Kim Yong Wook, Kim Na Young, Chang Won Hyuk, Lee Sang Chul
J Sport Rehabil. 2018 Jan 1;27(1):47-54. doi: 10.1123/jsr.2016-0083. Epub 2018 Jan 17.
Specific muscle-stabilization training can be relevant to patients with clinical spinal instability symptoms. The authors hypothesized that performing sling exercise using an elastic band in patients with clinical spinal instability would lead to pain reduction and improved lumbar spine stability.
To compare supervised sling exercise with an elastic band with traditional stabilizing exercise in chronic lower back pain (LBP) patients with clinical spinal instability.
Randomized assessor-blind controlled trial.
University rehabilitation hospital.
The participants were evaluated thrice at baseline, immediately after, and 3 mo after the last treatment session with the Numeric Pain Rating Scale (NPRS) and by the Oswestry Disability Index (ODI).
Participants were randomly assigned to 1 of 2 treatment groups: a traditional trunk-muscle-stabilizing exercise group or a sling-exercise with elastic bands group. The participants in all treatment groups attended treatment twice a week for 12 wk.
The NPRS at immediately and 3 mo after treatments showed significantly higher improvement in the sling-exercise with elastic bands group than in the traditional trunk-muscle-stabilizing exercise group, respectively (P < .05). The ODI at immediately and 3 mo after treatment showed a significantly higher improvement in the sling-exercise with elastic bands group than in the traditional trunk-muscle-stabilizing exercise group, respectively (P < .05).
A sling exercise with elastic bands leads to a reduction in pain and disability compared with a traditional stabilizing exercise, although traditional stabilizing exercise also shows good results in chronic LBP patients with clinical spinal instability. A sling exercise with an elastic band could be a useful treatment for chronic LBP with clinical spinal instability.
特定的肌肉稳定训练可能适用于有临床脊柱不稳定症状的患者。作者推测，对有临床脊柱不稳定的患者进行使用弹力带的悬吊运动，将减轻疼痛并改善腰椎稳定性。
比较在有临床脊柱不稳定的慢性下腰痛（LBP）患者中，有监督的弹力带悬吊运动与传统稳定运动的效果。
随机评估者盲法对照试验。
大学康复医院。
在基线、最后一次治疗 session 后即刻和 3 个月时，使用数字疼痛评分量表（NPRS）和奥斯威斯利功能障碍指数（ODI）对参与者进行三次评估。
参与者被随机分配到 2 个治疗组中的 1 组：传统躯干肌肉稳定运动组或弹力带悬吊运动组。所有治疗组的参与者每周参加治疗两次，共 12 周。
治疗后即刻和 3 个月时，弹力带悬吊运动组的 NPRS 改善程度分别显著高于传统躯干肌肉稳定运动组（P < 0.05）。治疗后即刻和 3 个月时，弹力带悬吊运动组的 ODI 改善程度分别显著高于传统躯干肌肉稳定运动组（P < 0.05）。
与传统稳定运动相比，弹力带悬吊运动可减轻疼痛和功能障碍，尽管传统稳定运动在有临床脊柱不稳定的慢性 LBP 患者中也显示出良好效果。弹力带悬吊运动可能是治疗有临床脊柱不稳定的慢性 LBP 的一种有效方法。
