慢性非特异性腰痛患者的运动和姿势控制:一项盲法和对照横断面研究,比较健康对照者和慢性非特异性腰痛患者运动和姿势控制障碍的数量

N. Kay, S. Wolfram, Engel Kerstin, Emmerich Jan, W. Thomas, Casser Hans-Reimund, Marnitz Ulf, S. Ulrich, Michaelis Johannes, Loudovici-Krug Dana
{"title":"慢性非特异性腰痛患者的运动和姿势控制:一项盲法和对照横断面研究,比较健康对照者和慢性非特异性腰痛患者运动和姿势控制障碍的数量","authors":"N. Kay, S. Wolfram, Engel Kerstin, Emmerich Jan, W. Thomas, Casser Hans-Reimund, Marnitz Ulf, S. Ulrich, Michaelis Johannes, Loudovici-Krug Dana","doi":"10.37722/aoasm.20205","DOIUrl":null,"url":null,"abstract":"Background: Motor and postural control dysfunctions are hypothesized to be important for the development and clinical course of chronic, non-specific low back pain (cLBP). Objective: Evaluation of the ability of simple, reliable clinical tests to differentiate various aspects motor and postural control between patients with cLBP and healthy controls. Methods: Blinded, cross-sectional control study using clinical tests comparing motor and postural control between patients and healthy controls. Standardized and reliable clinical tests for motor and postural control were applied to patients with cLBPadmitted to different study centers. The quantity of positive findings wascompared to those in healthy controls measured by the same tests. Examiners were blinded regarding patient or control group. Results: We compared the motor and postural control of 46 cLBP patients and 36 healthy controls. Patients with cLBP had significantly more positive pathological tests for movement control (one-leg stance (p 0,006), hip extension, (p<0,001) and breathing pattern (p 0,032)). No significant differences were observed between groups for tests examining postural control. Patients with cLBP had significantly more trigger points in muscles relevant to postural control (pelvic floor; p 0,012). Conclusions: It was found that, in general, cLBP patients have poorer motor and postural control relative to healthy subjects. However, not all patients showed poor motor and postural control. Therefore, MPCD might only be relevant for a subgroup of patients with cLBP. Targeted diagnostic and treatment settings as well as preventive interventions for this subgroup should be the aim of further studies.","PeriodicalId":7354,"journal":{"name":"Advances in Orthopedics and Sports Medicine","volume":"2014 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Motor And Postural Control In Patients With Chronic Nonspecific Low Back Pain: A Blinded And Controlled Cross-Sectional Study Comparing The Quantity Of Motor And Postural Control Disturbances Between Healthy Controls And Patients With Chronic Non-Specific Low Back Pain\",\"authors\":\"N. Kay, S. Wolfram, Engel Kerstin, Emmerich Jan, W. Thomas, Casser Hans-Reimund, Marnitz Ulf, S. Ulrich, Michaelis Johannes, Loudovici-Krug Dana\",\"doi\":\"10.37722/aoasm.20205\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Motor and postural control dysfunctions are hypothesized to be important for the development and clinical course of chronic, non-specific low back pain (cLBP). Objective: Evaluation of the ability of simple, reliable clinical tests to differentiate various aspects motor and postural control between patients with cLBP and healthy controls. Methods: Blinded, cross-sectional control study using clinical tests comparing motor and postural control between patients and healthy controls. Standardized and reliable clinical tests for motor and postural control were applied to patients with cLBPadmitted to different study centers. The quantity of positive findings wascompared to those in healthy controls measured by the same tests. Examiners were blinded regarding patient or control group. Results: We compared the motor and postural control of 46 cLBP patients and 36 healthy controls. Patients with cLBP had significantly more positive pathological tests for movement control (one-leg stance (p 0,006), hip extension, (p<0,001) and breathing pattern (p 0,032)). No significant differences were observed between groups for tests examining postural control. Patients with cLBP had significantly more trigger points in muscles relevant to postural control (pelvic floor; p 0,012). Conclusions: It was found that, in general, cLBP patients have poorer motor and postural control relative to healthy subjects. However, not all patients showed poor motor and postural control. Therefore, MPCD might only be relevant for a subgroup of patients with cLBP. Targeted diagnostic and treatment settings as well as preventive interventions for this subgroup should be the aim of further studies.\",\"PeriodicalId\":7354,\"journal\":{\"name\":\"Advances in Orthopedics and Sports Medicine\",\"volume\":\"2014 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Advances in Orthopedics and Sports Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.37722/aoasm.20205\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Advances in Orthopedics and Sports Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.37722/aoasm.20205","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

背景:假设运动和姿势控制功能障碍对慢性非特异性腰痛(cLBP)的发展和临床过程很重要。目的:评价简单、可靠的临床试验区分cLBP患者与健康对照者在运动和姿势控制方面的能力。方法:采用临床试验对患者和健康对照者的运动和姿势控制进行盲法横断面对照研究。对不同研究中心收治的clbp患者进行了标准化和可靠的运动和姿势控制临床测试。将阳性结果的数量与通过相同测试测量的健康对照进行比较。审查员对患者或对照组采取盲法。结果:我们比较了46例cLBP患者和36例健康对照者的运动和姿势控制。cLBP患者在运动控制(单腿站立(p< 0.006)、髋关节伸展(p< 0.001)和呼吸模式(p< 0.032))方面的病理检查明显阳性。在检查姿势控制的测试中,各组之间没有观察到显著差异。cLBP患者在与姿势控制相关的肌肉中有更多的触发点(盆底;0012页)。结论:总体而言,与健康受试者相比,cLBP患者的运动和姿势控制能力较差。然而,并非所有患者都表现出运动和姿势控制不良。因此,MPCD可能只与cLBP患者的一个亚组相关。针对这一亚群的有针对性的诊断和治疗设置以及预防性干预措施应该是进一步研究的目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Motor And Postural Control In Patients With Chronic Nonspecific Low Back Pain: A Blinded And Controlled Cross-Sectional Study Comparing The Quantity Of Motor And Postural Control Disturbances Between Healthy Controls And Patients With Chronic Non-Specific Low Back Pain
Background: Motor and postural control dysfunctions are hypothesized to be important for the development and clinical course of chronic, non-specific low back pain (cLBP). Objective: Evaluation of the ability of simple, reliable clinical tests to differentiate various aspects motor and postural control between patients with cLBP and healthy controls. Methods: Blinded, cross-sectional control study using clinical tests comparing motor and postural control between patients and healthy controls. Standardized and reliable clinical tests for motor and postural control were applied to patients with cLBPadmitted to different study centers. The quantity of positive findings wascompared to those in healthy controls measured by the same tests. Examiners were blinded regarding patient or control group. Results: We compared the motor and postural control of 46 cLBP patients and 36 healthy controls. Patients with cLBP had significantly more positive pathological tests for movement control (one-leg stance (p 0,006), hip extension, (p<0,001) and breathing pattern (p 0,032)). No significant differences were observed between groups for tests examining postural control. Patients with cLBP had significantly more trigger points in muscles relevant to postural control (pelvic floor; p 0,012). Conclusions: It was found that, in general, cLBP patients have poorer motor and postural control relative to healthy subjects. However, not all patients showed poor motor and postural control. Therefore, MPCD might only be relevant for a subgroup of patients with cLBP. Targeted diagnostic and treatment settings as well as preventive interventions for this subgroup should be the aim of further studies.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信