Michaelson Peter, Holmberg David, Aasa Björn, Aasa Ulrika
Department of Health Science, Luleå University of Technology, SE-971 87 Luleå, Sweden.
J Rehabil Med. 2016 Apr 28;48(5):456-63. doi: 10.2340/16501977-2091.
The aim of this study was to compare the effects of a high load lifting exercise with low load motor control exercises on pain intensity, disability and health-related quality of life for patients with mechanical low back pain.
A randomized controlled trial.
Patients with mechanical low back pain as their dominating pain mechanism.
The intervention programme consisted of a high load lifting exercise, while the control group received low load motor control exercises over 8 weeks (12 sessions) with pain education included in both intervention arms. The primary outcome was pain intensity and disability, and the secondary outcome was health-related quality of life.
Each intervention arm included 35 participants, analysed following 2-, 12- and 24-month follow-up. There was no significant difference between the high load lifting and low load motor control interventions for the primary or secondary outcome measures. Between 50% and 80% of participants reported a decrease in perceived pain intensity and disability for both short- and long-term follow-up.
No difference was observed between the high low load lifting and low load motor control interventions. Both interventions included retraining of movement patterns and pain education, which might explain the positive results over time.
本研究旨在比较高负荷举重运动与低负荷运动控制训练对机械性下背痛患者疼痛强度、功能障碍及健康相关生活质量的影响。
一项随机对照试验。
以机械性下背痛为主要疼痛机制的患者。
干预方案包括高负荷举重运动，而对照组接受为期8周（12节）的低负荷运动控制训练，两个干预组均包含疼痛教育。主要结局为疼痛强度和功能障碍，次要结局为健康相关生活质量。
每个干预组纳入35名参与者，在2个月、12个月和24个月随访后进行分析。高负荷举重运动和低负荷运动控制训练在主要或次要结局指标上无显著差异。在短期和长期随访中，50%至80%的参与者报告其感知到的疼痛强度和功能障碍有所减轻。
高负荷举重运动与低负荷运动控制训练之间未观察到差异。两种干预均包括运动模式再训练和疼痛教育，这可能解释了随着时间推移出现的积极结果。
