Letafatkar Amir, Nazarzadeh Maryam, Hadadnezhad Malihe, Farivar Niloufar
Department of Biomechanics and Sport injuries, Faculty of Physical Education and Sport Science, Kharazmi University, Tehran, Iran.
Faculty of Physical Education and Sport Science, Department of health and Sport Medicine, Broujed University, Tehran, Iran.
J Back Musculoskelet Rehabil. 2017 Aug 3;30(4):767-778. doi: 10.3233/BMR-150404.
There is a relation between deficits of the proprioceptive system and movement control dysfunction in patients with chronic low back pain (LBP) but, the exact mechanism of this relation is unknown. Exercise therapy has been recognized as an effective method for low back pain treatment. In spite of this, it is not clear which of the various exercise therapy programs lead to better results.
Therefore, the present analyze the efficacy of a HUBER study aims to exercise system mediated sensorimotor training protocol on proprioceptive system, lumbar movement control (LMC) and quality of life (QOL) in patients with chronic non-specific LBP.
Quasi-experimental study.
53 patients with chronic non-specific LBP (mean age 37.55 ± 6.67 years,and Body Mass Index (BMI) 22.4 ± 3.33) were selected by using Roland-Morris Disability Questionnaire (RMQ) and were assigned into two experimental (N= 27) and control groups (N= 26) The experimental group underwent a five-week (10 sessions) Sensorimotor training by using the Human Body Equalizer (HUBER) spine force under the supervision of an investigator. The movement control battery tests, the HUBER machine testing option, goniometer and visual analogue scale used for movement control, neuromuscular coordination, proprioception and LBP assessment respectively. The assessments were completed in pre-test and after five weeks. The paired and sample T tests were used for data analysis in SPSS program version 18 (Significance level were set at a P value < 0.05).
The HUBER system mediated sensorimotor training demonstrated significant improvement in the proprioceptive system, LMC and QOL (P= 0.001). Also There was a significant reduction in the pain scores of subjects with chronic non-specific LBP in the sensorimotor group (P= 0.001).
In this study, only the short term effects of the sensorimotor training were examined.
The results suggest that a sensorimotor training program causes significant improvement in patients with chronic non-specific LBP. Future research should be carried out with a larger sample size to examine the long term effects of the sensorimotor training program on treatment of patients with chronic non-specific LBP. Considering the efficacy of the sensorimotor training, it is recommended that this intervention should be applied to treatment of patients with chronic non-specific LBP in the future.
慢性下腰痛（LBP）患者的本体感觉系统缺陷与运动控制功能障碍之间存在关联，但这种关联的确切机制尚不清楚。运动疗法已被公认为治疗下腰痛的有效方法。尽管如此，尚不清楚各种运动疗法方案中哪种能带来更好的效果。
因此，本HUBER研究旨在分析一种运动系统介导的感觉运动训练方案对慢性非特异性LBP患者本体感觉系统、腰椎运动控制（LMC）和生活质量（QOL）的疗效。
准实验研究。
使用罗兰-莫里斯残疾问卷（RMQ）选取53例慢性非特异性LBP患者（平均年龄37.55±6.67岁，体重指数（BMI）22.4±3.33），分为两个实验组（N=27）和对照组（N=26）。实验组在一名研究人员的监督下，使用人体平衡器（HUBER）脊柱力量进行为期五周（10节）的感觉运动训练。运动控制电池测试、HUBER机器测试选项、测角仪和视觉模拟量表分别用于运动控制、神经肌肉协调、本体感觉和LBP评估。评估在预测试和五周后完成。在SPSS 18版程序中使用配对和样本T检验进行数据分析（显著性水平设定为P值<0.05）。
HUBER系统介导的感觉运动训练在本体感觉系统、LMC和QOL方面有显著改善（P=0.001）。感觉运动组中慢性非特异性LBP患者的疼痛评分也有显著降低（P=0.001）。
在本研究中，仅检查了感觉运动训练的短期效果。
结果表明，感觉运动训练方案能使慢性非特异性LBP患者有显著改善。未来的研究应以更大的样本量进行，以检查感觉运动训练方案对慢性非特异性LBP患者治疗的长期效果。考虑到感觉运动训练的疗效，建议未来将这种干预应用于慢性非特异性LBP患者的治疗。
