慢性非特异性腰痛患者腰椎位置觉与腰肌耐力、疼痛的相关性  

Correlation of Lumbar Vertebrae Position Perception to Psoas Muscles Endurance and Pain in Chronic Non-specific Low Back Pain Patients

作　　者：王新[1] 舒适[1] 方凡夫[1] 顾伟[1] WANG Xin SHU Shi FANG Fan-fu GU Wei(Faculty of Chinese Traditional Medicine, Changhai Hospital, the Second Military Medical Unviersity, Shanghai 200433, Chin)

机构地区：[1]第二军医大学附属长海医院中医系,上海市200433

出　　处：《中国康复理论与实践》2017年第7期820-823,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金：上海市中医药三年行动计划项目(No.ZY3-CCCX-3-7002);空军后勤部重点项目(No.BKJ14J007)

摘　　要：目的研究慢性非特异性腰痛(CNLBP)患者与健康人腰椎位置觉的差异,探讨腰肌耐力、疼痛与腰椎位置觉的相关性。方法 2014年1月至2015年5月,选取CNLBP患者和健康人各30例,采用Biodex System 3系统检测脊柱前屈、背屈位置觉误差(AE),同步测试腰肌耐力;CNLBP患者采用疼痛数字分级量表(NRS)自我评估腰部疼痛,计算AE与腰肌耐力、NRS的Pearson相关系数。结果 CNLBP患者前屈、背屈位AE均大于健康人(t>1.862,P<0.05),腰肌耐力低于健康人(t=2.307,P<0.05)。CNLBP患者腰肌耐力与脊柱前屈位AE负相关(r=-0.71),与背屈位AE中度负相关(r=-0.47);NRS与脊柱前屈位AE高度正相关(r=0.78),与背屈位AE中度正相关(r=0.49)。健康人前屈、背屈位AE与腰肌耐力低度负相关(r=-0.38、r=-0.29)。结论 CNLBP患者的脊柱本体感觉下降,其脊柱本体感觉差异大小与腰痛程度、腰肌耐力有关。Objective To investigate the position sense in chronic non-specific low back pain （CNLBP） patients, and the correlation to pain and endurance of psoas muscles. Methods From January, 2014 to May, 2015, 30 patients with CNLBP and other 30 healthy subjects were measured spine flexion and extension position sense absolute error （AE） and psoas endurance with Biodex System 3 synchronously, and the patients were self-assessed the pain in lumbar with Numerical Rating Scale （NRS）. The Pearson correlation coefficient of AE to pso-as endurance and NRS was calculated. Results AE of flexion and extension was both more in the patients than in the healthy （t〉1.862, P〈0.05）, and the psoas muscle endurance was less （t=2.307, P〈0.05）. AE of flexion （r=-0.71） and extension （r=-0.47） negatively correlated with the psoas muscle endurance in the patients, and positively correlated with NRS score （r=0.78 for flexion, and r=0.49 for extension）. AE mildly negative correlated with the psoas muscle endurance （r=-0.38 for flexion, and r=-0.29 for extension）. Conclusion Spine sensation has been impaired in CNLBP patients, and may associate with pain and psoas muscles endurance loss.

关 键 词：慢性非特异性腰痛 位置觉 腰肌耐力 疼痛 

分 类 号：R681.55[医药卫生—骨科学]