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題名 | 股神經身體前彎測試於健康女性之再測信度與雙側肢體反應比較=Femoral Slump Test: Test-retest Reliability and Bilateral Comparison of the Neurodynamic Responses in Healthy Females |
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作者 | 林佩伶; 黃炳堯; 施怡芬; | 書刊名 | 物理治療 |
卷期 | 36:3 2011.09[民100.09] |
頁次 | 頁225-232 |
分類號 | 418.996 |
關鍵詞 | 股神經身體前彎測試; 神經動力學測試; 雙側比較; Femoral slump test; Neurodynamic test; Bilateral comparison; |
語文 | 中文(Chinese) |
中文摘要 | 背景與目的:神經動力學測試(Neurodynamic tests)可用來評估神經受到機械刺激的表現,即機械敏威性(mechanosensitivity)。股神經身體前彎測試(femoral slump test, FST)為檢測腰椎神經及下肢疼痛的測試之一,然而目前較少文獻討論其測試結果。因此本篇研究之目的在建立股神經身體前彎測試中髖關節角度量測之再測信度,並探討此髖關節伸直角度在健康受試者雙側肢體反應之異同。方法:收取17位健康女性受試者,年齡平均25.64±3.44歲。其中十位受試者在同日內進行兩次股神經身體前彎測試,以頸部後仰動作做為組織鑑別手法。紀錄股神經身體前彎測試的髖關節角度及疼痛,以組內相關係數(Intraclass correlation coefficient, ICC)計算同日內再測信度。以配對t檢定進行雙側肢體的髖關節角度反應比較。結果:研究結果顯示,股神經身體前彎測試的髖關節伸直角度同日再測信度的組內相關係數為0.91到0.99之間。施行組織鑑別手法造成疼痛減輕及髖伸直角度增加。慣用腳與非慣用腳的髖關節伸直角度有顯著的差異(p<0.05),但施行組織鑑別手法前後之髖關節角度差異在慣用腳為1.25∘±1.98∘,非慣用腳為1.84∘±0.67∘,無顯著差異。結論與臨床意義:本篇研究顯示股神經身體前彎測試之髖關節角度量測有高度再測信度。進行股神經身體前彎測試的髖關節角度評估時,應注意雙側肢體可能的差異性。未來應針對包含男性之健康及病患族群,建立完善的股神經動力學測試反應資料。 |
英文摘要 | Background and Purpose: Neurodynamic testing used to assess the femoral nerve component of the nervous system in patients with lower back pain or anterior knee pain. However, little data is available for nerodynamic responses of the femoral slump test. The purposes of this study were to establish the measurement reliability of the hip extension angle during femoral slump test, and to compare the neurodynamic responses between limbs. Methods: Seventeen healthy female participants (25.64±3.44 years) were recruited. The femoral slump test was performed bilaterally on two sessions in the same day for the first 10 subjects. Neck extension movement was used as structural differential maneuver. Hip extension angle (ROM 1 and ROM 2) and pain produced by the test (VAS 1 and VAS 2) were recorded. The intraclass correlation coefficient (ICC) was calculated for the measurement reliability, and paired-t test was used to examine the bilateral differences in hip angle measurement. Results: The ICC values of the hip extension measurement were between 0.91 and 0.99. With neck extension, pain reduced and hip extension angle increased. Significant differences existed between dominant and non-dominant legs with p<0.05 for both ROM 1 and ROM 2. There was no significant effect of limb dominance on the difference of hip extension angle before and after the application of structural differentiation maneuver. Conclusion and Clinical Relevance: This study proved that femoral slump test is a neurodynarmic testing with excellent test-retest reliability. Use of femoral slump test should take into account the effect of limb dominance on the measurement of hip extension range. Future research should include subjects of both genders and in different age range, and with pathologies such as low back pain or anterior knee pain, to build up a more comprehensive data on neurodynamic responses of the femoral slump test, and to provide basis for clinical evaluation and decision making. |
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