Hip Range of Motion and Strength Predict 12-Month Physical Function Outcomes in Older Adults With Chronic Low Back Pain: The Delaware Spine Studies.
Hip Range of Motion and Strength Predict 12-Month Physical Function Outcomes in Older Adults With Chronic Low Back Pain: The Delaware Spine Studies.
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DOI：
10.1002/acr2.11342
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发表时间：
2021-12
影响因子：
3.4
通讯作者：
Hicks GE
中科院分区：
文献类型：
--
作者：
Coyle PC;Knox PJ;Pohlig RT;Pugliese JM;Sions JM;Hicks GE
本研究的目的是调查患有慢性腰痛 (LBP) 的老年人髋部活动范围 (ROM) 和力量较差是否会预测 12 个月身体功能下降，以及髋部骨关节炎是否会改变这些关系。在基线时，对髋关节屈曲、伸展、外展、内收、内旋和外旋进行被动活动度和力量测量；超声图像和自我报告的症状用于评估髋部骨关节炎的存在（例如骨赘和髋部疼痛）。在基线和 12 个月时，评估基于表现（重复椅子上升、自选步态速度、6 分钟步行测试 [6MWT]）和自我报告（魁北克 LBP 残疾问卷、晚年功能和残疾仪器 [LLFDI] 基本和高级下肢量表）的身体功能结果。为通过基线髋关节活动度和力量测量预测的每个结果构建回归模型，并调整潜在的协变量。为了避免共线性，最终模型中包含了具有最强未调整相关性的髋关节活动度和力量测量。还探讨了髋关节活动度/力量相互作用是否存在髋骨关节炎。髋部外展强度预测重复椅子上升（β = -0.297，P < 0.001），步态速度（β = 0.160，P = 0.003），6MWT（β = 0.159，P ≤ 0.001），魁北克LBP残疾问卷（β = -0.152，P = 0.003）和LLFDI基本较低肢体量表（β = 0.171，P = 0.005）结果。关于髋关节活动度，伸展预测重复椅子上升（β = -0.110，P = 0.043）和LLFDI高级下肢量表（β = 0.090，P = 0.007）结果，外旋预测步态速度（β = 0.122，P = 0.004）结果，外展预测LLFDI基本下肢量表（β = 0.114，P） = 0.026）结果。对于任何模型来说，髋骨关节炎的相互作用都不显着。髋部力量和活动度降低预示身体机能下降；髋骨关节炎的存在可能不会改变这些关系。
The objective of this study was to investigate whether poor hip range of motion (ROM) and strength predict 12‐month physical function decline among older adults with chronic low back pain (LBP) and whether hip osteoarthritis modifies those relationships. At baseline, passive ROM and strength measurements were taken for hip flexion, extension, abduction, adduction, internal rotation, and external rotation; ultrasound images and self‐reported symptoms were used to evaluate hip osteoarthritis presence (eg, osteophytes and hip pain). At baseline and 12 months, performance‐based (repeated chair rise, self‐selected gait speed, 6‐minute walk test [6MWT]) and self‐reported (Quebec LBP Disability Questionnaire, Late‐Life Function & Disability Instrument [LLFDI] basic and advanced lower extremity scales) physical function outcomes were assessed. Regression models were constructed for each outcome predicted by baseline hip ROM and strength measures, with adjustment for potential covariates. To avoid collinearity, hip ROM and strength measures with the strongest unadjusted correlations were included in final models. The hip osteoarthritis presence by hip ROM/strength interaction was also explored. Hip abduction strength predicted repeated chair rise (β = −0.297, P < 0.001), gait speed (β = 0.160, P = 0.003), 6MWT (β = 0.159, P ≤ 0.001), Quebec LBP Disability Questionnaire (β = −0.152, P = 0.003), and LLFDI basic lower extremity scale (β = 0.171, P = 0.005) outcomes. Regarding hip ROM, extension predicted repeated chair rise (β = −0.110, P = 0.043) and LLFDI advanced lower extremity scale (β = 0.090, P = 0.007) outcomes, external rotation predicted gait speed (β = 0.122, P = 0.004) outcomes, and abduction predicted LLFDI basic lower extremity scale (β = 0.114, P = 0.026) outcomes. The hip osteoarthritis interaction was not significant for any model. Reduced hip strength and ROM predict physical function decline; hip osteoarthritis presence may not modify these relationships.
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影响因子：
2.3
作者：
Loureiro A;Constantinou M;Diamond LE;Beck B;Barrett R
通讯作者：
Barrett R
影响因子：
6.1
作者：
Cibulka, Michael T.;Bloom, Nancy J.;McDonough, Christine M.
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DOI：
10.1093/gerona/gly230
发表时间：
2019-04-01
影响因子：
5.1
作者：
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DOI：
10.1093/gerona/55.6.m350
发表时间：
2000-06-01
影响因子：
5.1
作者：
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通讯作者：
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影响因子：
7.2
作者：
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通讯作者：
Vanasse, A