和113.5°(曲线下面积:0.667)的整体脊柱活动度(p: 0.049，敏感性40%，特异性99.9%)增加，结论:双挤压综合征患者有中重度疼痛和残疾，胸椎曲度和腰椎曲度增加，脊柱活动度降低。截断值为胸椎弯曲度54.5°，脊柱活动度113.5°。

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

Somatosensory and Motor Research 医学-神经科学

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Somatosensory & Motor Research publishes original, high-quality papers that encompass the entire range of investigations related to the neural bases for somatic sensation, somatic motor function, somatic motor integration, and modeling thereof. Comprising anatomical, physiological, biochemical, pharmacological, behavioural, and psychophysical studies, Somatosensory & Motor Research covers all facets of the peripheral and central processes underlying cutaneous sensation, and includes studies relating to afferent and efferent mechanisms of deep structures (e.g., viscera, muscle). Studies of motor systems at all levels of the neuraxis are covered, but reports restricted to non-neural aspects of muscle generally would belong in other journals.