Kladny B, Fischer F C, Haase I
Fachklinik Herzogenaurach, Abteilung für Orthopädie, Germany.
Z Orthop Ihre Grenzgeb. 2003 Jul-Aug;141(4):401-5. doi: 10.1055/s-2003-41557.
The aim of the study was to evaluate the outcome of outpatient rehabilitation in patients with low back pain and lumbar disk disease with a specific stabilizing exercise of the M. multifidus and M. transversus abdominis.
99 outpatients admitted to a rehabilitation unit were included in a prospective randomized controlled interventional trial. The interventional group consisted of 50 patients (34 male, 16 female; mean age 41.1 +/- 9.1, range; 21 - 54 years), 49 patients (31 male, 18 female; mean age 37.9 +/- 9.5, range; 19 - 55 years) were in the control group. Outcomes were assessed at the beginning and the end of the treatment and at a three month follow-up with the Oswestry Low Back Pain Disability Questionnaire, the Hannover Functional Ability Questionnaire FFbH-R, the pain scale SES and a numeric rating scale.
In both groups there was a significant functional improvement as measured with the Oswestry Score and the FFbH-R. The interventional group showed better values at the end of the treatment. Pain as well could be reduced significantly by the treatment, but no differences were noted between the two groups.
Outpatient rehabilitation improved functional capacity and pain in both groups. Advantages could be seen in the interventional group concerning functional status. The specific stabilizing exercise approach appears to be effective in conservative treatment programs of low back pain and lumbar disk disease.
本研究旨在评估针对患有下背痛和腰椎间盘疾病的患者，通过多裂肌和腹横肌特定稳定运动进行门诊康复治疗的效果。
99名入住康复科的门诊患者被纳入一项前瞻性随机对照干预试验。干预组由50名患者组成（男性34名，女性16名；平均年龄41.1±9.1岁，范围21 - 54岁），对照组有49名患者（男性31名，女性18名；平均年龄37.9±9.5岁，范围19 - 55岁）。在治疗开始和结束时以及三个月随访时，使用奥斯威斯下背痛残疾问卷、汉诺威功能能力问卷FFbH-R、疼痛量表SES和数字评分量表对结果进行评估。
用奥斯威斯评分和FFbH-R衡量，两组患者的功能均有显著改善。干预组在治疗结束时表现出更好的值。治疗也能显著减轻疼痛，但两组之间未发现差异。
门诊康复改善了两组患者的功能能力和疼痛。在功能状态方面，干预组具有优势。特定的稳定运动方法在腰痛和腰椎间盘疾病的保守治疗方案中似乎是有效的。
