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首页> 外文期刊>Medicine. >Predictors of dysfunction and health-related quality of life in the flexion pattern subgroup of patients with chronic lower back pain: The STROBE study
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Predictors of dysfunction and health-related quality of life in the flexion pattern subgroup of patients with chronic lower back pain: The STROBE study

机译：慢性下腰痛患者屈曲模式亚组功能障碍和健康相关生活质量的预测指标：STROBE研究

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Findings about predictors of chronic lower-back pain (CLBP) were inconsistent and inconclusive in previous studies because patients with CLBP are heterogeneous. Subgrouping patients with CLBP, according to a CLBP classification system, might thus clarify the research findings. CLBP in the direction of lumbar flexion movement, that is, the flexion pattern, is common in clinical situations. Therefore, the purpose of this study was to determine the predictors of dysfunction (pain, disability) and health-related quality of life in the flexion pattern subgroup of patients with CLBP. A cross-sectional study of prospectively collected data. One hundred eight subjects in the flexion pattern subgroup of CLBP. Thirteen variables were measured: the visual analog scale (VAS), the Oswestry Disability Index (ODI), the Short Form-36 (SF-36), the Beck Depression Inventory (BDI), hip internal rotation range of motion, hip flexion range of motion, knee extension range of motion, knee extension with dorsiflexion range of motion, ratio forward flexion, knee extension strength, hip extension strength, hip flexion strength, and lumbopelvic stability. The models for predictors of lower-back pain in the CLBP flexion pattern subgroup included knee extension and the BDI as predictor variables that accounted for 8.1% of the variance in the VAS ( P < .05); predictors for disability included the BDI, age, and hip flexion strength, which accounted for 21.2% of the variance in the ODI ( P < .05); predictors for health-related quality of life included the BDI, sex, knee extension with dorsiflexion range of motion, and age, which accounted for 38.8% of the variance in the SF-36 ( P < .05) in multiple regression models with a stepwise selection procedure. The current results suggest that knee extension, the BDI, age, hip flexion strength, knee extension with dorsiflexion, and sex should be considered when determining appropriate prediction, prevention, and intervention in the flexion pattern subgroup of patients with CLBP.
机译：在先前的研究中，关于慢性下腰痛（CLBP）的预测因素的发现是不一致且无定论的，因为CLBP患者是异质的。根据CLBP分类系统将CLBP患者分组，可能会澄清研究结果。在腰部屈曲运动方向上的CLBP，即屈曲模式，在临床情况下很常见。因此，本研究的目的是确定CLBP患者屈曲模式亚组功能障碍（疼痛，残疾）和健康相关生活质量的预测指标。对预期收集数据的横断面研究。 CLBP屈曲模式亚组中的108名受试者。测量了13个变量：视觉模拟量表（VAS），Oswestry残疾指数（ODI），Short Form-36（SF-36），贝克抑郁量表（BDI），髋关节内部旋转运动范围，髋关节屈曲范围运动，膝关节伸展范围，具有背屈运动范围的膝关节伸展，比率前屈，膝关节伸展力量，髋关节伸展力量，髋关节屈曲力量和腰椎稳定性。 CLBP屈曲模式亚组下腰痛的预测模型包括膝盖伸展和BDI作为预测变量，占VAS方差的8.1％（P <.05）。残疾的预测因素包括BDI，年龄和髋屈强度，这占ODI差异的21.2％（P <.05）;与健康相关的生活质量的预测因素包括BDI，性别，具有背屈运动范围的膝盖伸展和年龄，这些在多元回归模型中占SF-36方差的38.8％（P <.05）。逐步选择程序。目前的结果表明，在对CLBP患者的屈曲模式亚组进行适当的预测，预防和干预时，应考虑膝盖的伸展，BDI，年龄，髋关节的屈曲强度，背屈和背屈的膝盖伸展。

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