Abstract

Aims

Overactive bladder (OAB) syndrome has been associated with core muscles weakness, which is important in aetiology of low back pain (LBP) and affects general well-being. This study aimed to compare the lumbopelvic stability, LBP and well-being of women with OAB to asymptomatic controls and to determine the cut-off points.

Methods

Women with (OAB group, n = 36) and without OAB syndrome (control group, n = 36) were included. The lumbopelvic stability with the Sahrmann and McGill trunk muscle endurance tests, LBP intensity with the Visual Analogue Scale were assessed. As for general well-being, sleep quality with the Pittsburgh Sleep Quality Index (PSQI), fatigue severity with the Fatigue Severity Index (FSI), anxiety and depression levels with the Hospital Anxiety Depression Scale (HADS-A, HADS-D) were evaluated.

Results

In the OAB group compared to the control group, the lumbopelvic stability scores were lower (p < 0.001) while LBP prevalence (p < 0.001), pain intensity (p = 0.020), and PSQI, FSI, HADS-A, and HADS-D scores (p < 0.001) were higher. The cut-off points for trunk extension, flexion, right and left lateral flexion endurance tests and Sahrmann test were ≤9.42 sec, ≤8.62 sec, ≤19.26 sec, ≤5.16 sec, and ≤2 level, respectively. The cut-off points for PSQI, FSI, HADS-D, HADS-A were >5, >5.22, >6 and >6 scores, respectively.

Conclusions

Women with OAB syndrome had lower lumbopelvic stability, higher LBP prevalence and intensity, lower sleep quality, and more fatigue, anxiety, and depression levels compared to asymptomatic women. The cut-off values were detected between the occurrence of OAB and lumbopelvic stability and general well-being parameters.

中文翻译：

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膀胱过度活动症女性与无症状对照者的腰骨盆稳定性、腰痛和健康的比较：分界点

摘要

宗旨

膀胱过度活动症 (OAB) 综合征与核心肌肉无力有关，这在腰痛 (LBP) 的病因学中很重要并影响整体健康。本研究旨在比较 OAB 女性与无症状对照组的腰骨盆稳定性、LBP 和健康状况，并确定临界点。

方法

包括患有（OAB 组，n  = 36）和没有 OAB 综合征（对照组，n  = 36）的女性。用 Sahrmann 和 McGill 躯干肌肉耐力测试评估腰骨盆稳定性，用视觉模拟量表评估 LBP 强度。至于总体幸福感，匹兹堡睡眠质量指数 (PSQI) 的睡眠质量、疲劳严重程度指数 (FSI) 的疲劳严重程度、医院焦虑抑郁量表 (HADS-A、HADS-D) 的焦虑和抑郁水平分别为评估。

结果

与对照组相比，OAB 组的腰骨盆稳定性评分较低 ( p  < 0.001)，而 LBP 患病率 ( p  < 0.001)、疼痛强度 ( p  = 0.020) 和 PSQI、FSI、HADS-A 和 HADS- D 分数 ( p  < 0.001) 更高。躯干伸展、屈曲、左右侧屈耐力试验和 Sahrmann 试验的分界点分别为≤9.42 秒、≤8.62 秒、≤19.26 秒、≤5.16 秒和≤2 级。PSQI、FSI、HADS-D、HADS-A 的分界点分别为 >5、>5.22、>6 和 >6 分。

结论

与无症状女性相比，患有 OAB 综合征的女性腰骨盆稳定性较低，LBP 患病率和强度较高，睡眠质量较低，疲劳、焦虑和抑郁程度更高。检测 OAB 发生与腰骨盆稳定性和一般健康参数之间的临界值。