基于DAVID脊柱生物力学测训系统对强直性脊柱炎核心肌群评估研究  

Evaluation of core muscle groups in ankylosing spondylitis based on DAVID spinal biomechanics training system

作　　者：李敏[1] 阿呷使扎 吴晓惠[1] 吴俊华[2] 梁翼[1] 吴佳[1] 王翠平[1] 许静 黄明明 苏子涵 Li Min;A Ga Shizha null;Wu Xiaohui;Wu Junhua;Liang Yi;Wu Jia;Wang Cuiping;Xu Jing;Huang Mingming;Su Zihan(Department of Rheumatology,Sichuan Orthopedic Hospital,Chengdu 610041,China;Functional Laboratory of State Administration of Traditional Chinese Medicine,Chengdu 610041,China;Medicine,Chengdu institute of Physical Education,Chengdu 610041,China;Chengdu Hedong Sports Medical Center,Chengdu 610041,China)

机构地区：[1]四川省骨科医院风湿骨关节病科,成都610041 [2]四川省骨科医院国家中医药管理局重点机能实验室,610041 [3]成都体育学院运动医学系,610041 [4]成都和动运动医疗中心,610330

出　　处：《中华风湿病学杂志》2019年第10期656-661,共6页Chinese Journal of Rheumatology

基　　金：四川省中医药管理局资助项目(2018LC025);成都中医药大学校基金(YYZX1708)。

摘　　要：目的基于DAVID脊柱生物力学测训系统对AS核心肌群评估以了解AS的核心肌群功能变化。方法收集我院AS患者100例,健康对照组31名,分别收集其人口学资料、临床症状,BASDAI、BASFI、Bath强直性脊柱炎计量指数(BASMI)、强直性脊柱炎疾病活动度(ASDAS),并采用DAVID脊柱生物力学测训系统检测其脊柱力学功能,以及简易核心肌适能测试:八级腹桥、PLANK平板运动、腹部静态肌耐力测试、背部静态肌耐力测试,采用t检验比较2组之间的差异,以及Spearman相关分析探讨AS的核心肌力情况。结果①男性AS组与健康对照组在脊柱活动度比较中,前屈度、向右旋转度、向左旋转度(42±13和48±1,52±14和69±12,52±13和58±11;P值均<0.05),在脊柱肌肉力量比较中,前屈力、向右旋转力、向左旋转力、向右侧屈力(103±42和146±17,87±34和104±13,80±35和101±13,161±55和186±19;P值均<0.05),在脊柱平衡力量比较中,左/右旋转力量(1.17±0.21和1.02±0.11,P<0.05),差异均有统计学意义。②女性AS组与健康对照组在脊柱肌肉力量比较中,前屈力(49±23和77±10,P<0.05),在脊柱平衡力量比较中,前屈/后伸力量、左右旋转力量(0.32±0.11和0.58±0.21,1.29±0.21和1.03±0.11,P值均<0.05);③AS患者脊柱活动度与年龄(后伸度数r=-0.28,向右侧屈度数r=-0.268,向左侧屈度数r=-0.404,向右旋转度数r=-0.367,向左旋转度数r=-0.235,P值均<0.05);病程(后伸度数r=-0.354,前屈度数r=-0.283,向右侧屈度数r=-0.204,向左侧屈度数r=-0.284,向右旋转度数r=-0.339,向左旋转度数r=-0.23,P值均<0.05);BMI(后伸度数r=-0.23,前屈度数r=-0.288,向右侧屈度数r=-0.22,向左侧屈度数r=-0.201,向右旋转度数r=-0.26,向左旋转度数r=-0.29,P值均<0.05),骶髂关节分期(后伸度数r=-0.375,前屈度数r=-0.446,向右侧屈度数r=-0.331,向左侧屈度数r=-0.367,向右旋转度数r=-0.368,向左旋转度数r=-0.314,P值均<0.05),BASDAI相关(后伸度数r=-0.381,前屈度数r=Objective To evaluate and describe the changes of core muscle groups based on DAVID spine biomechanics training system in ankylosing spondylitis(AS)patients.Methods The clinical data of 100 patients of AS and 31 healthy controls were collected.Clinical symptoms,Bath ankylosing spondylitis disease activity index(BASDAI),Bath ankylosing spondylitis function index(BASFI),Bath ankylosing spondylitis measurement index(BASMI),ankylosing spondylitis disease activity(ASDAS),and simultaneous detection of DAVID spine biomechanics training system,simple core muscle fitness test:Eight-grade abdominal bridge,PLANK exercise(flat support),Abdominal static muscle endurance test,Back static muscle endurance test were compared using t-test analysis and spearman correlation analysis.Results①Between AS and healthy male control o group,there were significant differences of spinal mobility in forward flexion,right rotation,left rotation(42±13 vs 48±1,52±14 vs 69±12,52±13 vs 58±11;all P values<0.05);and significant differences of spinal muscle strength in forward bending force,right rotation force,left rotation force,right bending force(103±42 vs 146±17,87±34 vs 104±13,80±35 vs 101±13,161±55 vs 186±19;all P values<0.05),and significant differences in the left/right rotational force(1.17±0.21 vs 1.02±0.111,P<0.05)of spine balance strength comparison.②Between AS and healthy controls of female group,there were differences in forward bending force(49±23 vs 77±10,P<0.05)of spinal muscle strength;and significant differences in forward bending/backward extension strength,left and right rotation strength(0.32±0.11 vs 0.58±0.21,1.29±0.21 vs1.03±0.11,all P values<0.05)of spine balance strength;③In AS group,the spinal mobility was correlated with age(Rear extension r=-0.28,right flexion r=-0.268,left flexion r=-0.404,right rotation r=-0.367,left rotation r=-0.235;all P values<0.05),course of disease(Rear extension r=-0.354,forward flexion r=-0.283,right flexion r=-0.204,left flexion r=-0.284,right rotation r=-0.339,lef

关 键 词：脊柱炎 强直性 脊柱机能 核心肌力 DAVID脊柱生物力学测训系统 运动疗法 

分 类 号：R68[医药卫生—骨科学]