慢性颈痛患者健康体适能的特征

Characteristics of health-related physical fitness of patients with chronic neck pain

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。

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.