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全身振动疗法对慢性非特异性下腰痛主要结局指标的影响:一项单盲随机对照试验。

Effects of whole body vibration therapy on main outcome measures for chronic non-specific low back pain: a single-blind randomized controlled trial.

机构信息

Faculty of Sports Sciences, University of Extremadura, Spain.

出版信息

J Rehabil Med. 2011 Jul;43(8):689-94. doi: 10.2340/16501977-0830.

Abstract

OBJECTIVE

The aim of this study was to determine whether a 12-week course of low-frequency vibrating board therapy is a feasible therapy for non-specific chronic low back pain, and whether it improves the main outcome measures.

DESIGN

Randomized controlled trial.

PATIENTS

A total of 50 patients with non-specific low back pain were included. They were randomly assigned to either a vibrating plate via reciprocation therapy group (n = 25) or a control group (n = 25).

METHODS

The 12-week vibration therapy programme consisted of a total of 24 training sessions (2 times/week, with 1 day of rest between sessions). Assessments of the main outcome measures for non-specific low back pain were performed at baseline and at 12 weeks.

RESULTS

In the vibration therapy group there was a statistically significant improvement, of 20.37% (p = 0.031) in the Postural Stability Index (anterior-posterior); 25.15% (p = 0.013) in the Oswestry Index; 9.31% in the Roland Morris Index (p = 0.001); 8.57% (p = 0.042) in EuroQol 5D-3L; 20.29% (p = 0.002) in the Sens test; 24.13% (p = 0.006) in visual analogue scale back; and 16.58% (p = 0.008) in the Progressive Isoinertial Lifting Evaluation test.

CONCLUSION

A 12-week course of low-frequency vibrating board therapy is feasible and may represent a novel physical therapy for patients with non-specific low back pain.

摘要

目的

本研究旨在确定 12 周低频振动板治疗是否是一种可行的非特异性慢性腰痛治疗方法,以及它是否能改善主要的结局指标。

设计

随机对照试验。

患者

共纳入 50 例非特异性腰痛患者。他们被随机分配到振动板经行往复治疗组(n=25)或对照组(n=25)。

方法

为期 12 周的振动治疗方案包括总共 24 次训练(每周 2 次,两次训练之间休息 1 天)。在基线和 12 周时对非特异性腰痛的主要结局指标进行评估。

结果

在振动治疗组中,姿势稳定指数(前后)有显著改善,改善率为 20.37%(p=0.031);Oswestry 指数改善 25.15%(p=0.013);Roland Morris 指数改善 9.31%(p=0.001);EuroQol 5D-3L 改善 8.57%(p=0.042);Sens 测试改善 20.29%(p=0.002);视觉模拟量表背部疼痛改善 24.13%(p=0.006);Progressive Isoinertial Lifting Evaluation 测试改善 16.58%(p=0.008)。

结论

12 周低频振动板治疗是可行的,可能代表了一种治疗非特异性腰痛的新型物理疗法。

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