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整体姿势再教育（GPR）对慢性下腰痛的短期和长期影响：一项为期一年随访的对照研究。

Effects in Short and Long Term of Global Postural Reeducation (GPR) on Chronic Low Back Pain: A Controlled Study with One-Year Follow-Up.

作者信息

Castagnoli Chiara, Cecchi Francesca, Del Canto Antonio, Paperini Anita, Boni Roberta, Pasquini Guido, Vannetti Federica, Macchi Claudio

机构信息

Fondazione Don Carlo Gnocchi, IRCCS, Scientific Institute, 50143 Florence, Italy.

Fondazione Don Carlo Gnocchi, IRCCS, Scientific Institute, 50143 Florence, Italy ; Department of Medical and Surgical Critical Area, Università degli Studi di Firenze, Florence, Italy.

出版信息

ScientificWorldJournal. 2015;2015:271436. doi: 10.1155/2015/271436. Epub 2015 Apr 6.

DOI:10.1155/2015/271436
PMID:25945360
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4402563/
Abstract

OBJECTIVE

Comparing global postural reeducation (GPR) to a standard physiotherapy treatment (PT) based on active exercises, stretching, and massaging for improving pain and function in chronic low back pain (CLBP) patients.

DESIGN

Prospective controlled study. Setting. Outpatient rehabilitation facility.

PARTICIPANTS

Adult patients with diagnosis of nonspecific, chronic (>6 months) low back pain.

INTERVENTIONS

Both treatments consisted of 15 sessions of one hour each, twice a week including patient education.

MEASURES

Roland Morris Disability Questionnaire to evaluate disability, and Numeric Analog Scale for pain. A score change >30% was considered clinically significant. Past treatments, use of medications, smoking habits, height, weight, profession, and physical activity were also recorded on baseline, on discharge, and 1 year after discharge (resp., T0, T1, and T2).

RESULTS

At T0 103 patients with cLBP (51 cases and 52 controls) were recruited. The treatment (T1) has been completed by 79 (T1) of which 60 then carried out the 1-year follow-up (T2). Both GPR and PT at T1 were associated with a significant statistical and clinical improvement in pain and function, compared to T0. At T2, only pain in GPR still registered a statistically significant improvement.

摘要

目的

比较整体姿势再教育（GPR）与基于主动运动、拉伸和按摩的标准物理治疗（PT）对改善慢性下腰痛（CLBP）患者疼痛和功能的效果。

设计

前瞻性对照研究。地点：门诊康复机构。

参与者

诊断为非特异性慢性（>6个月）下腰痛的成年患者。

干预措施

两种治疗均包括每周两次，每次一小时，共15节治疗课程，包括患者教育。

测量指标

采用罗兰·莫里斯残疾问卷评估残疾情况，采用数字模拟评分法评估疼痛程度。评分变化>30%被认为具有临床意义。还记录了基线、出院时和出院后1年（分别为T0、T1和T2）的既往治疗情况、药物使用情况、吸烟习惯、身高、体重、职业和体育活动。

结果

在T0时招募了103例CLBP患者（51例病例和52例对照）。79例患者完成了治疗（T1），其中60例随后进行了1年随访（T2）。与T0相比，T1时GPR和PT在疼痛和功能方面均有显著的统计学和临床改善。在T2时，只有GPR组的疼痛仍有统计学上的显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcd0/4402563/779f60ba9397/TSWJ2015-271436.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcd0/4402563/779f60ba9397/TSWJ2015-271436.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcd0/4402563/779f60ba9397/TSWJ2015-271436.001.jpg

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