Lee Jin-Su, Yang Seung-Hoon, Koog Yun-Hyung, Jun Hyun-Ju, Kim Se-Hun, Kim Ki-Jong
Department of Physical Therapy, Graduate School of Dongshin University, Republic of Korea.
Department of Physical Therapy, Vision University, Republic of Korea.
J Phys Ther Sci. 2014 Aug;26(8):1301-6. doi: 10.1589/jpts.26.1301. Epub 2014 Aug 30.
[Purpose] This study investigated effects of sling exercise for patients with chronic low back pain. [Methods] We reviewed all relevant papers indexed in PubMed, SCOPUS, and the Cochrane Registered Trials. Eligible trials were randomized controlled trials that compared sling exercise with any type of treatment. We extracted data on muscle thickness, muscle activation, pain, and disability, and assessed the methodological quality of the data. Seven studies met our inclusion criteria. [Results] When sling exercise had an impact on activation of the trunk muscles, increasing the trunk muscle thickness, and the reduction in pain and disability had been assessed shortly after the final exercise session, it was more effective than general exercise at activating trunk muscles, but not more effective at increasing trunk muscle thickness and improving pain and disability than general exercise. [Conclusion] As sling therapy studies are based on a small number of trials, we cannot draw conclusions about the therapeutic effects of sling exercise. When segmental stabilizing exercise and individually designed programs are added to sling exercise, it increases the effectiveness of sling exercise at improving low back pain. This should be the focus of future studies.
[目的] 本研究调查了悬吊运动对慢性下腰痛患者的影响。[方法] 我们检索了PubMed、SCOPUS和Cochrane注册试验中所有相关文献。符合条件的试验为将悬吊运动与任何类型治疗方法进行比较的随机对照试验。我们提取了有关肌肉厚度、肌肉激活、疼痛和功能障碍的数据，并评估了数据的方法学质量。七项研究符合我们的纳入标准。[结果] 当在最后一次运动 session 后不久评估悬吊运动对躯干肌肉激活、增加躯干肌肉厚度以及减轻疼痛和功能障碍的影响时，它在激活躯干肌肉方面比一般运动更有效，但在增加躯干肌肉厚度以及改善疼痛和功能障碍方面并不比一般运动更有效。[结论] 由于悬吊疗法研究基于少数试验，我们无法得出关于悬吊运动治疗效果的结论。当在悬吊运动中加入节段性稳定运动和个性化设计的方案时，可提高悬吊运动改善下腰痛的有效性。这应是未来研究的重点。
