Sung Youn-Bum, Lee Jung-Ho, Park Young-Han
Department of Physical Therapy, Korea National University of Transportation, Republic of Korea.
Department of Physical Therapy, Kyungdong University, Republic of Korea.
J Phys Ther Sci. 2014 Nov;26(11):1711-4. doi: 10.1589/jpts.26.1711. Epub 2014 Nov 13.
[Purpose] The aim of this study was to evaluate the changes in function and mental state after thoracic mobilization and manipulation in patients with chronic lower back pain (LBP). [Subjects and Methods] Thirty-six subjects were randomly divided into mobilization group (group A), manipulation group (group B) and control group (group C). The Oswestry disability index (ODI) was used to measure the functional impairment of patients with LBP. A multiple spinal diagnosis was used to measure the range of motion (ROM) of vertebra segments. The Fear-avoidance beliefs questionnaire (FABQ) was used to investigate the mental state of LBP patients. [Results] Group A and group B were significantly different from group C in terms of the ODI. Between groups, there was no difference in ROM during trunk flexion. Group A and group B were also significantly different from the control group in extension ROM. The FABQ of group B was significantly different from that of group A. [Conclusion] Application of mobilization or manipulation to thoracic lumbar vertebrae has a positive effect on function, mental state, and ROM in patients with lower back pain.
[目的]本研究旨在评估慢性下背痛（LBP）患者进行胸椎松动术和整复术后功能及心理状态的变化。[对象与方法]36名受试者被随机分为松动术组（A组）、整复术组（B组）和对照组（C组）。采用Oswestry功能障碍指数（ODI）测量LBP患者的功能损害。采用多节段脊柱诊断法测量椎体节段的活动范围（ROM）。采用恐惧回避信念问卷（FABQ）调查LBP患者的心理状态。[结果]A组和B组在ODI方面与C组有显著差异。组间比较，躯干前屈时ROM无差异。A组和B组在伸展ROM方面也与对照组有显著差异。B组的FABQ与A组有显著差异。[结论]对胸腰椎进行松动术或整复术对下背痛患者的功能、心理状态和ROM有积极影响。
