The measurement of lumbar proprioception in individuals with and without low back pain

The measurement of lumbar proprioception in individuals with and without low back pain
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DOI:
10.1097/00007632-199802010-00017
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发表时间:
1998-02-01
期刊:
影响因子:
3
通讯作者:
Callaghan, MJ
Callaghan, MJ
中科院分区:
医学2区
文献类型:
--
作者:
Gill, KP;Callaghan, MJ

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研究设计.比较背痛组与无疼痛组的临床试验;目标。为了调查一组报告腰痛的个体是否存在本体感觉缺陷,背景资料摘要,迄今为止,很少有关于脊柱本体感觉测量的工作。然而,已经进行的那些研究未能确定背痛个体的本体感受缺陷。以前的工作外周关节显示,本体感觉的影响与肌肉或关节损伤或degeneration.Methods,40人参加了这项研究,20与背部疼痛和20与没有疼痛。参与者被要求再现一个预定的目标位置,在站立和四点跪,10次:30秒,一个计算机屏幕被用来提供视觉反馈的位置。获得每个个体与目标位置的平均偏差。对每组5名受试者进行左肘位置感测量,以确定各组间短期运动记忆的差异。在短期运动记忆方面,受试者组之间没有差异(P > 0.05)。对受试者组和位置之间的方差进行双向分析,以确定准确性(偏离目标)的差异,发现受试者组之间在任何位置上都存在差异(P < 0.05)。两种体位的准确性差异无统计学意义(P > 0.05)。背部疼痛的个体和没有背部疼痛的个体之间存在本体感觉的差异,需要进一步研究本体感觉锻炼计划及其对背部疼痛的影响。
Study Design. A clinical trial comparing a back pain group with a pain-free group;Objectives. To investigate whether proprioceptive deficits existed in a group of individuals reporting low back pain,Summary of Background Data, Little work has:so,far been conducted on the measurement of proprioception in the spine. Those studies that have been carried out, however, have failed to identify proprioceptive deficits in individuals With back pain. Previous work on peripheral joints has revealed that proprioception is affected with muscular or joint injury or:degeneration.Methods, Forty individuals took-part in the study, 20 with-back pain and 20 with no pain. Participants were required to reproduce a predetermined target position, in standing and four-point kneeling, 10 times in:30 seconds, A computer screen was used to provide-visual feedback on position. A mean deviation from the target position was obtained for each individual. A measurement left elbow position sense was conducted in five individuals from each group to establish differences in short-term motor memory between the groups.Results. There were no differences between the subject groups in terms of short-term motor memory (P > 0.05), A two-way analysis of variance between subject groups and position to identify differences in accuracy (deviation from the target) found that there were differences between subject groups in either position (P < 0.05). There was no significant difference in accuracy between the positions used (P > 0.05).Conclusions. Differences in proprioception do exist between individuals with back pain and those free from back pain, Further research needs to be undertaken on proprioceptive exercise programs and their effect on back pain.