颈部疼痛加剧，脊柱活动度降低，坐姿改变：慢性颈部疼痛女性的脊柱矢状排列和活动度

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice Pub Date : 2024-10-15 DOI:10.1016/j.msksp.2024.103205

Nur Efsan Unal , Sevtap Gunay Ucurum , Muge Kirmizi , Elif Umay Altas

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引用次数: 0

摘要

背景越来越多的证据表明，慢性颈痛（CNP）患者可能会表现出颈椎以外的生物力学改变。目的研究慢性颈部疼痛患者的颈部疼痛强度与脊柱矢状排列和活动度之间是否存在显著关联，并探讨脊柱矢状排列和活动度是否随疼痛强度而有所不同。采用视觉模拟量表（VAS）评估休息时和颈部活动时的颈部疼痛强度。使用皮肤表面测量仪评估坐姿和站姿时的矢状排列和活动度。线性回归分析用于评估相关性。根据疼痛强度将参与者分为两组，即轻度疼痛组（VAS≤4.4 cm）和中度至重度疼痛组（VAS>4.4 cm），并使用协方差分析进行比较。颈部运动时疼痛加剧与坐姿时腰部前凸增加有关（Beta = -0.376，p < 0.05）。按静止时的疼痛强度分类，中度/重度疼痛者坐位时的躯干活动度较低，坐位时的躯干前倾和骶骨后凸较高（η2p = 0.093-0.119, p <0.05）。根据颈部活动时的疼痛强度，中度/重度疼痛的女性坐着时骶骨活动度较低（η2p = 0.129，p < 0.05）。

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More neck pain, less spinal mobility, altered sitting posture: Sagittal spinal alignment and mobility in women with chronic neck pain

Background

Increasing evidence suggests that people with chronic neck pain (CNP) may display altered biomechanics beyond the cervical spine. However, whether spinal alignment and mobility are associated with neck pain is not clarified.

Objectives

To investigate whether there is a significant association between neck pain intensity and sagittal spinal alignment and mobility in people with CNP, and to examine whether sagittal spinal alignment and mobility differ according to pain intensity.

Design

A cross-sectional study.

Method

Forty-four women with CNP were included. The neck pain intensity at rest and during neck movements was assessed with the visual analogue scale (VAS). A skin-surface measurement device was used to assess sagittal alignment and mobility while sitting and standing. Linear regression analysis was used to assess associations. Participants were divided into two groups according to the pain intensity as group with mild pain (VAS≤4.4 cm) and group with moderate to severe pain (VAS>4.4 cm) and compared using the analysis of covariance.

Results

Greater resting pain was associated with a more forward trunk during sitting (Beta = 0.433, p < 0.05). Greater pain during neck movements was associated with increased lumbar lordosis during sitting (Beta = −0.376, p < 0.05). Classified by pain intensity at rest, trunk mobility while sitting was lower and forward trunk inclination and sacral kyphosis while sitting were higher in those with moderate/severe pain (η²_p = 0.093–0.119, p < 0.05). By pain intensity during neck movements, women with moderate/severe pain exhibited lower sacral mobility while sitting (η²_p = 0.129, p < 0.05).

Conclusions

Addressing the entire spine in the assessment and management of CNP may help reduce pain.

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来源期刊

Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

4.10

自引率

8.70%

发文量

152

审稿时长

48 days

期刊介绍： Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.