摘要
目的探讨慢性非特异性下腰痛(CNLBP)患者腰背肌力量和耐力与生活质量的相关性。方法选择60例CNLBP患者作为研究对象。测定患者的腰背肌最大等长肌力和等长耐力,采用疼痛视觉模拟量表(VAS)、Oswestry功能障碍指数(ODI)、腰痛功能障碍Roland-Morris问卷(RMQ)和36项简易健康问卷(SF-36)评估患者生活质量。分析各项生活质量评分与最大等长肌力和等长耐力的相关性。结果 CNLBP患者腰背肌最大等长肌力与VAS评分、ODI、RMQ评分均呈负相关(均P<0.05),与SF-36评分呈正相关(P<0.05),但腰背肌等长耐力与VAS评分、ODI、RMQ评分、SF-36评分均无相关性(均P>0.05),且最大等长肌力与等长耐力之间亦无相关性(P>0.05)。结论 CNLBP患者腰背肌力量与其生活质量密切相关,提高腰背肌力量有利于提升患者生活质量。
Objective To investigate the correlation of lumbar extensor muscle strength and endurance with quality of life in patients with chronic nonspecific low back pain(CNLBP). Methods Sixty patients with CNLBP were enrolled as subjects. Patients′ maximal isometric strength and isometric endurance of lumbar extensor muscle were determined, the Visual Analogue Scale(VAS), the Oswestry Disability Index(ODI), the Roland-Morris Questionnaire(RMQ) and the 36-Item Short Form Health Survey(SF-36) were used to assess patients′ quality of life. The correlation of scores for quality of life on each item with maximal isometric strength and isometric endurance was analyzed. Results CNLBP patients′ maximal isometric strength of lumbar extensor muscle negatively correlated with VAS scores, ODI and RMQ scores(all P<0.05), positively correlated with SF-36 scores(P<0.05), but isometric endurance of lumbar extensor muscle did not correlate with VAS scores, ODI, RMQ score or SF-36 scores(all P>0.05) and did not correlate with maximal isometric strength either(P>0.05). Conclusions In patients with CNLBP, lumbar extensor muscle strength is closely associated with quality of life, increasing lumbar extensor muscle strength is conducive to improving quality of life.
作者
杨森
武文杰
杜诗宇
陈灿
王东贵
李凯
许建中
罗飞
YANG Sen;WU Wen-jie;DU Shi-yu;CHEN Can;WANG Dong-gui;LI Kai;XU Jian-zhong;LUO Fei(Department of Orthopedics,the First Hospital Affiliated to Army Medical University,Chongqing 400038,China;Army Specialty Medical Center of Chinese People′s Liberation Army,Chongqing 400042,China)
出处
《广西医学》
CAS
2020年第5期529-532,共4页
Guangxi Medical Journal
基金
军队后勤科研重大项目(AWS17J004)
陆军军医大学临床医学科研项目(2018XLC3010)
重庆市研究生科研创新项目(CYS19369)。
关键词
慢性非特异性下腰痛
腰背肌
最大等长肌力
等长耐力
生活质量
Chronic nonspecific low back pain
Lumbar extensor muscle
Maximal isometric strength
Isometric endurance
Quality of life
