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功能性腰椎稳定训练对月经性下腰痛女性疼痛、功能障碍及运动恐惧的影响:一项初步试验

Effect of functional lumbar stabilization exercises on pain, disability, and kinesiophobia in women with menstrual low back pain: a preliminary trial.

作者信息

Shakeri Hassan, Fathollahi Zahra, Karimi Noureddin, Arab Amir M

机构信息

Doctor, Assistant Professor, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Physical Therapist, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

出版信息

J Chiropr Med. 2013 Sep;12(3):160-7. doi: 10.1016/j.jcm.2013.08.005.

Abstract

OBJECTIVE

The purpose of this preliminary study was to investigate the effect of functional lumbar stabilization exercises on pain, disability, and kinesiophobia in women with menstrual low back pain (LBP).

METHODS

Thirty women with menstrual LBP participated in the study. Subjects were assigned to a control group (n = 10, mean age = 25.1 ± 4.7 years) and an intervention group (n = 20, mean age = 21.7±2.4 years). Treatment for the intervention group consisted of functional lumbar stabilization exercises, 10 repetitions each, 3 times a day, for 3 consecutive months. The women in the control group received no exercise and performed their regular activity daily living. Pain intensity using a Numeric Pain Scale (NPS), Oswestry Disability Index (ODI), Roland-Morris Questionnaire (RMQ), and Tampa Scale of Kinesiophobia (TSK) was collected at baseline and at the end of 3 months in both groups.

RESULTS

Statistical analysis (paired t test) revealed a significant decrease in NPS, ODI, RMQ, and TSK after treatment in the intervention group. No significant difference in NPS, ODI, RMQ, or TSK was found between pre- and postmeasurement scores in the control group. In the analysis of covariance, controlling for pretest scores, a significant difference was found between the 2 groups in the postmeasurement score of NPS (P = .01), ODI (P < .001), RMQ (P = .002), and TSK (P = .04).

CONCLUSION

Lumbar stabilization exercises were shown to improve pain, disability, and kinesiophobia during menstrual LBP for subjects who participated in this preliminary study compared to those who did not receive the intervention.

摘要

目的

本初步研究的目的是调查功能性腰椎稳定训练对月经性下腰痛(LBP)女性的疼痛、功能障碍和运动恐惧的影响。

方法

30名月经性LBP女性参与了本研究。受试者被分为对照组(n = 10,平均年龄 = 25.1 ± 4.7岁)和干预组(n = 20,平均年龄 = 21.7 ± 2.4岁)。干预组的治疗包括功能性腰椎稳定训练,每次10次重复,每天3次,连续进行3个月。对照组女性不进行锻炼,照常进行日常生活活动。两组均在基线时和3个月末收集使用数字疼痛量表(NPS)、奥斯威斯利功能障碍指数(ODI)、罗兰-莫里斯问卷(RMQ)和坦帕运动恐惧量表(TSK)评估的疼痛强度。

结果

统计分析(配对t检验)显示,干预组治疗后NPS、ODI、RMQ和TSK显著降低。对照组测量前后的NPS、ODI、RMQ或TSK得分无显著差异。在协方差分析中,控制预测试得分后,两组在NPS(P = 0.01)、ODI(P < 0.001)、RMQ(P = 0.00)和TSK(P = 0.04)的测量后得分上存在显著差异。

结论

与未接受干预的受试者相比,对于参与本初步研究的受试者,腰椎稳定训练显示可改善月经性LBP期间的疼痛、功能障碍和运动恐惧。

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