稳定肌群压力反馈仪对腰部稳定性测试的重测信度及其对iQ脉冲枪干预的敏感性

王娜, 王丽丽, 蒋天裕

武警医学 ›› 2019, Vol. 30 ›› Issue (11) : 928-931.

PDF(738 KB)
PDF(738 KB)
武警医学 ›› 2019, Vol. 30 ›› Issue (11) : 928-931.
论著

稳定肌群压力反馈仪对腰部稳定性测试的重测信度及其对iQ脉冲枪干预的敏感性

  • 王娜1, 王丽丽2, 蒋天裕1
作者信息 +

Retest reliability of Stabilizer Pressure Biofeedback for low back stability and its sensibility to iQ impulse adjusting instrument

  • WANG Na1, WANG Lili2, JIANG Tianyu1
Author information +
文章历史 +

摘要

目的 探讨稳定肌群压力反馈仪对腰部稳定性测试的重测信度及其对iQ脉冲枪干预的敏感性。方法 选择2018年5-9月某校教师22名,分别进行俯卧位和仰卧位的稳定肌群压力反馈仪测试,每名教师均需进行间隔3 d的2组重复测试和1组iQ脉冲枪干预后的测试,共计3组测试;每次测试均要求受试者达到最大压强值并维持10 s,记录压强的变化情况(上限值和下限值)。结果 (1)俯卧位测试中,重测试验上限值和下限值测试前后比较均没有统计学差异,相关系数分别为0.734和0.798(P<0.01);干预试验上限值和下限值测试前后比较均没有统计学差异,相关系数分别为0.866和0.870(P<0.01)。(2)仰卧位测试中,重测试验上限值和下限值测试前后比较均没有统计学差异,相关系数分别为0.798和0.767(P<0.01);干预试验上限值和下限值测试前后比较均有统计学差异(P<0.05),相关系数分别为0.955和0.956(P<0.01)。结论 仰卧位稳定肌群压力反馈仪测试有较高的重测信度,对于干预刺激有较好的敏感性;而俯卧位测试虽有一定的重测信度,但不能反映干预的变化;因此,稳定肌群压力反馈仪仰卧位测试法是一种简单实用的腰部功能评估方法。

Abstract

Objective To study the retest reliability of Stabilizer Pressure Biofeedback for low back stability and the sensibility to iQ impulse adjusting instrument.Methods Twenty-two teachers from one school were tested by Stabilizer Pressure Biofeedback in the supine and prone position between May and September 2018.Each of them was asked to participate in three tests which included two retests at an interval of three days and one test with iQ impulse adjusting instrument. On each test, the subjects were asked to reach the maximum value and maintain it for ten seconds. The pressure variation (upper limits and lower limits)was recorded.Results (1)In the prone position, there was no statistically significant difference between the upper and lower limits, and the correlation coefficients were 0.734 and 0.798(P<0.01)respectively on the retest test, compared with 0.866 and 0.870(P<0.01)respectively on the intervention test.(2) In the supine position, there was no statistically significant difference between the upper and lower limits, with the correlation coefficients being 0.798 and 0.767(P<0.01)respectively on the retest test, compared with 0.955 and 0.956(P<0.01)respectively on the intervention test.Conclusions In the supine position, Stabilizer Pressure Biofeedback exhibits high retest reliability and good sensibility to the intervention stimulation, but in the prone position, it is hard to reflect intervention changes though there is some retest reliability. Therefore, the supine position test of Stabilizer Pressure Biofeedback is a simple and practical method to assess lumbar function.

关键词

信度 / 腰痛 / 稳定肌群压力反馈仪 / 腰部稳定性 / iQ脉冲枪

Key words

reliability / low back pain / Stabilizer Pressure Biofeedback / low back stability / iQ impulse adjusting instrument

引用本文

导出引用
王娜, 王丽丽, 蒋天裕. 稳定肌群压力反馈仪对腰部稳定性测试的重测信度及其对iQ脉冲枪干预的敏感性[J]. 武警医学. 2019, 30(11): 928-931
WANG Na, WANG Lili, JIANG Tianyu. Retest reliability of Stabilizer Pressure Biofeedback for low back stability and its sensibility to iQ impulse adjusting instrument[J]. Medical Journal of the Chinese People Armed Police Forces. 2019, 30(11): 928-931
中图分类号: R87   

参考文献

[1] Barr K P, Griggs M, Cadby T, Lumbar stabilization: a review of core concepts and current literature, part 2 [J]. Am J Phys Med Rehabil, 2007, 86(1): 72-80.
[2] Panjabi M M, The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement [J]. J Spinal Disord, 1992, 5(4): 383-389.
[3] Coulombe B J, Games K E, Neil E R, et al. Core stability exercise versus general exercise for chronic low back pain [J]. J Athl Train, 2017, 52(1): 71-72.
[4] Rivera C E. Core and lumbopelvic stabilization in runners [J]. Phys Med Rehabil Clin N Am, 2016, 27(1): 319-337.
[5] Kang T W, Lee J H, Park D H, et al.Effect of 6-week lumbar stabilization exercise performed on stable versus unstable surfaces in automobile assembly workers with mechanical chronic low back pain [J]. Work, 2018, 60(3): 445-454.
[6] Boucher J A, Preuss R, Henry S M, et al.Trunk postural adjustments: medium-term reliability and correlation with changes of clinical outcomes following an 8-week lumbar stabilization exercise program [J]. J Electromyogr Kinesiol, 2018, 41: 66-76.
[7] 胡静芸. 压力生物反馈仪对腰部腹内压的重测信度研究[J]. 重庆医学, 2016, 45(2): 226-231.
[8] Richardson C. Clinical testing of the local muscles: practical examination of motor skill, in therapeutic exercise for spinal segmental stabilization in low back pain: scientific basisand clinical approach[M]. United States: Churchill Livingstone, 1999:105-124.
[9] Barr K P, Griggs M, Cadby T. Lumbar stabilization: core concepts and current literature, part 1 [J]. Am J Phys Med Rehabil, 2005, 84(6): 473-480.
[10] Liebenson, C. Functional evaluation of faulty movement patterns, in functional training handbook[M]. United States: Wolters Kluwer, 2014:59-92.
[11] 恽晓平. 康复疗法评定学[M]. 2版. 北京: 华夏出版社, 2014:16-18, 65-101, 342-347.
[12] Wise, C H. Orthopaedic manual physical therapy: from art to evidence[M]. Philadelphia: F.A. Davis Company, 2015: 389-412.
[13] Yang H S. Difference of the thickness and activation of trunk muscles during static stoop lift at different loads between subjects with and without low back pain [J]. J Back Musculoskelet Rehabil, 2018, 31(3): 481-488.
[14] Hebert J J, Koppenhaver S L, Teyhen D S, et al. The evaluation of lumbar multifidus muscle function via palpation: reliability and validity of a new clinical test [J]. Spine J, 2015, 15(6):1196-1202.
[15] Moreau B, Vergari C, Gad H, et al. Non-invasive assessment of human multifidus muscle stiffness using ultrasound shear wave elastography: A feasibility study [J]. Proc Inst Mech Eng H, 2016, 230(8):809-814.
[16] Ishida H, Suehiro T, Kurozumi C, et al. Comparison between the effectiveness of expiration and abdominal bracing maneuvers in maintaining spinal stability following sudden trunk loading [J]. J Electromyogr Kinesiol, 2016, 26:125-129.
[17] Shahvarpour A, Henry S M, Preuss R, et al. The effect of an 8-week stabilization exercise program on the lumbopelvic rhythm and flexion-relaxation phenomenon [J]. Clin Biomech (Bristol, Avon), 2017, 48:1-8.
[18] Phil P, Clare C F, Robert L, et al. Evaluation of movement patterns, in assessment and treatment of muscle imbalance the Janda approach[M]. United States: Human Kinetics, 2009: 77-91.
[19] Cook G B L, Kiesel K, Rose G, et al. Movement: functional movement systems: screening, assessment, corrective strategies[M]. Aptos, CA: On Target Publications, 2010:38-47.
[20] Park S H, Lee M M. Effects of a progressive stabilization exercise program using respiratory resistance for patients with lumbar instability: a randomized controlled Ttrial [J]. Med Sci Monit, 2019, 25: 1740-1748.
[21] Richardson C, Jull G, Toppenberg R, et al. Techniques for active lumbar stabilisation for spinal protection: a pilot study [J]. Aust J Physiother, 1992, 38(2):105-112.
[22] Keller T S, Colloca C J, Moore R J, et al. Increased multiaxial lumbar motion responses during multiple-impulse mechanical force manually assisted spinal manipulation [J]. Chiropr Osteopat, 2006, 14: 6.
[23] Keller T S, Colloca C J, Beliveau J G. Force-deformation response of the lumbar spine: a sagittal plane model of posteroanterior manipulation and mobilization [J]. Clin Biomech (Bristol, Avon), 2002, 17(3): 185-196.
[24] Keller T S, Colloca C J, Gunzburg R. Neuromechanical characterization of in vivo lumbar spinal manipulation. Part I. Vertebral motion [J]. J Manipulative Physiol Ther, 2003, 26(9):567-578.
[25] Colloca C J, Keller T S, Gunzburg R. Biomechanical and neurophysiological responses to spinal manipulation in patients with lumbar radiculopathy [J]. J Manipulative Physiol Ther, 2004, 27(1):1-15.
[26] Colloca C J, Keller T S, Gunzburg R. Neuromechanical characterization of in vivo lumbar spinal manipulation. Part II. Neurophysiological response [J]. J Manipulative Physiol Ther, 2003, 26(9): 579-591.

基金

保健专项科研课题(13BJZ53)

PDF(738 KB)

Accesses

Citation

Detail

段落导航
相关文章

/