摘要
目的通过指标测试和现场询问调查,研究久坐腰痛人群核心肌力特征、肌力失衡及其久坐基本情况,分析久坐腰痛与核心肌力状态之间的关系,为久坐腰痛人群康复策略提供实证依据。方法使用Torsoline核心肌力测试及康复训练系统。测试久坐人群核心肌力在前屈、后伸、左侧屈、右侧屈、左侧旋转、右侧旋转6个运动方向肌肉最大张力状态数据,分析腰痛者与无腰痛者肌力水平差异并归纳其特征。通过现场调查,获取久坐腰痛人群疼痛程度评分(VAS),腰痛功能障碍指数(ODI)数据,并收集久坐人群日常坐姿工作的相关情况,如坐姿时间、工间休息时间、座椅特征等,研究其与久坐人群腰痛的关系。结果腰痛组VAS评分为3.51±0.81, ODI为29.03±7.06。腰痛男性和腰痛女性之间VAS评分差异有显著性。腰痛组躯干屈伸、左右侧屈、左右旋转6个方向的最大肌力均低于非腰痛组,且存在明显屈伸肌力失衡情况,差异有显著性(P<0.05)。女性组躯干屈伸、左右侧屈、左右旋转肌力明显低于非腰痛组。其屈伸肌力、左右旋转肌力失衡明显,差异有显著性(P<0.05)。腰痛组的坐姿时间较长选项人次比例较非腰痛组比例高,工间休息时间长选项人次较非腰痛组比例低。腰痛组选择座椅高度、椅背倾斜度不可调节选项的人次比例较非腰痛组高,差异有显著性(P<0.05)。结论久坐人群腰痛程度多为轻度和中度疼痛。腰痛者工作日平均坐姿时间更长,其座椅无法调节的情况更为普遍。久坐腰痛人群核心肌力下降,且存在屈伸肌群肌力失衡情况,女性更为明显。提高久坐腰痛人群核心肌力,纠正其屈伸肌力失衡是康复的重要策略。对久坐女性腰痛原因及康复值得进一步研究。
Objective To study the characteristics of core muscle strength, muscle strength imbalance and the basic situation of sedentary with low back pain(LBP) through index test and field investigation, and to analyze the relationship between sedentary and core muscle strength status, so as to provide an empirical basis for rehabilitation strategies for low back pain.Methods Torsoline core muscle strength test and rehabilitation training system(ERGO-FIT, Germany) was used.The maximum muscle tension status data of the core muscle strength of the sedentary group in six movement directions of forward flexion, posterior extension, left flexion, right flexion, left rotation and right rotation were tested.The differences in muscle strength level between the low back pain and non-low back pain were analyzed and their characteristics were summarized.Through field investigation, VAS and ODI data of low back pain were obtained, and relevant information of sedentary people in daily sitting position was collected, such as sitting time, time between work and rest, seat characteristics, etc., to study the relationship between these factors and the occurrence of sedentary people with low back pain.Results VAS score was 3.51±0.81, ODI was 29.03±7.06.There was significant difference in VAS scores between men and women with low back pain.The maximum muscle strength of trunk flexion and extension, left and right lateral flexion and left and right rotation in the LBP group was lower than that in the non-LBP group, and there was a significant imbalance of flexion and extension muscle strength(P<0.05).The muscle strength of trunk flexion and extension, left and right lateral flexion and left and right rotation in the female group was significantly lower than that in the non-LBP group.The imbalance of flexor and extensor muscle strength and left-right rotation muscle strength was significant(P<0.05).The proportion of sitting time was higher in the low back pain group than in the non-low back pain group, and the proportion of resting time was lower in the non-low back pain group.In the low back pain group, the proportion of people choosing seat height and non-adjustable seat back tilt was higher than that in the non-low back pain group, with significant difference(P<0.05).Conclusions the degree of low back pain in sedentary people is mild and moderate.People with lower back pain sat longer on average on weekdays and were more likely to have seats that could not be adjusted.The core muscle strength decreased in the sedentary group with LBP, and the muscle strength of flexor and extensor group was out of balance, especially in women.it is an important strategy to improve the core muscle strength and correct the imbalance of flexor and extensor muscle strength in patients with sedentary of LBP.The causes and rehabilitation of sedentary women of LBP deserve further study.
作者
黄昀
矫玮
朱晓东
张伟
HUNG Yun;JIAO Wei;ZHU Xiaodong;ZHANG Wei(Beijing Sports University,School of Sports Medicine and Rehabilitation,Beijing 100084,China;School of Physical Education,Guangxi Sports College,Nanning 530012,China)
出处
《西安体育学院学报》
CSSCI
北大核心
2020年第2期218-224,共7页
Journal of Xi'an Physical Education University
基金
广西首批高校优秀中青年教师培养工程项目.
关键词
久坐
腰痛
核心肌力
康复
sedentary
low back pain
core muscle strength
rehabilitation
