骨质疏松患者疼痛与下肢肌力及生理功能间的相关性分析  

Pain, lower limb strength and physical function in patients with primary osteoporosis

作　　者：杨延砚[1] 陈亚平[1] 李涛 李玳[2] 赵炳楠[1] 左宁[1] 王威[1] 

机构地区：[1]北京大学第三医院康复医学科,北京100191 [2]北京大学医学部

出　　处：《中华物理医学与康复杂志》2010年第12期935-938,共4页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的 研究原发性骨质疏松或骨量低下患者疼痛与下肢肌力、生理功能间的相关性,为制订科学康复方案提供参考依据.方法 共选取57例绝经期骨量低下或原发性骨质疏松患者,采用多关节等速测试系统检测患者下肢肌力,采用视觉模拟评分法（VAS）评定下肢及腰背部疼痛,选用汉化版SF-36健康调查问卷对患者生理功能进行评定.结果 经相关性分析发现,入选患者腰痛及腿痛均与生理功能具有显著负相关性（P＜0.05）;且腿痛与生理功能的相关性大于腰痛;下肢在慢速及中速运动时,腿痛与优势腿伸肌群肌力均具有显著负相关性（均P＜0.05）;与优势腿屈肌群肌力均无明显相关性（均P＞0.05）.结论 原发性骨质疏松或骨量低下患者疼痛与其生理功能间具有显著负相关性,其中腿痛与生理功能的相关性大于腰痛;在肢体慢速及中速运动时,腿痛与优势腿伸肌群肌力具有显著负相关性,与屈肌群肌力无明显相关性.Objective To study the correlation between pain, lower limb strength and physical function in patients with primary osteoporosis. Methods Fifty-seven female patients diagnosed with menopause-related low bone mass or primary osteoporosis using a GE calcaneus bone density detector were involved in this study. The muscle strength of their lower limbs was tested with a Biodex system 4 machine. Pain was assessed with a visual analogue scale, and physical function （PF） with the SF-36 instrument. Results Low back pain was significantly correlated with PF, and so was leg pain. Leg pain was also significantly correlated with the strength of the extensors of the dominant leg during low velocity and medium velocity movement. Leg pain was not, however, significantly correlated with the strength of the flexors of the dominant leg during low and medium velocity movement. Conclusions Pain predicts poor physical function in patients with primary osteoporosis or low bone density. During low and medium velocity movement, leg pain significantly predicts poor muscle strength in the extensors of the dominant lower leg, but it has no correlation with the muscle strength of the flexors.

关 键 词：骨质疏松 疼痛 肌力 生理功能 

分 类 号：R580[医药卫生—内分泌]