Pelvic belt effects on pelvic morphometry, muscle activity and body balance in patients with sacroiliac joint dysfunction.
Pelvic belt effects on pelvic morphometry, muscle activity and body balance in patients with sacroiliac joint dysfunction.
复制标题
DOI：
10.1371/journal.pone.0116739
复制
发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
Hammer N
中科院分区：
文献类型：
--
作者：
Soisson O;Lube J;Germano A;Hammer KH;Josten C;Sichting F;Winkler D;Milani TL;Hammer N
骶髂关节（SIJ）常累及腰背部和骨盆带疼痛。然而，与SIJ疼痛相关的形态学和功能特征定义不清。骨盆带是一种治疗选择，但仍缺乏证据表明其减轻疼痛的效果和机制。针对这两个问题，本病例对照研究比较了SIJ患者和健康对照组的形态学、功能和临床数据，并评估了短期盆腔带应用的效果。比较17例SIJ患者和17例对照组的骨盆带效应的形态学和功能数据。采用3T磁共振成像进行腰椎和骨盆形态测量。测量单腿站立时骨盆、腿部肌肉及压力偏移中心的功能肌电图数据。采用数值评定量表评价即刻镇痛效果。盆腔形态测量在SIJ患者中基本上没有改变，盆腔带也没有改变。未使用带的SIJ患者腰侧屈曲角度明显增大。肌肉活动和压力中心不受SIJ疼痛或单腿站立时使用皮带的影响。17例患者中有9例报告在中度皮带应用下疼痛强度减轻，4例报告无变化，4例报告疼痛强度增加。对于这里调查的整个人群，这种定性描述在统计显著水平上没有得到证实。在SIJ患者腰椎额平面的排列中观察到微小的变化。盆腔带潜在的镇痛作用不能归因于在静态短期应用中改变的肌肉活动、盆腔形态或身体平衡。因此，长期的带状效应将成为人们关注的焦点。
The sacroiliac joint (SIJ) is frequently involved in low back and pelvic girdle pain. However, morphometrical and functional characteristics related to SIJ pain are poorly defined. Pelvic belts represent one treatment option, but evidence still lacks as to their pain-reducing effects and the mechanisms involved. Addressing these two issues, this case-controlled study compares morphometric, functional and clinical data in SIJ patients and healthy controls and evaluates the effects of short-term pelvic belt application. Morphometric and functional data pertaining to pelvic belt effects were compared in 17 SIJ patients and 17 controls. Lumbar spine and pelvis morphometries were obtained from 3T magnetic resonance imaging. Functional electromyography data of pelvis and leg muscles and center of pressure excursions were measured in one-leg stance. The numerical rating scale was used to evaluate immediate pain-reducing effects. Pelvic morphometry was largely unaltered in SIJ patients and also by pelvic belt application. The angle of lumbar lateral flexion was significantly larger in SIJ patients without belt application. Muscle activity and center of pressure were unaffected by SIJ pain or by belt application in one-leg stance. Nine of 17 patients reported decreased pain intensities under moderate belt application, four reported no change and four reported increased pain intensity. For the entire population investigated here, this qualitative description was not confirmed on a statistical significant level. Minute changes were observed in the alignment of the lumbar spine in the frontal plane in SIJ patients. The potential pain-decreasing effects of pelvic belts could not be attributed to altered muscle activity, pelvic morphometry or body balance in a static short-term application. Long-term belt effects will therefore be of prospective interest.
登录
查看更多内容
影响因子：
1.4
作者：
Antonio, Stecco;Wolfgang, Gilliar;Carla, Stecco
通讯作者：
Carla, Stecco
影响因子：
3
作者：
Dreyfuss, P;Michaelsen, M;Bogduk, N
通讯作者：
Bogduk, N
影响因子：
2
作者：
Arab, Amir Massoud;Nourbakhsh, Mohammad Reza;Mohammadifar, Ali
通讯作者：
Mohammadifar, Ali
影响因子：
2.8
作者：
Dimar, John R., II;Carreon, Leah Y.;Roussouly, Pierre
通讯作者：
Roussouly, Pierre
影响因子：
--
作者：
Al-Khayer, Ahmad;Hegarty, Jim;Grevitt, Michael Paul
通讯作者：
Grevitt, Michael Paul