实用医学杂志 ›› 2021, Vol. 37 ›› Issue (13): 1723-1726.doi: 10.3969/j.issn.1006⁃5725.2021.13.016

• 临床研究 • 上一篇    下一篇

五次坐立测试在评价腰椎退变性疾病时的可重复性及一致性研究

陈唏, 王磊, 冯程程   

  1. 安徽省滁州市第一人民医院脊柱外科(安徽滁州 239000)

  • 出版日期:2021-07-10 发布日期:2021-07-10
  • 通讯作者: 王磊 E⁃mail:517634518@qq.com

Five⁃repetition sit⁃to⁃stand test in lumbar degenerative diseases:A study on reproducibility and consistency 

CHEN XiWANG LeiFENG Chengcheng.    

  1. Department of Spine Surgery,First Hospital of Chuzhou,Chuzhou 239000,China 

  • Online:2021-07-10 Published:2021-07-10
  • Contact: WANG Lei E⁃mail:517634518@qq.com

摘要:

目的 探究五次坐位站立测试(five⁃repetitionsit⁃to⁃stand,5R⁃STS)在腰椎退变性疾病中进行功 能评价时的可重复性,以及与疼痛视觉模拟评分(visual analog scale,VAS),ODI 功能障碍评分(oswestry disability index,ODI)主观测评方法之间的一致性。方法 2019 1 月至 2020 5 月期间,根据纳入和排 除标准,选取共 63 例明确诊断为腰椎退变性疾病的患者为研究对象。采用 5R⁃STS 对腰椎功能进行评价, 同时统计所有患者的主观量表评分。配对 t 检验分析两次测量的差异,采用组内相关系数(interclass corre⁃ lationcoefficients,ICC)分析 5R⁃STS 测试的可重复性,Bland⁃Altman 图分析一致性界限范围;Pearson 相关分 5R⁃STS VAS 腰痛、VAS 腿痛及 ODI 评分的相关性。结果 配对 t 检验示两次重复测量的结果之间的 差异无统计学意义(t = -1.776,P = 0.080 6);两次重复测量具有良好的一致性,其组内相关系数 ICC 值为 0.978 2(95%CI:0.964 2~0.986 8,P < 0.05)。5R⁃STS VAS 腰痛(r = 0.443 8)、ODI(r = 0.660 8)均呈正相关。5R⁃STS与VAS腿痛之间无相关性。结论 5R⁃STS在腰椎退变性疾病进行功能评价时,具有良好的可 重复性,且与VAS 腰痛及ODI 评分之间具有一定的一致性,是一种良好的辅助客观评价方法。

关键词:

五次坐位站立测试, 腰椎退变性疾病, 可重复性, 一致性

Abstract:

Objective To investigate the reproducibility and consistency of five⁃repetitionsit⁃to⁃stand test in patients with lumbar degenerative diseases. Methods From January 2019 to May 2020,a total of 63 patients with definite diagnosis of lumbar degenerative disease were selected according to inclusion and exclusion criteria. 5R⁃STS,VAS and ODI were carried out. Paired T⁃test was used to analyze the differences of the two measurements. Interclass correlation coefficients(ICC)were used to analyze the reproducibility of the 5R⁃STS test,and Bland⁃ Altman plot was used to analyze the range of consistency.Pearson correlation was used to analyze the correlation between 5R⁃STS and VAS low back pain,VAS leg pain and ODI score. Results Paired t test showed that the difference between the two repeated measurements was not statistically significant(t = -1.776,P = 0.080 6). The two repeated measurements showed good consistency,with the correlation coefficient ICC value 0.978 2(95% CI 0.964 2 ~ 0.986 8,P < 0.05). 5R⁃STS was positively correlated with VAS low back pain(r = 0.443 8)and ODI (r = 0.660 8). However,5R⁃STS had no significant correlation with VAS leg pain. Conclusion The 5R⁃STS test could be used as a supplementary measure for functional evaluation in lumbar degenerative diseases,which provides high reproducibility and is consistent with VAS low back pain and ODI score to some extent

Key words:

five?repetition sit?to?stand test, lumbar degenerative diseases, reproducibility, consis-tency