Paungmali Aatit, Henry Leonard Joseph, Sitilertpisan Patraporn, Pirunsan Ubon, Uthaikhup Sureeporn
Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Thailand.
Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Thailand; Physiotherapy Program, School of Rehabilitation Sciences, Faculty of Health Sciences, University Kebangsaan Malaysia, Malaysia.
J Phys Ther Sci. 2016 Jan;28(2):635-40. doi: 10.1589/jpts.28.635. Epub 2016 Feb 29.
[Purpose] This study investigated the effects of lumbopelvic stabilization training on tissue blood flow changes in the lumbopelvic region and lumbopelvic stability compared to placebo treatment and controlled intervention among patients with chronic non-specific low back pain. [Subjects and Methods] A total of 25 participants (7 males, 18 females; mean age, 33.3 ± 14.4 years) participated in this within-subject, repeated-measures, double-blind, placebo-controlled comparison trial. The participants randomly underwent three types of interventions that included lumbopelvic stabilization training, placebo treatment, and controlled intervention with 48 hours between sessions. Lumbopelvic stability and tissue blood flow were measured using a pressure biofeedback device and a laser Doppler flow meter before and after the interventions. [Results] The repeated-measures analysis of variance results demonstrated a significant increase in tissue blood flow over the lumbopelvic region tissues for post- versus pre-lumbopelvic stabilization training and compared to placebo and control interventions. A significant increase in lumbopelvic stability before and after lumbopelvic stabilization training was noted, as well as upon comparison to placebo and control interventions. [Conclusion] The current study supports an increase in tissue blood flow in the lumbopelvic region and improved lumbopelvic stability after core training among patients with chronic non-specific low back pain.
[目的] 本研究调查了与安慰剂治疗及对照干预相比,腰骶部稳定训练对慢性非特异性下腰痛患者腰骶部组织血流变化及腰骶部稳定性的影响。[对象与方法] 共有25名参与者(7名男性,18名女性;平均年龄33.3±14.4岁)参与了这项受试者内重复测量双盲安慰剂对照比较试验。参与者随机接受三种干预措施,包括腰骶部稳定训练、安慰剂治疗和对照干预,各疗程之间间隔48小时。在干预前后,使用压力生物反馈装置和激光多普勒血流仪测量腰骶部稳定性和组织血流。[结果] 重复测量方差分析结果表明,与腰骶部稳定训练前相比,训练后腰骶部区域组织的血流显著增加,且与安慰剂和对照干预相比也有显著增加。腰骶部稳定训练前后以及与安慰剂和对照干预相比,腰骶部稳定性均有显著提高。[结论] 本研究支持慢性非特异性下腰痛患者在进行核心训练后,腰骶部组织血流增加,腰骶部稳定性改善。