School of Physiotherapy and Exercise Science, Curtin University, Western Australia, Australia.
School of Physiotherapy and Exercise Science, Curtin University, Western Australia, Australia Body Logic Physiotherapy, Perth, Western Australia, Australia.
Br J Sports Med. 2015 Sep;49(17):1125-31. doi: 10.1136/bjsports-2014-093984. Epub 2015 Jan 24.
Low back pain (LBP) is prevalent among adolescent rowers. This study evaluated the efficacy of a cognitive functional approach to reduce LBP in this population.
Thirty-six adolescent male rowers reporting LBP participated. Nineteen were randomly allocated to the intervention group to receive a cognitive functional approach targeting cognitions, movement patterns, conditioning and lifestyle factors relevant to each rower for 8 weeks. The active control group (n=17) received usual care from their coaches (rowing skills and conditioning exercises). The primary outcome of the study was pain intensity as measured by the Numeric Pain Rating Scale during a 15 min ergometer trial preintervention and postintervention. Disability (Patient Specific Functional Scale and Roland Morris Disability Questionnaire) was measured preintervention/postintervention and at 12 weeks follow-up. Isometric muscle endurance of the back extensors and lower limb muscles, usual sitting posture and regional lumbar kinematic data during a 15 min ergometer row were measured preintervention/postintervention.
Compared with the control group, the intervention group reported significantly less pain during ergometer rowing (Numeric Pain Rating Scale -2.4, p=0.008) and reduced disability (Patient Specific Functional Scale (4.1, p=0.01); Roland Morris Disability Questionnaire (-1.7, p=0.003)) following the intervention, and at 12 weeks follow-up. They also demonstrated greater lower limb muscle endurance (20.9 s, p=0.03) and postured their lower lumbar spine in greater extension during static sitting (-9.6°, p=0.007). No significant differences were reported in back muscle endurance and regional lumbar kinematics during ergometer rowing.
Cognitive functional approach was more effective than usual care in reducing pain and disability in adolescent male rowers.
Australian and New Zealand Clinical Trial Registry Number 12609000565246.
腰痛（LBP）在青少年赛艇运动员中很常见。本研究评估了认知功能方法对减少该人群 LBP 的疗效。
36 名报告腰痛的青少年男性赛艇运动员参加了研究。19 名随机分配到干预组，接受针对认知、运动模式、条件和生活方式因素的认知功能方法治疗，为期 8 周。活跃对照组（n=17）接受教练的常规治疗（划船技术和训练练习）。本研究的主要结局是在干预前和干预后 15 分钟测功仪试验期间使用数字疼痛评分量表（Numeric Pain Rating Scale）测量的疼痛强度。残疾（特定患者功能量表和 Roland Morris 残疾问卷）在干预前/后和 12 周随访时进行测量。在干预前/后和 15 分钟测功仪划船期间，还测量了背伸肌和下肢肌肉的等长肌肉耐力、通常的坐姿和区域腰椎运动学数据。
与对照组相比，干预组在测功仪划船过程中报告的疼痛明显减轻（数字疼痛评分量表 -2.4，p=0.008），残疾程度降低（特定患者功能量表（4.1，p=0.01）；Roland Morris 残疾问卷（-1.7，p=0.003）），在干预后 12 周随访时也是如此。他们还表现出更大的下肢肌肉耐力（20.9 秒，p=0.03），并在静态坐姿中使下腰椎处于更大的伸展位置（-9.6°，p=0.007）。在测功仪划船期间，背部肌肉耐力和区域腰椎运动学没有显著差异。
认知功能方法比常规治疗更能有效减轻青少年男性赛艇运动员的疼痛和残疾。
澳大利亚和新西兰临床试验注册中心编号 12609000565246。
