頸部壓痛閾值、關節活動度與自覺疼痛的相關性

The Relationships among Cervical Pressure Threshold, Range of Motion and Perceived Pain

蔡涵如(Han-Ju Tsai) ； 曹昭懿(Jau-Yih Tsauo)

《物理治療》 29卷4期 (2004/08) Pp. 242-247

摘要

Background and purposes: Pressure threshold and range of motion are the most common items in clinical evaluation of patients with cervical pain. However, there are not clearly defined relationships among pressure threshold, range of motion and perceived pain. The purposes of this study were to assess the relationships among pressure threshold, range of motion and perceived pain in cervical region, and to determine the representative evaluation items in clinical application. Methods: This study recruited subjects who work in an airplane company. We measured cervical range of motion including flexion, extension, left/right side bending, left/right rotation and forward head, pressure threshold of bilateral upper trapezious. Questionnaire was used to record neck pain experience in past one week. Results: Four hundred and twenty-five subjects were recruited; 162 of them reported neck pain in past one week and 263 reported no neck pain experience. Subjects who had experienced pain in past one week have significantly lower range of motion than those without pain in extension, bilateral rotation and forward head (p ＜ 0.05). The correlations among cervical range of motion and pressure threshold are low, except for bilateral rotations (r = 0.55), bilateral side-bendings (r =0.76) and bilateral pressure thresholds (r = 0.93). The odds ratios of no perceived pain were 1.033 and 1.055 in every l°(p＜0.05) increment in cervical extension and in rotation. Conclusions: Range-of-motion test may be a useful tool to represent the perceived pain. Ranges of all cervical motions are equally important in clinical evaluation. (FJPT 2004;29(4):242-247)

關鍵字

頸椎 ； 壓痛 ； 關節活動度 ； 自覺疼痛

並列摘要

Background and purposes: Pressure threshold and range of motion are the most common items in clinical evaluation of patients with cervical pain. However, there are not clearly defined relationships among pressure threshold, range of motion and perceived pain. The purposes of this study were to assess the relationships among pressure threshold, range of motion and perceived pain in cervical region, and to determine the representative evaluation items in clinical application. Methods: This study recruited subjects who work in an airplane company. We measured cervical range of motion including flexion, extension, left/right side bending, left/right rotation and forward head, pressure threshold of bilateral upper trapezious. Questionnaire was used to record neck pain experience in past one week. Results: Four hundred and twenty-five subjects were recruited; 162 of them reported neck pain in past one week and 263 reported no neck pain experience. Subjects who had experienced pain in past one week have significantly lower range of motion than those without pain in extension, bilateral rotation and forward head (p ＜ 0.05). The correlations among cervical range of motion and pressure threshold are low, except for bilateral rotations (r = 0.55), bilateral side-bendings (r =0.76) and bilateral pressure thresholds (r = 0.93). The odds ratios of no perceived pain were 1.033 and 1.055 in every l°(p＜0.05) increment in cervical extension and in rotation. Conclusions: Range-of-motion test may be a useful tool to represent the perceived pain. Ranges of all cervical motions are equally important in clinical evaluation. (FJPT 2004;29(4):242-247)

並列關鍵字

Cervical spine ； Tenderness ； Range of motion ； Perceived pain