Byrne Karol, Doody Catherine, Hurley Deirdre A
School of Physiotherapy, Health Sciences Complex, University College Dublin, Belfield, Dublin 4, Republic of Ireland.
Man Ther. 2006 Nov;11(4):272-8. doi: 10.1016/j.math.2005.06.002. Epub 2005 Aug 8.
A small-scale exploratory cross-sectional survey investigated the current use of a range of exercise therapy approaches for low back pain (LBP) by outpatient physiotherapists in the acute hospital setting in the Republic of Ireland, where the majority of publicly funded treatment is delivered. Of the 120 postal questionnaires distributed to 24 physiotherapy departments, 87 were returned (72.5% response rate). The results showed specific spinal stabilization exercises were the most popular exercise therapy for acute (39%; n = 35) and chronic (51%; n = 48) LBP, followed by the McKenzie approach (acute LBP (ALBP) 35.6%; n = 32: chronic LBP (CLBP) 17%; n = 16), and abdominal exercise (ALBP 11.1%; n = 10: CLBP 9.6%; n = 9). The most popular forms of exercise therapy used by outpatient physiotherapists in acute hospital settings in Ireland lack support from evidence-based clinical guidelines, and further large-scale high quality randomized controlled trials of these approaches are warranted. Further research should also establish the use of exercise therapy and attitudes to clinical guidelines of physiotherapists in other countries and healthcare settings.
一项小规模探索性横断面调查研究了爱尔兰共和国急性医院环境中门诊物理治疗师目前对一系列用于治疗腰痛（LBP）的运动疗法的使用情况，该国大部分公共资助的治疗都是在这种环境下提供的。在分发给24个物理治疗部门的120份邮政问卷中，有87份被退回（回复率为72.5%）。结果显示，特定的脊柱稳定运动是治疗急性（39%；n = 35）和慢性（51%；n = 48）腰痛最受欢迎的运动疗法，其次是麦肯齐疗法（急性腰痛（ALBP）35.6%；n = 32：慢性腰痛（CLBP）17%；n = 16），以及腹部运动（ALBP 11.1%；n = 10：CLBP 9.6%；n = 9）。爱尔兰急性医院环境中门诊物理治疗师使用的最受欢迎的运动疗法形式缺乏循证临床指南的支持，因此有必要对这些方法进行进一步的大规模高质量随机对照试验。进一步的研究还应确定其他国家和医疗环境中物理治疗师对运动疗法的使用情况以及对临床指南的态度。
