EVALUATION OF THE IMPACT OF SAGITTAL SPINAL CURVATURES ON MUSCULOSKELETAL DISORDERS IN YOUNG PEOPLE

EVALUATION OF THE IMPACT OF SAGITTAL SPINAL CURVATURES ON MUSCULOSKELETAL DISORDERS IN YOUNG PEOPLE
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DOI:
10.13075/mp.5893.00558
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发表时间:
2018-01-01
期刊:
影响因子:
1
通讯作者:
Tuz, Jacek
Tuz, Jacek
中科院分区:
医学4区
文献类型:
--
作者:
Zwierzchowska, Anna;Tuz, Jacek

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背景:在波兰,大约85%的人口报告腰痛(LBP)症状。此外,70-80%的20岁以下的人已经经历过背痛。下腰痛的主要原因是脊柱前凸的丧失,脊柱前凸引起脊柱几何形状的改变,并影响肢体的排列。该研究的目的是试图在一组成年人中验证脊柱的两种主要弯曲之间的关系及其与肌肉骨骼系统不同部位症状的关系。人们认为腰椎前凸过大和胸腰椎连接处失衡是腰痛的危险因素。材料和方法:该研究覆盖了卡托维兹经济大学的231名一年级学生(19-21岁)。男性103例,年龄19.5 +/- 0.8岁,女性128例,年龄19.6 +/- 0.8岁。学生们完成了北欧肌肉骨骼问卷(NMQ): 7天(NMQ7)和6个月(NMQ6)。采用Rippstein's万用表测量胸后凸(KTH)和腰椎前凸(KLL)的角度。Cut of points设定为30 +/- 5。结果:腰痛与背部凹陷有很强的相关性(r = 0.6和r = 0.8, p < 0.05),提示这些症状可能与腰前凸加重有关。结论:矢状面体位缺损可预测疼痛的发生。研究结果表明,腰前凸角度越大的人疼痛的频率越高。
Background: In Poland, about 85% of the population report low back pain (LBP) symptoms overall. Moreover, 70-80% of people aged below 20 have already experienced back pain. The primary cause of LBP is the loss of spinal lordosis, which initiates changes in geometry of the spine and has impact on limb arrangement. The aim of the study was to attempt to verify the relationship between the 2 main curvatures of the spine and its relation to symptoms in different parts of the musculoskeletal system, in a group of adults. It was assumed that hyperlordosis of the lumbar spine and misbalance of the thoraco-lumbar junction are risk factors for LBP. Material and Methods: The study coverd 231 first-year students, (aged 19-21) of the University of Economics in Katowice. There were 103 men aged 19.5 +/- 0.8 years and 128 women aged 19.6 +/- 0.8 years. The students completed the Nordic Musculoskeletal Questionnaire (NMQ): 7 days (NMQ7) and 6 months (NMQ6). A Rippstein's plurimeter, was used to measure the angles of thoracic kyphosis (KTH) and lumbar lordosis (KLL). Cut of points was set at 30 +/- 5. Results: The results indicate strong and very strong correlation (r = 0.6 and r = 0.8, p < 0.05) between the concave of the back and LBP, which may suggest the relationship between these symptoms and the increased lordosis. Conclusions: Postural defects in the sagittal plane may predict the occurrence of pain. The results of the study indicate a higher frequency of pain in people with a higher angle of lumbar lordosis.