几种腰前屈活动度评定方法的比较

A comparative study on different methods of assessing range of lumbar flexion

目的 :探讨准确、简易、价廉的腰前屈活动度的临床评测方法。方法 :对 5 0例正常青年人分别用评分法、改良的Schober法、量角器法、距离测定法和电子测角器测定法进行腰屈曲活动度的评测 ,并将各种方法与电子测角器法进行比较。结果 :评分法、量角器法和距离法与电子测角器测定的腰和髋共同屈曲度高度相关 (r=0 .80 5 ,0 .72 8,- 0 .90 6 ;P <0 .0 1) ;改良的Schober法与电子测角器测定的腰屈曲度低度正相关 (r =0 .372 ,P <0 .0 1)。结论

Objective: To look for an accurate, simple and inexpensive clinical method of assessing lumbar flexion range. Method: The range of lumbar flexion of fifty young healthy persons were assessed by different methods. These methods were scoring, modified Schober tests, goniometers, finger to floor distance and Cybex electronic digital inclinometer(Cybex EDI 320). Result: The results of the total lumb sacral flexion and true lumbar flexion measured with Cybex EDI 320 were significanly correlated(r=0.528, P <0.01). The methods of scoring, goniometers, finger to floor distance were applied in total lumbosacral flexion. These results correlated with data of total lumbosacral flexion from Cybex EDI 320. Modified Schober tests were used in true lumbar flexion measurment. The results of true lumbar flexion from the modified Schober tests were significantly correlated with that from Cybex EDI 320. Conclusion :The methods of scoring, modified Schober tests, goniometers, finger to floor distance are accurate to assess the range of lumbar flexion. It is suggested that finger to floor distance be employed clinically.