Jones Michelle, Stratton Gareth, Reilly Tom, Unnithan Vishwanath
Sport and Exercise Research Group, Edge Hill University, Ormskirk, UK.
Pediatr Exerc Sci. 2007 Aug;19(3):349-59. doi: 10.1123/pes.19.3.349.
The purpose of this study was to evaluate the efficacy of a specific 8-week exercise rehabilitation program as an intervention to treat recurrent nonspecific low back pain in adolescents. A randomized controlled trial involving 54 adolescents (14.6 +/- 0.6 years) who suffered from recurrent nonspecific low back pain participated in either the exercise rehabilitation program or a control condition. Pre- and postintervention measures of low back pain status and biological risk indicators were taken. Two-way mixed ANOVA was conducted and significance was set at p < .01. Significant improvement was noted in the exercise rehabilitation group for perceived severity of pain (effect size 1.47) and number of occasions missing physical activity (effect size 0.99). Significant improvement in the exercise rehabilitation group for sit-and-reach performance, hip range of motion, lumbar sagittal mobility (modified Schöber), and number of sit-ups in 60 s were also identified. In conclusion, the specific exercise program appeared to provide positive benefits for adolescents suffering from recurrent nonspecific low back pain. Further evaluation is required to evaluate the effectiveness of the exercise rehabilitation program in relation to other interventions and to assess the long-term effectiveness.
本研究的目的是评估一项为期8周的特定运动康复计划作为治疗青少年复发性非特异性下腰痛干预措施的疗效。一项随机对照试验纳入了54名患有复发性非特异性下腰痛的青少年（14.6±0.6岁），他们被随机分配至运动康复计划组或对照组。在干预前后分别对下腰痛状况和生物学风险指标进行了测量。采用双向混合方差分析，显著性水平设定为p <.01。运动康复组在疼痛感知严重程度（效应量1.47）和错过体育活动的次数（效应量0.99）方面有显著改善。运动康复组在坐位体前屈表现、髋关节活动范围、腰椎矢状面活动度（改良Schöber试验）以及60秒仰卧起坐次数方面也有显著改善。总之，该特定运动计划似乎对患有复发性非特异性下腰痛的青少年有积极益处。需要进一步评估该运动康复计划相对于其他干预措施的有效性，并评估其长期效果。
