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慢性下腰痛女性患者中节律性稳定训练与经皮电刺激神经疗法的序贯分配临床试验

Sequentially allocated clinical trial of rhythmic stabilization exercises and TENS in women with chronic low back pain.

作者信息

Kofotolis Nikolaos D, Vlachopoulos Symeon P, Kellis Eleftherios

机构信息

Department of Physical Education and Sport Science at Serres, Aristotle University of Thessaloniki, Greece.

出版信息

Clin Rehabil. 2008 Feb;22(2):99-111. doi: 10.1177/0269215507080122.

Abstract

OBJECTIVE

To examine the effectiveness of rhythmic stabilization exercises and transcutaneous electrical nerve stimulation (TENS) and their combination in treating women with chronic low back pain.

DESIGN

Sequentially allocated, single-blinded and controlled study, with a two-month follow-up.

SETTING

The data were collected in a patient rehabilitation setting.

SUBJECTS

A total of 92 women (34-46 years old) with chronic low back pain were studied.

INTERVENTIONS

Sequential allocation was undertaken into four groups: ;rhythmic stabilization' (n=23), ;rhythmic stabilization - TENS' (n=23), TENS (n=23), and a placebo group (n = 23). Each programme lasted for four weeks. All outcome measures were assessed prior to, immediately after, four weeks and eight weeks post intervention.

MAIN MEASURES

Data were obtained on functional disability, pain intensity, trunk extension range of motion, dynamic endurance of trunk flexion and static endurance of trunk extension.

RESULTS

A total of 88 patients provided two-month follow-up data. The ;rhythmic stabilization' and the ;rhythmic stabilization - TENS' groups displayed statistically significant (P<0.05) improvements in functional disability and pain intensity (ranging from 21.2 to 42.8%), trunk extension range of motion (ranging from 6.5 to 25.5%), dynamic endurance of trunk flexion and static endurance of trunk extension (ranging from 13.5 to 74.3%) compared with the remaining groups.

CONCLUSIONS

The rhythmic stabilization programmes resulted in more gains in women with chronic low back pain regarding the present outcome variables compared with the other groups; therefore, its application in female chronic low back pain patients aged 34-46 years is recommended.

摘要

目的

探讨节律性稳定训练和经皮电刺激神经疗法(TENS)及其联合应用治疗慢性下腰痛女性患者的有效性。

设计

序贯分配、单盲对照研究,随访两个月。

地点

在患者康复机构收集数据。

研究对象

共92名慢性下腰痛女性患者(34 - 46岁)参与研究。

干预措施

序贯分配至四组:“节律性稳定训练”组(n = 23)、“节律性稳定训练 - TENS”组(n = 23)、TENS组(n = 23)和安慰剂组(n = 23)。每个方案持续四周。所有结局指标在干预前、干预后即刻、干预后四周和八周进行评估。

主要指标

获取功能障碍、疼痛强度、躯干伸展活动范围、躯干屈曲动态耐力和躯干伸展静态耐力的数据。

结果

共88名患者提供了两个月的随访数据。与其他组相比,“节律性稳定训练”组和“节律性稳定训练 - TENS”组在功能障碍和疼痛强度(改善幅度为21.2%至42.8%)、躯干伸展活动范围(改善幅度为6.5%至25.5%)、躯干屈曲动态耐力和躯干伸展静态耐力(改善幅度为13.5%至74.3%)方面有统计学意义的显著改善(P < 0.05)。

结论

与其他组相比,节律性稳定训练方案使慢性下腰痛女性患者在当前结局变量方面有更多改善;因此,建议将其应用于34 - 46岁的女性慢性下腰痛患者。

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