Physical Medicine and Rehabilitation Clinic, University Clinical Center of Kosovo, Prishtina, Republic of Kosovo.
Eur J Phys Rehabil Med. 2011 Sep;47(3):359-66. Epub 2011 May 23.
In recent years, disability due to chronic low back pain (LBP) has steadily increased in all industrialized countries. In the treatment of chronic LBP, the objectives are to reduce pain, to improve function and minimize avoiding behavior. Exercise therapy is a management strategy that is widely used as a treatment for LBP.
The aim of this study was to investigate the effects of high- intensity aerobic exercise on pain, disability, anxiety or depression in people with chronic LBP.
This was a randomized controlled trial
Institute of Occupational Medicine, Department of Physical Medicine and Rehabilitation - Outpatient Ward
Kosovo power plant workers.
Participants with chronic low back pain, excluding those with "red flag" criteria were assigned randomly to one of the two treatment groups: an aerobic exercise group (N.=50), and an passive modalities group (N.=51). Data on low back pain intensity (visual analogue scale), disability (Oswestry Low Back Pain Disability Questionnaire), fingertip-to-floor distance, and psychosocial factors (Hospital Anxiety and Depression Scale) were collected at baseline and after 12-weeks follow-up points.
At 12-week follow-up, significant improvements in pain intensity and disability had occurred in the exercise group. We have verified significant improvements in comparison with basic values in pain intensity (6 ± 2.6 vs. 2 ± 1.7, diff. of mean=3.9, P < 0.001), disability (31 ± 17.4 vs. 15.8 ± 12.7, diff. of mean=15.2, P<0.001), anxiety and depression (21.1 ± 8.2 vs. 14 ± 6.7, diff. of mean=7.1, P < 0.001), and fingertip- to-floor distance (27.8 ± -9.1 vs. 14.2 ± -5.7, P<0.001). Whereas, differences in average pain, disability, anxiety and depression and fingertip-to-floor distance are not significant in the control group.
High intensity aerobic exercise reduces pain, disability and psychological strain in patients with chronic low back pain.
This research is important for the fact that High Intensity Aerobic Exercise Programs are not so exploited in the current available literature for the treatment of LBP. Therefore, this is another modest contribution which can reinforce the need for more frequent use of High Intensity Aerobic Exercise Programs in the treatment of LBP.
近年来，所有工业化国家因慢性下腰痛（LBP）导致的残疾人数稳步增加。在慢性 LBP 的治疗中，目标是减轻疼痛、改善功能和尽量减少回避行为。运动疗法是一种被广泛用作 LBP 治疗的管理策略。
本研究旨在调查高强度有氧运动对慢性 LBP 患者疼痛、残疾、焦虑或抑郁的影响。
这是一项随机对照试验。
职业医学研究所，物理医学与康复系-门诊病房。
科索沃发电厂工人。
患有慢性下腰痛的参与者（不包括有“红旗”标准的参与者）被随机分配到两个治疗组之一：有氧运动组（N=50）和被动治疗组（N=51）。在基线和 12 周随访点收集下腰痛强度（视觉模拟量表）、残疾（Oswestry 下腰痛残疾问卷）、指尖到地板的距离和心理社会因素（医院焦虑和抑郁量表）的数据。
在 12 周的随访中，运动组的疼痛强度和残疾程度显著改善。我们已经验证了与基本值相比，疼痛强度（6±2.6 与 2±1.7，平均差值=3.9，P<0.001）、残疾（31±17.4 与 15.8±12.7，平均差值=15.2，P<0.001）、焦虑和抑郁（21.1±8.2 与 14±6.7，平均差值=7.1，P<0.001）以及指尖到地板的距离（27.8±-9.1 与 14.2±-5.7，平均差值=14.2，P<0.001）显著改善。而在对照组中，平均疼痛、残疾、焦虑和抑郁以及指尖到地板的距离的差异不显著。
高强度有氧运动可减轻慢性下腰痛患者的疼痛、残疾和心理压力。
本研究的重要意义在于，高强度有氧运动方案在当前有关 LBP 治疗的文献中并未得到充分利用。因此，这是另一个适度的贡献，可以加强更频繁地使用高强度有氧运动方案治疗 LBP 的必要性。
