非特异性慢性腰痛和残疾水平:步行表现的影响

A. Carvalho, W. R. Bertor, Ricardo Massao Abico, Lana Brandl, Thiago Fernando Mattjie, A. Andrade, L. A. Peyré-Tartaruga
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引用次数: 2

摘要

背景与目的:慢性腰痛综合征会导致多种功能丧失,影响患者的生活质量,而行走是其中受损最严重的功能之一。慢性腰痛是一种具有多种病因的综合征,了解功能丧失与病因因素之间的关系是合理的。本研究旨在探讨步行速度与疼痛感知、无能力水平(I)和有无慢性腰痛(组)之间的关系。方法:样本由非特异性腰痛志愿者(LG/n=8)和健康受试者(CG/n=8)组成。评价时用Oswestry失能指数确定失能程度。测试电池根据步行强度分为三个阶段,分别是:首选自选速度(VP)和相对于VP更快和更慢的速度。在每次实验中,志愿者们步行五分钟,每分钟的疼痛都用模拟量表进行量化。采用肯德尔Tau检验,p=0.05。结果:步行速度与疼痛强度、失能程度或组无关。然而,组对失能水平,组对疼痛,失能水平和疼痛是相互关联的。结论:非特异性慢性腰痛和失能程度对步行行为没有影响。
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Nonspecific chronic low back pain and incapacity level: influence of walking performance
BACKGROUND AND OBJECTIVES: Chronic low back pain syndrome promotes several functional losses which impact quality of life of patients, and walking is one of the most impaired functions. Being chronic low back pain a syndrome with multiple etiologies, efforts to understand the relation between functional losses and etiologic factors are justified. This study aimed at correlating walking speed with pain perception, incapacity level (I) and condition of having or not chronic low back pain (group). METHODS: Sample was made up of volunteers with nonspecific low back pain (LG/n=8) and healthy subjects (CG/n=8). Incapacity level was obtained by Oswestry Incapacity Index during evaluation. Tests battery was divided in three sessions according to walking intensity, as follows: preferred self-selected speed (VP) and faster and slower speeds as compared to VP. In each session, volunteers walked for five minutes and at every minute pain was quantified by the analog scale. Kendal Tau test was used with p=0.05. RESULTS: Walking speed was not correlated with pain intensity, with incapacity level or with the group. However, group versus incapacity level, group versus pain, incapacity level versus pain were correlated with one another. CONCLUSION: Walking performance was not influenced by nonspecific chronic low back pain and by incapacity level.
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