Vertebral Column Height Andpredisposition To Low Back Pain- Observational Study

Alok Mukherjee, Kalpana Jain, Tushar Singh
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Abstract

Background and purpose: Research was done to find out the relationship between lumbar lordosis and radiologic variables, lumbar lordosis and clinical variables, which showed that lordosis itself, do not have any predisposition to low back pain. Weak abdominal muscles are also associated with low back pain. As no previous study was done to correlate vertebral column height and low back pain, this study is intended to analyze whether these variables are predisposed to low back pain. Case description (Subjects): 200 subjects were approached through systematic convenient sampling which included 100 people (50 males and 50 females) with back pain and 100 people (50 male and 50 female without back pain). Intervention and methods: Subjects for the study were assessed according to the following parameters; vertebral column height, abdominal girth measurement, bilateral SLR, hip waist ratio, VAS scale. Results: Pain scores correlated significantly to the length of spinal segment mainly cervical spine (p=0.05) and lumbar spine (p=0.01) and also to bilateral SLR hold time (p=0.01). The bilateral SLR correlates significantly to a Total spine length and length of thoracic spine (p=0.01) while there was no correlation between bilateral hold time and length of cervical spine. Conclusion: This study has found that the length of the spinal column should be given due importance when assessing the risk of developing low back pain.
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椎体高度与腰背痛的易感性--观察研究
背景和目的:研究旨在找出腰椎前凸与放射学变量、腰椎前凸与临床变量之间的关系,结果表明腰椎前凸本身并不会导致腰痛。腹肌薄弱也与腰背痛有关。由于之前没有研究将椎体高度与腰背痛相关联,本研究旨在分析这些变量是否易导致腰背痛。病例描述(受试者):通过系统性方便抽样的方式找到 200 名受试者,其中包括 100 名腰痛患者(50 名男性和 50 名女性)和 100 名无腰痛患者(50 名男性和 50 名女性)。干预措施和方法:根据以下参数对研究对象进行评估:椎体高度、腹围测量、双侧SLR、臀腰比、VAS量表。结果疼痛评分与脊柱段长度(主要是颈椎)(P=0.05)和腰椎(P=0.01)以及双侧 SLR 保持时间(P=0.01)明显相关。双侧 SLR 与脊柱总长度和胸椎长度显著相关(p=0.01),而双侧保持时间与颈椎长度之间没有相关性。结论本研究发现,在评估罹患腰背痛的风险时,应充分重视脊柱的长度。
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