中国组织工程研究 ›› 2015, Vol. 19 ›› Issue (37): 6060-6063.doi: 10.3969/j.issn.2095-4344.2015.37.028

• 组织构建临床实践 clinical practice in tissue construction • 上一篇    下一篇

压力生物反馈仪测试腰痛的信度评价

董煜琳1,2,王雪强1,2,胡静芸1,2   

  1. 1上海体育学院,上海市  200438; 2上海上体伤骨科医院,上海市  200438
  • 出版日期:2015-09-10 发布日期:2015-09-10
  • 通讯作者: 王雪强,上海体育学院,上海上体伤骨科医院,上海市 200438
  • 作者简介:董煜琳,上海体育学院,上海上体伤骨科医院,上海市 200438
  • 基金资助:

    国家自然科学基金资助项目(81501956);上海市科委青年科技英才扬帆计划(15YF1411400);上海市教委科研创新项目(15ZZ084);上海体育学院研究生教育创新基金(yjscx2014008)

Reliability of pressure biofeedback instrument in patients with low back pain

Dong Yu-lin1, 2, Wang Xue-qiang1, 2, Hu Jing-yun1, 2   

  1. 1Shanghai University of Sport, Shanghai 200438, China; 2Orthopedics Hospital, Shanghai University of Sport, Shanghai 200438, China
  • Online:2015-09-10 Published:2015-09-10
  • Contact: Wang Xue-qiang, Shanghai University of Sport, Shanghai 200438, China; Orthopedics Hospital, Shanghai University of Sport, Shanghai 200438, China
  • About author:Dong Yu-lin, Shanghai University of Sport, Shanghai 200438, China; Orthopedics Hospital, Shanghai University of Sport, Shanghai 200438, China
  • Supported by:

    the National Natural Science Foundation of China, No. 81501956; the Young Scientific Talent Plan of Shanghai Science and Technology Commission, No.15YF1411400; the Scientific Innovation Project of Shanghai Science and Technology Commission, No. 15ZZ084; Graduate Education and Innovation Fund of Shanghai University of Sport, No. yjscx2014008

摘要:

背景:关于下背痛的治疗方案种类繁多,至今仍没有一个确定的治疗手段。压力生物反馈仪是测量腹部肌肉活性的工具,对腰痛患者测试的信度研究较少。

目的:探讨压力生物反馈仪用于评估腰痛患者的信度及可行性。

方法:将符合入选条件的30例慢性腰痛患者作为受试者,选取4组动作,分别为动作A俯卧位,动作B仰卧屈膝位,动作C仰卧单侧屈髋屈膝位,动作D俯卧单侧肩关节前屈位,分别测试不同动作下的腹内压,由同一测试者在1周内对受试者进行前后两次测试。信度评价指标为组内相关系数(ICC)。

结果与结论:动作A具有良好的信度,ICC值为0.853 (95%CI:0.691-0.930);动作B具有中等相关性,ICC值为0.751(95%CI:0.477-0.882);动作C具有中等相关性,ICC值为0.789(95%CI:0.557-0.900);动作D具有良好的相关性,ICC值为0.892(95%CI:0.641-0.919)。因此压力生物反馈用于评估腰痛具有良好的信度,可用于腰痛患者的评价。

 中国组织工程研究杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松组织工程

关键词: 组织构建, 组织工程, 压力生物反馈仪, 腰痛, 信度评价, 国家自然科学基金

Abstract:

BACKGROUND: Treatment programs for low back pain are of great varieties, but there is still no a definite treatment. Pressure biofeedback instrument is a tool to measure abdominal muscle activity, and its reliability in the treatment of low back pain is less reported.

OBJECTIVE: To explore the reliability and feasibility of the pressure biofeedback instrument for assessment of low back pain.

METHODS: Thirty patients with chronic low back pain were enrolled and subject to four kinds of postures: posture A was prone position; posture B was supine position with flexion of the knee joints, posture C was supine position with unilateral flexion of the hip and knee joint, posture D was prone position with unilateral shoulder flexion. Intra-abdominal pressure values under the different postures were measured twice within a week in the same subject. Intraclass correlation coefficient (ICC) was used to assess the reliability.

RESULTS AND CONCLUSION: Posture A had good test-retest reliability, and the value of ICC was 0.853 (95% confidence interval: 0.691-0.930); posture B showed moderate test-retest reliability, and the ICC value was 0.751 (95% confidence interval: 0.477-0.882); posture C also had moderate test-retest reliability, and the ICC value was 0.789 (95% confidence interval: 0.557-0.900), posture D had good test-retest reliability, and the value of ICC was 0.892 (95% confidence interval: 0.641-0.919). Therefore, the pressure biofeedback for evaluation of low back pain has good reliability, which can be used for the evaluation of low back pain.

 中国组织工程研究杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松组织工程

Key words: headings, Low Back Pain, Pressure

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