急性椎间盘源性腰椎病患者的疼痛强度、脊柱结构和身体成分。

IF 2.2 3区医学 Q1 REHABILITATION Musculoskeletal Science and Practice Pub Date : 2024-07-02 DOI:10.1016/j.msksp.2024.103133

Derya Ozer Kaya , Seyda Toprak Celenay , Erhan Secer , Huseyin Biceroglu

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引用次数: 0

摘要

研究目的本研究旨在比较急性椎间盘源性腰椎病（DLR）患者的疼痛强度、脊柱结构和身体成分与功能障碍程度的关系：研究共纳入 118 名女性（83 人）和男性（35 人）急性椎间盘源性腰椎病患者（平均年龄：51.87 ± 13.38 岁）。功能能力用 Oswestry 残疾指数测量，疼痛强度用视觉模拟量表测量，脊柱结构用脊柱鼠标® 设备测量，身体成分用生物电阻抗分析系统测量：结果：轻度功能障碍患者的活动疼痛强度（p˂.001）和夜间疼痛强度（p = 0.001）明显低于中度、重度和完全功能障碍患者，而完全功能障碍患者的休息疼痛强度（p = 0.005）明显高于轻度、中度和重度功能障碍患者。轻度功能残疾患者的脊柱检查评分（p = 0.001）、姿势（p = 0.005）和活动能力（p = 0.003）明显优于中度、重度和完全功能残疾患者。与中度、重度和完全功能性残疾患者相比，轻度功能性残疾患者的脂肪百分比（p = 0.032）明显较低，基础代谢率（p = 0.024）明显较高：结论：急性 DLR 患者的疼痛强度、脊柱结构和身体组成因其功能障碍程度而有很大不同。虽然众所周知，患者的功能障碍程度是疾病严重程度或预后的结果，但医护人员采取不同的治疗方法以降低患者的功能障碍程度可能对患者应对疾病非常重要。

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Pain intensity, spine structure, and body composition in patients with acute discogenic lumbar radiculopathy

Objective

This study aimed to compare the pain intensity, spine structure, and body composition according to functional disability levels in patients with acute discogenic lumbar radiculopathy (DLR).

Methods

A total of 118 women (n = 83) and men (n = 35) patients with acute DLR (mean age: 51.87 ± 13.38 years) were included in the study. The function ability was measured with the Oswestry Disability Index, pain intensity was measured with the Visual Analogue Scale, spine structure was measured with the Spinal Mouse® device, and body composition was measured with the Bioelectrical Impedance Analysis System.

Results

Patients with mild functional disability levels had significantly lower activity (p˂.001) and night pain intensity (p = 0.001) than patients with moderate, severe, and completely functional disability levels, and patients with completely functional disability levels had significantly higher rest pain intensity (p = 0.005) than patients with mild, moderate, and severe functional disability levels. Patients with mild functional disability levels had significantly better spine check scores (p = 0.001), posture (p = 0.005), and mobility (p = 0.003) than patients with moderate, severe, and completely functional disability levels. Patients with mild functional disability levels had significantly lower fat percentage (p = 0.032), and higher basal metabolic rate (p = 0.024) than patients with moderate, severe, and completely functional disability levels.

Conclusion

Pain intensity, spinal structure, and body composition of acute DLR patients differ greatly according to their functional disability levels. Although it is known that the level of functional disability of patients is a result of the severity or prognosis of the disease, performing different treatment methods aimed at decreasing the functional disability level of patients by health professionals may be important in terms of coping with the disease.

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来源期刊

Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

4.10

自引率

8.70%

发文量

152

审稿时长

48 days

期刊介绍： Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.