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手法治疗与传统物理治疗对腰椎间盘退变所致慢性下腰痛的疗效:一项初步研究

Efficacy of Manual Therapy Conventional Physical Therapy in Chronic Low Back Pain Due to Lumbar Spondylosis. A Pilot Study.

作者信息

Sharma Arti, Alahmari Khalid, Ahmed Irshad

机构信息

Department of Medical Rehabilitation Sciences, College of Applied Medical Science, King Khalid University, Abha 61321, Saudi Arabia.

出版信息

Med Sci (Basel). 2015 Jun 26;3(3):55-63. doi: 10.3390/medsci3030055.

Abstract

OBJECTIVES

The objective of this work was to compare the efficacy of Maitland mobilization and conventional physical therapy on pain response, range of motion (ROM) and functional ability in patients with chronic low back pain due to lumbar spondylosis.

METHODS

A total sample of 30 subjects (40-70 years of age) with complaints of slow insidious onset of low back pain (LBP), with or without radiation not less than three months duration and decrease ROM were randomly assigned to: group-I, Maitland mobilization and lumbar stabilization exercises; group-II conventional physical therapy (traction, strengthening, stretching exercises.) and outcomes were assessed for dependent variables.

RESULTS

There is statically a significant difference between pre and post measurement readings with time ( = 0.00) and between groups ( < 0.05) with respect to pain and function, but, with respect to ROM readings, showed statistical significance with time ( = 0.00) and no significance between groups ( > 0.05), indicating manual therapy group-I is improving faster and better than conventional physical therapy group-II.

CONCLUSION

Our results showed that manual therapy interventions are more effective in managing low back pain, and function and range of motion of the lumbar spine than conventional physical therapy treatment.

摘要

目的

本研究旨在比较梅特兰手法松动术与传统物理治疗对腰椎间盘退变所致慢性下腰痛患者疼痛反应、活动范围(ROM)及功能能力的疗效。

方法

选取30例年龄在40 - 70岁之间、主诉下腰痛起病隐匿且病程不少于3个月、伴或不伴有下肢放射痛及活动范围减小的患者,随机分为两组:第一组接受梅特兰手法松动术及腰椎稳定训练;第二组接受传统物理治疗(牵引、强化训练、伸展训练),并对相关因变量进行评估。

结果

在疼痛和功能方面,组内治疗前后测量读数随时间有显著差异(P = 0.00),组间也有显著差异(P < 0.05);但在ROM读数方面,随时间有统计学意义(P = 0.00),组间无显著差异(P > 0.05),表明手法治疗组I比传统物理治疗组II改善得更快更好。

结论

我们的结果表明,手法治疗干预在治疗下腰痛、腰椎功能及活动范围方面比传统物理治疗更有效。

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