{"title":"感官组织测试对慢性腰痛患者平衡策略和跌倒能力的启示","authors":"Paul Sung, Dongchul Lee","doi":"10.1002/pri.70049","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and purpose: </strong>Chronic low back pain (LBP) significantly impacts quality of life and presents challenges in musculoskeletal health management. Effective sensory integration for balance control is crucial; however, the relationship between fall efficacy and balance strategies in individuals with LBP remains underexplored. This study aimed to evaluate balance strategy scores and equilibrium indices across various Sensory Organization Test (SOT) conditions by comparing individuals with and without chronic LBP in the context of fall efficacy.</p><p><strong>Methods: </strong>A total of 42 control subjects and 34 subjects with chronic LBP participated in the study. Balance strategy scores and equilibrium indices were assessed across six SOT conditions over three trials. The modified Falls Efficacy Scale (FES) was used to evaluate fall efficacy, incorporating five key outcome measures representing physical, mental, and social functions.</p><p><strong>Results: </strong>The LBP group exhibited a significant decrease in fall efficacy (t = 2.78, p = 0.01) and demonstrated significant interactions between trials and conditions (F = 25.39, p = 0.001). In SOT Condition 2, the LBP group showed significantly higher strategy scores during the first (t = -2.14, p = 0.01) and second (t = -1.75, p = 0.04) trials, with no significant difference in the third trial (t = 0.16, p = 0.33). Balance strategy scores varied significantly across trials (F = 6.71, p = 0.01).</p><p><strong>Discussion: </strong>The LBP group's higher strategy scores suggest a predominant reliance on ankle strategies to maintain balance, particularly under conditions with limited visual input during initial trials. This adaptive strategy may enhance fall efficacy by facilitating balance adjustments. These findings provide valuable insights for targeted strategies aimed at improving postural stability in the LBP group. Optimizing proprioceptive feedback and balance confidence is crucial for reducing fall risk and functional limitations.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70049"},"PeriodicalIF":1.5000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Insights From Sensory Organization Test on Balance Strategies and Fall Efficacy in Chronic Low Back Pain.\",\"authors\":\"Paul Sung, Dongchul Lee\",\"doi\":\"10.1002/pri.70049\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and purpose: </strong>Chronic low back pain (LBP) significantly impacts quality of life and presents challenges in musculoskeletal health management. Effective sensory integration for balance control is crucial; however, the relationship between fall efficacy and balance strategies in individuals with LBP remains underexplored. This study aimed to evaluate balance strategy scores and equilibrium indices across various Sensory Organization Test (SOT) conditions by comparing individuals with and without chronic LBP in the context of fall efficacy.</p><p><strong>Methods: </strong>A total of 42 control subjects and 34 subjects with chronic LBP participated in the study. Balance strategy scores and equilibrium indices were assessed across six SOT conditions over three trials. The modified Falls Efficacy Scale (FES) was used to evaluate fall efficacy, incorporating five key outcome measures representing physical, mental, and social functions.</p><p><strong>Results: </strong>The LBP group exhibited a significant decrease in fall efficacy (t = 2.78, p = 0.01) and demonstrated significant interactions between trials and conditions (F = 25.39, p = 0.001). In SOT Condition 2, the LBP group showed significantly higher strategy scores during the first (t = -2.14, p = 0.01) and second (t = -1.75, p = 0.04) trials, with no significant difference in the third trial (t = 0.16, p = 0.33). Balance strategy scores varied significantly across trials (F = 6.71, p = 0.01).</p><p><strong>Discussion: </strong>The LBP group's higher strategy scores suggest a predominant reliance on ankle strategies to maintain balance, particularly under conditions with limited visual input during initial trials. This adaptive strategy may enhance fall efficacy by facilitating balance adjustments. These findings provide valuable insights for targeted strategies aimed at improving postural stability in the LBP group. Optimizing proprioceptive feedback and balance confidence is crucial for reducing fall risk and functional limitations.</p>\",\"PeriodicalId\":47243,\"journal\":{\"name\":\"Physiotherapy Research International\",\"volume\":\"30 2\",\"pages\":\"e70049\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Physiotherapy Research International\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1002/pri.70049\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physiotherapy Research International","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/pri.70049","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
摘要
背景和目的：慢性腰痛（LBP）显著影响生活质量，并对肌肉骨骼健康管理提出挑战。有效的感觉整合对平衡控制至关重要；然而，对于腰痛患者的跌倒效果和平衡策略之间的关系仍未得到充分的研究。本研究旨在通过比较慢性下腰痛患者和非慢性下腰痛患者在跌倒效果方面的平衡策略得分和平衡指数，评估不同感觉组织测试（SOT）条件下的平衡策略得分和平衡指数。方法：对照组42例，慢性腰痛患者34例。平衡策略得分和平衡指数在三个试验中评估了六个SOT条件。使用改良的跌倒效能量表（FES）来评估跌倒效能，包括代表身体、心理和社会功能的五个关键结果指标。结果：LBP组跌倒疗效显著降低（t = 2.78, p = 0.01），试验和条件之间存在显著的相互作用（F = 25.39, p = 0.001）。在SOT条件2中，LBP组在第一试验（t = -2.14, p = 0.01）和第二试验（t = -1.75, p = 0.04）的策略得分均显著高于对照组（t = 0.16, p = 0.33）。各试验平衡策略得分差异显著（F = 6.71, p = 0.01）。讨论：LBP组较高的策略得分表明主要依赖踝关节策略来保持平衡，特别是在初始试验中视觉输入有限的情况下。这种适应性策略可以通过促进平衡调整来提高跌倒效果。这些发现为改善腰痛组的姿势稳定性提供了有价值的见解。优化本体感觉反馈和平衡信心对于减少跌倒风险和功能限制至关重要。
Insights From Sensory Organization Test on Balance Strategies and Fall Efficacy in Chronic Low Back Pain.
Background and purpose: Chronic low back pain (LBP) significantly impacts quality of life and presents challenges in musculoskeletal health management. Effective sensory integration for balance control is crucial; however, the relationship between fall efficacy and balance strategies in individuals with LBP remains underexplored. This study aimed to evaluate balance strategy scores and equilibrium indices across various Sensory Organization Test (SOT) conditions by comparing individuals with and without chronic LBP in the context of fall efficacy.
Methods: A total of 42 control subjects and 34 subjects with chronic LBP participated in the study. Balance strategy scores and equilibrium indices were assessed across six SOT conditions over three trials. The modified Falls Efficacy Scale (FES) was used to evaluate fall efficacy, incorporating five key outcome measures representing physical, mental, and social functions.
Results: The LBP group exhibited a significant decrease in fall efficacy (t = 2.78, p = 0.01) and demonstrated significant interactions between trials and conditions (F = 25.39, p = 0.001). In SOT Condition 2, the LBP group showed significantly higher strategy scores during the first (t = -2.14, p = 0.01) and second (t = -1.75, p = 0.04) trials, with no significant difference in the third trial (t = 0.16, p = 0.33). Balance strategy scores varied significantly across trials (F = 6.71, p = 0.01).
Discussion: The LBP group's higher strategy scores suggest a predominant reliance on ankle strategies to maintain balance, particularly under conditions with limited visual input during initial trials. This adaptive strategy may enhance fall efficacy by facilitating balance adjustments. These findings provide valuable insights for targeted strategies aimed at improving postural stability in the LBP group. Optimizing proprioceptive feedback and balance confidence is crucial for reducing fall risk and functional limitations.
期刊介绍：
Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.
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