慢性颈痛患者健康体适能的特征

doi:10.3969/j.issn.1006-9771.2023.07.003

摘要/Abstract

摘要：

目的探讨慢性颈痛患者健康体适能的表现，以及疼痛程度与健康体适能之间的联系。

方法 2020年3月至6月，于大连理工大学招募健康人30例(对照组)和慢性颈痛患者30例(患者组)。采用颈部功能障碍指数(NDI)和疼痛视觉模拟量表(VAS)进行评定。采集两组身体成分、握力(利侧)、肩关节柔韧性、心肺耐力和颈部肌肉耐力。

结果患者组标准化皮下脂肪含量高于对照组，躯干肌肉量低于对照组；标准化握力、颈屈肌和伸肌耐力、右肩柔韧性和最大摄氧量绝对值均低于健康组(|t| > 2.088, P < 0.05)。患者组VAS评分与NDI评分(r = 0.407)、握力(r = -0.406)、颈伸肌耐力(r = -0.384)、右肩关节柔韧性(r = -0.551)、最大摄氧量绝对值(r = -0.510)相关(P < 0.05)。

结论慢性颈痛患者健康体适能下降，并与颈痛程度相关。

关键词: 慢性颈痛, 健康体适能, 肌力, 心肺耐力, 柔韧性

Abstract:

Objective To investigate the characteristics of health-related physical fitness of patients with chronic neck pain, and the relationship between neck pain and physical fitness.

Methods From Match to June, 2020, 30 healthy controls and 30 patients with chronic neck pain in Dalian University of Technology were included. They were assessed with Neck Disability Index (NDI) and Visual Analog Scale for pain (VAS). The body composition, grip strength (dominant), shoulder joint flexibility, cardiopulmonary endurance and neck muscle endurance of all the participants were measured.

Results The content of standardized subcutaneous fat was more, and the trunk muscle content was less in the patients than in the healthy controls, while the standardized grip strength, endurance of neck flexor and extensor, right shoulder flexibility, absolute maximum oxygen uptake were all poorer (|t| > 2.088, P < 0.05). The score of VAS correlated (P < 0.05) with the score of NDI score (r = 0.407), grip strength (r = -0.406), endurance of neck extensor (r = -0.384), right shoulder joint flexibility (r = -0.551) and absolute value of maximal oxygen uptake (r= -0.510).

Conclusion Health-related physical fitness has been impaired for patients with chronic neck pain, and correlates with the intensity of pain.

Key words: chronic neck pain, physical fitness, muscle strength, cardiopulmonary endurance, flexibility

中图分类号:

R681.5

李梦瑜, 宋雅, 徐坚. 慢性颈痛患者健康体适能的特征[J]. 《中国康复理论与实践》, 2023, 29(7): 756-760.

LI Mengyu, SONG Ya, XU Jian. Characteristics of health-related physical fitness of patients with chronic neck pain[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 756-760.

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组别	n	性别(男/女)/n	年龄/岁	身高/cm	体质量/kg	体质量指数/(kg·m^-2)^a
对照组	30	14/16	32.93±7.37	169.70±8.11	69.41±13.23	23.90±3.31
患者组	30	7/23	33.17±7.17	163.65±8.12	62.96±13.95	23.31±3.66
χ²/t值		3.590	0.124	-1.922	-1.838	-0.651
P值		0.058	0.901	0.055	0.071	0.518

指标	对照组(n = 30)	患者组(n = 30)	t值	P值	Cohen d值
VAS评分	1.57±2.22	5.47±2.29	6.699	< 0.001	1.73
NDI评分	0.93±1.39	8.30±4.84	7.632	< 0.001	1.86
握力/(N·kg^-1)	0.51±0.09	0.43±0.11	-3.048	0.003	0.80
颈部屈肌耐力/s	10.59±3.48	7.53±3.48	-3.416	0.001	0.88
颈部伸肌耐力/s	17.29±7.26	10.04±3.47	-4.674	< 0.001	1.15
左肩关节柔韧性评分	1.77±0.43	1.73±0.45	-0.293	0.770
右肩关节柔韧性评分	1.93±0.25	1.73±0.45	-2.121	0.038	0.55
体质量指数/(kg·m^-2)^a	23.68±3.24	23.00±3.56	-0.790	0.490
体脂肪率/%	28.11±6.61	31.09±6.69	1.731	0.089
肌肉量比值/%	100.13±6.44	99.47±7.50	-0.366	0.716
内脏脂肪面积/cm²	74.90±37.83	59.22±35.54	-1.655	0.103
标准化内脏脂肪含量	0.04±0.02	0.04±0.02	-0.161	0.873
标准化皮下脂肪含量	0.24±0.06	0.27±0.05	2.139	0.037	0.54
腰臀比	0.88±0.06	0.86±0.06	-1.922	0.060
标准化躯干肌肉含量	0.36±0.03	0.34±0.04	-2.187	0.033	0.57
标准化躯干脂肪量	0.16±0.04	0.17±0.04	0.828	0.411
最大摄氧量绝对值/(L·min^-1)	2.06±0.77	1.69±0.52	-2.088	0.041	0.53
最大摄氧量相对值(mL·min^-1·kg^-1)	29.46±7.93	27.12±6.20	-1.273	0.208