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对比普拉提的下背部活动度和稳定性练习对非特异性下腰痛的效果:一项随机对照试验的研究方案。

Comparison of low back mobility and stability exercises from Pilates in non-specific low back pain: A study protocol of a randomized controlled trial.

机构信息

Departamento de Educação Física, Fisioterapia e Dança da Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.

Departamento de Educação Física, Fisioterapia e Dança da Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.

出版信息

Complement Ther Clin Pract. 2018 May;31:360-368. doi: 10.1016/j.ctcp.2017.12.005. Epub 2017 Dec 8.

DOI:10.1016/j.ctcp.2017.12.005
PMID:29248397
Abstract

BACKGROUND

There is some evidence in the literature about the effectiveness of the Pilates methods in the low back pain. Moreover, Pilates focus on exercises that empathizes the stability and/or mobility of the spine. Therefore, it is discussed in the literature whether higher levels of stability or mobility of the lumbar spine generates better results, both in performance and rehabilitation for low back pain.

OBJECTIVES

Compare the effects of the low back mobility and stability exercises from Pilates Method on low back pain, disability and movement functionality in individuals with non-specific chronic low back pain.

METHODS

28 participants will be randomized into two exercise protocol from Pilates methods, one focusing on low back stability and other on low back mobility. Low back pain (visual analogic scale), low back disability (Oswestry) and movement functionality (7 functional movement tasks) will be evaluated before and after 10 sessions of Pilates exercise by the same trained assessor. A mixed designed ANOVA with two factors will be used. This study is the first to compare these outcomes for chronic low back pain participants with two exercises protocol focusing on low back mobility and stability and the results will evaluate what to prioritize with Pilates exercises to give better results for that population.

摘要

背景

文献中有一些关于普拉提方法对腰痛有效性的证据。此外,普拉提专注于强调脊柱稳定性和/或活动性的练习。因此,文献中讨论了更高水平的腰椎稳定性或活动性是否会产生更好的结果,无论是在腰痛的表现还是康复方面。

目的

比较普拉提方法中针对下腰痛的腰椎活动性和稳定性练习对非特异性慢性下腰痛患者的腰痛、残疾和运动功能的影响。

方法

将 28 名参与者随机分为两组普拉提方法的运动方案,一组侧重于腰椎稳定性,另一组侧重于腰椎活动性。由同一位训练有素的评估者在 10 次普拉提运动前后评估下腰痛(视觉模拟评分)、下腰痛残疾(Oswestry)和运动功能(7 项功能性运动任务)。将使用具有两个因素的混合设计方差分析。这项研究是首次比较针对慢性腰痛患者的这两种针对腰椎活动性和稳定性的练习方案的结果,结果将评估在普拉提练习中应优先考虑哪些方面,以为该人群带来更好的效果。

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