Compensatory biomechanics and spinal loading during dynamic maneuvers in patients with chronic low back pain.
Compensatory biomechanics and spinal loading during dynamic maneuvers in patients with chronic low back pain.
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慢性腰痛患者动态活动期间的代偿性生物力学和脊柱负荷
DOI：
10.1007/s00586-022-07253-4
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发表时间：
2022-07
影响因子：
2.8
通讯作者：
Bailey, Jeannie F.
中科院分区：
文献类型：
--
作者：
Nyayapati, Priya;Booker, Jacqueline;Wu, Peter I-Kung;Theologis, Alekos;Dziesinski, Lucas;O'Neill, Conor;Zheng, Patricia;Lotz, Jeffrey C.;Matthew, Robert P.;Bailey, Jeannie F.
本研究探讨慢性腰痛（LBP）患者从坐到站（STS）功能动作背后的生物力学，以了解不同的脊柱疾病和疼痛严重程度如何与独特的代偿性生物力学行为相关。这项工作有助于我们进一步理解LBP患者脊柱负荷与症状之间的关系。
我们在常规临床就诊期间收集了44例非特异性腰痛（NS - LBP）患者和42例脊柱畸形腰痛（SD - LBP）患者的临床运动数据。一台RGB - 深度相机在无辅助的重复STS动作过程中从正面视角追踪三维关节位置。在同一临床就诊期间收集了患者报告的腰痛（视觉模拟评分法，VAS）和下腰痛失能（奥斯维斯特功能障碍指数，ODI）结果。
在患者组之间，与NS - LBP患者相比，SD - LBP患者的动态矢状面垂直排列（dSVA）大14.3%，脊柱峰值扭矩大10.1%（p < 0.001）。与NS - LBP患者相比，SD - LBP患者的髋关节扭矩也大11.8%（p < 0.001），膝关节扭矩大86.7%（p = 0.04）。在躯干前向或垂直速度方面，患者组之间没有显著差异，但躯干前向和垂直速度与VAS（r = - 0.38，p < 0.001）和ODI（r = - 0.29，p = 0.01）均相关。患者报告结果与其他变量无关。
LBP患者在STS转换过程中的运动生物力学存在差异，因为症状的严重程度可能与影响脊柱负荷的不同代偿策略有关。进一步的研究旨在建立运动与患者报告结果之间的关系，并为有针对性的康复方法提供依据。
This study explores the biomechanics underlying the sit-to-stand (STS) functional maneuver in chronic LBP patients to understand how different spinal disorders and levels of pain severity relate to unique compensatory biomechanical behaviors. This work stands to further our understanding of the relationship between spinal loading and symptoms in LBP patients. We collected in-clinic motion data from 44 non-specific LBP (NS-LBP) and 42 spinal deformity LBP (SD-LBP) patients during routine clinical visits. An RGB-depth camera tracked 3D joint positions from the frontal view during unassisted, repeated STS maneuvers. Patient-reported outcomes (PROs) for back pain (VAS) and low back disability (ODI) were collected during the same clinical visit. Between patient groups, SD-LBP patients had 14.3% greater dynamic sagittal vertical alignment (dSVA) and 10.1% greater peak spine torque compared to NS-LBP patients (p < 0.001). SD-LBP patients also had 11.8% greater hip torque (p < 0.001) and 86.7% greater knee torque (p = 0.04) compared to NS-LBP patients. There were no significant differences between patient groups in regard to anterior or vertical torso velocities, but anterior and vertical torso velocities correlated with both VAS (r = − 0.38, p < 0.001) and ODI (r = − 0.29, p = 0.01). PROs did not correlate with other variables. Patients with LBP differ in movement biomechanics during an STS transfer as severity of symptoms may relate to different compensatory strategies that affect spinal loading. Further research aims to establish relationships between movement and PROs and to inform targeted rehabilitation approaches.
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影响因子：
2.3
作者：
Kitagawa A;Yamamoto J;Toda M;Hashimoto Y
通讯作者：
Hashimoto Y
影响因子：
3
作者：
Glassman, SD;Bridwell, K;Schwab, F
通讯作者：
Schwab, F
DOI：
10.2519/jospt.2012.42.4.a1
发表时间：
2012-04
期刊：
The Journal of orthopaedic and sports physical therapy
影响因子：
--
作者：
Delitto A;George SZ;Van Dillen L;Whitman JM;Sowa G;Shekelle P;Denninger TR;Godges JJ;Orthopaedic Section of the American Physical Therapy Association
通讯作者：
Orthopaedic Section of the American Physical Therapy Association
影响因子：
2.3
作者：
Eguchi, Yawara;Iida, Satoshi;Ohtori, Seiji
通讯作者：
Ohtori, Seiji
影响因子：
3
作者：
Kim, K. Han;Choe, Su Bang;Martin, Bernard J.
通讯作者：
Martin, Bernard J.