急性腰痛患者的脊柱运动障碍

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice Pub Date : 2025-05-03 DOI:10.1016/j.msksp.2025.103344

Kayla O. Krueger , Vanessa M. Lanier , Ryan P. Duncan , Linda R. van Dillen

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引用次数: 0

摘要

脊柱运动障碍在慢性腰痛（LBP）患者中很重要。目的探讨急性腰痛患者是否表现出损伤。比较急性LBP患者与慢性LBP患者损伤的患病率。检查系统地修改缺陷对症状的影响。设计二级分析方法183例腰痛患者由训练有素的物理治疗师采用标准化检查进行检查。参与者使用自己喜欢的策略进行了9次初级测试。临床医生确定是否存在损伤。参与者报告了初步测试对症状的影响。如果存在缺陷，则在二次测试期间对其进行修改以改善缺陷。参与者报告了第二次测试相对于第一次测试对症状的影响。使用独立性卡方检验来检验急性和慢性腰痛患者之间损伤比例的差异。使用McNemar-Bowker试验来测试从主要测试到次要测试的症状是否有变化。结果急性腰痛患者表现出脊柱运动障碍，9项主要检查中有7项与慢性腰痛患者相似。大多数有症状性障碍的参与者报告说，当障碍得到改善时，他们的症状有所改善。结论脊髓运动障碍在急性腰痛患者中普遍存在，可在临床试验中加以改善以改善腰痛症状。

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Spinal movement impairments in people with acute low back pain

Background

Spinal movement impairments have been found to be important in people with chronic low back pain (LBP).

Objectives

Identify whether people with acute LBP display the impairments. Compare the prevalence of impairments in people with acute LBP to that of people with chronic LBP. Examine the effect on symptoms of systematically modifying the impairments.

Design

Secondary analysis

Method

183 people with LBP were examined by trained physical therapists using a standardized examination. Participants performed 9 primary tests using their preferred strategy. The clinician determined whether an impairment was present or absent. Participants reported the effect of the primary test on symptoms. If an impairment was present, it was modified to improve the impairment during a secondary test. Participants reported the effect of the secondary test on symptoms relative to symptoms with the primary test. Chi-square tests of independence were used to test for differences in the proportion of impairments between people with acute LBP and people with chronic LBP. A McNemar-Bowker test was used to test whether there was a change in symptoms from the primary test to the secondary test.

Results

People with acute LBP displayed the spinal movement impairments and the prevalence was similar to that of people with chronic LBP for 7 of the 9 primary tests. Most participants with symptomatic impairments reported their symptoms improved when the impairment was modified.

Conclusions

Spinal movement impairments are prevalent in people with acute LBP and may be modified during clinical tests to improve LBP symptoms.

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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.