Comparison of trunk proprioception between patients with low back pain and healthy controls.
Comparison of trunk proprioception between patients with low back pain and healthy controls.
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DOI：
10.1016/j.apmr.2010.06.004
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发表时间：
2010-09
影响因子：
4.3
通讯作者：
Mysliwiec LW
中科院分区：
文献类型：
--
作者：
Lee AS;Cholewicki J;Reeves NP;Zazulak BT;Mysliwiec LW
目的探讨下腰痛患者是否存在本体感觉障碍。我们假设LBP患者的躯干本体感觉误差比健康对照组大。病例对照研究。大学实验室。24例非特异性LBP患者和24例年龄匹配的健康对照。不适用因我们测量躯干本体感觉在所有3个解剖平面的运动知觉阈值，主动复位，被动复位测试。LBP患者的运动觉阈值显著高于对照组（P<0.001）（1.3±0.9 vs.0.8 ±0.6度）。此外，所有受试者在横向平面中具有最大的运动感知阈值（P<0.001）（所有其他平面的平均值为1.2±0.7 vs 1.0±0.8度）。LBP组和健康对照组在复位任务上无显著差异。主动复位试验的误差显著小于被动复位试验（P=0.032）（1.9±1.2 vs. 2.3±1.4度）。这些研究结果表明，本体感觉的损害可能会检测到LBP患者的运动感知阈值的措施进行评估时。
To determine if proprioceptive impairments exist in patients with low back pain (LBP). We hypothesized that patients with LBP would exhibit larger trunk proprioception errors than healthy controls. Case-control study. University laboratory. 24 patients with non-specific LBP and 24 age-matched healthy controls. Not applicable. We measured trunk proprioception in all 3 anatomical planes using motion perception threshold, active repositioning, and passive repositioning tests. LBP patients had significantly greater motion perception threshold than controls (P<0.001)(1.3±0.9 vs. 0.8±0.6 degrees). Furthermore, all subjects had the largest motion perception threshold in the transverse plane (P<0.001) (1.2±0.7 vs. 1.0±0.8 degrees for all other planes averaged). There was no significant difference between LBP and healthy control groups in the repositioning tasks. Errors in active repositioning test were significantly smaller than in passive repositioning test (P=0.032) (1.9±1.2 vs. 2.3±1.4 degrees). These findings suggest that impairments in proprioception may be detected in patients with LBP when assessed with a motion perception threshold measure.