背景这项研究旨在调查非特异性颈痛患者的身体危险因素。疼痛强度之间的相关性,压力痛阈值,运动范围(ROM),分析了韩国一家医院50例非特异性颈部疼痛患者的残疾指数。材料和方法我们招募了50名医生诊断为非特异性颈部疼痛的患者。评估所有受试者的疼痛强度,压力阈值,残疾程度,活动范围(ROM)的颈部,上颈椎旋转ROM,深颈屈肌的肌肉耐力,颈部屈曲的代偿运动,向前的头部姿势,肩高差,和圆润的肩膀姿势。分析各变量之间的相关性。结果疼痛强度与颈椎旋转ROM有显著相关性,颈椎屈曲旋转ROM,圆肩姿势,肩高差,和前头部姿势(P<0.05)。压力痛阈值与宫颈延伸ROM有显著相关性,颈椎屈曲旋转ROM,和圆形肩高(P<.05)。残疾指数与宫颈旋转ROM有显著的相关性,颈椎屈曲旋转ROM,圆肩姿势,颈屈曲代偿运动(P<0.05)。结论非特异性颈部疼痛的身体危险因素包括颈椎旋转ROM,上颈椎旋转ROM,圆肩姿势,肩高差,和颈椎屈曲代偿运动,会影响疼痛强度和压力痛阈值。
BACKGROUND This study was conducted to investigate physical risk factors in patients with non-specific neck pain. The correlations among pain intensity, pressure pain threshold, range of motion (ROM), and disability index were analyzed in 50 patients with non-specific neck pain at a hospital in Korea. MATERIAL AND METHODS We enrolled 50 patients diagnosed with non-specific neck pain by a doctor. All subjects were evaluated for pain intensity, pressure threshold, degree of disability, active range of motion (ROM) of the neck, upper cervical rotation ROM, muscular endurance of deep cervical flexor, compensatory movements for neck flexion, forward head posture, shoulder height difference, and rounded shoulder posture. The correlation between each variable was analyzed. RESULTS Pain intensity had a significant correlation between cervical rotation ROM, cervical flexion-rotation ROM, rounded shoulder posture, shoulder height difference, and forward head posture (P<.05). There was a significant correlation between the pressure pain threshold and the cervical extension ROM, cervical flexion-rotation ROM, and rounded shoulder height (P<.05). The disability index had a significant correlation between the cervical rotation ROM, cervical flexion-rotation ROM, rounded shoulder posture, and the compensatory movement of neck flexion (P<.05). CONCLUSIONS Physical risk factors for non-specific neck pain included cervical rotation ROM, upper cervical rotation ROM, rounded shoulder posture, shoulder height difference, and cervical flexion compensatory movements, which can affect pain intensity and pressure pain threshold.