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目的探讨青年慢性非特异性下背痛(CNLBP)患者与健康受试者在姿势稳定性及平衡性方面的差异。方法选取青年CNLBP患者25例(纳入患者组)及健康志愿者25例(纳入正常组)作为观察对象。分别对患者组及正常组受试者进行闭眼单腿站立测试、姿势平衡测试、姿势稳定测试及稳定极限测试
分析对比CNLBP患者与健康志愿者在动静态平衡、姿势平衡及姿势稳定性方面的差异。结果患者组闭眼左腿站立计时[(27.60±11.67)s]较正常组明显缩短(P值为0.033);患者组蹲位起立、双脚轮替站立时其肢体承重差值[分别是(5.60±2.94)%和(7.12±4.59)%]均较正常组明显增加(P值分别为0.030和0.045);患者组将身体重心移向正左方、左后方的稳定极限值[分别为(63.66±13.30)%和(47.60±15.76)%]均显著低于正常组水平(P值分别为0.015和0.002)
稳定极限时间[(97.04±15.80)s]较正常组明显增加(P值为0.028);患者组睁眼站立调整重心时的前后、左右及总体稳定指数[分别是(3.82±1.64)、(3.58±1.06)和(5.35±1.61)]均较正常组明显增高(P值分别为0.043
0.010和0.006)
闭眼站立时的前后、左右、总体稳定指数[分别是(4.59±2.07)、(4.18±1.63)和(6.36±2.26)]亦较正常组明显增高(P值分别为0.031
0.020和0.013)。结论与青年健康受试者比较
青年CNLBP患者存在一定程度的姿势控制障碍
如左腿静态平衡能力、动态平衡能力下降等;青年CNLBP患者在执行具有挑战性的平衡任务时表现出较差的姿势平衡性及稳定性
如在稳定平面蹲位起立、双脚轮替站立时的姿势平衡性较差;在不稳定平面睁眼站立调整重心、闭眼站立时的姿势稳定性较差
并且将身体重心移向正左方或左后方时有较大的跌倒风险。
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