Ahlqwist Anna, Hagman Monica, Kjellby-Wendt Gunilla, Beckung Eva
Institute of Neuroscience and Physiology/Occupational Therapy, The Sahlgrenska Academy at Göteborg University, Friskrehab, Goteborg, Sweden.
Spine (Phila Pa 1976). 2008 Sep 15;33(20):E721-7. doi: 10.1097/BRS.0b013e318182c347.
A randomized controlled trial was performed.
To evaluate how 2 different treatment options affect perception of health, pain, and physical functioning over time among children and adolescents with low back pain (LBP).
LBP among children and adolescents has increased. The literature shows that children with LBP also suffer from this condition as adults. Thus, it is important to prevent and treat LBP in children and adolescents.
Forty-five children and adolescents were consecutively randomized into one of 2 treatment groups and were studied for 12 weeks. Group 1 was given individualized physical therapy and exercise and a standardized self-training program and back education. Group 2 was given self-training program and back education but no individualized therapy. The children and adolescents were tested before and after the treatment period. Child Health Questionnaire Child Form 87, Roland & Morris Disability Questionnaire, Painometer, Back Saver Sit and Reach, and test of trunk muscle endurance were used to evaluate the interventions.
Both groups improved statistically significant in most parameters over time. On comparison between the groups the physical function measured by Roland & Morris Disability Questionnaire and the duration of pain measured by Painometer improved statistically significant in Group 1.
An individual assessment by a knowledgeable physiotherapist and an active treatment model improve how children and adolescents experience their back problems with respect to health and physical function, pain, strength, and mobility, regardless of whether treatment consists of a home exercise program with follow-up or home exercise combined with exercise and treatment supervised by a physiotherapist.
进行了一项随机对照试验。
评估两种不同的治疗方案如何随时间影响患有腰痛（LBP）的儿童和青少年对健康、疼痛及身体功能的认知。
儿童和青少年中的腰痛发病率有所上升。文献表明，患有腰痛的儿童成年后也会受此疾病困扰。因此，预防和治疗儿童及青少年的腰痛很重要。
45名儿童和青少年被连续随机分为两个治疗组之一，并接受为期12周的研究。第1组接受个性化物理治疗和运动、标准化自我训练计划及背部健康教育。第2组接受自我训练计划和背部健康教育，但无个性化治疗。在治疗期前后对儿童和青少年进行测试。使用儿童健康问卷儿童版87、罗兰·莫里斯残疾问卷、疼痛计、背部伸展测试仪及躯干肌肉耐力测试来评估干预措施。
随着时间推移，两组在大多数参数上均有统计学意义的改善。两组比较时，第1组中由罗兰·莫里斯残疾问卷测量的身体功能和由疼痛计测量的疼痛持续时间有统计学意义的改善。
由知识渊博的物理治疗师进行的个体评估及积极的治疗模式，可改善儿童和青少年在健康、身体功能、疼痛、力量及活动能力方面对背部问题的体验，无论治疗是包括家庭锻炼计划及随访，还是家庭锻炼与物理治疗师监督的锻炼和治疗相结合。
