慢性颈痛患者健康体适能的特征

doi:10.3969/j.issn.1006-9771.2023.07.003

Abstract

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

CLC Number:

R681.5

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.

Figures/Tables 2

References 29

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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

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

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