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慢性下腰痛中的运动控制学习

Motor control learning in chronic low back pain.

作者信息

Magnusson Marianne L, Chow Daniel H, Diamandopoulos Zoe, Pope Malcom H

机构信息

Department of Environmental and Occupational Medicine, University of Aberdeen, Aberdeen, UK.

出版信息

Spine (Phila Pa 1976). 2008 Jul 15;33(16):E532-8. doi: 10.1097/BRS.0b013e31817dfd9a.

DOI:10.1097/BRS.0b013e31817dfd9a
PMID:18628693
Abstract

STUDY DESIGN

A randomized prospective cohort study of participants with chronic low back pain, seeking physical therapy, with follow-up at weeks 6 and 28. Effects of conventional physiotherapy and physiotherapy with the addition of postural biofeedback were compared.

OBJECTIVE

To evaluate the benefits of postural biofeedback in chronic low back pain participants.

SUMMARY OF BACKGROUND DATA

Biofeedback using electromyographic signals has been used in chronic low back pain with mixed results. Postural feedback had not been previously used.

METHODS

Demographic and psychological baseline data along with range of motion were analyzed from a sample of 47 chronic participants with low back pain randomized into conventional physiotherapy with or without the addition of postural biofeedback.

RESULTS

After 6 months, there were 21 dropouts. The participants with biofeedback had markedly improved status in visual analog pain scales, short form-36, and range of motion.

CONCLUSION

The study strongly suggests that postural feedback is a useful adjunct to conventional physiotherapy of chronic low back pain participants.

摘要

研究设计

一项针对寻求物理治疗的慢性下背痛患者的随机前瞻性队列研究,在第6周和第28周进行随访。比较了传统物理治疗与添加姿势生物反馈的物理治疗的效果。

目的

评估姿势生物反馈对慢性下背痛患者的益处。

背景数据总结

使用肌电信号的生物反馈已用于慢性下背痛,结果不一。姿势反馈此前尚未使用过。

方法

对47名慢性下背痛患者的样本进行分析,这些患者被随机分为接受或不接受姿势生物反馈的传统物理治疗,分析其人口统计学和心理基线数据以及活动范围。

结果

6个月后,有21名患者退出。接受生物反馈的患者在视觉模拟疼痛量表、简短健康调查问卷36项和活动范围方面的状况有显著改善。

结论

该研究强烈表明,姿势反馈是慢性下背痛患者传统物理治疗的有用辅助手段。

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