Aberrant Lumbopelvic Movements Predict Prospective Functional Decline in Older Adults with Chronic Low Back Pain.
Aberrant Lumbopelvic Movements Predict Prospective Functional Decline in Older Adults with Chronic Low Back Pain.
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异常的腰盆运动预示着患有慢性下腰痛的老年人的预期功能衰退。
DOI：
10.1016/j.apmr.2021.08.014
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发表时间：
2022-03
影响因子：
4.3
通讯作者：
Hicks GE
中科院分区：
文献类型：
--
作者：
Knox PJ;Pohlig RT;Pugliese JM;Coyle PC;Sions JM;Hicks GE
在对慢性腰背痛（CLBP）的老年人进行为期12个月的直接或间接基线身体功能随访时，研究临床可观察到的异常腰盆腔运动是否与身体功能相关。一项为期一年的前瞻性队列研究的二次分析。临床研究实验室。居住在社区的老年CLBP患者。不适用。研究人员分析了239名参与者的数据。参与者在基线时筛查异常腰骨盆运动在主动躯干屈曲；记录所有可观察到的异常运动并求和（范围0-4）。在基线和12个月分别从一系列基于感知和基于表现的结果测量中开发出身体功能的潜在构念。采用结构方程模型评估基线异常运动评分对12个月身体功能潜在构式的直接影响，及其通过基线身体功能产生的间接影响。大多数参与者（64.9%）存在异常运动，并且对12个月的身体功能有显著的负总体影响（γ= - 0.278, p<.001）。调整协变量后，异常运动评分的直接效应和间接效应与12个月时的身体功能呈显著负相关（γ= - 0.068, p= 0.038; γ= - 0.210, p< 0.001）。在随访12个月的老年CLBP患者中，异常的腰盆腔运动与身体功能下降有关，独立于基线身体功能和协变量。未来的研究应该评估异常运动的筛查是否可以为该患者群体的预后和干预工作提供信息。
To investigate if clinically observable aberrant lumbopelvic movements are associated with physical function at 12-month follow-up in older adults with chronic low back pain (CLBP), both directly and indirectly through baseline physical function. Secondary analysis of a yearlong prospective cohort study. Clinical Research Laboratory. Community-dwelling older adults with CLBP. Not applicable. Data from 239 participants were analyzed. Participants were screened at baseline for aberrant lumbopelvic movements during active trunk flexion; total observable aberrant movements were recorded and summed (range 0–4). Latent constructs of physical function were developed from an array of perception-based and performance-based outcome measures at baseline and 12-months, respectively. Structural Equation Modeling was used to assess the direct effect of baseline aberrant movement score on the latent construct of 12-month physical function, and its indirect effect through baseline physical function. Aberrant movements were present in the majority of participants (64.9%) and had a significant negative total effect on 12-month physical function (γ= −0.278, p<.001). Aberrant movement score’s direct effect and indirect effect, through baseline functioning, were significantly negatively associated with physical function at 12-months, after adjusting for covariates (γ=−0.068, p=.038; γ= −0.210, p<.001, respectively). Aberrant lumbopelvic movements are associated with decreased physical function at 12-month follow-up in older adults with CLBP, independent of baseline physical function and covariates. Future studies should evaluate if screening for aberrant movements may inform prognostic and interventional efforts in this patient population.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
2.3
作者：
Wattananon P;Ebaugh D;Biely SA;Smith SS;Hicks GE;Silfies SP
通讯作者：
Silfies SP
影响因子：
3.1
作者：
Hicks, Gregory E.;Manal, Tara J.
通讯作者：
Manal, Tara J.
影响因子：
--
作者：
Freburger, Janet K.;Holmes, George M.;Agans, Robert P.;Jackman, Anne M.;Darter, Jane D.;Wallace, Andrea S.;Castel, Liana D.;Kalsbeek, William D.;Carey, Timothy S.
通讯作者：
Carey, Timothy S.
影响因子：
0.7
作者：
Bohannon, Richard W.;Shove, Megan E.;Sigouin, Christopher S.
通讯作者：
Sigouin, Christopher S.