退变性脊柱畸形患者腰背肌力量耐力水平及与生活质量的相关性分析

杨森; 罗飞; 许建中

doi:10.16016/j.1000-5404.201906156

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退变性脊柱畸形患者腰背肌力量耐力水平及与生活质量的相关性分析

临床医学 | 更新时间：2026-01-09

- 退变性脊柱畸形患者腰背肌力量耐力水平及与生活质量的相关性分析
- Strength and endurance of lumbar dorsal muscle and their correlation with quality of life in patients with degenerative spinal deformity
- 第三军医大学学报 2019年第21期页码：2074-2079
- 作者机构：
  
  400038 重庆，陆军军医大学(第三军医大学)第一附属医院骨科
- 作者简介：
  
  [ 许建中，E-mail:xujzspine@126.com XU Jianzhong, E-mail:xujzspine@126.com
- 基金信息：
  
  军队后勤科研重大项目(AWS17J004);2018年度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)
- DOI：10.16016/j.1000-5404.201906156
  中图分类号： R163;R322.74;R682.13
- 收稿：2019-06-20，
  
  修回：2019-07-26，
  
  纸质出版：2019-11-15
- 稿件说明：
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杨森, 罗飞, 许建中. 退变性脊柱畸形患者腰背肌力量耐力水平及与生活质量的相关性分析[J]. 第三军医大学学报, 2019,(21):2074-2079.

Sen YANG, Fei LUO, Jianzhong XU. Strength and endurance of lumbar dorsal muscle and their correlation with quality of life in patients with degenerative spinal deformity[J]. Journal of Third Military Medical University, 2019, (21): 2074-2079.
杨森, 罗飞, 许建中. 退变性脊柱畸形患者腰背肌力量耐力水平及与生活质量的相关性分析[J]. 第三军医大学学报, 2019,(21):2074-2079. DOI： 10.16016/j.1000-5404.201906156.

Sen YANG, Fei LUO, Jianzhong XU. Strength and endurance of lumbar dorsal muscle and their correlation with quality of life in patients with degenerative spinal deformity[J]. Journal of Third Military Medical University, 2019, (21): 2074-2079. DOI： 10.16016/j.1000-5404.201906156.

摘要

目的

探讨退变性脊柱畸形患者(degenerative spinal deformity

DSD)腰背肌最大等长力量和耐力状态，并分析其与生活质量的相关性。

方法

收集本院2018年5月至2019年3月DSD患者56例作为畸形组，同期健康体检者32例作为对照组。入院后通过站立位等长拉力测试评估两组人群腰背肌最大等长力量(maximal voluntary exertion

MVE)和耐力(endurance time

ET)，采集Oswestry功能障碍指数(Oswestry disability index

ODI)和36项简易健康问卷(SF-36)评分，畸形组同时收集疼痛视觉模拟评分(visual analogue scale

VAS)和Roland-Morris腰痛功能障碍评分(RMD)。畸形组腰背肌MVE和ET分别与VAS、ODI、RMD、SF-36评分进行相关性分析。

结果

畸形组腰背肌MVE、SF-36评分显著低于对照组(

0.05)，ODI评分显著高于对照组(

0.05)，两组ET差异无统计学意义；畸形组腰背肌MVE与VAS、ODI、RMD均呈显著负相关(

0.05)，与SF-36总分及量表中的生理功能、生理职能、躯体疼痛、活力、社会功能均呈显著正相关(

0.05)，畸形组腰背肌ET与生活质量各量表评分均无显著相关性。

结论

DSD患者伴有腰背肌最大等长力量下降，提高腰背肌肌力对改善退变性脊柱畸形患者生活质量有重要指导意义。

Abstract

Objective

To evaluate the maximum isometric strength and endurance of lumbar dorsal muscle extensors in patients with degenerative spinal deformity (DSD)

and analyze their correlation with the quality of life (QOL).

Methods

Fifty-six DSD patients admitted in our hospital from May 2018 to March 2019 were collected as the deformity group

and 32 healthy subjects during the same time served as the control group. After admission

the maximal voluntary exertion strength (MVE) strength and endurance time (ET) of all participants were assessed by standing isometric tension test. Their Oswestry disability index (ODI) and 36 simple health questionnaire score (SF-36) were used for the participants. Visual analogue scale (VAS) and Roland-Morris low back pain dysfunction score (RMD) were also collected in the DSD group. The correlations of MVE and ET in the DSD group with VAS

ODI

RMD and SF-36 scores were analyzed.

Results

MVE strength

ET and SF-36 scores of lumbar dorsal muscles were significantly lower in the DSD group than those in the control group (

0.05)

and ODI score was significantly higher than that in the control group (

0.05). There was no statistically significant difference in ET between the 2 groups. MVE strength was negatively correlated with VAS

ODI and RMD in the DSD group (

0.05)

and positively with SF-36 total score and physiological function

role physical

body pain

vitality and social function (

0.05). There was no significant correlation between ET and QOL in the DSD group.

Conclusion

DSD patients have a decrease in the maximum isometric strength of lumbar dorsal muscle. Improving the lumbar dorsal muscle strength is important for a better QOL in them.

关键词

Keywords

references

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