지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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PURPOSE: This study aimed to compare the degree of lumbopelvic rotation during the active straight leg raise (ASLR) test in chronic low back pain with and without lumbar segmental instability. METHODS: A total of 71 patients with chronic low back pain were recruited for this study. The subjects who tested positive for more than three of the five lumbar segmental instability tests (prone lumbar instability, lumbar passive extension test, anterior posterior mobility test, passive straight leg raise, age) were categorized into the lumbar segmental instability positive group. Patients who tested positive for less than three of the five tests were categorized into the lumbar segmental instability negative group. The lumbopelvic rotation was measured three times during ASLR and a mean was determined. Subjective heaviness during the ASLR was measured on 6 point scale. RESULTS: There was a statistically significant difference in the lumbopelvic rotation angle between the groups with and without lumbar segmental instability (p<.01). There was no significant difference in the subjective heaviness during ASLR. The mean lumbopelvic rotation angle during ASLR was $13.54{\pm}2.86^{\circ}$, and $8.81{\pm}2.47^{\circ}$ in the positive and negative groups, respectively (p<.01). The cut-off value of the lumbopelvic rotation during was $10.5^{\circ}$, the sensitivity was 82.9%, and the specificity was 80.6%. CONCLUSION: These results suggest that lumbopelvic rotation is more prevalent in patients without lumbar segmental instability. Clinically, this important when diagnosing chronic low back pain with lumbar segmental instability, as the lumbopelvic rotation angle during the ASLR test can be used to aid in diagnosis.
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참고문헌 (32)
참고문헌 신청
Airaksinen O / 2006 / Chapter 4. European guidelines for the management of chronic nonspecific low back pain / Eur Spine J 15(2):192~300
Alqarni AM / Clinical tests to diagnose lumbar segmental instability: A systematic review / J Orthop Sports Phys Ther 41(3):130~140
Bergmark A. / 1989 / Stability of the lumbar spine. A study in mechanical engineering / Acta Orthop Scand Suppl 230:1~54
Bruno PA / 2014 / Patient-reported perception of difficulty as a clinical indicator of dysfunctional neuromuscular control during the prone hip extension test and active straight leg raise test / Man Ther 19(6):602~607
Delitto A / 2012 / Low back pain / J Orthop Sports Phys Ther 42(4):1~57
Alqarni AM / Clinical tests to diagnose lumbar segmental instability: A systematic review / J Orthop Sports Phys Ther 41(3):130~140
Bergmark A. / 1989 / Stability of the lumbar spine. A study in mechanical engineering / Acta Orthop Scand Suppl 230:1~54
Bruno PA / 2014 / Patient-reported perception of difficulty as a clinical indicator of dysfunctional neuromuscular control during the prone hip extension test and active straight leg raise test / Man Ther 19(6):602~607
Delitto A / 2012 / Low back pain / J Orthop Sports Phys Ther 42(4):1~57
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