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首页> 外文期刊>Physiotherapy theory and practice >Centralization of symptoms and lumbar range of motion in patients with low back pain.
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Centralization of symptoms and lumbar range of motion in patients with low back pain.

机译：下腰痛患者的症状集中和腰部运动范围。

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摘要

This quasi-experimental repeated measures study examined the relationship between centralization of symptoms and lumbar flexion and extension range of motion (ROM) in patients with low back pain. Rapid and lasting changes in lumbar ROM have been noted with centralization of symptoms. However, no study has objectively measured the changes in lumbar ROM occurring with centralization. Forty-two adult subjects (mean age, 45.68 years; SD=15.76 years) with low back pain and associated lower extremity symptoms were followed by McKenzie trained physical therapists. Subjects' lumbar ROM was measured at the beginning and end of each patient visit by using double inclinometers, and pain location was documented. Subjects were grouped as 1) centralized, 2) centralizing, or 3) noncentralized for comparisons of symptom and ROM changes. Data were analyzed by using multivariate analysis of variance and one-way analysis of variance. Significance was set at 0.05. A significant difference was found between initial and final mean extension ROM in the centralized and centralizing groups (p=0.003). No significant difference was found in the noncentralized group (p<0.05). Subjects (n=23) who demonstrated a change in pain location during the initial visit also showed a significant (p<0.001) change in extension ROM, whereas patients with no change in pain location (n=19) did not (p=0.848). Lumbar extension ROM increased as centralization occurred.
机译：这项准实验性重复措施研究检查了腰痛患者症状集中与腰椎屈曲和活动范围（ROM）之间的关系。随着症状的集中，人们注意到腰椎ROM的快速而持久的变化。然而，没有研究客观地测量集中化时腰椎ROM的变化。麦肯齐训练有素的物理治疗师随访了42位成年受试者（平均年龄45.68岁; SD = 15.76岁）并伴有下腰痛和相关的下肢症状。在每次患者访视的开始和结束时，使用双倾角仪测量受试者的腰部ROM，并记录疼痛位置。为了比较症状和ROM变化，将受试者分为1）集中，2）集中或3）非集中。通过使用方差的多元分析和方差的单向分析来分析数据。显着性设定为0.05。在集中组和集中组中，在初始和最终均值扩展ROM之间发现了显着差异（p = 0.003）。在非集中组中没有发现显着差异（p <0.05）。在初次就诊时表现出疼痛部位改变的受试者（n = 23）也显示出延伸ROM的显着变化（p <0.001），而疼痛部位没有变化（n = 19）的患者则没有（p = 0.848） ）。腰椎扩展ROM随着集中发生而增加。

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