刘芳研,南海鸥,王晓茁,等.青年慢性非特异性下背痛患者与健康受试者姿势控制能力的差异性研究[J].中华物理医学与康复杂志,2025,47(4):354-358
扫码阅读全文
|
| 青年慢性非特异性下背痛患者与健康受试者姿势控制能力的差异性研究 |
|
| |
| DOI：10.3760/cma.j.cn421666-20240601-00418 |
| 中文关键词: 慢性非特异性下背痛 姿势控制 姿势平衡 姿势稳定 |
| 英文关键词: Back pain Postural control Postural balance Postural stability |
| 基金项目:内蒙古自治区自然科学基金（2018MS08102）；内蒙古自治区卫生健康科技计划项目（202201294）；内蒙古自治区教育科学规划课题（NGJGH2021348） |
|
| 摘要点击次数: 31 |
| 全文下载次数: 37 |
| 中文摘要: |
| 目的 探讨青年慢性非特异性下背痛（CNLBP）患者与健康受试者在姿势稳定性及平衡性方面的差异。 方法 选取青年CNLBP患者25例（纳入患者组）及健康志愿者25例（纳入正常组）作为观察对象。分别对患者组及正常组受试者进行闭眼单腿站立测试、姿势平衡测试、姿势稳定测试及稳定极限测试，分析对比CNLBP患者与健康志愿者在动静态平衡、姿势平衡及姿势稳定性方面的差异。 结果 患者组闭眼左腿站立计时［(27.60±11.67)s］较正常组明显缩短（P值为 0.033）；患者组蹲位起立、双脚轮替站立时其肢体承重差值［分别是(5.60±2.94)%和(7.12±4.59)%］均较正常组明显增加（P值分别为0.030和0.045）；患者组将身体重心移向正左方、左后方的稳定极限值［分别为(63.66±13.30)%和(47.60±15.76)%］均显著低于正常组水平（P值分别为0.015和0.002），稳定极限时间［(97.04±15.80)s］较正常组明显增加（P值为0.028）；患者组睁眼站立调整重心时的前后、左右及总体稳定指数［分别是(3.82±1.64)、(3.58±1.06)和(5.35±1.61)］均较正常组明显增高（P值分别为0.043，0.010和0.006），闭眼站立时的前后、左右、总体稳定指数［分别是(4.59±2.07)、(4.18±1.63)和(6.36±2.26)］亦较正常组明显增高（P值分别为0.031，0.020和0.013）。 结论 与青年健康受试者比较，青年CNLBP患者存在一定程度的姿势控制障碍，如左腿静态平衡能力、动态平衡能力下降等；青年CNLBP患者在执行具有挑战性的平衡任务时表现出较差的姿势平衡性及稳定性，如在稳定平面蹲位起立、双脚轮替站立时的姿势平衡性较差；在不稳定平面睁眼站立调整重心、闭眼站立时的姿势稳定性较差，并且将身体重心移向正左方或左后方时有较大的跌倒风险。 |
| 英文摘要: |
| Objective To compare postural stability and balance in different tasks between people with and without chronic, non-specific low back pain (CNLBP). Methods Twenty patients with CNLBP formed the study′s CNLBP group, while 25 healthy counterparts were chosen as a normal group. Both groups were tested for their ability to standing on one leg with their eyes closed (the SOLEC test), for postural balance, for postural stability (PST), and had their limits of stability (LOS) time determined. The results were compared. Results Compared to the normal group, the CNLBP group showed a significant difference in left-right weight-bearing in a bipedal semi-squat and in two-legged alternate standing. Shifting the center of gravity in bipedal standing revealed significant differences in LOS time, anterior-posterior stability index (APSI), mediolateral stability index (MLSI) and overall stability. In bipedal standing with the eyes closed there were significant differences in APSI, MLSI and OSI observed. On average, the CNLBP group had significantly shorter SOLEC and LOS times on the left and rear left sides. Conclusions The CNLBP patients had some postural control deficits compared to their healthy counterparts and were less able to maintain static balance on their left leg and dynamic balance. They were less able to maintain postural balance in a bipedal semi-squat and during alternate leg standing. They are at greater risk of falling when moving the body′s center of gravity to the left or the rear left side. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
