成年人軀干核心肌耐力研究
發(fā)布時(shí)間：2019-01-24 21:34
【摘要】：[目的]建立成年男性和女性在不同年齡階段軀干核心肌耐力測(cè)試的參考值范圍。[方法]188位(男性:88位)年齡在20-59(35.9±13.3歲)之間的受試者自愿參與到本研究中,其中健康受試者172位,腰痛患者16位。實(shí)驗(yàn)開始前所有受試者均需填寫一份基本信息表和簽署知情同意書,腰痛患者還需根據(jù)當(dāng)天的腰痛情況額外填寫一份功能障礙指數(shù)量表(Oswestry Disability Index:ODI)和使用疼痛視覺模擬評(píng)分(Visual Analogue Scale:VAS)為自己當(dāng)天的腰痛程度評(píng)分。所有受試者均需按要求完成索倫森測(cè)試、平板支撐、左側(cè)搭橋和右側(cè)搭橋四項(xiàng)測(cè)試,每項(xiàng)測(cè)試的順序由抓鬮隨機(jī)決定,記錄每項(xiàng)測(cè)試的時(shí)間,測(cè)試之間均有20分鐘休息時(shí)間。將所有健康受試者按年齡段依次分為4個(gè)組,即20-29歲組,30-39歲組,40-49歲組,50-59歲組,計(jì)算不同年齡組的健康受試者和腰痛組每種測(cè)試的平均支撐時(shí)間。使用相關(guān)性分析計(jì)算ODI得分與索倫森測(cè)試、平板支撐、左側(cè)搭橋?qū)嶒?yàn)、右側(cè)搭橋?qū)嶒?yàn)的支撐時(shí)間以及VAS之間的相關(guān)系數(shù)。通過受試者特征曲線(Receiver Operator Characteristic curve,ROC 曲線),計(jì)算使用四種測(cè)試的總時(shí)間來(lái)區(qū)分腰痛患者和非腰痛患者的分界點(diǎn)值以及該點(diǎn)的靈敏度和特異度。[結(jié)果]健康受試者20-29歲組,30-39歲組,40-49歲組,50-59歲組索倫森測(cè)試的平均時(shí)間分別為:150±45s,117±38s,113±32s,125±36s。平板支撐的時(shí)間分別為:111±59s,84±39s,86±35s,91±51s。左側(cè)和右側(cè)搭橋?qū)嶒?yàn)的平均時(shí)間均在60-80s之間。除了 50-59歲年齡組的索倫森測(cè)試和平板支撐比30-39歲,40-49歲兩個(gè)年齡組略高之外,其他測(cè)試均遵循隨著年齡的增長(zhǎng),測(cè)試支撐的時(shí)間也隨之減少的趨勢(shì)。腰痛組,除了 VAS與ODI之間有高度相關(guān)性(rho = 0.813),剩下的每種測(cè)試的支撐時(shí)間與ODI均呈低相關(guān)性或者不相關(guān)(rho0.4)。ROC 曲線下面積(Area Under the Curve:AUC)為 0.723(0.573,0.865),最佳區(qū)分腰痛患者和非腰痛患者的時(shí)間分界點(diǎn)為288s,該分界點(diǎn)的靈敏度和特異度均為0.75。[結(jié)論]本實(shí)驗(yàn)建立了中國(guó)健康成年人的核心肌耐力參考值范圍,但可能由于中國(guó)中老年人的生活習(xí)慣或者體重指數(shù)(Body Mass Index:BMI)與國(guó)外同齡階段人群有所不同,導(dǎo)致50-59歲人群核心肌耐力測(cè)試時(shí)間與國(guó)外有所差異。此外,由于本實(shí)驗(yàn)樣本量有限,所以關(guān)于50-59歲年齡的段核心肌耐力參考值范圍還需今后做更多的研究證實(shí)。索倫森測(cè)試、平板支撐、左側(cè)和右側(cè)搭橋四種核心肌耐力測(cè)試的總時(shí)間區(qū)分腰痛患者和非腰痛患者的分界點(diǎn)為288s。
[Abstract]:Objective: to establish the reference range of trunk core muscle endurance test for adult male and female at different ages. [methods] 188 subjects (male: 88) aged between 20 and 59 (35.9 鹵13.3) volunteered to participate in the study, including 172 healthy subjects and 16 patients with low back pain. Before the experiment began, all subjects were required to fill out a basic information form and sign an informed consent form. Patients with low back pain also need to fill in an additional low back pain index scale (Oswestry Disability Index:ODI) and use pain visual analogue scale (Visual Analogue Scale:VAS) to score the degree of low back pain on that day. All subjects were required to complete four tests: Sorenson test, plate support, left side bypass and right side bypass. The order of each test was randomly determined by drawing lots. The time of each test was recorded and there were 20 minutes of rest time between the tests. All healthy subjects were divided into 4 groups according to their age groups: 20-29, 30-39, 40-49, 50-59 years old. The average support time of each test was calculated for healthy subjects and low back pain groups. Correlation analysis was used to calculate the correlation coefficient between ODI score and Sorenson test, plate support, left side bypass test, right side bypass test and VAS. By means of the (Receiver Operator Characteristic curve,ROC curve of the subjects' characteristic curve, the total time of the four kinds of tests was calculated to distinguish the demarcation points between the patients with low back pain and those with non-low back pain, as well as the sensitivity and specificity of the points. [results] the average time of Sorenson test in healthy subjects aged 20-29, 30-39, 40-49, 50-59 years old was 150 鹵45s, 117 鹵38s, 113 鹵32sn, 125 鹵36s, respectively. The supporting time of the plate was 111 鹵59 s-1, 84 鹵39 sm, 86 鹵35 s, 91 鹵51 s, respectively. The average time of the left and right side bypass experiment was between 60 and 80 s. With the exception of the Sorenson test and the panel support ratio of 30-39 and 40-49 in the 50-59 age group, the other tests followed the trend that the duration of the test support decreased with the increase of age. In the low back pain group, except for the high correlation between VAS and ODI (rho = 0.813), For each of the remaining tests, there was a low or no correlation between the support time and the ODI (area under the rho0.4). ROC curve, (Area Under the Curve:AUC) was 0.723 (0.573 鹵0.865), The best time boundary point for distinguishing low back pain patients from non low back pain patients is 288 s, and the sensitivity and specificity of this boundary point are both 0. 75. [conclusion] the reference range of core muscle endurance of Chinese healthy adults was established in this experiment, but it may be due to the difference of life habits or body mass index (Body Mass Index:BMI) between Chinese and foreign age groups. As a result, the test time of core muscle endurance of 50-59 years old population was different from that of foreign countries. In addition, due to the limited sample size of the experiment, the reference range of the core muscle endurance between 50 and 59 years old needs to be confirmed by more studies in the future. The total time of Sorenson test, plate support, left side and right side bypass test to distinguish low back pain patients from non low back pain patients was 288 s.
【學(xué)位授予單位】：昆明醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R681.5
本文編號(hào)：2414883
[Abstract]:Objective: to establish the reference range of trunk core muscle endurance test for adult male and female at different ages. [methods] 188 subjects (male: 88) aged between 20 and 59 (35.9 鹵13.3) volunteered to participate in the study, including 172 healthy subjects and 16 patients with low back pain. Before the experiment began, all subjects were required to fill out a basic information form and sign an informed consent form. Patients with low back pain also need to fill in an additional low back pain index scale (Oswestry Disability Index:ODI) and use pain visual analogue scale (Visual Analogue Scale:VAS) to score the degree of low back pain on that day. All subjects were required to complete four tests: Sorenson test, plate support, left side bypass and right side bypass. The order of each test was randomly determined by drawing lots. The time of each test was recorded and there were 20 minutes of rest time between the tests. All healthy subjects were divided into 4 groups according to their age groups: 20-29, 30-39, 40-49, 50-59 years old. The average support time of each test was calculated for healthy subjects and low back pain groups. Correlation analysis was used to calculate the correlation coefficient between ODI score and Sorenson test, plate support, left side bypass test, right side bypass test and VAS. By means of the (Receiver Operator Characteristic curve,ROC curve of the subjects' characteristic curve, the total time of the four kinds of tests was calculated to distinguish the demarcation points between the patients with low back pain and those with non-low back pain, as well as the sensitivity and specificity of the points. [results] the average time of Sorenson test in healthy subjects aged 20-29, 30-39, 40-49, 50-59 years old was 150 鹵45s, 117 鹵38s, 113 鹵32sn, 125 鹵36s, respectively. The supporting time of the plate was 111 鹵59 s-1, 84 鹵39 sm, 86 鹵35 s, 91 鹵51 s, respectively. The average time of the left and right side bypass experiment was between 60 and 80 s. With the exception of the Sorenson test and the panel support ratio of 30-39 and 40-49 in the 50-59 age group, the other tests followed the trend that the duration of the test support decreased with the increase of age. In the low back pain group, except for the high correlation between VAS and ODI (rho = 0.813), For each of the remaining tests, there was a low or no correlation between the support time and the ODI (area under the rho0.4). ROC curve, (Area Under the Curve:AUC) was 0.723 (0.573 鹵0.865), The best time boundary point for distinguishing low back pain patients from non low back pain patients is 288 s, and the sensitivity and specificity of this boundary point are both 0. 75. [conclusion] the reference range of core muscle endurance of Chinese healthy adults was established in this experiment, but it may be due to the difference of life habits or body mass index (Body Mass Index:BMI) between Chinese and foreign age groups. As a result, the test time of core muscle endurance of 50-59 years old population was different from that of foreign countries. In addition, due to the limited sample size of the experiment, the reference range of the core muscle endurance between 50 and 59 years old needs to be confirmed by more studies in the future. The total time of Sorenson test, plate support, left side and right side bypass test to distinguish low back pain patients from non low back pain patients was 288 s.
【學(xué)位授予單位】：昆明醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R681.5
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