Ulger Ozlem, Demirel Aynur, Oz Müzeyyen, Tamer Seval
J Back Musculoskelet Rehabil. 2017 Nov 6;30(6):1303-1309. doi: 10.3233/BMR-169673.
To determine the effects of spinal stabilization exercises (SSE) and manual therapy methods on pain, function and quality of life (QoL) levels in individuals with chronic low back pain (CLBP).
A total of one-hundred thirteen patients diagnosed as CLBP were enrolled to the study. The patients allocated into Spinal Stabilization group (SG) and manual therapy group (MG), randomly. While SSE performed in SG, soft tissue mobilizations, muscle-energy techniques, joint mobilizations and manipulations were performed in MG. While the severity of pain was assessed with Visual Analog Scale (VAS), Oswestry Disability Index (ODI) and Short Form 36 (SF-36) assessments were performed to evaluate the functional status and QoL, respectively. All assessments were repeated before and after the treatment.
Intragroup analyses both treatments were effective in terms of sub parameters of pain, function and life quality (p< 0.05). Inter group analyses, there was more reduction in pain and improvement in functional status in favor of MG (p< 0.05).
This study showed that SSE and manual therapy methods have the same effects on QoL, while the manual treatment is more effective on the pain and functional parameters in particular.
确定脊柱稳定训练（SSE）和手法治疗方法对慢性下腰痛（CLBP）患者疼痛、功能及生活质量（QoL）水平的影响。
共纳入113例诊断为CLBP的患者。将患者随机分为脊柱稳定训练组（SG）和手法治疗组（MG）。SG组进行SSE，MG组进行软组织松动术、肌肉能量技术、关节松动术及整复手法。采用视觉模拟量表（VAS）评估疼痛严重程度，分别采用Oswestry功能障碍指数（ODI）和简短健康调查问卷36项（SF-36）评估功能状态和QoL。所有评估均在治疗前后重复进行。
组内分析显示，两种治疗方法在疼痛、功能和生活质量的子参数方面均有效（p<0.05）。组间分析显示，MG组在疼痛减轻和功能状态改善方面更具优势（p<0.05）。
本研究表明，SSE和手法治疗方法对QoL有相同的影响，而手法治疗在疼痛和功能参数方面尤其有效。
