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团体运动对坐姿下非特异性慢性下腰痛女性的影响:一项初步研究。

The effect of group-exercising on females with non-specific chronic low back pain in a sitting position: a pilot study.

作者信息

Beladev Noa, Masharawi Youssef

机构信息

Maccabi Medical Center, Jerusalem, Israel.

出版信息

J Back Musculoskelet Rehabil. 2011;24(3):181-8. doi: 10.3233/BMR-2011-0292.

Abstract

OBJECTIVE

The aim of this study was to investigate the effect of active group-exercising on women with non specific chronic low back pain (NSCLBP) in a sitting position.

METHODS

25 females with NSCLBP underwent 8 group sitting-exercise sessions of a 45 minute duration, over an 8 week period. Pain intensity (VAS), back specific disability (Rolland Morris questionnaire-RMQ), and lumbar flexion and extension ranges of motion were measured twice, for reliability tests and cut-off score values, with a 1 week interval between measurements, prior to intervention and subsequently, six weeks following intervention.

RESULTS

Several significant changes in outcome measures were indicated following intervention compared with baseline (p < 0.001): an increase in lumbar flexion and extension (mean differences of 6° for flexion and 4° for extension, cutoff score = 5.91°); reduction in VAS score (mean difference=4.21, cutoff score =4.48); an increase in RMQ total score (mean difference=10.76, cutoff score=8.15). Changes in the VAS score was highly correlated with changes in the RMQ score (r=- 6.35).

CONCLUSIONS

A functional program of group-exercising conducted in a sitting position, improved the functional, painful status and lumbar ranges of motion in the sagittal plane of women suffering from non specific chronic low back pain. As sitting is considered the most common posture in today's workplace, applying this protocol during working hours would be very effective.

摘要

目的

本研究旨在调查坐位下进行的主动团体运动对非特异性慢性下腰痛(NSCLBP)女性的影响。

方法

25名患有NSCLBP的女性在8周内进行了8次时长为45分钟的团体坐位运动课程。在干预前以及干预后六周,分别测量疼痛强度(视觉模拟评分法-VAS)、背部特异性残疾程度(罗兰·莫里斯问卷-RMQ)以及腰椎屈伸活动范围两次,用于可靠性测试和确定临界分值,两次测量间隔1周。

结果

与基线相比,干预后多项结局指标出现显著变化(p<0.001):腰椎屈伸增加(屈曲平均差值为6°,伸展平均差值为4°,临界分值=5.91°);VAS评分降低(平均差值=4.21,临界分值=4.48);RMQ总分增加(平均差值=10.76,临界分值=8.15)。VAS评分的变化与RMQ评分的变化高度相关(r=-6.35)。

结论

坐位下进行的团体运动功能训练改善了患有非特异性慢性下腰痛女性的功能、疼痛状况以及腰椎矢状面活动范围。鉴于坐位被认为是当今工作场所最常见的姿势,在工作时间应用该方案将非常有效。

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