冯强,江崇民,周誉,张铭,等.青少年脊柱形态与功能对非特异性腰背疼痛的影响[J].北京体育大学学报,2016,39(9):57-62.
青少年脊柱形态与功能对非特异性腰背疼痛的影响
Effects of Spine Morphology and Function on Nonspecific Low Back Pain in Adolescents
投稿时间:2015-10-09  
DOI:
中文关键词:  关键词:青少年  非特异性腰背痛,脊柱形态,脊柱功能
英文关键词:Keywords: adolescences  nonspecific low back pain  spine morphology  spine function
基金项目:基金项目:国家体育总局体育科学研究所基本科研业务费(基本15-34)。
作者单位
冯强 国家体育总局体育科学研究所北京 100763 
江崇民 国家体育总局体育科学研究所北京 100763 
周誉 中国教育科学研究院北京 100088 
张铭 国家体育总局体育科学研究所北京 100763 
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中文摘要:
      摘要:目的:非特异性腰背疼痛已经成为影响青少年身体健康的公共卫生问题,脊柱形态与功能的改变可能是青少年非特异性腰背疼痛的影响因素。通过对青少年脊柱形态与功能的全面测试,可以为青少年非特异性疼痛的预防以及治疗提供可靠的依据。方法:对北京、天津地区四所中学进行问卷调查,筛选符合条件的受试者。在征得学生和家长同意的前提下,使用spinal mouse电子脊柱测量仪对非特异性腰背疼痛组273名(男,121名;女,152名)学生和对照组127名(男,63名;女,64名)学生进行脊柱形态与功能测试。测试指标包括直立位、坐位以及负重状态(Matthiass test)下的胸椎后凸角(TKA)、腰椎前凸角(LLA)、骶骨倾角(SA)、倾斜角(INA),以及前屈、后伸、左右侧屈时脊柱各节段活动度。计算TKA、LLA异常率(正常范围,TKA:20°~40°,LLA:24.6°~71.4°),并使用似然比卡方检验比较不同年级组、不同性别、不同疼痛类型间的异常率。使用偏相关分析探讨非特异性腰背疼痛与年龄的相关性,使用二分类logistics回归模型对脊柱形态与功能等指标与非特异性腰背疼痛进行相关性分析。结果:1)初中生TKA异常率分别为47.0%,53.0%(男生、女生) ;高中生TKA异常率为52.6%,48.0% (男生、女生)。2)初中生LLA异常率为67.5%,45.2%(男生、女生);高中生LLA异常率为52.6%和21.7%(男生、女生)。3)胸椎后凸角(P<0.05,OR=1.236)和腰椎从屈曲位到后伸位的活动度(P<0.01,OR=0.975)与青少年非特异性腰背疼痛具有相关性。结论: 本研究受试者中,胸椎后凸角与腰椎前凸角异常的比例较高。胸椎后凸角较大以及腰椎总体活动度不足是青少年发生非特异性腰背疼痛的危险因素。
英文摘要:
      Abstract: Objective: Nonspecific low back pain has become the public health problems affecting adolescents’ health. The changes of spine morphology and function may be the influencing factors of nonspecific low back pain in adolescents. This study tested the spine morphology and function of adolescents to provide therapy reference of nonspecific low back pain. Methods: The 273 students with nonspecific low back pain and 127 students with no pain (control group) from four middle schools in Beijing and Tianjin were recruited by questionnaire, and their spine morphology and function were tested by Spinal Mouse with the consent of students and their parents. The test indexes included KTA, LLA, SA and INA in upper position, sitting position and loading state. The flexion, extension and lateral flexion angles of spine were recorded. The abnormal rates of TKA and LLA were calculated (normal range: TKA 20o-40o; LLA 24.6o-71.4o), and were compared in different grades, genders and different types of pains by likelihood-ratio chi-square. The correlation between nonspecific low back pain and age was explored by partial correlation analysis, and the correlation between nonspecific low back pain and spine morphology and function was analyzed by binary logistic regression. Results: 1) The abnormal rate of TKA was 47.0% and 53.0% in junior high school boys and girls respectively, and it is 52.6% and 48.0% in senior high school boys and girls respectively. 2) The abnormal rate of LLA was 67.5% and 45.2% in junior high school boys and girls respectively, and it is 52.6% and 21.7% in senior high school boys and girls respectively. 3) The TKA (P < 0.05, OR = 1.236)and Lumbar ROM (P < 0.01, OR = 0.975) had correlations with nonspecific low back pain in adolescents. Conclusion: In this study, there is a high abnormal rate of TKA and LLA in students. Excessive TKA and insufficient lumbar ROM are risk factors of nonspecific low back pain in adolescents.
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