Department of Physiotherapy, Maccabi Healthcare Services in Lod, Tel-Aviv University, Tel-Aviv, Israel.
Clin Rehabil. 2013 Mar;27(3):207-14. doi: 10.1177/0269215512453353. Epub 2012 Jul 31.
To assess the effect of aerobic walking training as compared to active training, which includes muscle strengthening, on functional abilities among patients with chronic low back pain.
Randomized controlled clinical trial with blind assessors.
Outpatient clinic.
Fifty-two sedentary patients, aged 18-65 years with chronic low back pain. Patients who were post surgery, post trauma, with cardiovascular problems, and with oncological disease were excluded.
Experimental 'walking' group: moderate intense treadmill walking; control 'exercise' group: specific low back exercise; both, twice a week for six weeks.
Six-minute walking test, Fear-Avoidance Belief Questionnaire, back and abdomen muscle endurance tests, Oswestry Disability Questionnaire, Low Back Pain Functional Scale (LBPFS).
Significant improvements were noted in all outcome measures in both groups with non-significant difference between groups. The mean distance in metres covered during 6 minutes increased by 70.7 (95% confidence interval (CI) 12.3-127.7) in the 'walking' group and by 43.8 (95% CI 19.6-68.0) in the 'exercise' group. The trunk flexor endurance test showed significant improvement in both groups, increasing by 0.6 (95% CI 0.0-1.1) in the 'walking' group and by 1.1 (95% CI 0.3-1.8) in the 'exercise' group.
A six-week walk training programme was as effective as six weeks of specific strengthening exercises programme for the low back.
评估与包括肌肉强化在内的主动训练相比，有氧运动对慢性下腰痛患者功能能力的影响。
盲法评估的随机对照临床试验。
门诊。
52 名久坐的慢性下腰痛患者，年龄 18-65 岁。排除术后、创伤后、心血管问题和肿瘤疾病患者。
实验组“行走”：中高强度跑步机行走；对照组“运动”：特定的下背部运动；两组每周两次，共六周。
6 分钟步行试验、恐惧回避信念问卷、腰背肌耐力试验、Oswestry 残疾问卷、下腰痛功能量表（LBPFS）。
两组患者所有结局指标均有显著改善，但组间无显著差异。实验组 6 分钟内的平均步行距离增加了 70.7 米（95%置信区间 12.3-127.7），对照组增加了 43.8 米（95%置信区间 19.6-68.0）。两组躯干屈肌耐力试验均有显著改善，实验组增加了 0.6 米（95%置信区间 0.0-1.1），对照组增加了 1.1 米（95%置信区间 0.3-1.8）。
6 周步行训练方案与 6 周特定强化锻炼方案对下腰痛同样有效。
