Nava-Bringas Tania Inés, Hernández-López Mario, Ramírez-Mora Isabel, Coronado-Zarco Roberto, Israel Macías-Hernández Salvador, Cruz-Medina Eva, Arellano-Hernández Aurelia, León-Hernández Saúl Renán
Department of Spine Rehabilitation, National Institute for Rehabilitation, México City, Mexico.
Imaging Department, National Rehabilitation Institute, Mexico City, Mexico.
J Back Musculoskelet Rehabil. 2014;27(1):41-6. doi: 10.3233/BMR-130417.
To determine the effects of stabilization exercises on pain and function in patients with degenerative spondylolisthesis.
Nonrandomized clinical trial, with 6 months of follow up.
Twenty patients over 50 years of age with degenerative spondylolisthesis underwent a 6-month, home-based training program of stabilization exercises. We applied functional and pain scales (Visual Analogue Scale [VAS] and Oswestry Disability Index [ODI]), and conducted an isokinetic trunk test. Statistical analysis included a T test for quantitative variables, a chi-squared test for qualitative data, and Pearson correlations. The significance alfa level was 0.05.
Both pain and Oswestry Index scores were significantly decreased. Initial and final VAS "back pain" results were 63.50 ± 18.05 mm and 43.4 ± 22.09 (p=0.007) respectively. Initial and final VAS "sciatic pain" results were 53.65 ± 29.03 mm and 36.65 ± 27.21 (p=0.035) respectively. Oswestry Index at the beginning of the study was 30.35 ± 15.6%, decreasing to a final 20.15 ± 13.6% (p=0.007). The results of VAS and ODI scores correlated significantly with improvement in the isokinetic test.
Lumbar stabilization exercises could be an effective treatment option in controlling pain and improving function in patients with degenerative spondylolisthesis. Further investigation with randomized controlled trials is necessary to obtain confirmation of these results.
确定稳定化训练对退行性腰椎滑脱症患者疼痛和功能的影响。
非随机临床试验，随访6个月。
20例年龄超过50岁的退行性腰椎滑脱症患者接受了为期6个月的居家稳定化训练计划。我们应用了功能和疼痛量表（视觉模拟量表[VAS]和奥斯威斯功能障碍指数[ODI]），并进行了等速躯干测试。统计分析包括对定量变量的t检验、对定性数据的卡方检验以及皮尔逊相关性分析。显著性α水平为0.05。
疼痛和奥斯威斯指数评分均显著降低。VAS“背痛”初始和最终结果分别为63.50±18.05毫米和43.4±22.09（p=0.007）。VAS“坐骨神经痛”初始和最终结果分别为53.65±29.03毫米和36.65±27.21（p=0.035）。研究开始时的奥斯威斯指数为30.35±15.6%，降至最终的20.15±13.6%（p=0.007）。VAS和ODI评分结果与等速测试的改善显著相关。
腰椎稳定化训练可能是控制退行性腰椎滑脱症患者疼痛和改善功能的有效治疗选择。需要通过随机对照试验进行进一步研究以证实这些结果。
