CAJ | 학술논문

目的研究原发性骨质疏松或骨量低下患者疼痛与下肢肌力、生理功能间的相关性,为制订科学康复方案提供参考依据.方法共选取57例绝经期骨量低下或原发性骨质疏松患者,采用多关节等速测试系统检测患者下肢肌力,采用视觉模拟评分法(VAS)评定下肢及腰背部疼痛,选用汉化版SF-36健康调查问卷对患者生理功能进行评定.结果经相关性分析发现,入选患者腰痛及腿痛均与生理功能具有显著负相关性(P＜0.05);且腿痛与生理功能的相关性大于腰痛;下肢在慢速及中速运动时,腿痛与优势腿伸肌群肌力均具有显著负相关性(均P＜0.05);与优势腿屈肌群肌力均无明显相关性(均P＞0.05).结论原发性骨质疏松或骨量低下患者疼痛与其生理功能间具有显著负相关性,其中腿痛与生理功能的相关性大于腰痛;在肢体慢速及中速运动时,腿痛与优势腿伸肌群肌力具有显著负相关性,与屈肌群肌力无明显相关性.
목적 연구원발성골질소송혹골량저하환자동통여하지기력、생리공능간적상관성,위제정과학강복방안제공삼고의거.방법 공선취57례절경기골량저하혹원발성골질소송환자,채용다관절등속측시계통검측환자하지기력,채용시각모의평분법(VAS)평정하지급요배부동통,선용한화판SF-36건강조사문권대환자생리공능진행평정.결과 경상관성분석발현,입선환자요통급퇴통균여생리공능구유현저부상관성(P＜0.05);차퇴통여생리공능적상관성대우요통;하지재만속급중속운동시,퇴통여우세퇴신기군기력균구유현저부상관성(균P＜0.05);여우세퇴굴기군기력균무명현상관성(균P＞0.05).결론 원발성골질소송혹골량저하환자동통여기생리공능간구유현저부상관성,기중퇴통여생리공능적상관성대우요통;재지체만속급중속운동시,퇴통여우세퇴신기군기력구유현저부상관성,여굴기군기력무명현상관성.
Objective To study the correlation between pain, lower limb strength and physical function in patients with primary osteoporosis. Methods Fifty-seven female patients diagnosed with menopause-related low bone mass or primary osteoporosis using a GE calcaneus bone density detector were involved in this study. The muscle strength of their lower limbs was tested with a Biodex system 4 machine. Pain was assessed with a visual analogue scale, and physical function (PF) with the SF-36 instrument. Results Low back pain was significantly correlated with PF, and so was leg pain. Leg pain was also significantly correlated with the strength of the extensors of the dominant leg during low velocity and medium velocity movement. Leg pain was not, however, significantly correlated with the strength of the flexors of the dominant leg during low and medium velocity movement. Conclusions Pain predicts poor physical function in patients with primary osteoporosis or low bone density. During low and medium velocity movement, leg pain significantly predicts poor muscle strength in the extensors of the dominant lower leg, but it has no correlation with the muscle strength of the flexors.