Ohtsuki Keisuke
Rehabilitation Support Research Institute, Japan.
J Phys Ther Sci. 2014 May;26(5):755-8. doi: 10.1589/jpts.26.755. Epub 2014 May 29.
[Purpose] A 3-month follow-up study was conducted on a patient diagnosed with acute nonspecfic lumbago. Direct stretching (DS) of the tensor fasciae latae muscle (TFLM) was performed, and an immediate effect was confirmed. [Subjects] The case subject was a 60-year-old woman diagnosed with acute nonspecific lumbago. [Methods] We used a single-case study design and an AB-type study structure, in which the leg was placed in positions that relieved the back pain in period A and DS of the TFLM was performed in period B. The evaluation indices were the visual analog scale (VAS), finger-to-floor distance (FFD), and posterior lumbar flexibility (PLF), which were analyzed using the binomial test. [Results] The VAS, FFD, and PLF in period B showed significant improvement when compared with period A. Additionally, complaints of lower back pain ceased after 2 weeks, and the results of the follow-up study showed no recurrence of back pain during the 3 months. [Conclusion] The results of this study suggest that DS of the TFLM has an immediate effect on acute nonspecific lumbago in addition to long-term pain relief effects.
[目的] 对一名被诊断为急性非特异性腰痛的患者进行了为期3个月的随访研究。对阔筋膜张肌（TFLM）进行了直接拉伸（DS），并确认了即时效果。[对象] 病例对象为一名60岁被诊断为急性非特异性腰痛的女性。[方法] 我们采用单病例研究设计和AB型研究结构，在A期将腿部置于缓解背部疼痛的位置，在B期对TFLM进行DS。评估指标为视觉模拟量表（VAS）、手指触地距离（FFD）和腰椎后伸灵活性（PLF），使用二项式检验进行分析。[结果] 与A期相比，B期的VAS、FFD和PLF有显著改善。此外，腰痛症状在2周后消失，随访研究结果显示在3个月内未出现腰痛复发。[结论] 本研究结果表明，TFLM的DS除了具有长期缓解疼痛的效果外，对急性非特异性腰痛还有即时效果。
