Hwang Jin Ah, Bae Sea Hyun, Do Kim Gi, Kim Kyung Yoon
Department of Physical Therapy, College of Health and Welfare, Dongshin University.
J Phys Ther Sci. 2013 Sep;25(9):1189-92. doi: 10.1589/jpts.25.1189. Epub 2013 Oct 20.
[Purpose] This study aimed to examine the effects of sensorimotor training on the anticipatory postural adjustment (APA) of chronic low back pain (CLBP) patients. [Subjects and Methods] Fourteen CLBP patients were randomly assigned to Group II (ordinary physical therapy, n=7) and Group III (sensorimotor training, n=7). In addition, a normal group (Group I) consisting of seven subjects was chosen as the control group. The two CLBP groups received their own treatment five times per week, for four weeks, for 40 minutes each time. Changes in pain and functional performance evaluation were examined by the visual analogue scale (VAS) and the Oswestry Disability Index (ODI). In order to look at the change in APA, muscle onset time was examined using electromyography (EMG). [Results] Group III showed significant changes in both VAS and ODI. According to comparison of the results for muscle onset time, there were significant decreases in Group III's transversus abdominis muscle (TrA) and external oblique muscle (EO) in the standing and sitting positions. There were significant differences between Group II and III in terms of the TrA in the sitting position. [Conclusion] Sensorimotor training makes patients capable of learning how to adjust muscles, thereby alleviating pain and improving muscle performance.
[目的] 本研究旨在探讨感觉运动训练对慢性下腰痛(CLBP)患者预期姿势调整(APA)的影响。[对象与方法] 14例CLBP患者被随机分为II组(普通物理治疗,n = 7)和III组(感觉运动训练,n = 7)。此外,选择由7名受试者组成的正常组(I组)作为对照组。两个CLBP组每周接受5次各自的治疗,共4周,每次40分钟。通过视觉模拟量表(VAS)和Oswestry功能障碍指数(ODI)检查疼痛和功能表现评估的变化。为了观察APA的变化,使用肌电图(EMG)检查肌肉起始时间。[结果] III组在VAS和ODI方面均有显著变化。根据肌肉起始时间结果的比较,III组在站立和坐姿时腹横肌(TrA)和腹外斜肌(EO)有显著下降。II组和III组在坐姿时TrA方面存在显著差异。[结论] 感觉运动训练使患者能够学习如何调整肌肉,从而减轻疼痛并改善肌肉性能。