Woo Seong-Dae, Kim Tae-Ho
Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Republic of Korea.
J Phys Ther Sci. 2016 Jan;28(2):680-4. doi: 10.1589/jpts.28.680. Epub 2016 Feb 29.
[Purpose] To determine the effects of lumbar stabilization exercise with thoracic extension exercise on chronic low back pain patients. [Subjects and Methods] Thirty patients with chronic low back pain were randomly divided into a lumbar stabilization exercise group (group A) and a lumbar stabilization exercise with thoracic extension exercise group (group B). Group B did 15 min of lumbar stabilization exercises and 15 min of thoracic extension exercises, while group A did 30 min of lumbar stabilization exercises five times a week for 4 weeks. For assessing lumbosacral alignment, the lordotic angle, lumbosacral angle, and sacral angle were evaluated. The Oswestry disability index was used for assessment of disability due to low back pain. [Results] Both groups showed improvement in lumbosacral alignment and in the disability index. Group B showed greater changes in the lordotic angle and in the Oswestry disability index than group A, although the differences were not statistically significant. [Conclusion] Lumbar stabilization exercise with thoracic extension exercise can be recommended for improvement of chronic low back pain, although the improvements seen in lumbosacral alignment and low back pain disability index in this study did not achieve statistical significance.
[目的] 确定腰椎稳定训练结合胸椎伸展训练对慢性下腰痛患者的影响。[对象与方法] 将30例慢性下腰痛患者随机分为腰椎稳定训练组（A组）和腰椎稳定训练结合胸椎伸展训练组（B组）。B组进行15分钟的腰椎稳定训练和15分钟的胸椎伸展训练，而A组每周进行5次、每次30分钟的腰椎稳定训练，共4周。为评估腰骶部排列，对腰椎前凸角、腰骶角和骶角进行了评估。采用Oswestry功能障碍指数评估下腰痛导致的功能障碍。[结果] 两组患者的腰骶部排列和功能障碍指数均有改善。B组的腰椎前凸角和Oswestry功能障碍指数的变化比A组更大，尽管差异无统计学意义。[结论] 虽然本研究中腰骶部排列和下腰痛功能障碍指数的改善未达到统计学意义，但腰椎稳定训练结合胸椎伸展训练可推荐用于改善慢性下腰痛。
