胸椎松动和稳定训练对慢性下腰痛患者躯干肌肉力量和灵活性的影响。
The effect of thoracic spine mobilization and stabilization exercise on the muscular strength and flexibility of the trunk of chronic low back pain patients.
作者信息
Yang Seong-Rae, Kim Kyung, Park Sun-Ja, Kim Kyung
机构信息
Department of Rehabilitation Science, Graduate School, Daegu University, Republic of Korea.
Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Republic of Korea.
出版信息
J Phys Ther Sci. 2015 Dec;27(12):3851-4. doi: 10.1589/jpts.27.3851. Epub 2015 Dec 28.
[Purpose] To investigate whether thoracic spine mobilization added to stabilization exercises increases the muscular strength and range of motion of the thoracic vertebrae of chronic low-back pain patients. [Subjects] This study enrolled 20 patients with chronic low back pain, who were divided into two groups. Ten subjects were randomly selected for the stabilization exercise group and the remaining 10 subjects received thoracic spine mobilization in addition to performing the stabilization exercises. [Methods] The patients performed stabilization exercises and received thoracic spine mobilization for 12 weeks. The range of motion and isometric muscular strength of the vertebrae of all subjects were measured before and after the intervention. [Results] In the comparison of muscular strength before and after the intervention, the change in muscular strength of the trunk flexors in the stabilization exercise group was 16.0±7.4 Nm, and that of the thoracic spine mobilization group was 34.2±7.6 Nm, a significant difference in each group. In the post-intervention intergroup comparison, the muscular strength of trunk flexors in the stabilization exercise group was 111.1±16.9 Nm, while that of the thoracic spine mobilization group was 125.9±11.3 Nm, a significant difference. Also, the muscular strength of the trunk extensors in the stabilization exercise group was 148.9±31.8 Nm, while that of the thoracic spine mobilization group was 182.9±37.2 Nm, a significant difference. The thoracic spine flexion in the stabilization exercise group was 29.8±9 degrees, while that of the thoracic spine mobilization group was 38.7±6.9 degrees, a significant difference. However, there was no significant difference in lumbar flexion values between the two groups. [Conclusion] Thoracic spine mobilization added to a stabilization exercise increased the muscular strength of patients with chronic low back pain.
[目的]探讨在稳定性训练基础上增加胸椎松动术是否能增强慢性下腰痛患者胸椎的肌肉力量和活动度。[对象]本研究纳入20例慢性下腰痛患者，分为两组。随机选取10例受试者作为稳定性训练组，其余10例受试者在进行稳定性训练的同时接受胸椎松动术。[方法]患者进行12周的稳定性训练并接受胸椎松动术。在干预前后测量所有受试者椎体的活动度和等长肌肉力量。[结果]在干预前后肌肉力量的比较中，稳定性训练组躯干屈肌的肌肉力量变化为16.0±7.4 Nm，胸椎松动术组为34.2±7.6 Nm，两组均有显著差异。在干预后组间比较中，稳定性训练组躯干屈肌的肌肉力量为111.1±16.9 Nm，而胸椎松动术组为125.9±11.3 Nm，有显著差异。此外，稳定性训练组躯干伸肌的肌肉力量为148.9±31.8 Nm，而胸椎松动术组为182.9±37.2 Nm，有显著差异。稳定性训练组胸椎前屈为29.8±9度，而胸椎松动术组为38.7±6.9度，有显著差异。然而，两组之间的腰椎前屈值没有显著差异。[结论]在稳定性训练基础上增加胸椎松动术可增强慢性下腰痛患者的肌肉力量。
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