Abstract

Aims

Double crush syndrome is a clinical condition composed of neurological dysfunction due to compressive pathology at multiple sites along a single peripheral nerve. The aims were to investigate the characteristics and disabilities of women with double crush syndrome, to compare the spinal alignment to healthy women, and to determine the cut-offs for the spinal alignment characteristics.

Methods

Twenty women with double crush syndrome (age: 49.50 ± 8.64 years) and 21 asymptomatic healthy controls (age: 44.76 ± 7.82 years) were included in the study. The physical characteristics, pain intensity, and symptoms were questioned. Disability with Disability of Arm and Shoulder Questionnaire and Neck Disability Index and spinal alignment with Spinal Mouse^® (Idiag, Fehraltorf, Switzerland) were assessed.

Results

The pain intensity at rest, night, and during activity was 3.70 ± 3.25, 6.01 ± 2.77, and 7.15 ± 2.68 cm, respectively. The most bothersome symptom was numbness (65%). The symptoms were seen in hands and/or fingers (55%), arms (15%), shoulder blade (15%), and neck (15%). The Disability of Arm and Shoulder Questionnaire and Neck Disability Index scores were 58.64 ± 15.41 and 19.55 ± 6.37, respectively. The sagittal thoracic curvature (p: .011) and lumbar curvature (p: .049) increased, and the overall spine mobility (p<.001) decreased in the double crush syndrome patients. The cut-off points were detected as 54.5° (area under the curve: 0.680, p: .049, 40% sensitivity, 99.9% specificity) for the thoracic spinal curvature, and 113.5° (area under the curve: 0.667, p<.000, 65% sensitivity, 99.9% specificity) for the overall spine mobility.

Conclusions

The double crush syndrome patients had moderate to severe pain and disability, increased thoracic and lumbar curvature, and decreased spine mobility. The cut-off values were found as 54.5° for thoracic curvature and 113.5° for spine mobility.

中文翻译：

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双挤压综合征女性的特征、残疾和脊柱排列：病例对照研究

摘要

宗旨

双挤压综合征是一种临床病症，由沿单个周围神经的多个部位的压迫病理引起的神经功能障碍组成。目的是调查双挤压综合征女性的特征和残疾，将脊柱排列与健康女性进行比较，并确定脊柱排列特征的临界值。

方法

20 名患有双重挤压综合征的女性（年龄：49.50 ± 8.64 岁）和 21 名无症状的健康对照者（年龄：44.76 ± 7.82 岁）被纳入研究。询问身体特征、疼痛强度和症状。使用 Spinal Mouse ^® (Idiag, Fehraltorf, Switzerland) 评估了手臂和肩部残疾问卷和颈部残疾指数和脊柱排列的残疾。

结果

休息、夜间和活动时的疼痛强度分别为 3.70 ± 3.25、6.01 ± 2.77 和 7.15 ± 2.68 cm。最令人烦恼的症状是麻木 (65%)。症状出现在手和/或手指 (55%)、手臂 (15%)、肩胛骨 (15%) 和颈部 (15%)。手臂和肩部残疾问卷和颈部残疾指数得分分别为 58.64 ± 15.41 和 19.55 ± 6.37。双挤压综合征患者的胸椎矢状曲率 ( p : .011) 和腰椎曲率 ( p : .049) 增加，整体脊柱活动度 ( p <.001) 下降。检测到的截止点为 54.5°（曲线下面积：0.680，p: .049, 40% 敏感性, 99.9% 特异性) 为胸椎弯曲度, 113.5° (曲线下面积: 0.667, p <.000, 65% 敏感性, 99.9% 特异性) 为整体脊柱活动度。

结论

双挤压综合征患者有中度至重度疼痛和残疾，胸腰椎弯曲度增加，脊柱活动度下降。发现胸椎弯曲的临界值为 54.5°，脊柱活动度的临界值为 113.5°。