Risk factors of low back pain and the relationship with sagittal vertebral alignment in Tanzania
Risk factors of low back pain and the relationship with sagittal vertebral alignment in Tanzania
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DOI：
10.1186/s12891-019-2953-x
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发表时间：
2019-12-04
影响因子：
2.3
通讯作者：
Aoyama, Tomoki
中科院分区：
文献类型：
--
作者：
Tatsumi, Masataka;Mkoba, Egfrid Michael;Aoyama, Tomoki
背景：LBP是一个普遍而严重的问题，影响着世界上大量的人口。然而，在撒哈拉以南非洲地区只进行了很少的LBP研究。研究报告说，腰痛和骨盆角是相互关联的，非洲居民有一个高骨盆倾斜。预防LBP的策略应侧重于促进整体健康的活动。为此，重要的是要掌握LBP的状况及其如何影响坦桑尼亚人民的生活方式，以明确实施物理治疗的方向，并减少成年人中LBP的发病率。本研究旨在调查的患病率和介绍下腰痛（LBP）和人体测量和LBP之间的关系，在莫希市，基利曼哈罗地区Tanzan.Methods：签署同意书后，参与者被给予问卷调查，关于LBP，然后相应地分为无症状或有症状的队列。人体测量参与者的身高，体重，脊柱弯曲，骨盆anglewerceed.Results：曼惠特尼U检验分析显示，骨盆角，体重指数（BMI），胸椎后凸角之间的无症状组和有症状组的显着差异。腰椎前凸角或腹肌强度没有显着差异，发现两组之间。结论：一个人有症状的LBP在坦桑尼亚有一个大前倾的骨盆倾斜和胸椎后凸姿势。这项研究显示了矢状面脊柱排列和LBP之间的关系，在坦桑尼亚，这可以允许前瞻性识别的主题，易于发展LBP在未来。
Background: LBP is a common and serious problem affecting vast populations of the world. However, only few studies on LBP in sub-Saharan Africa have been conducted. Studies report that LBP and pelvic angle are interrelated, and African residents have a high pelvic tilt. The strategy to prevent LBP should focus on activities that promote holistic health. For that purpose, it is important to grasp the state of LBP and how it affects people's lifestyle in Tanzania to clarify the direction of implementation of physiotherapy treatment and reduce the incidences of LBP among adults. This study aimed to investigate the prevalence and presentation of low back pain (LBP) and the relationship between anthropometric measurements and LBP among people in Moshi city, Kilimanjaro region Tanzania.Methods: Following signing consent forms, participants were given questionnaires regarding LBP and then grouped accordingly into either asymptomatic or symptomatic cohorts. Anthropometric measurements of participants' height, weight, curvature of the spine, and pelvic angle were obtained.Results: A Mann-Whitney U test analysis showed a significant difference in pelvic angle, body mass index (BMI), and thoracic kyphosis angle between the asymptomatic group and the symptomatic group. No significant differences in lumbar lordosis angle or abdominal muscle strength were found between the two groups.Conclusions: A person with symptomatic LBP in Tanzania has a large anteversion of the pelvic tilt and a thoracic kyphotic posture. This study shows a relationship between sagittal spinal alignment and LBP in Tanzania, which could allow for prospective identification of subjects prone to developing LBP in the future.